"RecordType","FileInformation","Description","ProcedureCode","Modifier","RevenueCode","MSDRG","NDC","InpatientGrossCharge","OutpatientGrossCharge","EmergencyRoomGrossCharge","DiscountedCashPriceInpatient","DiscountedCashPriceOutpatient","DiscountedCashPriceEmergencyRoom","MinimumNegotiatedCharge","MaximumNegotiatedCharge","OhanaCCSSMI-BehavioralHealthPlans_EmergencyRoom_FeeSchedule","QuestIntegrationAlohacare-ABDPlans_Outpatient_PercentofCharges","QuestIntegrationAlohacare-ABDPlans_EmergencyRoom_PercentofCharges","QuestIntegrationAlohacare-Non-ABDPlans_Outpatient_PercentofCharges","QuestIntegrationAlohacare-Non-ABDPlans_EmergencyRoom_PercentofCharges","QuestIntegrationHMSA-ABDPlans_Outpatient_PercentofCharges","QuestIntegrationHMSA-ABDPlans_EmergencyRoom_PercentofCharges","QuestIntegrationHMSA-Non-ABDPlans_Outpatient_PercentofCharges","QuestIntegrationHMSA-Non-ABDPlans_EmergencyRoom_PercentofCharges","QuestIntegrationUnitedHealthcare-ABD&Non-ABDPlans_Outpatient_PercentofCharges","QuestIntegrationUnitedHealthcare-ABD&Non-ABDPlans_EmergencyRoom_PercentofCharges"
"1","HospitalorFacilityName","Queens Medical Center - West Oahu","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"2","PricesPostedandEffective","1/7/2023","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"3","Notes","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC","N/A","N/A","N/A","001","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC","N/A","N/A","N/A","002","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES","N/A","N/A","N/A","003","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES","N/A","N/A","N/A","004","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT","N/A","N/A","N/A","005","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","LIVER TRANSPLANT WITHOUT MCC","N/A","N/A","N/A","006","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","LUNG TRANSPLANT","N/A","N/A","N/A","007","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT","N/A","N/A","N/A","008","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","PANCREAS TRANSPLANT","N/A","N/A","N/A","010","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC","N/A","N/A","N/A","011","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC","N/A","N/A","N/A","012","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC","N/A","N/A","N/A","013","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","ALLOGENEIC BONE MARROW TRANSPLANT","N/A","N/A","N/A","014","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC","N/A","N/A","N/A","016","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC","N/A","N/A","N/A","017","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES","N/A","N/A","N/A","018","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS","N/A","N/A","N/A","019","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC","N/A","N/A","N/A","020","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC","N/A","N/A","N/A","021","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC","N/A","N/A","N/A","022","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR","N/A","N/A","N/A","023","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC","N/A","N/A","N/A","024","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC","N/A","N/A","N/A","025","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC","N/A","N/A","N/A","026","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC","N/A","N/A","N/A","027","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","SPINAL PROCEDURES WITH MCC","N/A","N/A","N/A","028","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS","N/A","N/A","N/A","029","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","SPINAL PROCEDURES WITHOUT CC/MCC","N/A","N/A","N/A","030","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","VENTRICULAR SHUNT PROCEDURES WITH MCC","N/A","N/A","N/A","031","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","VENTRICULAR SHUNT PROCEDURES WITH CC","N/A","N/A","N/A","032","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC","N/A","N/A","N/A","033","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CAROTID ARTERY STENT PROCEDURES WITH MCC","N/A","N/A","N/A","034","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CAROTID ARTERY STENT PROCEDURES WITH CC","N/A","N/A","N/A","035","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC","N/A","N/A","N/A","036","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","EXTRACRANIAL PROCEDURES WITH MCC","N/A","N/A","N/A","037","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","EXTRACRANIAL PROCEDURES WITH CC","N/A","N/A","N/A","038","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","EXTRACRANIAL PROCEDURES WITHOUT CC/MCC","N/A","N/A","N/A","039","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC","N/A","N/A","N/A","040","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR","N/A","N/A","N/A","041","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC","N/A","N/A","N/A","042","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","SPINAL DISORDERS AND INJURIES WITH CC/MCC","N/A","N/A","N/A","052","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC","N/A","N/A","N/A","053","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","NERVOUS SYSTEM NEOPLASMS WITH MCC","N/A","N/A","N/A","054","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","NERVOUS SYSTEM NEOPLASMS WITHOUT MCC","N/A","N/A","N/A","055","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC","N/A","N/A","N/A","056","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC","N/A","N/A","N/A","057","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC","N/A","N/A","N/A","058","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC","N/A","N/A","N/A","059","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC","N/A","N/A","N/A","060","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC","N/A","N/A","N/A","061","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC","N/A","N/A","N/A","062","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC","N/A","N/A","N/A","063","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC","N/A","N/A","N/A","064","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS","N/A","N/A","N/A","065","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC","N/A","N/A","N/A","066","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC","N/A","N/A","N/A","067","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC","N/A","N/A","N/A","068","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES","N/A","N/A","N/A","769","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","N/A","N/A","N/A","770","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES","N/A","N/A","N/A","776","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","CESAREAN SECTION WITH STERILIZATION WITH MCC","N/A","N/A","N/A","783","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY","N/A","N/A","N/A","789","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE","N/A","N/A","N/A","790","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC","N/A","N/A","N/A","796","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC","N/A","N/A","N/A","798","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC","N/A","N/A","N/A","805","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC","N/A","N/A","N/A","807","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC","N/A","N/A","N/A","808","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC","N/A","N/A","N/A","809","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC","N/A","N/A","N/A","867","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS","N/A","N/A","N/A","870","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS","N/A","N/A","N/A","876","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION","N/A","N/A","N/A","880","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
"5","N/A","DEPRESSIVE NEUROSES","N/A","N/A","N/A","881","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY","N/A","N/A","N/A","884","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A","N/A"
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"5","N/A","BIT DRILL FEMUR DISTAL QC TARGETER 4.5MM","N/A","N/A","0272","N/A","N/A","377.19","377.19","377.19","N/A","N/A","N/A","377.19","377.19","N/A","377.19","377.19","377.19","377.19","377.19","377.19","377.19","377.19","377.19","377.19"
"5","N/A","BIT DRILL FLEXIBLE 3.2X35MM","N/A","N/A","0272","N/A","N/A","593.67","593.67","593.67","N/A","N/A","N/A","593.67","593.67","N/A","593.67","593.67","593.67","593.67","593.67","593.67","593.67","593.67","593.67","593.67"
"5","N/A","BIT DRILL FLEXIBLE SHAFT F/ QC 2.3MM","N/A","N/A","0272","N/A","N/A","1333.46","1333.46","1333.46","N/A","N/A","N/A","1333.46","1333.46","N/A","1333.46","1333.46","1333.46","1333.46","1333.46","1333.46","1333.46","1333.46","1333.46","1333.46"
"5","N/A","BIT DRILL FOR 3MM SCRW 2.2MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","BIT DRILL FREE HAND 4.3MM","N/A","N/A","0272","N/A","N/A","378.68","378.68","378.68","N/A","N/A","N/A","378.68","378.68","N/A","378.68","378.68","378.68","378.68","378.68","378.68","378.68","378.68","378.68","378.68"
"5","N/A","BIT DRILL FREE-HAND 3.3X152.5MM","N/A","N/A","0272","N/A","N/A","448.80","448.80","448.80","N/A","N/A","N/A","448.80","448.80","N/A","448.80","448.80","448.80","448.80","448.80","448.80","448.80","448.80","448.80","448.80"
"5","N/A","BIT DRILL FXTN TRIM-IT 3.5MM","N/A","N/A","0272","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","BIT DRILL GORILLA CANNULATED AO 2.5X110MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","BIT DRILL GRAD 2.5MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","BIT DRILL GRAD 2MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","BIT DRILL HELIX-T 2.5X13MM","N/A","N/A","0272","N/A","N/A","640.20","640.20","640.20","N/A","N/A","N/A","640.20","640.20","N/A","640.20","640.20","640.20","640.20","640.20","640.20","640.20","640.20","640.20","640.20"
"5","N/A","BIT DRILL HOFFMAN 3 4.0X200MM","N/A","N/A","0272","N/A","N/A","448.14","448.14","448.14","N/A","N/A","N/A","448.14","448.14","N/A","448.14","448.14","448.14","448.14","448.14","448.14","448.14","448.14","448.14","448.14"
"5","N/A","BIT DRILL HOL 10MM","N/A","N/A","0272","N/A","N/A","958.65","958.65","958.65","N/A","N/A","N/A","958.65","958.65","N/A","958.65","958.65","958.65","958.65","958.65","958.65","958.65","958.65","958.65","958.65"
"5","N/A","BIT DRILL INTERTAN LAG SCR 10.5MM","N/A","N/A","0272","N/A","N/A","3597.00","3597.00","3597.00","N/A","N/A","N/A","3597.00","3597.00","N/A","3597.00","3597.00","3597.00","3597.00","3597.00","3597.00","3597.00","3597.00","3597.00","3597.00"
"5","N/A","BIT DRILL J LATCH 1.5X90MM","N/A","N/A","0272","N/A","N/A","455.07","455.07","455.07","N/A","N/A","N/A","455.07","455.07","N/A","455.07","455.07","455.07","455.07","455.07","455.07","455.07","455.07","455.07","455.07"
"5","N/A","BIT DRILL J LATCH 12MM 1.5X50MM","N/A","N/A","0272","N/A","N/A","581.20","581.20","581.20","N/A","N/A","N/A","581.20","581.20","N/A","581.20","581.20","581.20","581.20","581.20","581.20","581.20","581.20","581.20","581.20"
"5","N/A","BIT DRILL J LATCH 4MM 1.1X44.5MM","N/A","N/A","0272","N/A","N/A","494.34","494.34","494.34","N/A","N/A","N/A","494.34","494.34","N/A","494.34","494.34","494.34","494.34","494.34","494.34","494.34","494.34","494.34","494.34"
"5","N/A","BIT DRILL J LATCH 6MM 1.1X44.5MM","N/A","N/A","0272","N/A","N/A","578.95","578.95","578.95","N/A","N/A","N/A","578.95","578.95","N/A","578.95","578.95","578.95","578.95","578.95","578.95","578.95","578.95","578.95","578.95"
"5","N/A","BIT DRILL J LATCH 6MM 1.5X50MM","N/A","N/A","0272","N/A","N/A","581.20","581.20","581.20","N/A","N/A","N/A","581.20","581.20","N/A","581.20","581.20","581.20","581.20","581.20","581.20","581.20","581.20","581.20","581.20"
"5","N/A","BIT DRILL J LATCH 8MM 1.1X50MM","N/A","N/A","0272","N/A","N/A","471.24","471.24","471.24","N/A","N/A","N/A","471.24","471.24","N/A","471.24","471.24","471.24","471.24","471.24","471.24","471.24","471.24","471.24","471.24"
"5","N/A","BIT DRILL LABRUM CINCHLOCK SS","N/A","N/A","0272","N/A","N/A","468.60","468.60","468.60","N/A","N/A","N/A","468.60","468.60","N/A","468.60","468.60","468.60","468.60","468.60","468.60","468.60","468.60","468.60","468.60"
"5","N/A","BIT DRILL LEIB 1.5X50MM","N/A","N/A","0272","N/A","N/A","466.55","466.55","466.55","N/A","N/A","N/A","466.55","466.55","N/A","466.55","466.55","466.55","466.55","466.55","466.55","466.55","466.55","466.55","466.55"
"5","N/A","BIT DRILL LONG 2.0MM CALIBRATED","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","BIT DRILL LP OSSEOUS FXTN 1.7MM","N/A","N/A","0272","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","BIT DRILL MAXAN STANDARD 4X12MM","N/A","N/A","0272","N/A","N/A","867.90","867.90","867.90","N/A","N/A","N/A","867.90","867.90","N/A","867.90","867.90","867.90","867.90","867.90","867.90","867.90","867.90","867.90","867.90"
"5","N/A","BIT DRILL MD 4MM STOP 1.5MM","N/A","N/A","0272","N/A","N/A","185.96","185.96","185.96","N/A","N/A","N/A","185.96","185.96","N/A","185.96","185.96","185.96","185.96","185.96","185.96","185.96","185.96","185.96","185.96"
"5","N/A","BIT DRILL MICRORAPTOR KNOTLESS 2.2MM","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","BIT DRILL MICRORAPTOR KNOTLESS 2.6MM","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","BIT DRILL MIDFOOT LAPIDUS 2.5MM","N/A","N/A","0272","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","BIT DRILL MINI QUICK COUPLING SS 1.1MM","N/A","N/A","0272","N/A","N/A","239.83","239.83","239.83","N/A","N/A","N/A","239.83","239.83","N/A","239.83","239.83","239.83","239.83","239.83","239.83","239.83","239.83","239.83","239.83"
"5","N/A","BIT DRILL MINI QUICK COUPLING SS 1.5MM","N/A","N/A","0272","N/A","N/A","232.82","232.82","232.82","N/A","N/A","N/A","232.82","232.82","N/A","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82"
"5","N/A","BIT DRILL MINI QUICK COUPLING SS 1.8MM","N/A","N/A","0272","N/A","N/A","232.82","232.82","232.82","N/A","N/A","N/A","232.82","232.82","N/A","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82"
"5","N/A","BIT DRILL MINI QUICK COUPLING SS 2.0MM","N/A","N/A","0272","N/A","N/A","232.82","232.82","232.82","N/A","N/A","N/A","232.82","232.82","N/A","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82"
"5","N/A","BIT DRILL MONSTER SOLID LONG AO 2.8X160MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","BIT DRILL MONSTER SOLID LONG AO 3.6X160MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","BIT DRILL MQC 1.1X110MM","N/A","N/A","0272","N/A","N/A","457.38","457.38","457.38","N/A","N/A","N/A","457.38","457.38","N/A","457.38","457.38","457.38","457.38","457.38","457.38","457.38","457.38","457.38","457.38"
"5","N/A","BIT DRILL MQC 1.5X96MM","N/A","N/A","0272","N/A","N/A","479.33","479.33","479.33","N/A","N/A","N/A","479.33","479.33","N/A","479.33","479.33","479.33","479.33","479.33","479.33","479.33","479.33","479.33","479.33"
"5","N/A","BIT DRILL MQC DEPTH MARK 2MM","N/A","N/A","0272","N/A","N/A","479.00","479.00","479.00","N/A","N/A","N/A","479.00","479.00","N/A","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00"
"5","N/A","BIT DRILL PANTA CANNULATED 7X185MM","N/A","N/A","0272","N/A","N/A","2134.28","2134.28","2134.28","N/A","N/A","N/A","2134.28","2134.28","N/A","2134.28","2134.28","2134.28","2134.28","2134.28","2134.28","2134.28","2134.28","2134.28","2134.28"
"5","N/A","BIT DRILL PANTA CANNULATED 9X185MM","N/A","N/A","0272","N/A","N/A","2138.57","2138.57","2138.57","N/A","N/A","N/A","2138.57","2138.57","N/A","2138.57","2138.57","2138.57","2138.57","2138.57","2138.57","2138.57","2138.57","2138.57","2138.57"
"5","N/A","BIT DRILL PARAGON 2.0X110MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","BIT DRILL PERC QCP 2.5X300MM","N/A","N/A","0272","N/A","N/A","591.63","591.63","591.63","N/A","N/A","N/A","591.63","591.63","N/A","591.63","591.63","591.63","591.63","591.63","591.63","591.63","591.63","591.63","591.63"
"5","N/A","BIT DRILL PERC QCP 2.8X200MM","N/A","N/A","0272","N/A","N/A","547.80","547.80","547.80","N/A","N/A","N/A","547.80","547.80","N/A","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80"
"5","N/A","BIT DRILL PERC QCP 3.2X300MM","N/A","N/A","0272","N/A","N/A","591.62","591.62","591.62","N/A","N/A","N/A","591.62","591.62","N/A","591.62","591.62","591.62","591.62","591.62","591.62","591.62","591.62","591.62","591.62"
"5","N/A","BIT DRILL PERC QCP 4.3X300MM","N/A","N/A","0272","N/A","N/A","591.62","591.62","591.62","N/A","N/A","N/A","591.62","591.62","N/A","591.62","591.62","591.62","591.62","591.62","591.62","591.62","591.62","591.62","591.62"
"5","N/A","BIT DRILL PERPH SCRW 2.7MM","N/A","N/A","0272","N/A","N/A","570.90","570.90","570.90","N/A","N/A","N/A","570.90","570.90","N/A","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90"
"5","N/A","BIT DRILL PILOT 0.9MM","N/A","N/A","0272","N/A","N/A","631.13","631.13","631.13","N/A","N/A","N/A","631.13","631.13","N/A","631.13","631.13","631.13","631.13","631.13","631.13","631.13","631.13","631.13","631.13"
"5","N/A","BIT DRILL PILOT AO TRIGEN LNG 4","N/A","N/A","0272","N/A","N/A","670.86","670.86","670.86","N/A","N/A","N/A","670.86","670.86","N/A","670.86","670.86","670.86","670.86","670.86","670.86","670.86","670.86","670.86","670.86"
"5","N/A","BIT DRILL PILOT AO TRIGEN SHT 4M","N/A","N/A","0272","N/A","N/A","497.12","497.12","497.12","N/A","N/A","N/A","497.12","497.12","N/A","497.12","497.12","497.12","497.12","497.12","497.12","497.12","497.12","497.12","497.12"
"5","N/A","BIT DRILL PILOT AO TRIGEN SHT 4MM","N/A","N/A","0272","N/A","N/A","494.37","494.37","494.37","N/A","N/A","N/A","494.37","494.37","N/A","494.37","494.37","494.37","494.37","494.37","494.37","494.37","494.37","494.37","494.37"
"5","N/A","BIT DRILL PILOT J 6MM STOP 1.3MM","N/A","N/A","0272","N/A","N/A","653.40","653.40","653.40","N/A","N/A","N/A","653.40","653.40","N/A","653.40","653.40","653.40","653.40","653.40","653.40","653.40","653.40","653.40","653.40"
"5","N/A","BIT DRILL PILOT J LATCH 1.3X16MM","N/A","N/A","0272","N/A","N/A","427.35","427.35","427.35","N/A","N/A","N/A","427.35","427.35","N/A","427.35","427.35","427.35","427.35","427.35","427.35","427.35","427.35","427.35","427.35"
"5","N/A","BIT DRILL PILOT J LATCH 1.6MM","N/A","N/A","0272","N/A","N/A","668.25","668.25","668.25","N/A","N/A","N/A","668.25","668.25","N/A","668.25","668.25","668.25","668.25","668.25","668.25","668.25","668.25","668.25","668.25"
"5","N/A","BIT DRILL PILOT J LATCH LONG 1.6","N/A","N/A","0272","N/A","N/A","316.47","316.47","316.47","N/A","N/A","N/A","316.47","316.47","N/A","316.47","316.47","316.47","316.47","316.47","316.47","316.47","316.47","316.47","316.47"
"5","N/A","BIT DRILL QC 2.7X100MM","N/A","N/A","0272","N/A","N/A","300.30","300.30","300.30","N/A","N/A","N/A","300.30","300.30","N/A","300.30","300.30","300.30","300.30","300.30","300.30","300.30","300.30","300.30","300.30"
"5","N/A","BIT DRILL QC 3.5X110MM","N/A","N/A","0272","N/A","N/A","448.80","448.80","448.80","N/A","N/A","N/A","448.80","448.80","N/A","448.80","448.80","448.80","448.80","448.80","448.80","448.80","448.80","448.80","448.80"
"5","N/A","BIT DRILL QC MINI THREADED 1.5X74MM","N/A","N/A","0272","N/A","N/A","314.99","314.99","314.99","N/A","N/A","N/A","314.99","314.99","N/A","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99"
"5","N/A","BIT DRILL QCP 1.8X100MM","N/A","N/A","0272","N/A","N/A","558.76","558.76","558.76","N/A","N/A","N/A","558.76","558.76","N/A","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76"
"5","N/A","BIT DRILL QCP 1.8X110MM","N/A","N/A","0272","N/A","N/A","479.33","479.33","479.33","N/A","N/A","N/A","479.33","479.33","N/A","479.33","479.33","479.33","479.33","479.33","479.33","479.33","479.33","479.33","479.33"
"5","N/A","BIT DRILL QCP 2.4X100MM","N/A","N/A","0272","N/A","N/A","558.76","558.76","558.76","N/A","N/A","N/A","558.76","558.76","N/A","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76"
"5","N/A","BIT DRILL QCP 2.7X100MM","N/A","N/A","0272","N/A","N/A","246.84","246.84","246.84","N/A","N/A","N/A","246.84","246.84","N/A","246.84","246.84","246.84","246.84","246.84","246.84","246.84","246.84","246.84","246.84"
"5","N/A","BIT DRILL QCP 2.8X165MM","N/A","N/A","0272","N/A","N/A","287.60","287.60","287.60","N/A","N/A","N/A","287.60","287.60","N/A","287.60","287.60","287.60","287.60","287.60","287.60","287.60","287.60","287.60","287.60"
"5","N/A","BIT DRILL QCP 2X100MM","N/A","N/A","0272","N/A","N/A","246.51","246.51","246.51","N/A","N/A","N/A","246.51","246.51","N/A","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51"
"5","N/A","BIT DRILL QCP 2X125MM","N/A","N/A","0272","N/A","N/A","260.21","260.21","260.21","N/A","N/A","N/A","260.21","260.21","N/A","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21"
"5","N/A","BIT DRILL QCP 3 FLT 3.2X330MM","N/A","N/A","0272","N/A","N/A","755.04","755.04","755.04","N/A","N/A","N/A","755.04","755.04","N/A","755.04","755.04","755.04","755.04","755.04","755.04","755.04","755.04","755.04","755.04"
"5","N/A","BIT DRILL QCP 3 FLT 3.8X270MM","N/A","N/A","0272","N/A","N/A","712.14","712.14","712.14","N/A","N/A","N/A","712.14","712.14","N/A","712.14","712.14","712.14","712.14","712.14","712.14","712.14","712.14","712.14","712.14"
"5","N/A","BIT DRILL QCP 3 FLT 4.2X145MM","N/A","N/A","0272","N/A","N/A","506.72","506.72","506.72","N/A","N/A","N/A","506.72","506.72","N/A","506.72","506.72","506.72","506.72","506.72","506.72","506.72","506.72","506.72","506.72"
"5","N/A","BIT DRILL QCP 3 FLT 4.2X340MM","N/A","N/A","0272","N/A","N/A","712.14","712.14","712.14","N/A","N/A","N/A","712.14","712.14","N/A","712.14","712.14","712.14","712.14","712.14","712.14","712.14","712.14","712.14","712.14"
"5","N/A","BIT DRILL QCP 3.2X145MM","N/A","N/A","0272","N/A","N/A","224.60","224.60","224.60","N/A","N/A","N/A","224.60","224.60","N/A","224.60","224.60","224.60","224.60","224.60","224.60","224.60","224.60","224.60","224.60"
"5","N/A","BIT DRILL QCP 3.5X110MM","N/A","N/A","0272","N/A","N/A","246.51","246.51","246.51","N/A","N/A","N/A","246.51","246.51","N/A","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51"
"5","N/A","BIT DRILL QCP 3.5X195MM","N/A","N/A","0272","N/A","N/A","260.21","260.21","260.21","N/A","N/A","N/A","260.21","260.21","N/A","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21"
"5","N/A","BIT DRILL QCP 4.3X180MM","N/A","N/A","0272","N/A","N/A","386.20","386.20","386.20","N/A","N/A","N/A","386.20","386.20","N/A","386.20","386.20","386.20","386.20","386.20","386.20","386.20","386.20","386.20","386.20"
"5","N/A","BIT DRILL QCP 65MM STOP 2.4X165","N/A","N/A","0272","N/A","N/A","531.86","531.86","531.86","N/A","N/A","N/A","531.86","531.86","N/A","531.86","531.86","531.86","531.86","531.86","531.86","531.86","531.86","531.86","531.86"
"5","N/A","BIT DRILL QCP CANN 7.3MM","N/A","N/A","0272","N/A","N/A","1405.11","1405.11","1405.11","N/A","N/A","N/A","1405.11","1405.11","N/A","1405.11","1405.11","1405.11","1405.11","1405.11","1405.11","1405.11","1405.11","1405.11","1405.11"
"5","N/A","BIT DRILL QCP GLD 2.5X110MM","N/A","N/A","0272","N/A","N/A","232.82","232.82","232.82","N/A","N/A","N/A","232.82","232.82","N/A","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82","232.82"
"5","N/A","BIT DRILL QCP GLD 2.5X180MM","N/A","N/A","0272","N/A","N/A","260.21","260.21","260.21","N/A","N/A","N/A","260.21","260.21","N/A","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21"
"5","N/A","BIT DRILL QK CONN 4MMX16.25"","N/A","N/A","0272","N/A","N/A","702.92","702.92","702.92","N/A","N/A","N/A","702.92","702.92","N/A","702.92","702.92","702.92","702.92","702.92","702.92","702.92","702.92","702.92","702.92"
"5","N/A","BIT DRILL QR SS 2.8MM","N/A","N/A","0272","N/A","N/A","617.10","617.10","617.10","N/A","N/A","N/A","617.10","617.10","N/A","617.10","617.10","617.10","617.10","617.10","617.10","617.10","617.10","617.10","617.10"
"5","N/A","BIT DRILL QR SS 2MM","N/A","N/A","0272","N/A","N/A","570.90","570.90","570.90","N/A","N/A","N/A","570.90","570.90","N/A","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90"
"5","N/A","BIT DRILL QUICK COUPLING 2.7X125MM","N/A","N/A","0272","N/A","N/A","260.21","260.21","260.21","N/A","N/A","N/A","260.21","260.21","N/A","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21","260.21"
"5","N/A","BIT DRILL QUICK COUPLING 3.2X195MM","N/A","N/A","0272","N/A","N/A","372.50","372.50","372.50","N/A","N/A","N/A","372.50","372.50","N/A","372.50","372.50","372.50","372.50","372.50","372.50","372.50","372.50","372.50","372.50"
"5","N/A","BIT DRILL QUICK COUPLING MINI 1.5X48MM","N/A","N/A","0272","N/A","N/A","314.99","314.99","314.99","N/A","N/A","N/A","314.99","314.99","N/A","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99"
"5","N/A","BIT DRILL QUICK COUPLING THREAD 1.0X61MM","N/A","N/A","0272","N/A","N/A","333.96","333.96","333.96","N/A","N/A","N/A","333.96","333.96","N/A","333.96","333.96","333.96","333.96","333.96","333.96","333.96","333.96","333.96","333.96"
"5","N/A","BIT DRILL QUICK RELEASE 1/8"","N/A","N/A","0272","N/A","N/A","356.40","356.40","356.40","N/A","N/A","N/A","356.40","356.40","N/A","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40"
"5","N/A","BIT DRILL RELINE-C","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","BIT DRILL RINGLOC+ 3.2X50MM","N/A","N/A","0272","N/A","N/A","336.60","336.60","336.60","N/A","N/A","N/A","336.60","336.60","N/A","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60"
"5","N/A","BIT DRILL RINGLOC+ 3.2X80MM","N/A","N/A","0272","N/A","N/A","336.60","336.60","336.60","N/A","N/A","N/A","336.60","336.60","N/A","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60"
"5","N/A","BIT DRILL RNGLC 3.2X30MM","N/A","N/A","0272","N/A","N/A","336.60","336.60","336.60","N/A","N/A","N/A","336.60","336.60","N/A","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60"
"5","N/A","BIT DRILL SALTO TALARIS 7.9MM","N/A","N/A","0272","N/A","N/A","1600.17","1600.17","1600.17","N/A","N/A","N/A","1600.17","1600.17","N/A","1600.17","1600.17","1600.17","1600.17","1600.17","1600.17","1600.17","1600.17","1600.17","1600.17"
"5","N/A","BIT DRILL SALTO TALARIS SZ 0","N/A","N/A","0272","N/A","N/A","1093.95","1093.95","1093.95","N/A","N/A","N/A","1093.95","1093.95","N/A","1093.95","1093.95","1093.95","1093.95","1093.95","1093.95","1093.95","1093.95","1093.95","1093.95"
"5","N/A","BIT DRILL SCALE AO FITTING 2.6MM","N/A","N/A","0272","N/A","N/A","1496.88","1496.88","1496.88","N/A","N/A","N/A","1496.88","1496.88","N/A","1496.88","1496.88","1496.88","1496.88","1496.88","1496.88","1496.88","1496.88","1496.88","1496.88"
"5","N/A","BIT DRILL SHORT CALIBRATED 1.7MM","N/A","N/A","0272","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","BIT DRILL SHORT LKNG 4.3X16MM","N/A","N/A","0272","N/A","N/A","1074.15","1074.15","1074.15","N/A","N/A","N/A","1074.15","1074.15","N/A","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15"
"5","N/A","BIT DRILL SHORT LKNG 4.3X216MM","N/A","N/A","0272","N/A","N/A","1074.15","1074.15","1074.15","N/A","N/A","N/A","1074.15","1074.15","N/A","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15","1074.15"
"5","N/A","BIT DRILL SHORT STL T2 4.2X130MM","N/A","N/A","0272","N/A","N/A","771.54","771.54","771.54","N/A","N/A","N/A","771.54","771.54","N/A","771.54","771.54","771.54","771.54","771.54","771.54","771.54","771.54","771.54","771.54"
"5","N/A","BIT DRILL SHORT STL T2 4.2X340MM","N/A","N/A","0272","N/A","N/A","771.54","771.54","771.54","N/A","N/A","N/A","771.54","771.54","N/A","771.54","771.54","771.54","771.54","771.54","771.54","771.54","771.54","771.54","771.54"
"5","N/A","BIT DRILL SMALL FRAGMENT PLATE SYSTEM 2.9X70MM","N/A","N/A","0272","N/A","N/A","386.10","386.10","386.10","N/A","N/A","N/A","386.10","386.10","N/A","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10"
"5","N/A","BIT DRILL SONICWELD RX 1.6X40MM","N/A","N/A","0272","N/A","N/A","522.72","522.72","522.72","N/A","N/A","N/A","522.72","522.72","N/A","522.72","522.72","522.72","522.72","522.72","522.72","522.72","522.72","522.72","522.72"
"5","N/A","BIT DRILL SPINE SHAFT 5MM","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","BIT DRILL STANDARD 2.0MM","N/A","N/A","0272","N/A","N/A","742.50","742.50","742.50","N/A","N/A","N/A","742.50","742.50","N/A","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50"
"5","N/A","BIT DRILL STER PSHLK 2.9MM","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","BIT DRILL STR SS N/S 3.2X127MM","N/A","N/A","0272","N/A","N/A","146.58","146.58","146.58","N/A","N/A","N/A","146.58","146.58","N/A","146.58","146.58","146.58","146.58","146.58","146.58","146.58","146.58","146.58","146.58"
"5","N/A","BIT DRILL STRYK END 4MM 1X46MM","N/A","N/A","0272","N/A","N/A","398.90","398.90","398.90","N/A","N/A","N/A","398.90","398.90","N/A","398.90","398.90","398.90","398.90","398.90","398.90","398.90","398.90","398.90","398.90"
"5","N/A","BIT DRILL STRYK END 5MM 1.35X50","N/A","N/A","0272","N/A","N/A","456.75","456.75","456.75","N/A","N/A","N/A","456.75","456.75","N/A","456.75","456.75","456.75","456.75","456.75","456.75","456.75","456.75","456.75","456.75"
"5","N/A","BIT DRILL STRYK END 6MM 1.35X50","N/A","N/A","0272","N/A","N/A","423.98","423.98","423.98","N/A","N/A","N/A","423.98","423.98","N/A","423.98","423.98","423.98","423.98","423.98","423.98","423.98","423.98","423.98","423.98"
"5","N/A","BIT DRILL SUTUREPLATE 2.5MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","BIT DRILL T2 5.0X340MM","N/A","N/A","0272","N/A","N/A","829.29","829.29","829.29","N/A","N/A","N/A","829.29","829.29","N/A","829.29","829.29","829.29","829.29","829.29","829.29","829.29","829.29","829.29","829.29"
"5","N/A","BIT DRILL THREADED 1.0X75MM","N/A","N/A","0272","N/A","N/A","314.99","314.99","314.99","N/A","N/A","N/A","314.99","314.99","N/A","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99"
"5","N/A","BIT DRILL THREADED 1.1X56MM","N/A","N/A","0272","N/A","N/A","314.99","314.99","314.99","N/A","N/A","N/A","314.99","314.99","N/A","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99"
"5","N/A","BIT DRILL THREADED 1.5X88MM","N/A","N/A","0272","N/A","N/A","314.99","314.99","314.99","N/A","N/A","N/A","314.99","314.99","N/A","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99"
"5","N/A","BIT DRILL TIBIAL 4.1MM","N/A","N/A","0272","N/A","N/A","1484.34","1484.34","1484.34","N/A","N/A","N/A","1484.34","1484.34","N/A","1484.34","1484.34","1484.34","1484.34","1484.34","1484.34","1484.34","1484.34","1484.34","1484.34"
"5","N/A","BIT DRILL TWIST 1.5X8MM","N/A","N/A","0272","N/A","N/A","480.55","480.55","480.55","N/A","N/A","N/A","480.55","480.55","N/A","480.55","480.55","480.55","480.55","480.55","480.55","480.55","480.55","480.55","480.55"
"5","N/A","BIT DRILL TWIST 1.6X58MM","N/A","N/A","0272","N/A","N/A","450.91","450.91","450.91","N/A","N/A","N/A","450.91","450.91","N/A","450.91","450.91","450.91","450.91","450.91","450.91","450.91","450.91","450.91","450.91"
"5","N/A","BIT DRILL TWIST 5MM STOP 0.7X50","N/A","N/A","0272","N/A","N/A","356.40","356.40","356.40","N/A","N/A","N/A","356.40","356.40","N/A","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40"
"5","N/A","BIT DRILL TWIST 5MM STOP 1.1X50","N/A","N/A","0272","N/A","N/A","375.87","375.87","375.87","N/A","N/A","N/A","375.87","375.87","N/A","375.87","375.87","375.87","375.87","375.87","375.87","375.87","375.87","375.87","375.87"
"5","N/A","BIT DRILL TWIST 5MM STOP 1.6MM","N/A","N/A","0272","N/A","N/A","399.40","399.40","399.40","N/A","N/A","N/A","399.40","399.40","N/A","399.40","399.40","399.40","399.40","399.40","399.40","399.40","399.40","399.40","399.40"
"5","N/A","BIT DRILL TWIST 7MM STOP 1.6MM","N/A","N/A","0272","N/A","N/A","421.94","421.94","421.94","N/A","N/A","N/A","421.94","421.94","N/A","421.94","421.94","421.94","421.94","421.94","421.94","421.94","421.94","421.94","421.94"
"5","N/A","BIT DRILL TWIST J LATCH 1.1X50MM","N/A","N/A","0272","N/A","N/A","390.51","390.51","390.51","N/A","N/A","N/A","390.51","390.51","N/A","390.51","390.51","390.51","390.51","390.51","390.51","390.51","390.51","390.51","390.51"
"5","N/A","BIT DRILL TWIST J LATCH 1.5X50MM","N/A","N/A","0272","N/A","N/A","425.04","425.04","425.04","N/A","N/A","N/A","425.04","425.04","N/A","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04"
"5","N/A","BIT DRILL VUEPOINT II","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","BIT DRILL W/ STOP 2.5X14MM","N/A","N/A","0272","N/A","N/A","910.34","910.34","910.34","N/A","N/A","N/A","910.34","910.34","N/A","910.34","910.34","910.34","910.34","910.34","910.34","910.34","910.34","910.34","910.34"
"5","N/A","BIT DRILL W/ STOP 3X14MM","N/A","N/A","0272","N/A","N/A","903.41","903.41","903.41","N/A","N/A","N/A","903.41","903.41","N/A","903.41","903.41","903.41","903.41","903.41","903.41","903.41","903.41","903.41","903.41"
"5","N/A","BIT DRILL WIRE PASS 2 FLT 1.5MM","N/A","N/A","0272","N/A","N/A","161.70","161.70","161.70","N/A","N/A","N/A","161.70","161.70","N/A","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70"
"5","N/A","BIT DRILL WRE PASS 2 FLT 1.1MM","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","BIT DRILL WRE PASS MD 1.5MM","N/A","N/A","0272","N/A","N/A","163.71","163.71","163.71","N/A","N/A","N/A","163.71","163.71","N/A","163.71","163.71","163.71","163.71","163.71","163.71","163.71","163.71","163.71","163.71"
"5","N/A","BIT DRL 40MM 3.2MM DISP","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","BLADE ARTHROSCOPIC BANANA SMOOTH 254MM","N/A","N/A","0272","N/A","N/A","330.00","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","BLADE ARTHROSCOPIC TORPEDO 4MMX7CM","N/A","N/A","0272","N/A","N/A","333.30","333.30","333.30","N/A","N/A","N/A","333.30","333.30","N/A","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30"
"5","N/A","BLADE BONE COOLCUT 5.5MMX13CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BLADE BONE COOLCUT 5MMX13CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BLADE BONE GRANULATION MILL 3.2MM","N/A","N/A","0272","N/A","N/A","952.41","952.41","952.41","N/A","N/A","N/A","952.41","952.41","N/A","952.41","952.41","952.41","952.41","952.41","952.41","952.41","952.41","952.41","952.41"
"5","N/A","BLADE BONE GRANULATION MILL MD 5MM","N/A","N/A","0272","N/A","N/A","952.41","952.41","952.41","N/A","N/A","N/A","952.41","952.41","N/A","952.41","952.41","952.41","952.41","952.41","952.41","952.41","952.41","952.41","952.41"
"5","N/A","BLADE BONE RECIPROCATING LRG","N/A","N/A","0272","N/A","N/A","431.15","431.15","431.15","N/A","N/A","N/A","431.15","431.15","N/A","431.15","431.15","431.15","431.15","431.15","431.15","431.15","431.15","431.15","431.15"
"5","N/A","BLADE CAPSULOTOMY FULL SAMURAI","N/A","N/A","0272","N/A","N/A","607.20","607.20","607.20","N/A","N/A","N/A","607.20","607.20","N/A","607.20","607.20","607.20","607.20","607.20","607.20","607.20","607.20","607.20","607.20"
"5","N/A","BLADE CATARACT STR 25.5X2.2MM","N/A","N/A","0272","N/A","N/A","69.85","69.85","69.85","N/A","N/A","N/A","69.85","69.85","N/A","69.85","69.85","69.85","69.85","69.85","69.85","69.85","69.85","69.85","69.85"
"5","N/A","BLADE DERMATOME STER 1.25-4.25"","N/A","N/A","0272","N/A","N/A","168.30","168.30","168.30","N/A","N/A","N/A","168.30","168.30","N/A","168.30","168.30","168.30","168.30","168.30","168.30","168.30","168.30","168.30","168.30"
"5","N/A","BLADE ELECTRODE NEPTUNE INSULATED 125MM","N/A","N/A","0272","N/A","N/A","43.88","43.88","43.88","N/A","N/A","N/A","43.88","43.88","N/A","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88"
"5","N/A","BLADE ELECTRODE NEPTUNE INSULATED 165MM","N/A","N/A","0272","N/A","N/A","43.88","43.88","43.88","N/A","N/A","N/A","43.88","43.88","N/A","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88"
"5","N/A","BLADE ELECTRODE NEPTUNE INSULATED 70MM","N/A","N/A","0272","N/A","N/A","43.88","43.88","43.88","N/A","N/A","N/A","43.88","43.88","N/A","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88"
"5","N/A","BLADE EXCALIBUR HIP 4.2MMX19CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BLADE GLIDESCOPE SPECTRUM LO PRO S2","N/A","N/A","0272","N/A","N/A","159.59","159.59","159.59","N/A","N/A","N/A","159.59","159.59","N/A","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59"
"5","N/A","BLADE GLIDESCOPE SPECTRUM LO PRO S2.5 22-62 LBS","N/A","N/A","0272","N/A","N/A","159.59","159.59","159.59","N/A","N/A","N/A","159.59","159.59","N/A","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59"
"5","N/A","BLADE GLIDESCOPE SPECTRUM LO PRO S3","N/A","N/A","0272","N/A","N/A","122.76","122.76","122.76","N/A","N/A","N/A","122.76","122.76","N/A","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76"
"5","N/A","BLADE GLIDESCOPE SPECTRUM LO PRO S3 NS","N/A","N/A","0272","N/A","N/A","122.76","122.76","122.76","N/A","N/A","N/A","122.76","122.76","N/A","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76"
"5","N/A","BLADE GLIDESCOPE SPECTRUM LO PRO S4","N/A","N/A","0272","N/A","N/A","122.76","122.76","122.76","N/A","N/A","N/A","122.76","122.76","N/A","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76"
"5","N/A","BLADE GLIDESCOPE SPECTRUM MAC S3","N/A","N/A","0272","N/A","N/A","122.76","122.76","122.76","N/A","N/A","N/A","122.76","122.76","N/A","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76"
"5","N/A","BLADE GLIDESCOPE SPECTRUM MAC S4","N/A","N/A","0272","N/A","N/A","122.76","122.76","122.76","N/A","N/A","N/A","122.76","122.76","N/A","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76","122.76"
"5","N/A","BLADE GLIDESCOPE SPECTRUM PEDIATRIC LO PRO S1","N/A","N/A","0272","N/A","N/A","159.59","159.59","159.59","N/A","N/A","N/A","159.59","159.59","N/A","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59","159.59"
"5","N/A","BLADE GLIDESCOPE SPECTRUM PEDIATRIC LO PRO S2","N/A","N/A","0272","N/A","N/A","171.60","171.60","171.60","N/A","N/A","N/A","171.60","171.60","N/A","171.60","171.60","171.60","171.60","171.60","171.60","171.60","171.60","171.60","171.60"
"5","N/A","BLADE INSULATED ELECTRODE 2.75"","N/A","N/A","0272","N/A","N/A","12.51","12.51","12.51","N/A","N/A","N/A","12.51","12.51","N/A","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51"
"5","N/A","BLADE MICRO OSCILLATING AGGRESSIVE 25X5.5MM","N/A","N/A","0272","N/A","N/A","108.27","108.27","108.27","N/A","N/A","N/A","108.27","108.27","N/A","108.27","108.27","108.27","108.27","108.27","108.27","108.27","108.27","108.27","108.27"
"5","N/A","BLADE MICROTOME CARTILAGE","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","BLADE OPHTHALMIC ANG MINI-BLADE BLU","N/A","N/A","0272","N/A","N/A","32.65","32.65","32.65","N/A","N/A","N/A","32.65","32.65","N/A","32.65","32.65","32.65","32.65","32.65","32.65","32.65","32.65","32.65","32.65"
"5","N/A","BLADE OPHTHALMIC CAP-FIX CURVED","N/A","N/A","0272","N/A","N/A","1191.30","1191.30","1191.30","N/A","N/A","N/A","1191.30","1191.30","N/A","1191.30","1191.30","1191.30","1191.30","1191.30","1191.30","1191.30","1191.30","1191.30","1191.30"
"5","N/A","BLADE OPHTHALMIC GEN MINI-BLADE ORNG","N/A","N/A","0272","N/A","N/A","9.94","9.94","9.94","N/A","N/A","N/A","9.94","9.94","N/A","9.94","9.94","9.94","9.94","9.94","9.94","9.94","9.94","9.94","9.94"
"5","N/A","BLADE OPHTHALMIC GUARDED DEPTH 0.5MM","N/A","N/A","0272","N/A","N/A","80.53","80.53","80.53","N/A","N/A","N/A","80.53","80.53","N/A","80.53","80.53","80.53","80.53","80.53","80.53","80.53","80.53","80.53","80.53"
"5","N/A","BLADE OPHTHALMIC MVR DISP STER 25G","N/A","N/A","0272","N/A","N/A","100.49","100.49","100.49","N/A","N/A","N/A","100.49","100.49","N/A","100.49","100.49","100.49","100.49","100.49","100.49","100.49","100.49","100.49","100.49"
"5","N/A","BLADE OPHTHALMIC RND MINI-BLADE GRN","N/A","N/A","0272","N/A","N/A","5.81","5.81","5.81","N/A","N/A","N/A","5.81","5.81","N/A","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81"
"5","N/A","BLADE OPHTHALMIC SCLEROTOME # 57","N/A","N/A","0272","N/A","N/A","38.59","38.59","38.59","N/A","N/A","N/A","38.59","38.59","N/A","38.59","38.59","38.59","38.59","38.59","38.59","38.59","38.59","38.59","38.59"
"5","N/A","BLADE OPHTHALMIC SMTH MINI-BLADE BLK","N/A","N/A","0272","N/A","N/A","61.18","61.18","61.18","N/A","N/A","N/A","61.18","61.18","N/A","61.18","61.18","61.18","61.18","61.18","61.18","61.18","61.18","61.18","61.18"
"5","N/A","BLADE OPHTHALMIC STR MINI-BLADE BLU","N/A","N/A","0272","N/A","N/A","19.79","19.79","19.79","N/A","N/A","N/A","19.79","19.79","N/A","19.79","19.79","19.79","19.79","19.79","19.79","19.79","19.79","19.79","19.79"
"5","N/A","BLADE OSTEOTOME RENOVATION THIN 5"X8MM","N/A","N/A","0272","N/A","N/A","354.42","354.42","354.42","N/A","N/A","N/A","354.42","354.42","N/A","354.42","354.42","354.42","354.42","354.42","354.42","354.42","354.42","354.42","354.42"
"5","N/A","BLADE OSTEOTOME THIN 3"X10MM","N/A","N/A","0272","N/A","N/A","281.16","281.16","281.16","N/A","N/A","N/A","281.16","281.16","N/A","281.16","281.16","281.16","281.16","281.16","281.16","281.16","281.16","281.16","281.16"
"5","N/A","BLADE OSTEOTOME THIN 5"X10MM","N/A","N/A","0272","N/A","N/A","354.42","354.42","354.42","N/A","N/A","N/A","354.42","354.42","N/A","354.42","354.42","354.42","354.42","354.42","354.42","354.42","354.42","354.42","354.42"
"5","N/A","BLADE PHOTON","N/A","N/A","0272","N/A","N/A","1072.50","1072.50","1072.50","N/A","N/A","N/A","1072.50","1072.50","N/A","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50"
"5","N/A","BLADE PLANTAR TI KOBYGARD","N/A","N/A","0272","N/A","N/A","850.58","850.58","850.58","N/A","N/A","N/A","850.58","850.58","N/A","850.58","850.58","850.58","850.58","850.58","850.58","850.58","850.58","850.58","850.58"
"5","N/A","BLADE SAGITTAL 70X13","N/A","N/A","0272","N/A","N/A","431.15","431.15","431.15","N/A","N/A","N/A","431.15","431.15","N/A","431.15","431.15","431.15","431.15","431.15","431.15","431.15","431.15","431.15","431.15"
"5","N/A","BLADE SAGITTAL DUAL CUT 1.3X25X90MM","N/A","N/A","0272","N/A","N/A","141.90","141.90","141.90","N/A","N/A","N/A","141.90","141.90","N/A","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90"
"5","N/A","BLADE SAW ANGLE SAGITTAL 90 DEG 19X10X0.60MM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","BLADE SAW BRASSELER RECIP 1 SIDED 75X8MM","N/A","N/A","0272","N/A","N/A","242.39","242.39","242.39","N/A","N/A","N/A","242.39","242.39","N/A","242.39","242.39","242.39","242.39","242.39","242.39","242.39","242.39","242.39","242.39"
"5","N/A","BLADE SAW DUAL CUT 11.5X5.5X0.38","N/A","N/A","0272","N/A","N/A","148.86","148.86","148.86","N/A","N/A","N/A","148.86","148.86","N/A","148.86","148.86","148.86","148.86","148.86","148.86","148.86","148.86","148.86","148.86"
"5","N/A","BLADE SAW DUAL CUT 12X34.5X0.38","N/A","N/A","0272","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","BLADE SAW DUAL CUT 7X18.5X0.38MM","N/A","N/A","0272","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","BLADE SAW DUAL CUT 90X13X1.19MM","N/A","N/A","0272","N/A","N/A","141.90","141.90","141.90","N/A","N/A","N/A","141.90","141.90","N/A","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90"
"5","N/A","BLADE SAW DUAL CUT 90X18X1.19MM","N/A","N/A","0272","N/A","N/A","141.90","141.90","141.90","N/A","N/A","N/A","141.90","141.90","N/A","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90"
"5","N/A","BLADE SAW DUAL CUT 9X25X0.38MM","N/A","N/A","0272","N/A","N/A","148.71","148.71","148.71","N/A","N/A","N/A","148.71","148.71","N/A","148.71","148.71","148.71","148.71","148.71","148.71","148.71","148.71","148.71","148.71"
"5","N/A","BLADE SAW GIGLI SS N/S 51CM","N/A","N/A","0272","N/A","N/A","70.62","70.62","70.62","N/A","N/A","N/A","70.62","70.62","N/A","70.62","70.62","70.62","70.62","70.62","70.62","70.62","70.62","70.62","70.62"
"5","N/A","BLADE SAW KIT OXFD RESECTION 3PK","N/A","N/A","0272","N/A","N/A","1620.30","1620.30","1620.30","N/A","N/A","N/A","1620.30","1620.30","N/A","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30"
"5","N/A","BLADE SAW MICRO OSC 18.5X16.5MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO OSC 25X5.5MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO OSC 25X7MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO OSC 25X9MM","N/A","N/A","0272","N/A","N/A","98.18","98.18","98.18","N/A","N/A","N/A","98.18","98.18","N/A","98.18","98.18","98.18","98.18","98.18","98.18","98.18","98.18","98.18","98.18"
"5","N/A","BLADE SAW MICRO OSC 29.5X7MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO OSC 9X18.5MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO OSC 9X31MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO OSC AGGRSV 9X25","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO OSC AGGRSV 9X31","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW MICRO RECIPNG THIN 27","N/A","N/A","0272","N/A","N/A","221.60","221.60","221.60","N/A","N/A","N/A","221.60","221.60","N/A","221.60","221.60","221.60","221.60","221.60","221.60","221.60","221.60","221.60","221.60"
"5","N/A","BLADE SAW OSC 10X0.4X18.5MM","N/A","N/A","0272","N/A","N/A","22.11","22.11","22.11","N/A","N/A","N/A","22.11","22.11","N/A","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11"
"5","N/A","BLADE SAW OSC 5.5X0.4X28.5MM","N/A","N/A","0272","N/A","N/A","22.11","22.11","22.11","N/A","N/A","N/A","22.11","22.11","N/A","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11"
"5","N/A","BLADE SAW OSC FINE 18.5X28.5X0.4","N/A","N/A","0272","N/A","N/A","83.59","83.59","83.59","N/A","N/A","N/A","83.59","83.59","N/A","83.59","83.59","83.59","83.59","83.59","83.59","83.59","83.59","83.59","83.59"
"5","N/A","BLADE SAW OSC ORAL 12X11.5X0.64","N/A","N/A","0272","N/A","N/A","331.65","331.65","331.65","N/A","N/A","N/A","331.65","331.65","N/A","331.65","331.65","331.65","331.65","331.65","331.65","331.65","331.65","331.65","331.65"
"5","N/A","BLADE SAW OSC ORAL 7X11.5X0.64MM","N/A","N/A","0272","N/A","N/A","331.65","331.65","331.65","N/A","N/A","N/A","331.65","331.65","N/A","331.65","331.65","331.65","331.65","331.65","331.65","331.65","331.65","331.65","331.65"
"5","N/A","BLADE SAW OSC THIN 16.5X18.5MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW OSC THIN 18.9X9MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW OSC THIN 29.5X7MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW OSC THIN 31X9MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW OSC THIN 7X15MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW OSC THIN 9X25MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW OXFORD CEMENTED 1.19MM THK 70X10MM","N/A","N/A","0272","N/A","N/A","1402.50","1402.50","1402.50","N/A","N/A","N/A","1402.50","1402.50","N/A","1402.50","1402.50","1402.50","1402.50","1402.50","1402.50","1402.50","1402.50","1402.50","1402.50"
"5","N/A","BLADE SAW RECIPNG 9.5X0.4X40MM","N/A","N/A","0272","N/A","N/A","19.90","19.90","19.90","N/A","N/A","N/A","19.90","19.90","N/A","19.90","19.90","19.90","19.90","19.90","19.90","19.90","19.90","19.90","19.90"
"5","N/A","BLADE SAW RECIPNG DBL-SD 70MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW RECIPNG HVY DTY 77.5MM","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","BLADE SAW RECIPNG OFFSET 70MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","BLADE SAW RECIPNG THIN 27X0.38MM","N/A","N/A","0272","N/A","N/A","221.60","221.60","221.60","N/A","N/A","N/A","221.60","221.60","N/A","221.60","221.60","221.60","221.60","221.60","221.60","221.60","221.60","221.60","221.60"
"5","N/A","BLADE SAW SAG COARSE 19.5X41.5MM","N/A","N/A","0272","N/A","N/A","22.11","22.11","22.11","N/A","N/A","N/A","22.11","22.11","N/A","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11"
"5","N/A","BLADE SAW SAG FULL INSR 73MM","N/A","N/A","0272","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","BLADE SAW SAG HVY DTY 18X100MM","N/A","N/A","0272","N/A","N/A","158.40","158.40","158.40","N/A","N/A","N/A","158.40","158.40","N/A","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40"
"5","N/A","BLADE SAW SAG HVY DTY 18X90X1.19","N/A","N/A","0272","N/A","N/A","161.70","161.70","161.70","N/A","N/A","N/A","161.70","161.70","N/A","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70"
"5","N/A","BLADE SAW SAG HVY DTY 25X90X1.27","N/A","N/A","0272","N/A","N/A","158.40","158.40","158.40","N/A","N/A","N/A","158.40","158.40","N/A","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40"
"5","N/A","BLADE SAW SAG LG 0.96X0.36X0.031","N/A","N/A","0272","N/A","N/A","65.34","65.34","65.34","N/A","N/A","N/A","65.34","65.34","N/A","65.34","65.34","65.34","65.34","65.34","65.34","65.34","65.34","65.34","65.34"
"5","N/A","BLADE SAW SAG THIN 29.5X58.7X1MM","N/A","N/A","0272","N/A","N/A","86.43","86.43","86.43","N/A","N/A","N/A","86.43","86.43","N/A","86.43","86.43","86.43","86.43","86.43","86.43","86.43","86.43","86.43","86.43"
"5","N/A","BLADE SAW SAGITTAL 13X1.27X90MM","N/A","N/A","0272","N/A","N/A","168.30","168.30","168.30","N/A","N/A","N/A","168.30","168.30","N/A","168.30","168.30","168.30","168.30","168.30","168.30","168.30","168.30","168.30","168.30"
"5","N/A","BLADE SAW STERNUM 32X0.79X6.27MM","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","BLADE SAW STERNUM SYS 6 30.5X1MM","N/A","N/A","0272","N/A","N/A","86.13","86.13","86.13","N/A","N/A","N/A","86.13","86.13","N/A","86.13","86.13","86.13","86.13","86.13","86.13","86.13","86.13","86.13","86.13"
"5","N/A","BLADE SCALPEL BONE W/TUBESET 10MM","N/A","N/A","0272","N/A","N/A","1831.83","1831.83","1831.83","N/A","N/A","N/A","1831.83","1831.83","N/A","1831.83","1831.83","1831.83","1831.83","1831.83","1831.83","1831.83","1831.83","1831.83","1831.83"
"5","N/A","BLADE SCALPEL HEMOSTATIX SZ 15","N/A","N/A","0272","N/A","N/A","188.08","188.08","188.08","N/A","N/A","N/A","188.08","188.08","N/A","188.08","188.08","188.08","188.08","188.08","188.08","188.08","188.08","188.08","188.08"
"5","N/A","BLADE SHAVER ADAPTEUR 4.2MMX19CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BLADE SHAVER COOLCUT 4MMX13CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BLADE SHAVER CRV RAD 40 11CMX4MM","N/A","N/A","0272","N/A","N/A","729.04","729.04","729.04","N/A","N/A","N/A","729.04","729.04","N/A","729.04","729.04","729.04","729.04","729.04","729.04","729.04","729.04","729.04","729.04"
"5","N/A","BLADE SHAVER CRV RADENOID 4MM","N/A","N/A","0272","N/A","N/A","1311.20","1311.20","1311.20","N/A","N/A","N/A","1311.20","1311.20","N/A","1311.20","1311.20","1311.20","1311.20","1311.20","1311.20","1311.20","1311.20","1311.20","1311.20"
"5","N/A","BLADE SHAVER DISCT 3MMX7CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER DISCT 4MMX13CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER EXCALIBUR 3.8MMX13","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER EXCALIBUR 4MMX13CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER EXCALIBUR 5.5MM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER EXCALIBUR CRV 4MM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER FORMULA ANGLE LONG 4.0MM","N/A","N/A","0272","N/A","N/A","225.89","225.89","225.89","N/A","N/A","N/A","225.89","225.89","N/A","225.89","225.89","225.89","225.89","225.89","225.89","225.89","225.89","225.89","225.89"
"5","N/A","BLADE SHAVER FORMULA TOMCAT LONG 4MM","N/A","N/A","0272","N/A","N/A","1129.43","1129.43","1129.43","N/A","N/A","N/A","1129.43","1129.43","N/A","1129.43","1129.43","1129.43","1129.43","1129.43","1129.43","1129.43","1129.43","1129.43","1129.43"
"5","N/A","BLADE SHAVER M4 ROT 11CMX2.9MM","N/A","N/A","0272","N/A","N/A","977.49","977.49","977.49","N/A","N/A","N/A","977.49","977.49","N/A","977.49","977.49","977.49","977.49","977.49","977.49","977.49","977.49","977.49","977.49"
"5","N/A","BLADE SHAVER QUADCUT STRAIGHTSHOT M4 4.3MMX13CM","N/A","N/A","0272","N/A","N/A","1384.35","1384.35","1384.35","N/A","N/A","N/A","1384.35","1384.35","N/A","1384.35","1384.35","1384.35","1384.35","1384.35","1384.35","1384.35","1384.35","1384.35","1384.35"
"5","N/A","BLADE SHAVER SABRE COOLCUT 3.8MM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER SABRE DISP 3MMX7CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BLADE SHAVER SABRE DISTAL 2.0MMX7CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BLADE SHAVER SINUS 4MMX11CM","N/A","N/A","0272","N/A","N/A","694.72","694.72","694.72","N/A","N/A","N/A","694.72","694.72","N/A","694.72","694.72","694.72","694.72","694.72","694.72","694.72","694.72","694.72","694.72"
"5","N/A","BLADE SHAVER TORPEDO 4MMX13CM","N/A","N/A","0272","N/A","N/A","333.30","333.30","333.30","N/A","N/A","N/A","333.30","333.30","N/A","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30"
"5","N/A","BLADE SHAVER TORPEDO CURVED 4MMX13CM","N/A","N/A","0272","N/A","N/A","333.30","333.30","333.30","N/A","N/A","N/A","333.30","333.30","N/A","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30"
"5","N/A","BLADE SHAVER TRICUT 11CMX4MM","N/A","N/A","0272","N/A","N/A","744.25","744.25","744.25","N/A","N/A","N/A","744.25","744.25","N/A","744.25","744.25","744.25","744.25","744.25","744.25","744.25","744.25","744.25","744.25"
"5","N/A","BLADE SHORT NARROW 15.0X7.0","N/A","N/A","0272","N/A","N/A","161.54","161.54","161.54","N/A","N/A","N/A","161.54","161.54","N/A","161.54","161.54","161.54","161.54","161.54","161.54","161.54","161.54","161.54","161.54"
"5","N/A","BLADE SPLITTER FASCIAL RELINE","N/A","N/A","0272","N/A","N/A","2044.60","2044.60","2044.60","N/A","N/A","N/A","2044.60","2044.60","N/A","2044.60","2044.60","2044.60","2044.60","2044.60","2044.60","2044.60","2044.60","2044.60","2044.60"
"5","N/A","BLADE SURGICAL BARD-PARKER CARBON STEEL SZ 11","N/A","N/A","0272","N/A","N/A","1.00","1.00","1.00","N/A","N/A","N/A","1.00","1.00","N/A","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00"
"5","N/A","BLADE SURGICAL BARD-PARKER CARBON STEEL SZ 15","N/A","N/A","0272","N/A","N/A","1.00","1.00","1.00","N/A","N/A","N/A","1.00","1.00","N/A","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00"
"5","N/A","BLADE SURGICAL BEAVER 45 DEG OFFSET","N/A","N/A","0272","N/A","N/A","43.63","43.63","43.63","N/A","N/A","N/A","43.63","43.63","N/A","43.63","43.63","43.63","43.63","43.63","43.63","43.63","43.63","43.63","43.63"
"5","N/A","BLADE SURGICAL LANCE CUTTING 15 DEG","N/A","N/A","0272","N/A","N/A","5.94","5.94","5.94","N/A","N/A","N/A","5.94","5.94","N/A","5.94","5.94","5.94","5.94","5.94","5.94","5.94","5.94","5.94","5.94"
"5","N/A","BLADE SURGICAL SS BARD-PARKER # 12","N/A","N/A","0272","N/A","N/A","4.18","4.18","4.18","N/A","N/A","N/A","4.18","4.18","N/A","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18"
"5","N/A","BLADE SURGICAL STER BARD-PARKER 15C","N/A","N/A","0272","N/A","N/A","3.92","3.92","3.92","N/A","N/A","N/A","3.92","3.92","N/A","3.92","3.92","3.92","3.92","3.92","3.92","3.92","3.92","3.92","3.92"
"5","N/A","BLADE TIP PEAK PLASMA 3.0MM","N/A","N/A","0272","N/A","N/A","1023.00","1023.00","1023.00","N/A","N/A","N/A","1023.00","1023.00","N/A","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00"
"5","N/A","BLADE TIP PEAK PLASMA W/ LIGHT 3.0MM","N/A","N/A","0272","N/A","N/A","1036.74","1036.74","1036.74","N/A","N/A","N/A","1036.74","1036.74","N/A","1036.74","1036.74","1036.74","1036.74","1036.74","1036.74","1036.74","1036.74","1036.74","1036.74"
"5","N/A","BLADE TRACKING STR TRICUT 4MMX13","N/A","N/A","0272","N/A","N/A","1327.26","1327.26","1327.26","N/A","N/A","N/A","1327.26","1327.26","N/A","1327.26","1327.26","1327.26","1327.26","1327.26","1327.26","1327.26","1327.26","1327.26","1327.26"
"5","N/A","BLADE TREPHINE CORNEAL 6.5X15.8MM","N/A","N/A","0272","N/A","N/A","209.95","209.95","209.95","N/A","N/A","N/A","209.95","209.95","N/A","209.95","209.95","209.95","209.95","209.95","209.95","209.95","209.95","209.95","209.95"
"5","N/A","BLADE TREPHINE CORNEAL 7.75X15.8MM","N/A","N/A","0272","N/A","N/A","206.24","206.24","206.24","N/A","N/A","N/A","206.24","206.24","N/A","206.24","206.24","206.24","206.24","206.24","206.24","206.24","206.24","206.24","206.24"
"5","N/A","BLADE TREPHINE CORNEAL 8.25X15.8MM","N/A","N/A","0272","N/A","N/A","203.91","203.91","203.91","N/A","N/A","N/A","203.91","203.91","N/A","203.91","203.91","203.91","203.91","203.91","203.91","203.91","203.91","203.91","203.91"
"5","N/A","BLADE TREPHINE CORNEAL 8.5X15.8MM","N/A","N/A","0272","N/A","N/A","215.16","215.16","215.16","N/A","N/A","N/A","215.16","215.16","N/A","215.16","215.16","215.16","215.16","215.16","215.16","215.16","215.16","215.16","215.16"
"5","N/A","BLADE TREPHINE CORNEAL 8X15.8MM","N/A","N/A","0272","N/A","N/A","211.65","211.65","211.65","N/A","N/A","N/A","211.65","211.65","N/A","211.65","211.65","211.65","211.65","211.65","211.65","211.65","211.65","211.65","211.65"
"5","N/A","BLADE TYMPANOPLASTY ANG 2.5MM","N/A","N/A","0272","N/A","N/A","63.02","63.02","63.02","N/A","N/A","N/A","63.02","63.02","N/A","63.02","63.02","63.02","63.02","63.02","63.02","63.02","63.02","63.02","63.02"
"5","N/A","BLANKET CATH LAB BAIR HUGGER","N/A","N/A","0272","N/A","N/A","20.82","20.82","20.82","N/A","N/A","N/A","20.82","20.82","N/A","20.82","20.82","20.82","20.82","20.82","20.82","20.82","20.82","20.82","20.82"
"5","N/A","BLANKET FULL BAIR HUGGER ADLT","N/A","N/A","0272","N/A","N/A","14.31","14.31","14.31","N/A","N/A","N/A","14.31","14.31","N/A","14.31","14.31","14.31","14.31","14.31","14.31","14.31","14.31","14.31","14.31"
"5","N/A","BLANKET LOWER BAIR HUGGER 36X60","N/A","N/A","0272","N/A","N/A","20.36","20.36","20.36","N/A","N/A","N/A","20.36","20.36","N/A","20.36","20.36","20.36","20.36","20.36","20.36","20.36","20.36","20.36","20.36"
"5","N/A","BLANKET LOWER BAIR HUGGER ADULT","N/A","N/A","0272","N/A","N/A","16.57","16.57","16.57","N/A","N/A","N/A","16.57","16.57","N/A","16.57","16.57","16.57","16.57","16.57","16.57","16.57","16.57","16.57","16.57"
"5","N/A","BLANKET UPPER BAIR HUGGER ADLT","N/A","N/A","0272","N/A","N/A","16.09","16.09","16.09","N/A","N/A","N/A","16.09","16.09","N/A","16.09","16.09","16.09","16.09","16.09","16.09","16.09","16.09","16.09","16.09"
"5","N/A","BLANKET UPPER BAIR HUGGER ADULT","N/A","N/A","0272","N/A","N/A","16.44","16.44","16.44","N/A","N/A","N/A","16.44","16.44","N/A","16.44","16.44","16.44","16.44","16.44","16.44","16.44","16.44","16.44","16.44"
"5","N/A","BLANKET WARMING BAIR HUGGER SM LOWER BODY","N/A","N/A","0272","N/A","N/A","25.21","25.21","25.21","N/A","N/A","N/A","25.21","25.21","N/A","25.21","25.21","25.21","25.21","25.21","25.21","25.21","25.21","25.21","25.21"
"5","N/A","BLANKET WARMING BAIR HUGGER UNDERBODY 36X74"","N/A","N/A","0272","N/A","N/A","50.13","50.13","50.13","N/A","N/A","N/A","50.13","50.13","N/A","50.13","50.13","50.13","50.13","50.13","50.13","50.13","50.13","50.13","50.13"
"5","N/A","BLOCK BITE PUR PEDI SM 14X20MM","N/A","N/A","0272","N/A","N/A","7.43","7.43","7.43","N/A","N/A","N/A","7.43","7.43","N/A","7.43","7.43","7.43","7.43","7.43","7.43","7.43","7.43","7.43","7.43"
"5","N/A","BOLT 16MM","N/A","N/A","0272","N/A","N/A","19.80","19.80","19.80","N/A","N/A","N/A","19.80","19.80","N/A","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80"
"5","N/A","BOLT UNIVERSAL HALF PIN 4-6MM","N/A","N/A","0272","N/A","N/A","673.20","673.20","673.20","N/A","N/A","N/A","673.20","673.20","N/A","673.20","673.20","673.20","673.20","673.20","673.20","673.20","673.20","673.20","673.20"
"5","N/A","BOOT TRACTION FULL BUCKS SM","N/A","N/A","0272","N/A","N/A","74.68","74.68","74.68","N/A","N/A","N/A","74.68","74.68","N/A","74.68","74.68","74.68","74.68","74.68","74.68","74.68","74.68","74.68","74.68"
"5","N/A","BRACE KNEE WRAP ACTION MD","N/A","N/A","0272","N/A","N/A","181.34","181.34","181.34","N/A","N/A","N/A","181.34","181.34","N/A","181.34","181.34","181.34","181.34","181.34","181.34","181.34","181.34","181.34","181.34"
"5","N/A","BRONCHOSCOPE ASCOPE 4 LARGE STL DISP 5.8/2.8MM","N/A","N/A","0272","N/A","N/A","1016.40","1016.40","1016.40","N/A","N/A","N/A","1016.40","1016.40","N/A","1016.40","1016.40","1016.40","1016.40","1016.40","1016.40","1016.40","1016.40","1016.40","1016.40"
"5","N/A","BRONCHOSCOPE ASCOPE 4 REG STL DISP 5.0/2.2MM","N/A","N/A","0272","N/A","N/A","879.45","879.45","879.45","N/A","N/A","N/A","879.45","879.45","N/A","879.45","879.45","879.45","879.45","879.45","879.45","879.45","879.45","879.45","879.45"
"5","N/A","BRONCHOSCOPE ASCOPE 4 SLIM STL DISP 3.8/1.2MM","N/A","N/A","0272","N/A","N/A","876.55","876.55","876.55","N/A","N/A","N/A","876.55","876.55","N/A","876.55","876.55","876.55","876.55","876.55","876.55","876.55","876.55","876.55","876.55"
"5","N/A","BRUSH FEMORAL CANAL BIOPREP STD","N/A","N/A","0272","N/A","N/A","31.40","31.40","31.40","N/A","N/A","N/A","31.40","31.40","N/A","31.40","31.40","31.40","31.40","31.40","31.40","31.40","31.40","31.40","31.40"
"5","N/A","BULB DRAIN ROUND SPG 10F 100CC","N/A","N/A","0272","N/A","N/A","124.84","124.84","124.84","N/A","N/A","N/A","124.84","124.84","N/A","124.84","124.84","124.84","124.84","124.84","124.84","124.84","124.84","124.84","124.84"
"5","N/A","BULB INSUFFLATION BLADDER ASSEMBLY","N/A","N/A","0272","N/A","N/A","92.34","92.34","92.34","N/A","N/A","N/A","92.34","92.34","N/A","92.34","92.34","92.34","92.34","92.34","92.34","92.34","92.34","92.34","92.34"
"5","N/A","BUR ACORN FLT LEGEND 6MMX8CM","N/A","N/A","0272","N/A","N/A","499.29","499.29","499.29","N/A","N/A","N/A","499.29","499.29","N/A","499.29","499.29","499.29","499.29","499.29","499.29","499.29","499.29","499.29","499.29"
"5","N/A","BUR ACORN FLT MDSRX 7.5MMX6CM","N/A","N/A","0272","N/A","N/A","499.29","499.29","499.29","N/A","N/A","N/A","499.29","499.29","N/A","499.29","499.29","499.29","499.29","499.29","499.29","499.29","499.29","499.29","499.29"
"5","N/A","BUR ACORN PREC 6MM","N/A","N/A","0272","N/A","N/A","369.93","369.93","369.93","N/A","N/A","N/A","369.93","369.93","N/A","369.93","369.93","369.93","369.93","369.93","369.93","369.93","369.93","369.93","369.93"
"5","N/A","BUR ACORN PREC 7.5MM","N/A","N/A","0272","N/A","N/A","236.74","236.74","236.74","N/A","N/A","N/A","236.74","236.74","N/A","236.74","236.74","236.74","236.74","236.74","236.74","236.74","236.74","236.74","236.74"
"5","N/A","BUR ACORN SPIRAL MD 7.5MM","N/A","N/A","0272","N/A","N/A","263.44","263.44","263.44","N/A","N/A","N/A","263.44","263.44","N/A","263.44","263.44","263.44","263.44","263.44","263.44","263.44","263.44","263.44","263.44"
"5","N/A","BUR BALL DMD EXT 1.5MM","N/A","N/A","0272","N/A","N/A","504.90","504.90","504.90","N/A","N/A","N/A","504.90","504.90","N/A","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90"
"5","N/A","BUR DIAMOND COARSE CORE ELITE 3MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR DIAMOND NEURO TPS ELITE 2MM","N/A","N/A","0272","N/A","N/A","400.98","400.98","400.98","N/A","N/A","N/A","400.98","400.98","N/A","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98"
"5","N/A","BUR DIAMOND TPR CORE TPS ELITE 1.5","N/A","N/A","0272","N/A","N/A","422.10","422.10","422.10","N/A","N/A","N/A","422.10","422.10","N/A","422.10","422.10","422.10","422.10","422.10","422.10","422.10","422.10","422.10","422.10"
"5","N/A","BUR DRUM FLT X-LNG TPS 9.1X7.9","N/A","N/A","0272","N/A","N/A","376.20","376.20","376.20","N/A","N/A","N/A","376.20","376.20","N/A","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20"
"5","N/A","BUR EGG FLT TPS ELITE 4MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR EGG FLT TPS ELITE 5MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR EGG MICRO 10 FLT 4X44.5MM","N/A","N/A","0272","N/A","N/A","158.40","158.40","158.40","N/A","N/A","N/A","158.40","158.40","N/A","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40"
"5","N/A","BUR FISSURE CROSS TPS ELITE 1.2MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR FISSURE CROSS TPS ELITE 1.6MM","N/A","N/A","0272","N/A","N/A","400.98","400.98","400.98","N/A","N/A","N/A","400.98","400.98","N/A","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98"
"5","N/A","BUR HIGH SPEED 0.12X0.69"","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BUR MATCH FLT MDSRX 3MMX14CM","N/A","N/A","0272","N/A","N/A","510.51","510.51","510.51","N/A","N/A","N/A","510.51","510.51","N/A","510.51","510.51","510.51","510.51","510.51","510.51","510.51","510.51","510.51","510.51"
"5","N/A","BUR MATCH FLT MDSRX 3MMX9CM","N/A","N/A","0272","N/A","N/A","507.71","507.71","507.71","N/A","N/A","N/A","507.71","507.71","N/A","507.71","507.71","507.71","507.71","507.71","507.71","507.71","507.71","507.71","507.71"
"5","N/A","BUR NEURO PREC TPS ELITE 3MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR OVAL 12 FLT 5.5MMX13CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BUR OVAL 8 FLT CARBIDE 4X70MM","N/A","N/A","0272","N/A","N/A","39.60","39.60","39.60","N/A","N/A","N/A","39.60","39.60","N/A","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60"
"5","N/A","BUR OVAL 8 FLT COOLCUT 4MMX13","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BUR ROUND 6 FLT CARBIDE 3.5X44.5","N/A","N/A","0272","N/A","N/A","97.42","97.42","97.42","N/A","N/A","N/A","97.42","97.42","N/A","97.42","97.42","97.42","97.42","97.42","97.42","97.42","97.42","97.42","97.42"
"5","N/A","BUR ROUND 6 FLT CARBIDE 4X44.5MM","N/A","N/A","0272","N/A","N/A","92.40","92.40","92.40","N/A","N/A","N/A","92.40","92.40","N/A","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40"
"5","N/A","BUR ROUND 8 FLT CARBIDE 4X51MM","N/A","N/A","0272","N/A","N/A","34.65","34.65","34.65","N/A","N/A","N/A","34.65","34.65","N/A","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65"
"5","N/A","BUR ROUND 8 FLT COOLCUT 3X70MM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BUR ROUND 8 FLT COOLCUT 4MMX13CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BUR ROUND COARSE DMD 4MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND DMD 3.5MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND DMD COARSE ELITE 6MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND DMD ELITE 4MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND DMD TPS ELITE 2MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND DMD XCOURSE 6MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND FLT AGGRSV 4MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND FLT AGGRSV 5MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND FLT TPS ELITE 4MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND FLT TPS ELITE 6MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BUR ROUND FLT ZYPHR ELITE 3MM","N/A","N/A","0272","N/A","N/A","713.86","713.86","713.86","N/A","N/A","N/A","713.86","713.86","N/A","713.86","713.86","713.86","713.86","713.86","713.86","713.86","713.86","713.86","713.86"
"5","N/A","BUR ROUTER STR X-LNG 3.1X19.1","N/A","N/A","0272","N/A","N/A","341.75","341.75","341.75","N/A","N/A","N/A","341.75","341.75","N/A","341.75","341.75","341.75","341.75","341.75","341.75","341.75","341.75","341.75","341.75"
"5","N/A","BUR TAPERED DMD MDSRX 3MMX9CM","N/A","N/A","0272","N/A","N/A","504.90","504.90","504.90","N/A","N/A","N/A","504.90","504.90","N/A","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90"
"5","N/A","BUR TAPERED FLT MDSRX 1.5MMX8CM","N/A","N/A","0272","N/A","N/A","420.75","420.75","420.75","N/A","N/A","N/A","420.75","420.75","N/A","420.75","420.75","420.75","420.75","420.75","420.75","420.75","420.75","420.75","420.75"
"5","N/A","BUR TAPERED FLT MDSRX 2.3MMX8CM","N/A","N/A","0272","N/A","N/A","420.75","420.75","420.75","N/A","N/A","N/A","420.75","420.75","N/A","420.75","420.75","420.75","420.75","420.75","420.75","420.75","420.75","420.75","420.75"
"5","N/A","BUR TAPERED MDSRX 1.1MMX8CM","N/A","N/A","0272","N/A","N/A","375.87","375.87","375.87","N/A","N/A","N/A","375.87","375.87","N/A","375.87","375.87","375.87","375.87","375.87","375.87","375.87","375.87","375.87","375.87"
"5","N/A","BURR BALL DMD 4MM","N/A","N/A","0272","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","BURR BALL DMD 5MM","N/A","N/A","0272","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","BURR BALL DMD 6MM","N/A","N/A","0272","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","BURR BALL DMD EXT 1MM","N/A","N/A","0272","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","BURR BALL DMD EXT 2MM","N/A","N/A","0272","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","BURR BALL DMD EXT 3MM","N/A","N/A","0272","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","BURR BALL DMD STD 3MM","N/A","N/A","0272","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","BURR BALL FLT 5MM","N/A","N/A","0272","N/A","N/A","600.60","600.60","600.60","N/A","N/A","N/A","600.60","600.60","N/A","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60"
"5","N/A","BURR BALL FLT 6MM","N/A","N/A","0272","N/A","N/A","576.40","576.40","576.40","N/A","N/A","N/A","576.40","576.40","N/A","576.40","576.40","576.40","576.40","576.40","576.40","576.40","576.40","576.40","576.40"
"5","N/A","BURR BALL FLT 7MM","N/A","N/A","0272","N/A","N/A","564.30","564.30","564.30","N/A","N/A","N/A","564.30","564.30","N/A","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30"
"5","N/A","BURR BALL FLT EXT 3MM","N/A","N/A","0272","N/A","N/A","600.60","600.60","600.60","N/A","N/A","N/A","600.60","600.60","N/A","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60"
"5","N/A","BURR CURVED MICRO 1.5MMX5.6CM","N/A","N/A","0272","N/A","N/A","1092.30","1092.30","1092.30","N/A","N/A","N/A","1092.30","1092.30","N/A","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30"
"5","N/A","BURR CURVED MICRO 2MMX5.6CM","N/A","N/A","0272","N/A","N/A","1739.10","1739.10","1739.10","N/A","N/A","N/A","1739.10","1739.10","N/A","1739.10","1739.10","1739.10","1739.10","1739.10","1739.10","1739.10","1739.10","1739.10","1739.10"
"5","N/A","BURR DIAMOND ROUND XL 4.0MM","N/A","N/A","0272","N/A","N/A","571.03","571.03","571.03","N/A","N/A","N/A","571.03","571.03","N/A","571.03","571.03","571.03","571.03","571.03","571.03","571.03","571.03","571.03","571.03"
"5","N/A","BURR DIAMOND TAPERED 4MMX13CM","N/A","N/A","0272","N/A","N/A","1613.70","1613.70","1613.70","N/A","N/A","N/A","1613.70","1613.70","N/A","1613.70","1613.70","1613.70","1613.70","1613.70","1613.70","1613.70","1613.70","1613.70","1613.70"
"5","N/A","BURR DRILL ELITE ROUND 6.0MM","N/A","N/A","0272","N/A","N/A","400.98","400.98","400.98","N/A","N/A","N/A","400.98","400.98","N/A","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98","400.98"
"5","N/A","BURR EGG MICRO 10 FLT 4X54MM","N/A","N/A","0272","N/A","N/A","158.40","158.40","158.40","N/A","N/A","N/A","158.40","158.40","N/A","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40"
"5","N/A","BURR FISSURE CROSS CUT 1.2X44.5MM","N/A","N/A","0272","N/A","N/A","18.51","18.51","18.51","N/A","N/A","N/A","18.51","18.51","N/A","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51"
"5","N/A","BURR FISSURE CROSS CUT 1.6X44.5MM","N/A","N/A","0272","N/A","N/A","18.51","18.51","18.51","N/A","N/A","N/A","18.51","18.51","N/A","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51"
"5","N/A","BURR HEAD MATCH PRECISION 2.5MM 13CM","N/A","N/A","0272","N/A","N/A","793.75","793.75","793.75","N/A","N/A","N/A","793.75","793.75","N/A","793.75","793.75","793.75","793.75","793.75","793.75","793.75","793.75","793.75","793.75"
"5","N/A","BURR MATCH LEGEND MIDAS REX FLUTED 3MMX14CM","N/A","N/A","0272","N/A","N/A","510.51","510.51","510.51","N/A","N/A","N/A","510.51","510.51","N/A","510.51","510.51","510.51","510.51","510.51","510.51","510.51","510.51","510.51","510.51"
"5","N/A","BURR NEURO FLUTE BALL 4MM","N/A","N/A","0272","N/A","N/A","600.60","600.60","600.60","N/A","N/A","N/A","600.60","600.60","N/A","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60"
"5","N/A","BURR NEURO MIS CORE TPS 2.5MM","N/A","N/A","0272","N/A","N/A","619.15","619.15","619.15","N/A","N/A","N/A","619.15","619.15","N/A","619.15","619.15","619.15","619.15","619.15","619.15","619.15","619.15","619.15","619.15"
"5","N/A","BURR OVAL 10 FLT SS 4X44.5MM","N/A","N/A","0272","N/A","N/A","47.85","47.85","47.85","N/A","N/A","N/A","47.85","47.85","N/A","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85"
"5","N/A","BURR OVAL SMALL JOINT 10 FLUTE 3.0MM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BURR ROUND 2 FLT PREC 6MM","N/A","N/A","0272","N/A","N/A","529.65","529.65","529.65","N/A","N/A","N/A","529.65","529.65","N/A","529.65","529.65","529.65","529.65","529.65","529.65","529.65","529.65","529.65","529.65"
"5","N/A","BURR ROUND 6 FLT CARBIDE 3X44.5MM","N/A","N/A","0272","N/A","N/A","92.40","92.40","92.40","N/A","N/A","N/A","92.40","92.40","N/A","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40"
"5","N/A","BURR ROUND 6 FLT SM BN 2.4MM","N/A","N/A","0272","N/A","N/A","125.99","125.99","125.99","N/A","N/A","N/A","125.99","125.99","N/A","125.99","125.99","125.99","125.99","125.99","125.99","125.99","125.99","125.99","125.99"
"5","N/A","BURR ROUND 8 FLT CARBIDE 3X51MM","N/A","N/A","0272","N/A","N/A","34.65","34.65","34.65","N/A","N/A","N/A","34.65","34.65","N/A","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65"
"5","N/A","BURR ROUND 8 FLUTE COOL CUT 5.5MMX13CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","BURR ROUND 8 FLUTE COOL CUT 5MMX19CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BURR ROUND DMD X-CRS ELITE 5MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BURR ROUND FLT TPS ELITE 2MM","N/A","N/A","0272","N/A","N/A","444.28","444.28","444.28","N/A","N/A","N/A","444.28","444.28","N/A","444.28","444.28","444.28","444.28","444.28","444.28","444.28","444.28","444.28","444.28"
"5","N/A","BURR ROUND FLT TPS ELITE 5MM","N/A","N/A","0272","N/A","N/A","444.28","444.28","444.28","N/A","N/A","N/A","444.28","444.28","N/A","444.28","444.28","444.28","444.28","444.28","444.28","444.28","444.28","444.28","444.28"
"5","N/A","BURR ROUND MD DMD 3X54MM","N/A","N/A","0272","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","BURR SURGICAL CONICAL 12X2.2MM","N/A","N/A","0272","N/A","N/A","1155.00","1155.00","1155.00","N/A","N/A","N/A","1155.00","1155.00","N/A","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00"
"5","N/A","BURR SURGICAL CONICAL 9.5X2MM","N/A","N/A","0272","N/A","N/A","1155.00","1155.00","1155.00","N/A","N/A","N/A","1155.00","1155.00","N/A","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00"
"5","N/A","BURR SURGICAL PRECISION ROUND 4MM","N/A","N/A","0272","N/A","N/A","495.00","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","BURR SURGICAL ROUND DIAMOND 3MM","N/A","N/A","0272","N/A","N/A","409.86","409.86","409.86","N/A","N/A","N/A","409.86","409.86","N/A","409.86","409.86","409.86","409.86","409.86","409.86","409.86","409.86","409.86","409.86"
"5","N/A","BURR TRANSNASAL RFL 30MM","N/A","N/A","0272","N/A","N/A","1021.02","1021.02","1021.02","N/A","N/A","N/A","1021.02","1021.02","N/A","1021.02","1021.02","1021.02","1021.02","1021.02","1021.02","1021.02","1021.02","1021.02","1021.02"
"5","N/A","BURR WIRE PASS 2 FLT SS 1MM","N/A","N/A","0272","N/A","N/A","87.88","87.88","87.88","N/A","N/A","N/A","87.88","87.88","N/A","87.88","87.88","87.88","87.88","87.88","87.88","87.88","87.88","87.88","87.88"
"5","N/A","CABLE COCR W/CLAMP ACC 2.0MM","N/A","N/A","0272","N/A","N/A","1784.29","1784.29","1784.29","N/A","N/A","N/A","1784.29","1784.29","N/A","1784.29","1784.29","1784.29","1784.29","1784.29","1784.29","1784.29","1784.29","1784.29","1784.29"
"5","N/A","CABLE DISPOSABLE AEM","N/A","N/A","0272","N/A","N/A","69.30","69.30","69.30","N/A","N/A","N/A","69.30","69.30","N/A","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30"
"5","N/A","CABLE EXTENSION DOPPLER SWARTZ 5'","N/A","N/A","0272","N/A","N/A","334.95","334.95","334.95","N/A","N/A","N/A","334.95","334.95","N/A","334.95","334.95","334.95","334.95","334.95","334.95","334.95","334.95","334.95","334.95"
"5","N/A","CABLE LIGHT ANG TIP STER MAXCESS","N/A","N/A","0272","N/A","N/A","1290.30","1290.30","1290.30","N/A","N/A","N/A","1290.30","1290.30","N/A","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30"
"5","N/A","CABLE MICROELECTRODE BRAIN 8'","N/A","N/A","0272","N/A","N/A","458.70","458.70","458.70","N/A","N/A","N/A","458.70","458.70","N/A","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70"
"5","N/A","CABLE PACING AV ALLGTR CLIP BGE 8'","N/A","N/A","0272","N/A","N/A","55.44","55.44","55.44","N/A","N/A","N/A","55.44","55.44","N/A","55.44","55.44","55.44","55.44","55.44","55.44","55.44","55.44","55.44","55.44"
"5","N/A","CABLE POWER POWEREASE SPINE SURG","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","CABLE SCREENING TWISTLOCK EXT","N/A","N/A","0272","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","CABLE SYSTEM PROTECTION BURN AEM","N/A","N/A","0272","N/A","N/A","83.49","83.49","83.49","N/A","N/A","N/A","83.49","83.49","N/A","83.49","83.49","83.49","83.49","83.49","83.49","83.49","83.49","83.49","83.49"
"5","N/A","CABLE TRIAL MULTILEAD","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","CABLE TUR/ENDO FOR ACMI 10'","N/A","N/A","0272","N/A","N/A","16.43","16.43","16.43","N/A","N/A","N/A","16.43","16.43","N/A","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43"
"5","N/A","CANISTER SUCTION PENUMBRA ENGINE W/TUBING F/INDIGO","N/A","N/A","0272","N/A","N/A","1204.50","1204.50","1204.50","N/A","N/A","N/A","1204.50","1204.50","N/A","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50"
"5","N/A","CANISTER SUCTION RIPTIDE","N/A","N/A","0272","N/A","N/A","729.30","729.30","729.30","N/A","N/A","N/A","729.30","729.30","N/A","729.30","729.30","729.30","729.30","729.30","729.30","729.30","729.30","729.30","729.30"
"5","N/A","CANN ARTHRO 5.75MM 7CM CRYS BRL SHLDR RETEN BWL SMTH STL","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA ARTHROSCOPIC P/T 7MMX9CM","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA ARTERIAL BLUNT EOPA 20FRX12"","N/A","N/A","0272","N/A","N/A","147.35","147.35","147.35","N/A","N/A","N/A","147.35","147.35","N/A","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35"
"5","N/A","CANNULA ARTERIAL BLUNT EOPA 22FRX12"","N/A","N/A","0272","N/A","N/A","147.35","147.35","147.35","N/A","N/A","N/A","147.35","147.35","N/A","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35"
"5","N/A","CANNULA ARTERIAL FEM 1PC ADLT 19FRX17","N/A","N/A","0272","N/A","N/A","853.38","853.38","853.38","N/A","N/A","N/A","853.38","853.38","N/A","853.38","853.38","853.38","853.38","853.38","853.38","853.38","853.38","853.38","853.38"
"5","N/A","CANNULA ARTERIAL FEM 1PC ADLT 21FRX17","N/A","N/A","0272","N/A","N/A","781.21","781.21","781.21","N/A","N/A","N/A","781.21","781.21","N/A","781.21","781.21","781.21","781.21","781.21","781.21","781.21","781.21","781.21","781.21"
"5","N/A","CANNULA ARTERIAL N/VENT EOPA 20FRX12"","N/A","N/A","0272","N/A","N/A","147.35","147.35","147.35","N/A","N/A","N/A","147.35","147.35","N/A","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35"
"5","N/A","CANNULA ARTHROSCOPIC CRYSTAL 5.75MMX7CM","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA ARTHROSCOPIC DRI-LOC THREADED 6.5X75MM","N/A","N/A","0272","N/A","N/A","86.06","86.06","86.06","N/A","N/A","N/A","86.06","86.06","N/A","86.06","86.06","86.06","86.06","86.06","86.06","86.06","86.06","86.06","86.06"
"5","N/A","CANNULA ARTHROSCOPIC GEMINI SR8 8.25MM","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","CANNULA ARTHROSCOPIC INST 7MMX7CM","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA ARTHROSCOPIC PASSPORT 8MMX2CM","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","CANNULA ARTHROSCOPIC PASSPORT 8MMX3CM","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","CANNULA ARTHROSCOPIC PASSPORT 8MMX4CM","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","CANNULA ARTHROSCOPIC PASSPORT 8MMX5CM","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","CANNULA ARTHROSCOPIC THRD LTX 8X76MM","N/A","N/A","0272","N/A","N/A","85.76","85.76","85.76","N/A","N/A","N/A","85.76","85.76","N/A","85.76","85.76","85.76","85.76","85.76","85.76","85.76","85.76","85.76","85.76"
"5","N/A","CANNULA ARTHROSCOPIC TRANS 8MM","N/A","N/A","0272","N/A","N/A","224.40","224.40","224.40","N/A","N/A","N/A","224.40","224.40","N/A","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40"
"5","N/A","CANNULA ARTHROSCOPIC TRIM-IT HIP CUSTOM 8.25MMX15CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","CANNULA ARTHROSCOPIC TWIST IN 7MMX7CM","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA ARTHROSCOPIC TWIST IN 8.25MMX7","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA ARTHROSCOPIC TWIST IN 8.25MMX9","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA BUTTON PASSPORT 12MMX4CM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","CANNULA BUTTON PASSPORT ARTHREX 12MM X 3CM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","CANNULA CLEARTRAC COMP HIP 8.5X110MM","N/A","N/A","0272","N/A","N/A","100.49","100.49","100.49","N/A","N/A","N/A","100.49","100.49","N/A","100.49","100.49","100.49","100.49","100.49","100.49","100.49","100.49","100.49","100.49"
"5","N/A","CANNULA CORONARY 90 DEG DLP 12FRX7.5"","N/A","N/A","0272","N/A","N/A","70.06","70.06","70.06","N/A","N/A","N/A","70.06","70.06","N/A","70.06","70.06","70.06","70.06","70.06","70.06","70.06","70.06","70.06","70.06"
"5","N/A","CANNULA DUALBORE SIDEFLOW 25G","N/A","N/A","0272","N/A","N/A","151.14","151.14","151.14","N/A","N/A","N/A","151.14","151.14","N/A","151.14","151.14","151.14","151.14","151.14","151.14","151.14","151.14","151.14","151.14"
"5","N/A","CANNULA ENDOSCOPIC DA VINCI XI 12MM","N/A","N/A","0272","N/A","N/A","4125.00","4125.00","4125.00","N/A","N/A","N/A","4125.00","4125.00","N/A","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00"
"5","N/A","CANNULA ENDOWRIST REDCR 12-8MM","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","CANNULA ENTRY EDGEPLUS 25GAX4MM","N/A","N/A","0272","N/A","N/A","537.08","537.08","537.08","N/A","N/A","N/A","537.08","537.08","N/A","537.08","537.08","537.08","537.08","537.08","537.08","537.08","537.08","537.08","537.08"
"5","N/A","CANNULA FILTERLINE H 02 LONG","N/A","N/A","0272","N/A","N/A","33.76","33.76","33.76","N/A","N/A","N/A","33.76","33.76","N/A","33.76","33.76","33.76","33.76","33.76","33.76","33.76","33.76","33.76","33.76"
"5","N/A","CANNULA HIP OBT FLOWPORT II 5MM","N/A","N/A","0272","N/A","N/A","976.80","976.80","976.80","N/A","N/A","N/A","976.80","976.80","N/A","976.80","976.80","976.80","976.80","976.80","976.80","976.80","976.80","976.80","976.80"
"5","N/A","CANNULA INNER TRACH SHILET XLT 6","N/A","N/A","0272","N/A","N/A","17.18","17.18","17.18","N/A","N/A","N/A","17.18","17.18","N/A","17.18","17.18","17.18","17.18","17.18","17.18","17.18","17.18","17.18","17.18"
"5","N/A","CANNULA INNER TRACH SHILEY 4","N/A","N/A","0272","N/A","N/A","9.95","9.95","9.95","N/A","N/A","N/A","9.95","9.95","N/A","9.95","9.95","9.95","9.95","9.95","9.95","9.95","9.95","9.95","9.95"
"5","N/A","CANNULA INNER TRACH SHILEY 6","N/A","N/A","0272","N/A","N/A","10.00","10.00","10.00","N/A","N/A","N/A","10.00","10.00","N/A","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00"
"5","N/A","CANNULA INNER TRACH SHILEY 8","N/A","N/A","0272","N/A","N/A","10.06","10.06","10.06","N/A","N/A","N/A","10.06","10.06","N/A","10.06","10.06","10.06","10.06","10.06","10.06","10.06","10.06","10.06","10.06"
"5","N/A","CANNULA INNER TRACH SHILEY XLT 5","N/A","N/A","0272","N/A","N/A","16.92","16.92","16.92","N/A","N/A","N/A","16.92","16.92","N/A","16.92","16.92","16.92","16.92","16.92","16.92","16.92","16.92","16.92","16.92"
"5","N/A","CANNULA INTRODUCER EOPA 18FR 12"","N/A","N/A","0272","N/A","N/A","147.35","147.35","147.35","N/A","N/A","N/A","147.35","147.35","N/A","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35","147.35"
"5","N/A","CANNULA IRRIGATION ANT STR 27GAX1"","N/A","N/A","0272","N/A","N/A","16.10","16.10","16.10","N/A","N/A","N/A","16.10","16.10","N/A","16.10","16.10","16.10","16.10","16.10","16.10","16.10","16.10","16.10","16.10"
"5","N/A","CANNULA NASAL CRV PEDI TUB 7'","N/A","N/A","0272","N/A","N/A","4.22","4.22","4.22","N/A","N/A","N/A","4.22","4.22","N/A","4.22","4.22","4.22","4.22","4.22","4.22","4.22","4.22","4.22","4.22"
"5","N/A","CANNULA OPEN FEN 16GX160MM","N/A","N/A","0272","N/A","N/A","1864.50","1864.50","1864.50","N/A","N/A","N/A","1864.50","1864.50","N/A","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50"
"5","N/A","CANNULA OPHTHALMIC ANES 19GAX1"","N/A","N/A","0272","N/A","N/A","22.94","22.94","22.94","N/A","N/A","N/A","22.94","22.94","N/A","22.94","22.94","22.94","22.94","22.94","22.94","22.94","22.94","22.94","22.94"
"5","N/A","CANNULA PERFUSION ART OPTISITE 20F","N/A","N/A","0272","N/A","N/A","783.42","783.42","783.42","N/A","N/A","N/A","783.42","783.42","N/A","783.42","783.42","783.42","783.42","783.42","783.42","783.42","783.42","783.42","783.42"
"5","N/A","CANNULA PERFUSION BIO-MEDICUS 19F","N/A","N/A","0272","N/A","N/A","1012.77","1012.77","1012.77","N/A","N/A","N/A","1012.77","1012.77","N/A","1012.77","1012.77","1012.77","1012.77","1012.77","1012.77","1012.77","1012.77","1012.77","1012.77"
"5","N/A","CANNULA PERFUSION COR FMLE LL 4MMX6"","N/A","N/A","0272","N/A","N/A","60.42","60.42","60.42","N/A","N/A","N/A","60.42","60.42","N/A","60.42","60.42","60.42","60.42","60.42","60.42","60.42","60.42","60.42","60.42"
"5","N/A","CANNULA PERFUSION COR OSTIAL 15F","N/A","N/A","0272","N/A","N/A","147.54","147.54","147.54","N/A","N/A","N/A","147.54","147.54","N/A","147.54","147.54","147.54","147.54","147.54","147.54","147.54","147.54","147.54","147.54"
"5","N/A","CANNULA PERFUSION COR OSTIAL DLP 17FR","N/A","N/A","0272","N/A","N/A","143.45","143.45","143.45","N/A","N/A","N/A","143.45","143.45","N/A","143.45","143.45","143.45","143.45","143.45","143.45","143.45","143.45","143.45","143.45"
"5","N/A","CANNULA PERFUSION OPTISITE 3/8" 18FX24CM","N/A","N/A","0272","N/A","N/A","783.42","783.42","783.42","N/A","N/A","N/A","783.42","783.42","N/A","783.42","783.42","783.42","783.42","783.42","783.42","783.42","783.42","783.42","783.42"
"5","N/A","CANNULA PERFUSION STD TIP DLP 7FR 5.5"","N/A","N/A","0272","N/A","N/A","62.24","62.24","62.24","N/A","N/A","N/A","62.24","62.24","N/A","62.24","62.24","62.24","62.24","62.24","62.24","62.24","62.24","62.24","62.24"
"5","N/A","CANNULA PERFUSION STPCK DLP 15FRX10","N/A","N/A","0272","N/A","N/A","276.67","276.67","276.67","N/A","N/A","N/A","276.67","276.67","N/A","276.67","276.67","276.67","276.67","276.67","276.67","276.67","276.67","276.67","276.67"
"5","N/A","CANNULA PERFUSION STR 1 STAGE 32F 16"","N/A","N/A","0272","N/A","N/A","69.56","69.56","69.56","N/A","N/A","N/A","69.56","69.56","N/A","69.56","69.56","69.56","69.56","69.56","69.56","69.56","69.56","69.56","69.56"
"5","N/A","CANNULA RADIO FREQ CRV 20GAX100MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","CANNULA RADIO FREQ CRV 20GAX150MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","CANNULA RADIOFREQUENCY CRV 10MM TIP 20GAX100","N/A","N/A","0272","N/A","N/A","71.38","71.38","71.38","N/A","N/A","N/A","71.38","71.38","N/A","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38"
"5","N/A","CANNULA RADIOFREQUENCY CRV 10MM TIP 22GAX100","N/A","N/A","0272","N/A","N/A","110.88","110.88","110.88","N/A","N/A","N/A","110.88","110.88","N/A","110.88","110.88","110.88","110.88","110.88","110.88","110.88","110.88","110.88","110.88"
"5","N/A","CANNULA RF STRAIGHT 20G 10X100MM","N/A","N/A","0272","N/A","N/A","52.80","52.80","52.80","N/A","N/A","N/A","52.80","52.80","N/A","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80"
"5","N/A","CANNULA SMART CAP GUARDIAN 13'","N/A","N/A","0272","N/A","N/A","68.46","68.46","68.46","N/A","N/A","N/A","68.46","68.46","N/A","68.46","68.46","68.46","68.46","68.46","68.46","68.46","68.46","68.46","68.46"
"5","N/A","CANNULA SUBRETINAL POLYTIP RETINAL 25G 3/8","N/A","N/A","0272","N/A","N/A","144.21","144.21","144.21","N/A","N/A","N/A","144.21","144.21","N/A","144.21","144.21","144.21","144.21","144.21","144.21","144.21","144.21","144.21","144.21"
"5","N/A","CANNULA SUCTION CRV VACURETTE 7MM","N/A","N/A","0272","N/A","N/A","15.69","15.69","15.69","N/A","N/A","N/A","15.69","15.69","N/A","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69"
"5","N/A","CANNULA SUMP INTRACARDIAC 20FR","N/A","N/A","0272","N/A","N/A","41.48","41.48","41.48","N/A","N/A","N/A","41.48","41.48","N/A","41.48","41.48","41.48","41.48","41.48","41.48","41.48","41.48","41.48","41.48"
"5","N/A","CANNULA SYSTEM ANTERIOR ZONENAVIGATOR","N/A","N/A","0272","N/A","N/A","495.00","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","CANNULA THREADED 8.0X75MM","N/A","N/A","0272","N/A","N/A","86.06","86.06","86.06","N/A","N/A","N/A","86.06","86.06","N/A","86.06","86.06","86.06","86.06","86.06","86.06","86.06","86.06","86.06","86.06"
"5","N/A","CANNULA TRACHEOSTOMY SHILEY FLEX 6.5MM","N/A","N/A","0272","N/A","N/A","10.35","10.35","10.35","N/A","N/A","N/A","10.35","10.35","N/A","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35"
"5","N/A","CANNULA TRACHEOSTOMY SHILEY FLEX 7.5MM","N/A","N/A","0272","N/A","N/A","10.35","10.35","10.35","N/A","N/A","N/A","10.35","10.35","N/A","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35"
"5","N/A","CANNULA TRACHEOSTOMY SHILEY FLEX 8.5MM","N/A","N/A","0272","N/A","N/A","10.35","10.35","10.35","N/A","N/A","N/A","10.35","10.35","N/A","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35","10.35"
"5","N/A","CANNULA TRIPLEDAM VALVED 7MM X 7CM","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","CANNULA VENOUS 1 STAGE 28FRX15","N/A","N/A","0272","N/A","N/A","87.81","87.81","87.81","N/A","N/A","N/A","87.81","87.81","N/A","87.81","87.81","87.81","87.81","87.81","87.81","87.81","87.81","87.81","87.81"
"5","N/A","CANNULA VENOUS 1PC 36FR","N/A","N/A","0272","N/A","N/A","66.20","66.20","66.20","N/A","N/A","N/A","66.20","66.20","N/A","66.20","66.20","66.20","66.20","66.20","66.20","66.20","66.20","66.20","66.20"
"5","N/A","CANNULA VENOUS 2 STAGE 29/37FRX15","N/A","N/A","0272","N/A","N/A","97.75","97.75","97.75","N/A","N/A","N/A","97.75","97.75","N/A","97.75","97.75","97.75","97.75","97.75","97.75","97.75","97.75","97.75","97.75"
"5","N/A","CANNULA VENOUS 2 STAGE 32/40FRX15","N/A","N/A","0272","N/A","N/A","95.80","95.80","95.80","N/A","N/A","N/A","95.80","95.80","N/A","95.80","95.80","95.80","95.80","95.80","95.80","95.80","95.80","95.80","95.80"
"5","N/A","CANNULA VENOUS 2 STAGE 34/46FRX15","N/A","N/A","0272","N/A","N/A","97.75","97.75","97.75","N/A","N/A","N/A","97.75","97.75","N/A","97.75","97.75","97.75","97.75","97.75","97.75","97.75","97.75","97.75","97.75"
"5","N/A","CANNULA VENOUS DUAL DRAIN 29F","N/A","N/A","0272","N/A","N/A","152.13","152.13","152.13","N/A","N/A","N/A","152.13","152.13","N/A","152.13","152.13","152.13","152.13","152.13","152.13","152.13","152.13","152.13","152.13"
"5","N/A","CANNULA VENOUS PVC TIP 28FR 3/8"","N/A","N/A","0272","N/A","N/A","142.82","142.82","142.82","N/A","N/A","N/A","142.82","142.82","N/A","142.82","142.82","142.82","142.82","142.82","142.82","142.82","142.82","142.82","142.82"
"5","N/A","CANNULA VENOUS RT ANG DLP 31FRX14","N/A","N/A","0272","N/A","N/A","103.75","103.75","103.75","N/A","N/A","N/A","103.75","103.75","N/A","103.75","103.75","103.75","103.75","103.75","103.75","103.75","103.75","103.75","103.75"
"5","N/A","CANNULA VENOUS SGL STAGE 26FR 15"","N/A","N/A","0272","N/A","N/A","87.81","87.81","87.81","N/A","N/A","N/A","87.81","87.81","N/A","87.81","87.81","87.81","87.81","87.81","87.81","87.81","87.81","87.81","87.81"
"5","N/A","CANNULA VENOUS THIN FLEX 24X90","N/A","N/A","0272","N/A","N/A","142.82","142.82","142.82","N/A","N/A","N/A","142.82","142.82","N/A","142.82","142.82","142.82","142.82","142.82","142.82","142.82","142.82","142.82","142.82"
"5","N/A","CANNULA VESSEL FMLE BLUNT 2MMX2"","N/A","N/A","0272","N/A","N/A","16.53","16.53","16.53","N/A","N/A","N/A","16.53","16.53","N/A","16.53","16.53","16.53","16.53","16.53","16.53","16.53","16.53","16.53","16.53"
"5","N/A","CANNULA VESSEL HEART FREE FLOW 3","N/A","N/A","0272","N/A","N/A","12.38","12.38","12.38","N/A","N/A","N/A","12.38","12.38","N/A","12.38","12.38","12.38","12.38","12.38","12.38","12.38","12.38","12.38","12.38"
"5","N/A","CANNULA VITRECTOMY 25GX0.8MM","N/A","N/A","0272","N/A","N/A","89.23","89.23","89.23","N/A","N/A","N/A","89.23","89.23","N/A","89.23","89.23","89.23","89.23","89.23","89.23","89.23","89.23","89.23","89.23"
"5","N/A","CANNULA VITREORETINAL SET EDGEPLUS","N/A","N/A","0272","N/A","N/A","350.63","350.63","350.63","N/A","N/A","N/A","350.63","350.63","N/A","350.63","350.63","350.63","350.63","350.63","350.63","350.63","350.63","350.63","350.63"
"5","N/A","CANNULAE VENOUS FEM BIO MEDICUS 25R","N/A","N/A","0272","N/A","N/A","1176.12","1176.12","1176.12","N/A","N/A","N/A","1176.12","1176.12","N/A","1176.12","1176.12","1176.12","1176.12","1176.12","1176.12","1176.12","1176.12","1176.12","1176.12"
"5","N/A","CAP DISCONNECT DIAL MINICAP","N/A","N/A","0272","N/A","N/A","15.00","15.00","15.00","N/A","N/A","N/A","15.00","15.00","N/A","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00"
"5","N/A","CAP ENDOSCOPE SM H LL","N/A","N/A","0272","N/A","N/A","19.90","19.90","19.90","N/A","N/A","N/A","19.90","19.90","N/A","19.90","19.90","19.90","19.90","19.90","19.90","19.90","19.90","19.90","19.90"
"5","N/A","CAP HALO HALO360 DISP STER MD","N/A","N/A","0272","N/A","N/A","118.47","118.47","118.47","N/A","N/A","N/A","118.47","118.47","N/A","118.47","118.47","118.47","118.47","118.47","118.47","118.47","118.47","118.47","118.47"
"5","N/A","CAPS ADAPTER CLEARGUARD HEMODIALYSIS RED/BLUE","N/A","N/A","0272","N/A","N/A","19.75","19.75","19.75","N/A","N/A","N/A","19.75","19.75","N/A","19.75","19.75","19.75","19.75","19.75","19.75","19.75","19.75","19.75","19.75"
"5","N/A","CAPSULE ENDOSCOPY SB3-EX PILLCAM","N/A","N/A","0272","N/A","N/A","1620.30","1620.30","1620.30","N/A","N/A","N/A","1620.30","1620.30","N/A","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30","1620.30"
"5","N/A","CAPSULE GASTROINTESTINAL AGILE PATENCY","N/A","N/A","0272","N/A","N/A","99.00","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","CAPSULE VIDEO CAPSOCAM PLUS SM BOWEL","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","CARD SMART CNAP EXTENDED","N/A","N/A","0272","N/A","N/A","794.10","794.10","794.10","N/A","N/A","N/A","794.10","794.10","N/A","794.10","794.10","794.10","794.10","794.10","794.10","794.10","794.10","794.10","794.10"
"5","N/A","CARRIER GRAFT SKIN MESHGRAFT DERMACARRIERS 8X4"","N/A","N/A","0272","N/A","N/A","125.40","125.40","125.40","N/A","N/A","N/A","125.40","125.40","N/A","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40"
"5","N/A","CARTRIDGE CEMENT MIXING CLEARMIX","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","CARTRIDGE CLIP K2 TI DISP MD LG","N/A","N/A","0272","N/A","N/A","179.85","179.85","179.85","N/A","N/A","N/A","179.85","179.85","N/A","179.85","179.85","179.85","179.85","179.85","179.85","179.85","179.85","179.85","179.85"
"5","N/A","CARTRIDGE DELIVERY GUN CORTOSS 5ML","N/A","N/A","0272","N/A","N/A","2789.56","2789.56","2789.56","N/A","N/A","N/A","2789.56","2789.56","N/A","2789.56","2789.56","2789.56","2789.56","2789.56","2789.56","2789.56","2789.56","2789.56","2789.56"
"5","N/A","CARTRIDGE DELIVERY LENS MONARCH II SZ B","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","CARTRIDGE DELIVERY LENS MONARCH III SZ C","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","CARTRIDGE DELIVERY LENS MONARCH III SZ D","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","CASSETTE INFUSION PUMP IMPELLA PURGE","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","CASSETTE NPWT VERAFLO VAC VERALINK","N/A","N/A","0272","N/A","N/A","176.06","176.06","176.06","N/A","N/A","N/A","176.06","176.06","N/A","176.06","176.06","176.06","176.06","176.06","176.06","176.06","176.06","176.06","176.06"
"5","N/A","CATH SUPPORT RUBICON .014X150","N/A","N/A","0272","N/A","N/A","461.34","461.34","461.34","N/A","N/A","N/A","461.34","461.34","N/A","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34"
"5","N/A","CATHETER ABLATION BARRX 90D 4MMX160CM","N/A","N/A","0272","N/A","N/A","5593.50","5593.50","5593.50","N/A","N/A","N/A","5593.50","5593.50","N/A","5593.50","5593.50","5593.50","5593.50","5593.50","5593.50","5593.50","5593.50","5593.50","5593.50"
"5","N/A","CATHETER ACCESS & DELIVERY SPYSCOPE DSII","N/A","N/A","0272","N/A","N/A","8745.00","8745.00","8745.00","N/A","N/A","N/A","8745.00","8745.00","N/A","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00"
"5","N/A","CATHETER ADVANTAGE TORCON NB C1 038 5FX65CM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","CATHETER ADVANTAGE TORCON NB VTK 035 5FX125CM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","CATHETER ADVANTAGE TORCON RBT 035 5FX90CM","N/A","N/A","0272","N/A","N/A","206.25","206.25","206.25","N/A","N/A","N/A","206.25","206.25","N/A","206.25","206.25","206.25","206.25","206.25","206.25","206.25","206.25","206.25","206.25"
"5","N/A","CATHETER AIRWAY EXCHG 19FR 3.4MMX83CM","N/A","N/A","0272","N/A","N/A","196.02","196.02","196.02","N/A","N/A","N/A","196.02","196.02","N/A","196.02","196.02","196.02","196.02","196.02","196.02","196.02","196.02","196.02","196.02"
"5","N/A","CATHETER ANGIO BERENSTEIN SOFVU .035 4F 110CM","N/A","N/A","0272","N/A","N/A","47.61","47.61","47.61","N/A","N/A","N/A","47.61","47.61","N/A","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61"
"5","N/A","CATHETER ANGIO BERENSTEIN SOFVU .035 4F 140CM","N/A","N/A","0272","N/A","N/A","238.07","238.07","238.07","N/A","N/A","N/A","238.07","238.07","N/A","238.07","238.07","238.07","238.07","238.07","238.07","238.07","238.07","238.07","238.07"
"5","N/A","CATHETER ANGIO BERENSTEIN SOFVU .038 5F 100CM","N/A","N/A","0272","N/A","N/A","47.61","47.61","47.61","N/A","N/A","N/A","47.61","47.61","N/A","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61"
"5","N/A","CATHETER ANGIO BERENSTEIN SOFVU .038 5F 65CM","N/A","N/A","0272","N/A","N/A","47.61","47.61","47.61","N/A","N/A","N/A","47.61","47.61","N/A","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61"
"5","N/A","CATHETER ANGIO BERMAN STD 6F 90CM","N/A","N/A","0272","N/A","N/A","531.30","531.30","531.30","N/A","N/A","N/A","531.30","531.30","N/A","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30"
"5","N/A","CATHETER ANGIO CEREBRAL JB 1 5FX100","N/A","N/A","0272","N/A","N/A","85.65","85.65","85.65","N/A","N/A","N/A","85.65","85.65","N/A","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65"
"5","N/A","CATHETER ANGIO EXPO 5F FL3.0 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 5F IMT 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 5F WILLIAM RIGHT 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F AL1.0 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F AL2.0 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F AR1 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F AR2 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F FL3.5 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F FL4 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F FL5 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F FR4 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F FR5 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F IM 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F LCB 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F MPA1 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F PIG 110CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F PIG 145 110CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F RCB 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO 6F WILLIAM RIGHT 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO EXPO PIGTAIL 145 5F 110CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO FLUSH STRAIGHT 5F 65CM","N/A","N/A","0272","N/A","N/A","58.89","58.89","58.89","N/A","N/A","N/A","58.89","58.89","N/A","58.89","58.89","58.89","58.89","58.89","58.89","58.89","58.89","58.89","58.89"
"5","N/A","CATHETER ANGIO IMPULSE 5F AL1 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F AL2 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F AR1 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F AR2 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F FL3.5 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F FL4 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F FL5 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F FR4 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F LCB 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F MPA1 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F PIG 110CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 5F RCB 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO IMPULSE 6F PIG 125CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER ANGIO KMP TORCON ADV 038 5F 100CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO KMP TORCON ADV 038 5F 40CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO KMP TORCON ADV 038 5F 65CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO MARINER COBRA 2 038 5FX65CM","N/A","N/A","0272","N/A","N/A","190.34","190.34","190.34","N/A","N/A","N/A","190.34","190.34","N/A","190.34","190.34","190.34","190.34","190.34","190.34","190.34","190.34","190.34","190.34"
"5","N/A","CATHETER ANGIO MPA 1 TEMPO 5FX125CM 038","N/A","N/A","0272","N/A","N/A","28.15","28.15","28.15","N/A","N/A","N/A","28.15","28.15","N/A","28.15","28.15","28.15","28.15","28.15","28.15","28.15","28.15","28.15","28.15"
"5","N/A","CATHETER ANGIO OMNI 5F 80CM","N/A","N/A","0272","N/A","N/A","113.52","113.52","113.52","N/A","N/A","N/A","113.52","113.52","N/A","113.52","113.52","113.52","113.52","113.52","113.52","113.52","113.52","113.52","113.52"
"5","N/A","CATHETER ANGIO PIGTAIL AUROUS 035 5F 100CM","N/A","N/A","0272","N/A","N/A","379.50","379.50","379.50","N/A","N/A","N/A","379.50","379.50","N/A","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50"
"5","N/A","CATHETER ANGIO PIGTAIL PED HIGHFLOW 035 6F 100CM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","CATHETER ANGIO SIM 2 IMPRESS W/LEGATO 038 5F 100CM","N/A","N/A","0272","N/A","N/A","128.70","128.70","128.70","N/A","N/A","N/A","128.70","128.70","N/A","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70"
"5","N/A","CATHETER ANGIO SOFT-VU BERENSTEIN NH 038 5F 65CM","N/A","N/A","0272","N/A","N/A","47.61","47.61","47.61","N/A","N/A","N/A","47.61","47.61","N/A","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61"
"5","N/A","CATHETER ANGIO SOFT-VU COBRA 1 038 5F 65CM","N/A","N/A","0272","N/A","N/A","85.65","85.65","85.65","N/A","N/A","N/A","85.65","85.65","N/A","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65"
"5","N/A","CATHETER ANGIO SOFT-VU COBRA 1 038 5F 90CM","N/A","N/A","0272","N/A","N/A","74.78","74.78","74.78","N/A","N/A","N/A","74.78","74.78","N/A","74.78","74.78","74.78","74.78","74.78","74.78","74.78","74.78","74.78","74.78"
"5","N/A","CATHETER ANGIO SOFT-VU JB1 038 5FX65CM","N/A","N/A","0272","N/A","N/A","85.65","85.65","85.65","N/A","N/A","N/A","85.65","85.65","N/A","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65"
"5","N/A","CATHETER ANGIO SOFT-VU OMNI FLUSH 038 5F 65CM","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER ANGIO SOFT-VU OMNI FLUSH SH 035 4F 65CM","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER ANGIO SOFT-VU OMNI FLUSH SH 038 5F 65CM","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER ANGIO SOFT-VU PIGTAIL SH 035 5F 65CM","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER ANGIO SOFT-VU PIGTAIL SH 038 5F 110CM","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER ANGIO SOFT-VU RIM 035 5F 65CM","N/A","N/A","0272","N/A","N/A","88.10","88.10","88.10","N/A","N/A","N/A","88.10","88.10","N/A","88.10","88.10","88.10","88.10","88.10","88.10","88.10","88.10","88.10","88.10"
"5","N/A","CATHETER ANGIO SOFT-VU ROSCH 035 5FX65CM","N/A","N/A","0272","N/A","N/A","88.10","88.10","88.10","N/A","N/A","N/A","88.10","88.10","N/A","88.10","88.10","88.10","88.10","88.10","88.10","88.10","88.10","88.10","88.10"
"5","N/A","CATHETER ANGIO SOFT-VU STRAIGHT FLUSH SH 035 5F 65CM","N/A","N/A","0272","N/A","N/A","58.89","58.89","58.89","N/A","N/A","N/A","58.89","58.89","N/A","58.89","58.89","58.89","58.89","58.89","58.89","58.89","58.89","58.89","58.89"
"5","N/A","CATHETER ANGIO SUPER TORQUE H1 CRV 5FX100CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER ANGIO SUPER TORQUE MPA1 CRV 4FX80CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER ANGIO SUPER TORQUE PIGTAIL 038 6F 65CM 12 SD","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER ANGIO TEMPO AQUA STR 4FX65CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","CATHETER ANGIO TEMPO AQUA VERT 038 4FX125CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","CATHETER ANGIO TEMPO BER II 038 5FX65CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER ANGIO TEMPO SIM1 CRV 038 5FX100CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER ANGIO TORCON NB BEACON TIP 5FX65CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO TORCON NB MIK 038 5FX80CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO TORCON NB SIM1 038 5FX65CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO TORCON NB SS 035 5FX65CM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","CATHETER ANGIO TORCON NB VERT 038 5F 125CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO TORCON NB VS 038 5FX80CM","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER ANGIO TORCON NB VTK 038 5FX100CM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","CATHETER ANGIO WEDGE DL LUMEN 6F 110CM","N/A","N/A","0272","N/A","N/A","262.97","262.97","262.97","N/A","N/A","N/A","262.97","262.97","N/A","262.97","262.97","262.97","262.97","262.97","262.97","262.97","262.97","262.97","262.97"
"5","N/A","CATHETER ANGIO WEDGE DL LUMEN 7F 110CM","N/A","N/A","0272","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","CATHETER ANGIOGRAPHIC MPA SH MRNR 5F 100","N/A","N/A","0272","N/A","N/A","128.84","128.84","128.84","N/A","N/A","N/A","128.84","128.84","N/A","128.84","128.84","128.84","128.84","128.84","128.84","128.84","128.84","128.84","128.84"
"5","N/A","CATHETER ANGIOGRAPHIC UF 5F .035 65CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER ANGLED GLIDECATH 038 4FR 120","N/A","N/A","0272","N/A","N/A","160.22","160.22","160.22","N/A","N/A","N/A","160.22","160.22","N/A","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22"
"5","N/A","CATHETER ART 4 LUM SWAN-GANZ 6F 110CM","N/A","N/A","0272","N/A","N/A","511.50","511.50","511.50","N/A","N/A","N/A","511.50","511.50","N/A","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50"
"5","N/A","CATHETER ARTERIAL 4 LUM 7F 110CM","N/A","N/A","0272","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","CATHETER ATHERECTOMY DIAMONDBACK 360 CLASSIC 6F 1.25X135CM","N/A","N/A","0272","N/A","N/A","12523.50","12523.50","12523.50","N/A","N/A","N/A","12523.50","12523.50","N/A","12523.50","12523.50","12523.50","12523.50","12523.50","12523.50","12523.50","12523.50","12523.50","12523.50"
"5","N/A","CATHETER ATHERECTOMY DIAMONDBACK 360 MICRO 1.25MMX145CM","N/A","N/A","0272","N/A","N/A","11203.50","11203.50","11203.50","N/A","N/A","N/A","11203.50","11203.50","N/A","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50"
"5","N/A","CATHETER ATHERECTOMY DIAMONDBACK 360 SOLID 1.5MMX145CM","N/A","N/A","0272","N/A","N/A","11203.50","11203.50","11203.50","N/A","N/A","N/A","11203.50","11203.50","N/A","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50","11203.50"
"5","N/A","CATHETER ATHERECTOMY ELCA RX 0.9MMX135CM","N/A","N/A","0272","N/A","N/A","8778.00","8778.00","8778.00","N/A","N/A","N/A","8778.00","8778.00","N/A","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00"
"5","N/A","CATHETER ATHERECTOMY TURBO ELITE OTW 2.3MMX125CM","N/A","N/A","0272","N/A","N/A","9240.00","9240.00","9240.00","N/A","N/A","N/A","9240.00","9240.00","N/A","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00"
"5","N/A","CATHETER ATHERECTOMY TURBO ELITE OTW 6F 2MMX150CM","N/A","N/A","0272","N/A","N/A","9240.00","9240.00","9240.00","N/A","N/A","N/A","9240.00","9240.00","N/A","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00"
"5","N/A","CATHETER ATHERECTOMY TURBO ELITE RX 1.4MMX150CM","N/A","N/A","0272","N/A","N/A","9240.00","9240.00","9240.00","N/A","N/A","N/A","9240.00","9240.00","N/A","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00"
"5","N/A","CATHETER ATHERECTOMY TURBO ELITE RX 4F 0.9MMX150CM","N/A","N/A","0272","N/A","N/A","9240.00","9240.00","9240.00","N/A","N/A","N/A","9240.00","9240.00","N/A","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00"
"5","N/A","CATHETER BALLOON ADMIRAL 5F 4X40MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADMIRAL 5F 4X80MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADMIRAL 6F 5X120MMX130CM","N/A","N/A","0272","N/A","N/A","5412.00","5412.00","5412.00","N/A","N/A","N/A","5412.00","5412.00","N/A","5412.00","5412.00","5412.00","5412.00","5412.00","5412.00","5412.00","5412.00","5412.00","5412.00"
"5","N/A","CATHETER BALLOON ADMIRAL 6F 5X80MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADMIRAL 6F 6X40MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADMIRAL 6F 6X80MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADMIRAL 7F 7X40MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADMIRAL 7F 7X60MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADMIRAL 7F 7X80MMX130CM","N/A","N/A","0272","N/A","N/A","4917.00","4917.00","4917.00","N/A","N/A","N/A","4917.00","4917.00","N/A","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00","4917.00"
"5","N/A","CATHETER BALLOON ADVANCE 35LP 10MMX2.0X80CM","N/A","N/A","0272","N/A","N/A","429.00","429.00","429.00","N/A","N/A","N/A","429.00","429.00","N/A","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00"
"5","N/A","CATHETER BALLOON ANGIOSCULPT OTW 3X10MMX137CM","N/A","N/A","0272","N/A","N/A","2887.50","2887.50","2887.50","N/A","N/A","N/A","2887.50","2887.50","N/A","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50"
"5","N/A","CATHETER BALLOON ANGIOSCULPT RX 2.5X10X137MM","N/A","N/A","0272","N/A","N/A","2887.50","2887.50","2887.50","N/A","N/A","N/A","2887.50","2887.50","N/A","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50"
"5","N/A","CATHETER BALLOON ANGIOSCULPT RX 2.5X15X137MM","N/A","N/A","0272","N/A","N/A","2887.50","2887.50","2887.50","N/A","N/A","N/A","2887.50","2887.50","N/A","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50"
"5","N/A","CATHETER BALLOON ANGIOSCULPT RX 3X10X137MM","N/A","N/A","0272","N/A","N/A","2887.50","2887.50","2887.50","N/A","N/A","N/A","2887.50","2887.50","N/A","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50"
"5","N/A","CATHETER BALLOON ARMADA OTW 1.5X20MMX145CM","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","CATHETER BALLOON ATLAS 14MMX4X75CM","N/A","N/A","0272","N/A","N/A","1089.00","1089.00","1089.00","N/A","N/A","N/A","1089.00","1089.00","N/A","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00"
"5","N/A","CATHETER BALLOON ATLAS 7F 14MMX4X75CM","N/A","N/A","0272","N/A","N/A","1089.00","1089.00","1089.00","N/A","N/A","N/A","1089.00","1089.00","N/A","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00"
"5","N/A","CATHETER BALLOON BARRX EXPRESS 8X4X85CM","N/A","N/A","0272","N/A","N/A","8731.80","8731.80","8731.80","N/A","N/A","N/A","8731.80","8731.80","N/A","8731.80","8731.80","8731.80","8731.80","8731.80","8731.80","8731.80","8731.80","8731.80","8731.80"
"5","N/A","CATHETER BALLOON COYOTE ES OTW 2.5X40MMX145CM","N/A","N/A","0272","N/A","N/A","759.00","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","CATHETER BALLOON COYOTE ES OTW 2X40MMX144CM","N/A","N/A","0272","N/A","N/A","751.27","751.27","751.27","N/A","N/A","N/A","751.27","751.27","N/A","751.27","751.27","751.27","751.27","751.27","751.27","751.27","751.27","751.27","751.27"
"5","N/A","CATHETER BALLOON COYOTE ES OTW 3X40MMX145CM","N/A","N/A","0272","N/A","N/A","756.84","756.84","756.84","N/A","N/A","N/A","756.84","756.84","N/A","756.84","756.84","756.84","756.84","756.84","756.84","756.84","756.84","756.84","756.84"
"5","N/A","CATHETER BALLOON COYOTE OTW 1.5X40MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2.5X100MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2.5X150MMX150","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 2.5X60MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2.5X60MMX90CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2.5X80MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X100MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X120MMX150CM","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X120MMX90CM","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X150MMX150CM","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X220MMX150CM","N/A","N/A","0272","N/A","N/A","1072.19","1072.19","1072.19","N/A","N/A","N/A","1072.19","1072.19","N/A","1072.19","1072.19","1072.19","1072.19","1072.19","1072.19","1072.19","1072.19","1072.19","1072.19"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X60MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X60MMX90CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 2X80MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 3.5X60MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X100MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X100MMX90CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X120MMX150CM","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X120MMX90CM","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X150MMX150CM","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X220MMX150CM","N/A","N/A","0272","N/A","N/A","1234.20","1234.20","1234.20","N/A","N/A","N/A","1234.20","1234.20","N/A","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20","1234.20"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X60MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X60MMX90CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 3X80MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 4X100MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON COYOTE OTW 4X60MMX150CM","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER BALLOON DILATATION FUSION BILIARY SZ 7 5F","N/A","N/A","0272","N/A","N/A","438.90","438.90","438.90","N/A","N/A","N/A","438.90","438.90","N/A","438.90","438.90","438.90","438.90","438.90","438.90","438.90","438.90","438.90","438.90"
"5","N/A","CATHETER BALLOON DILATION AVIATOR + 014 4X20MMX142CM","N/A","N/A","0272","N/A","N/A","610.50","610.50","610.50","N/A","N/A","N/A","610.50","610.50","N/A","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50"
"5","N/A","CATHETER BALLOON DILATION AVIATOR + 014 4X40MMX142CM","N/A","N/A","0272","N/A","N/A","709.50","709.50","709.50","N/A","N/A","N/A","709.50","709.50","N/A","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 014 4F 2X40MMX150CM","N/A","N/A","0272","N/A","N/A","610.50","610.50","610.50","N/A","N/A","N/A","610.50","610.50","N/A","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 014 4F 3X40MMX150CM","N/A","N/A","0272","N/A","N/A","610.50","610.50","610.50","N/A","N/A","N/A","610.50","610.50","N/A","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 4X20MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 4X40MMX130CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 4X40MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 5X20MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 5X40MMX130CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 6X20MMX130CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 6X20MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 6X40MMX130CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 6X40MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 7X40MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 8X40MMX130CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 5F 8X40MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON DILATION PTA ULTVRS 035 6F 10X40MMX75CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 1.2X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 1.5X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 2.50X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 2.5X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 2.5X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 2X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 2X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 2X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 3.5X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 3.5X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 3X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE OTW 4X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH OTW 1.2X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH OTW 1.2X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH OTW 1.2X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH OTW 1.5X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH RX 1.20X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH RX 1.2X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH RX 1.2X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH RX 1.5X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH RX 1.5X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE PUSH RX 1.5X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 1.2X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 1.5X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 1.5X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 1.5X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2.5X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2.5X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2.5X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 2X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 3.5X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 3.5X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","HCHG PHASE 1 RECOVERY 1ST 15 MIN","N/A","N/A","0710","N/A","N/A","268.00","268.00","268.00","N/A","N/A","N/A","268.00","268.00","N/A","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00"
"5","N/A","HCHG PHASE 1 RECOVERY 1ST HR","N/A","N/A","0710","N/A","N/A","832.00","832.00","832.00","N/A","N/A","N/A","832.00","832.00","N/A","832.00","832.00","832.00","832.00","832.00","832.00","832.00","832.00","832.00","832.00"
"5","N/A","HCHG PHASE 1 RECOVERY- EA ADDL 30 MIN","N/A","N/A","0710","N/A","N/A","324.00","324.00","324.00","N/A","N/A","N/A","324.00","324.00","N/A","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00"
"5","N/A","HCHG PHASE 1 RECOVERY- EA ADDL MIN","N/A","N/A","0710","N/A","N/A","15.00","15.00","15.00","N/A","N/A","N/A","15.00","15.00","N/A","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00"
"5","N/A","HCHG PHASE 2 RECOVERY 1ST 15 MIN","N/A","N/A","0710","N/A","N/A","217.00","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","HCHG PHASE 2 RECOVERY 1ST HR","N/A","N/A","0710","N/A","N/A","534.00","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","HCHG PHASE 2 RECOVERY 2 HRS","N/A","N/A","0710","N/A","N/A","888.00","888.00","888.00","N/A","N/A","N/A","888.00","888.00","N/A","888.00","888.00","888.00","888.00","888.00","888.00","888.00","888.00","888.00","888.00"
"5","N/A","HCHG PHASE 2 RECOVERY 3 HRS","N/A","N/A","0710","N/A","N/A","1242.00","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","HCHG PHASE 2 RECOVERY 4 HRS","N/A","N/A","0710","N/A","N/A","1595.00","1595.00","1595.00","N/A","N/A","N/A","1595.00","1595.00","N/A","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00"
"5","N/A","HCHG PHASE 2 RECOVERY 5 HRS","N/A","N/A","0710","N/A","N/A","1951.00","1951.00","1951.00","N/A","N/A","N/A","1951.00","1951.00","N/A","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00"
"5","N/A","HCHG PHASE 2 RECOVERY 6 HRS","N/A","N/A","0710","N/A","N/A","2303.00","2303.00","2303.00","N/A","N/A","N/A","2303.00","2303.00","N/A","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00"
"5","N/A","HCHG PHASE 2 RECOVERY 7 HRS","N/A","N/A","0710","N/A","N/A","2658.00","2658.00","2658.00","N/A","N/A","N/A","2658.00","2658.00","N/A","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00"
"5","N/A","HCHG PHASE 2 RECOVERY 8 HRS","N/A","N/A","0710","N/A","N/A","3011.00","3011.00","3011.00","N/A","N/A","N/A","3011.00","3011.00","N/A","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00"
"5","N/A","HCHG PHASE 2 RECOVERY EA ADDL 30 MIN","N/A","N/A","0710","N/A","N/A","177.00","177.00","177.00","N/A","N/A","N/A","177.00","177.00","N/A","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00"
"5","N/A","HCHG PHASE 2 RECOVERY EA ADDL MIN","N/A","N/A","0710","N/A","N/A","12.00","12.00","12.00","N/A","N/A","N/A","12.00","12.00","N/A","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00"
"5","N/A","HCHG D&C L&D 1ST 15 MIN","N/A","N/A","0720","N/A","N/A","942.00","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","HCHG D&C L&D 30 MIN","N/A","N/A","0720","N/A","N/A","1742.00","1742.00","1742.00","N/A","N/A","N/A","1742.00","1742.00","N/A","1742.00","1742.00","1742.00","1742.00","1742.00","1742.00","1742.00","1742.00","1742.00","1742.00"
"5","N/A","HCHG D&C L&D EA ADDL 15 MIN","N/A","N/A","0720","N/A","N/A","535.00","535.00","535.00","N/A","N/A","N/A","535.00","535.00","N/A","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00"
"5","N/A","HCHG D&C L&D EA ADDL MIN","N/A","N/A","0720","N/A","N/A","33.00","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","HCHG INT FETAL MONITOR","N/A","N/A","0720","N/A","N/A","551.00","551.00","551.00","N/A","N/A","N/A","551.00","551.00","N/A","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00"
"5","N/A","HCHG L&D NON-VIABLE","N/A","N/A","0720","N/A","N/A","1510.00","1510.00","1510.00","N/A","N/A","N/A","1510.00","1510.00","N/A","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00"
"5","N/A","HCHG LAMINARIA PLACEMENT","N/A","N/A","0720","N/A","N/A","196.00","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","HCHG OUTSIDE DEL PLACENT","N/A","N/A","0720","N/A","N/A","1216.00","1216.00","1216.00","N/A","N/A","N/A","1216.00","1216.00","N/A","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00"
"5","N/A","HCHG PH ANALYS","N/A","N/A","0720","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","HCHG PPS L&D 1ST 15 MIN","N/A","N/A","0720","N/A","N/A","587.00","587.00","587.00","N/A","N/A","N/A","587.00","587.00","N/A","587.00","587.00","587.00","587.00","587.00","587.00","587.00","587.00","587.00","587.00"
"5","N/A","HCHG PPS L&D 30 MIN","N/A","N/A","0720","N/A","N/A","1549.00","1549.00","1549.00","N/A","N/A","N/A","1549.00","1549.00","N/A","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00"
"5","N/A","HCHG PPS L&D EA ADDL 15 MIN","N/A","N/A","0720","N/A","N/A","425.00","425.00","425.00","N/A","N/A","N/A","425.00","425.00","N/A","425.00","425.00","425.00","425.00","425.00","425.00","425.00","425.00","425.00","425.00"
"5","N/A","HCHG PPS L&D EA ADDL MIN","N/A","N/A","0720","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","HCHG VACUUM EXTRACTION","N/A","N/A","0720","N/A","N/A","249.00","249.00","249.00","N/A","N/A","N/A","249.00","249.00","N/A","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00"
"5","N/A","HCHG VAG EXAM/EVAC POST DEL 30 MIN","N/A","N/A","0720","N/A","N/A","1004.00","1004.00","1004.00","N/A","N/A","N/A","1004.00","1004.00","N/A","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00"
"5","N/A","HCHG VAG EXAM/EVAC POST DEL EA ADDL 15 MIN","N/A","N/A","0720","N/A","N/A","316.00","316.00","316.00","N/A","N/A","N/A","316.00","316.00","N/A","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00"
"5","N/A","HCHG VAGINAL DELIVERY","N/A","N/A","0720","N/A","N/A","3150.00","3150.00","3150.00","N/A","N/A","N/A","3150.00","3150.00","N/A","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00"
"5","N/A","HCHG ERCP W/ SPHINCTEROTOMY","N/A","N/A","0750","N/A","N/A","6228.00","6228.00","6228.00","N/A","N/A","N/A","6228.00","6228.00","N/A","6228.00","6228.00","6228.00","6228.00","6228.00","6228.00","6228.00","6228.00","6228.00","6228.00"
"5","N/A","HCHG OR ENDO 1ST 15 MIN","N/A","N/A","0750","N/A","N/A","2887.00","2887.00","2887.00","N/A","N/A","N/A","2887.00","2887.00","N/A","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00"
"5","N/A","HCHG OR ENDO EA ADDL MIN","N/A","N/A","0750","N/A","N/A","95.00","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","OBSERVATION - MEDICARE ALJ DECISION","N/A","N/A","0762","N/A","N/A","3686.00","3686.00","3686.00","N/A","N/A","N/A","3686.00","3686.00","N/A","3686.00","3686.00","3686.00","3686.00","3686.00","3686.00","3686.00","3686.00","3686.00","3686.00"
"5","N/A","HCHG ORGAN ACQUISITION: LIVING DONOR, KIDNEY","N/A","N/A","0811","N/A","N/A","314691.00","314691.00","314691.00","N/A","N/A","N/A","314691.00","314691.00","N/A","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00"
"5","N/A","HCHG ORGAN ACQUISITION: CADAVER DONOR, KIDNEY","N/A","N/A","0812","N/A","N/A","314691.00","314691.00","314691.00","N/A","N/A","N/A","314691.00","314691.00","N/A","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00"
"5","N/A","HCHG ORGAN ACQUISITION: CADAVER DONOR, LIVER","N/A","N/A","0812","N/A","N/A","211969.00","211969.00","211969.00","N/A","N/A","N/A","211969.00","211969.00","N/A","211969.00","211969.00","211969.00","211969.00","211969.00","211969.00","211969.00","211969.00","211969.00","211969.00"
"5","N/A","HCHG ORGAN ACQUISITION: CADAVER DONOR, PANCREAS","N/A","N/A","0812","N/A","N/A","314691.00","314691.00","314691.00","N/A","N/A","N/A","314691.00","314691.00","N/A","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00","314691.00"
"5","N/A","HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, LIVER AND KIDNEY","N/A","N/A","0812","N/A","N/A","433920.00","433920.00","433920.00","N/A","N/A","N/A","433920.00","433920.00","N/A","433920.00","433920.00","433920.00","433920.00","433920.00","433920.00","433920.00","433920.00","433920.00","433920.00"
"5","N/A","HCHG ORGAN ACQUISITION: SINGLE CADAVER DONOR, PANCREAS AND KIDNEY","N/A","N/A","0812","N/A","N/A","404113.00","404113.00","404113.00","N/A","N/A","N/A","404113.00","404113.00","N/A","404113.00","404113.00","404113.00","404113.00","404113.00","404113.00","404113.00","404113.00","404113.00","404113.00"
"5","N/A","HCHG 15-MINUTE TREATMENT PLANNING AMHD","N/A","N/A","0900","N/A","N/A","33.00","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","HCHG ADDICTION CARE COORD TIER 1, 15 MIN (HOURS 1 - 20)","N/A","N/A","0900","N/A","N/A","11.00","11.00","11.00","N/A","N/A","N/A","11.00","11.00","N/A","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00"
"5","N/A","HCHG ADDICTION CARE COORD TIER 2, 15 MIN (HOURS 21 - 41)","N/A","N/A","0900","N/A","N/A","7.00","7.00","7.00","N/A","N/A","N/A","7.00","7.00","N/A","7.00","7.00","7.00","7.00","7.00","7.00","7.00","7.00","7.00","7.00"
"5","N/A","HCHG ADDICTION CARE COORD TIER 3, 15 MIN (HOURS 42 - 72)","N/A","N/A","0900","N/A","N/A","6.00","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","HCHG AMHD INTEN OP TRT FOR IND, GRP AND/OR FAM THERPY 1 HOUR","N/A","N/A","0900","N/A","N/A","38.00","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG AMHD TELEPHONIC TREATMENT PLANNING NON-MD 15 MIN","N/A","N/A","0900","N/A","N/A","33.00","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","HCHG CONTINUING CARE - TIER 1 (1 - 10 HOURS)","N/A","N/A","0900","N/A","N/A","40.00","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","HCHG CONTINUING CARE - TIER 2 (10 - 21 HOURS)","N/A","N/A","0900","N/A","N/A","34.00","34.00","34.00","N/A","N/A","N/A","34.00","34.00","N/A","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00"
"5","N/A","HCHG CONTINUING CARE - TIER 2 (21 - 32 HOURS)","N/A","N/A","0900","N/A","N/A","29.00","29.00","29.00","N/A","N/A","N/A","29.00","29.00","N/A","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00"
"5","N/A","HCHG DAY TREATMENT TIER 1 DAYS 1 - 15","N/A","N/A","0900","N/A","N/A","240.00","240.00","240.00","N/A","N/A","N/A","240.00","240.00","N/A","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00"
"5","N/A","HCHG DAY TREATMENT TIER 2 DAYS 16 - 31","N/A","N/A","0900","N/A","N/A","215.00","215.00","215.00","N/A","N/A","N/A","215.00","215.00","N/A","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00"
"5","N/A","HCHG DAY TREATMENT TIER 3 DAYS 32-47","N/A","N/A","0900","N/A","N/A","173.00","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG HEALTH & WELLNESS PLANNING TIER 1 INITIAL","N/A","N/A","0900","N/A","N/A","191.00","191.00","191.00","N/A","N/A","N/A","191.00","191.00","N/A","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00"
"5","N/A","HCHG HEALTH & WELLNESS PLANNING TIER 2 VISIT PER MO. 1 - 2","N/A","N/A","0900","N/A","N/A","95.00","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG HEALTH & WELLNESS PLANNING TIER 3 DISCHARGE 15 DAYS PRIOR","N/A","N/A","0900","N/A","N/A","95.00","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG IOHS-DAY CHARGE AMHD","N/A","N/A","0900","N/A","N/A","884.00","884.00","884.00","N/A","N/A","N/A","884.00","884.00","N/A","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00"
"5","N/A","HCHG OP TIER 1 WEEKS 1 - 3","N/A","N/A","0900","N/A","N/A","469.00","469.00","469.00","N/A","N/A","N/A","469.00","469.00","N/A","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00"
"5","N/A","HCHG OP TIER 2 WEEKS 4 - 9","N/A","N/A","0900","N/A","N/A","407.00","407.00","407.00","N/A","N/A","N/A","407.00","407.00","N/A","407.00","407.00","407.00","407.00","407.00","407.00","407.00","407.00","407.00","407.00"
"5","N/A","HCHG OP TIER 3 WEEKS 10-16","N/A","N/A","0900","N/A","N/A","349.00","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","HCHG PRE TREAT SVCS ADDICTION CARE COORD TIER 1 HR 1 - 20","N/A","N/A","0900","N/A","N/A","40.00","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","HCHG PRE TREAT SVCS ADDICTION CARE COORD TIER 2 HR 21 - 41","N/A","N/A","0900","N/A","N/A","30.00","30.00","30.00","N/A","N/A","N/A","30.00","30.00","N/A","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00"
"5","N/A","HCHG PRE TREAT SVCS ADDICTION CARE COORD TIER 3 HR 42 - 72","N/A","N/A","0900","N/A","N/A","30.00","30.00","30.00","N/A","N/A","N/A","30.00","30.00","N/A","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00"
"5","N/A","HCHG PRE TREAT SVCS ASSESSMENT TIER 1","N/A","N/A","0900","N/A","N/A","124.00","124.00","124.00","N/A","N/A","N/A","124.00","124.00","N/A","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00"
"5","N/A","HCHG PRE TREAT SVCS ASSESSMENT TIER 2","N/A","N/A","0900","N/A","N/A","65.00","65.00","65.00","N/A","N/A","N/A","65.00","65.00","N/A","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00"
"5","N/A","HCHG PRE TREAT SVCS ASSESSMENT TIER 3","N/A","N/A","0900","N/A","N/A","29.00","29.00","29.00","N/A","N/A","N/A","29.00","29.00","N/A","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00"
"5","N/A","HCHG PRE TREAT SVCS HLTH & WELL PLAN TIER 1","N/A","N/A","0900","N/A","N/A","178.00","178.00","178.00","N/A","N/A","N/A","178.00","178.00","N/A","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00"
"5","N/A","HCHG PRE TREAT SVCS HLTH & WELL PLAN TIER 2","N/A","N/A","0900","N/A","N/A","90.00","90.00","90.00","N/A","N/A","N/A","90.00","90.00","N/A","90.00","90.00","90.00","90.00","90.00","90.00","90.00","90.00","90.00","90.00"
"5","N/A","HCHG PRE TREAT SVCS PLACEMENT DETERMINATION","N/A","N/A","0900","N/A","N/A","71.00","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG PRE TREAT SVCS SCREENING","N/A","N/A","0900","N/A","N/A","15.00","15.00","15.00","N/A","N/A","N/A","15.00","15.00","N/A","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00"
"5","N/A","HCHG TELEPHONIC MENTAL HEALTH CONSULTATION TO LAW ENFORCEMENT OFFICERS","N/A","N/A","0900","N/A","N/A","213.00","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","HCHG INTENSIVE OP TIER 1 DAYS 1 - 10","N/A","N/A","0905","N/A","N/A","199.00","199.00","199.00","N/A","N/A","N/A","199.00","199.00","N/A","199.00","199.00","199.00","199.00","199.00","199.00","199.00","199.00","199.00","199.00"
"5","N/A","HCHG INTENSIVE OP TIER 2 DAYS 11 - 31","N/A","N/A","0905","N/A","N/A","178.00","178.00","178.00","N/A","N/A","N/A","178.00","178.00","N/A","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00"
"5","N/A","HCHG INTENSIVE OP TIER 3 DAYS 32 - 57","N/A","N/A","0905","N/A","N/A","135.00","135.00","135.00","N/A","N/A","N/A","135.00","135.00","N/A","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00"
"5","N/A","HCHG IOP 15 MIN DUAL DX","N/A","N/A","0905","N/A","N/A","55.00","55.00","55.00","N/A","N/A","N/A","55.00","55.00","N/A","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00"
"5","N/A","HCHG IOP DAY","N/A","N/A","0905","N/A","N/A","560.00","560.00","560.00","N/A","N/A","N/A","560.00","560.00","N/A","560.00","560.00","560.00","560.00","560.00","560.00","560.00","560.00","560.00","560.00"
"5","N/A","HCHG IOP DUAL DX","N/A","N/A","0905","N/A","N/A","673.00","673.00","673.00","N/A","N/A","N/A","673.00","673.00","N/A","673.00","673.00","673.00","673.00","673.00","673.00","673.00","673.00","673.00","673.00"
"5","N/A","HCHG IOP HOURLY DUAL DX","N/A","N/A","0905","N/A","N/A","211.00","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","HCHG 15 MIN INDIV THERAPY","N/A","N/A","0906","N/A","N/A","137.00","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG FAMILY 15-MIN ADAD CD/CJ","N/A","N/A","0906","N/A","N/A","98.00","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","HCHG GRP COUNSELING 15 MIN","N/A","N/A","0906","N/A","N/A","46.00","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG INDIV 1-HOUR ADAD CD/CJ","N/A","N/A","0906","N/A","N/A","578.00","578.00","578.00","N/A","N/A","N/A","578.00","578.00","N/A","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00"
"5","N/A","HCHG INDIV 15-MIN ADAD CD/CJ","N/A","N/A","0906","N/A","N/A","145.00","145.00","145.00","N/A","N/A","N/A","145.00","145.00","N/A","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00"
"5","N/A","HCHG IOP 15 MIN CD","N/A","N/A","0906","N/A","N/A","48.00","48.00","48.00","N/A","N/A","N/A","48.00","48.00","N/A","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00"
"5","N/A","HCHG IOP CD","N/A","N/A","0906","N/A","N/A","560.00","560.00","560.00","N/A","N/A","N/A","560.00","560.00","N/A","560.00","560.00","560.00","560.00","560.00","560.00","560.00","560.00","560.00","560.00"
"5","N/A","HCHG IOP HOURLY CD","N/A","N/A","0906","N/A","N/A","194.00","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","HCHG BREAST FEEDING COUNSEL-1ST VST","N/A","N/A","0990","N/A","N/A","68.00","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG BREAST FEEDING COUNSEL-2ND VST","N/A","N/A","0990","N/A","N/A","33.00","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","HCHG COMP WT REG FEE","N/A","N/A","0990","N/A","N/A","293.00","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","HCHG CRU OP SACK MEAL","N/A","N/A","0990","N/A","N/A","9.00","9.00","9.00","N/A","N/A","N/A","9.00","9.00","N/A","9.00","9.00","9.00","9.00","9.00","9.00","9.00","9.00","9.00","9.00"
"5","N/A","HCHG MEAL","N/A","N/A","0990","N/A","N/A","15.00","15.00","15.00","N/A","N/A","N/A","15.00","15.00","N/A","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00"
"5","N/A","HCHG TRANSLATION/INTERPRETER","N/A","N/A","0990","N/A","N/A","42.00","42.00","42.00","N/A","N/A","N/A","42.00","42.00","N/A","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00"
"5","N/A","HCHG TRANSPORTATION A - ONE WAY 30/TRIPS/EPISODE","N/A","N/A","0990","N/A","N/A","9.00","9.00","9.00","N/A","N/A","N/A","9.00","9.00","N/A","9.00","9.00","9.00","9.00","9.00","9.00","9.00","9.00","9.00","9.00"
"5","N/A","HCHG TRANSPORTATION B - PUBLIC TRANSPORT","N/A","N/A","0990","N/A","N/A","89.00","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","FTC RESIDENTIAL PRIVATE","N/A","N/A","1001","N/A","N/A","4559.00","4559.00","4559.00","N/A","N/A","N/A","4559.00","4559.00","N/A","4559.00","4559.00","4559.00","4559.00","4559.00","4559.00","4559.00","4559.00","4559.00","4559.00"
"5","N/A","FTC RESIDENTIAL SEMI PRIVATE","N/A","N/A","1001","N/A","N/A","3578.00","3578.00","3578.00","N/A","N/A","N/A","3578.00","3578.00","N/A","3578.00","3578.00","3578.00","3578.00","3578.00","3578.00","3578.00","3578.00","3578.00","3578.00"
"5","N/A","CATHETER BALLOON EMERGE RX 3.5X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 3X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 3X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 3X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 3X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EMERGE RX 4X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.0X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.25X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.5X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.75X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 1.5X20MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.0X30MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.0X6MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.25X12MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 2.25X20MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON EUPHORA RX 3.5X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON INTRA-AORTIC FIBEROPTIX 8F 30CC","N/A","N/A","0272","N/A","N/A","3465.00","3465.00","3465.00","N/A","N/A","N/A","3465.00","3465.00","N/A","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00"
"5","N/A","CATHETER BALLOON INTRA-AORTIC FIBEROPTIX 8F 30ML","N/A","N/A","0272","N/A","N/A","3411.46","3411.46","3411.46","N/A","N/A","N/A","3411.46","3411.46","N/A","3411.46","3411.46","3411.46","3411.46","3411.46","3411.46","3411.46","3411.46","3411.46","3411.46"
"5","N/A","CATHETER BALLOON INTRA-AORTIC FIBEROPTIX 8F 40CC","N/A","N/A","0272","N/A","N/A","3560.30","3560.30","3560.30","N/A","N/A","N/A","3560.30","3560.30","N/A","3560.30","3560.30","3560.30","3560.30","3560.30","3560.30","3560.30","3560.30","3560.30","3560.30"
"5","N/A","CATHETER BALLOON INTRA-AORTIC FIBEROPTIX 8F 40ML","N/A","N/A","0272","N/A","N/A","3523.62","3523.62","3523.62","N/A","N/A","N/A","3523.62","3523.62","N/A","3523.62","3523.62","3523.62","3523.62","3523.62","3523.62","3523.62","3523.62","3523.62","3523.62"
"5","N/A","CATHETER BALLOON INTRA-AORTIC FIBEROPTIX 8F 50CC","N/A","N/A","0272","N/A","N/A","3357.92","3357.92","3357.92","N/A","N/A","N/A","3357.92","3357.92","N/A","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92"
"5","N/A","CATHETER BALLOON LACRICATH 2X13MM","N/A","N/A","0272","N/A","N/A","1831.50","1831.50","1831.50","N/A","N/A","N/A","1831.50","1831.50","N/A","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50"
"5","N/A","CATHETER BALLOON LARICATH 5X8MM","N/A","N/A","0272","N/A","N/A","1290.30","1290.30","1290.30","N/A","N/A","N/A","1290.30","1290.30","N/A","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30","1290.30"
"5","N/A","CATHETER BALLOON LEGEND OTW 1.25X10MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON LEGEND RX 1.25X12MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON LEGEND RX 1.25X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON LEGEND RX 1.25X20MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON LEGEND RX 1.25X6MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON LUTONIX 035 5F 4X100MMX130CM","N/A","N/A","0272","N/A","N/A","4290.00","4290.00","4290.00","N/A","N/A","N/A","4290.00","4290.00","N/A","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00"
"5","N/A","CATHETER BALLOON LUTONIX 035 5F 5X150MMX130CM","N/A","N/A","0272","N/A","N/A","5280.00","5280.00","5280.00","N/A","N/A","N/A","5280.00","5280.00","N/A","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00"
"5","N/A","CATHETER BALLOON LUTONIX 035 5F 6X100MMX130CM","N/A","N/A","0272","N/A","N/A","4661.88","4661.88","4661.88","N/A","N/A","N/A","4661.88","4661.88","N/A","4661.88","4661.88","4661.88","4661.88","4661.88","4661.88","4661.88","4661.88","4661.88","4661.88"
"5","N/A","CATHETER BALLOON LUTONIX 035 5F 6X80MMX130CM","N/A","N/A","0272","N/A","N/A","4290.00","4290.00","4290.00","N/A","N/A","N/A","4290.00","4290.00","N/A","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00"
"5","N/A","CATHETER BALLOON LUTONIX AVF 035 5F 6X40MMX75CM","N/A","N/A","0272","N/A","N/A","4290.00","4290.00","4290.00","N/A","N/A","N/A","4290.00","4290.00","N/A","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00"
"5","N/A","CATHETER BALLOON LUTONIX AVF 035 7F 8X40MMX75CM","N/A","N/A","0272","N/A","N/A","5280.00","5280.00","5280.00","N/A","N/A","N/A","5280.00","5280.00","N/A","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00"
"5","N/A","CATHETER BALLOON LUTONIX AVF 035 8F 10X40MMX75CM","N/A","N/A","0272","N/A","N/A","5280.00","5280.00","5280.00","N/A","N/A","N/A","5280.00","5280.00","N/A","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00"
"5","N/A","CATHETER BALLOON LUTONIX AVF 035 9F 12X40MMX75CM","N/A","N/A","0272","N/A","N/A","5280.00","5280.00","5280.00","N/A","N/A","N/A","5280.00","5280.00","N/A","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00","5280.00"
"5","N/A","CATHETER BALLOON MAXI LD OTW 035 8F 14X40MMX80CM","N/A","N/A","0272","N/A","N/A","742.50","742.50","742.50","N/A","N/A","N/A","742.50","742.50","N/A","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50"
"5","N/A","CATHETER BALLOON MUSTANG 4X100MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG 4X20MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG 4X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 10X40MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 10X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 12X40MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 12X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 4X100MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 4X150MMX135CM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","CATHETER BALLOON MUSTANG OTW 4X200MMX135CM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","CATHETER BALLOON MUSTANG OTW 4X20MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 4X40MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 5X100MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 5X100MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 5X200MMX135CM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","CATHETER BALLOON MUSTANG OTW 5X20MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 5X40MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 5X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X100MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X100MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X200MMX135CM","N/A","N/A","0272","N/A","N/A","603.01","603.01","603.01","N/A","N/A","N/A","603.01","603.01","N/A","603.01","603.01","603.01","603.01","603.01","603.01","603.01","603.01","603.01","603.01"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X20MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X40MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X60MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 6X60MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 7X100MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 7X40MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 7X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 7X60MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 7X60MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 8X40MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 8X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 9X20MMX135CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON MUSTANG OTW 9X40MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER BALLOON NC EMERGE OTW 2.50X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE OTW 3.00X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE OTW 3.50X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
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"5","N/A","CATHETER BALLOON NC EMERGE RX 2.00X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
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"5","N/A","CATHETER BALLOON NC EMERGE RX 2.00X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.00X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.00X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.25X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
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"5","N/A","CATHETER BALLOON NC EMERGE RX 2.50X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.50X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.50X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
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"5","N/A","CATHETER BALLOON NC EMERGE RX 2.50X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.75X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.75X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.75X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 2.75X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.00X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.00X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.00X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.00X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.00X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.25X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.25X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.25X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.25X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.50X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.50X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.50X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.50X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.50X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.75X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.75X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.75X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 3.75X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.00X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.00X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.00X20MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.00X30MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.00X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.50X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.50X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.50X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 4.5X20","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 5.00X12MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 5.00X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 5.00X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 5.0X20","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 5.50X15MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 5.5X8MM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EMERGE RX 6.0X20","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 2.0X20MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 2.25X12MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 2.25X6MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 2.25X8MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 2.5X27MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 2.75X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 3.0X20MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 3.0X27MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 3.0X8MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 3.25X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 3.25X8MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 3.5X15MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC EUPHORA RX 4.0X20MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.00X12MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.00X20MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.25X12MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.25X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.50X12MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.50X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.50X20MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.50X30MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 2.75X20MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 3.00X12MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 3.00X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 3.00X20MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 3.25X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 3.50X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 3.50X20MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 4.00X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NC PANTERA LEO RX 4.50X20MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON NUCLEUS-X 12F 20MMX5X110CM","N/A","N/A","0272","N/A","N/A","3455.17","3455.17","3455.17","N/A","N/A","N/A","3455.17","3455.17","N/A","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17"
"5","N/A","CATHETER BALLOON NUCLEUS-X 12F 22MMX5X110CM","N/A","N/A","0272","N/A","N/A","3455.17","3455.17","3455.17","N/A","N/A","N/A","3455.17","3455.17","N/A","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17","3455.17"
"5","N/A","CATHETER BALLOON OCCL 6FR 75CM","N/A","N/A","0272","N/A","N/A","452.20","452.20","452.20","N/A","N/A","N/A","452.20","452.20","N/A","452.20","452.20","452.20","452.20","452.20","452.20","452.20","452.20","452.20","452.20"
"5","N/A","CATHETER BALLOON OCCL CODA 9FX120CM","N/A","N/A","0272","N/A","N/A","1566.51","1566.51","1566.51","N/A","N/A","N/A","1566.51","1566.51","N/A","1566.51","1566.51","1566.51","1566.51","1566.51","1566.51","1566.51","1566.51","1566.51","1566.51"
"5","N/A","CATHETER BALLOON OCCLUSION & A LINE ER REBOA","N/A","N/A","0272","N/A","N/A","7540.50","7540.50","7540.50","N/A","N/A","N/A","7540.50","7540.50","N/A","7540.50","7540.50","7540.50","7540.50","7540.50","7540.50","7540.50","7540.50","7540.50","7540.50"
"5","N/A","CATHETER BALLOON OCCLUSION PRUITT 9F 23CM","N/A","N/A","0272","N/A","N/A","1076.27","1076.27","1076.27","N/A","N/A","N/A","1076.27","1076.27","N/A","1076.27","1076.27","1076.27","1076.27","1076.27","1076.27","1076.27","1076.27","1076.27","1076.27"
"5","N/A","CATHETER BALLOON PACING BIPOLAR TEMP 5F 110CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","CATHETER BALLOON PANTERA PRO RX 2.00X10MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON PANTERA PRO RX 2.00X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON PANTERA PRO RX 2.00X20MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON PANTERA PRO RX 2.50X10MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON PANTERA PRO RX 2.50X15MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","CATHETER BALLOON PERIPHERAL CUTTING OTW 5MMX2X90CM","N/A","N/A","0272","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","CATHETER BALLOON PERIPHERAL CUTTING OTW 6MMX2X90CM","N/A","N/A","0272","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","CATHETER BALLOON PERIPHERAL CUTTING OTW 7MMX2X90CM","N/A","N/A","0272","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","CATHETER BALLOON Q50+ 10-15MMX65CM","N/A","N/A","0272","N/A","N/A","1534.50","1534.50","1534.50","N/A","N/A","N/A","1534.50","1534.50","N/A","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50"
"5","N/A","CATHETER BALLOON R2P METACROSS PTA RX 035 6F 6MMX150X200CM","N/A","N/A","0272","N/A","N/A","858.00","858.00","858.00","N/A","N/A","N/A","858.00","858.00","N/A","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00"
"5","N/A","CATHETER BALLOON RELIANT MP .038 12F 100CM","N/A","N/A","0272","N/A","N/A","1468.50","1468.50","1468.50","N/A","N/A","N/A","1468.50","1468.50","N/A","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50"
"5","N/A","CATHETER BALLOON SABER PTA 018 3X40MMX150CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","CATHETER BALLOON SABER PTA 018 3X40MMX90CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","CATHETER BALLOON SAPPHIRE II PRO 014 4F 1MMX10X140CM","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","CATHETER BALLOON SCEPTER C 4X10MM","N/A","N/A","0272","N/A","N/A","3613.50","3613.50","3613.50","N/A","N/A","N/A","3613.50","3613.50","N/A","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50"
"5","N/A","CATHETER BALLOON SCEPTER XC 4X11MM","N/A","N/A","0272","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","CATHETER BALLOON SHOCKWAVE C2 OTW 2.5X12X138CM","N/A","N/A","0272","N/A","N/A","15510.00","15510.00","15510.00","N/A","N/A","N/A","15510.00","15510.00","N/A","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00"
"5","N/A","CATHETER BALLOON SHOCKWAVE C2 OTW 3.0X12X138CM","N/A","N/A","0272","N/A","N/A","15510.00","15510.00","15510.00","N/A","N/A","N/A","15510.00","15510.00","N/A","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00"
"5","N/A","CATHETER BALLOON SHOCKWAVE C2 OTW 3.5X12X138CM","N/A","N/A","0272","N/A","N/A","15510.00","15510.00","15510.00","N/A","N/A","N/A","15510.00","15510.00","N/A","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00"
"5","N/A","CATHETER BALLOON SHOCKWAVE C2 OTW 4.0X12X138CM","N/A","N/A","0272","N/A","N/A","15510.00","15510.00","15510.00","N/A","N/A","N/A","15510.00","15510.00","N/A","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00","15510.00"
"5","N/A","CATHETER BALLOON SHOCKWAVE S4 OTW 2.5X40X135CM","N/A","N/A","0272","N/A","N/A","9075.00","9075.00","9075.00","N/A","N/A","N/A","9075.00","9075.00","N/A","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00"
"5","N/A","CATHETER BALLOON SHOCKWAVE S4 OTW 3.0X40X135CM","N/A","N/A","0272","N/A","N/A","9075.00","9075.00","9075.00","N/A","N/A","N/A","9075.00","9075.00","N/A","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00"
"5","N/A","CATHETER BALLOON SHOCKWAVE S4 OTW 4.0X40X135CM","N/A","N/A","0272","N/A","N/A","9075.00","9075.00","9075.00","N/A","N/A","N/A","9075.00","9075.00","N/A","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00"
"5","N/A","CATHETER BALLOON SIZING AMPLATZER II 6F 18X70CM","N/A","N/A","0272","N/A","N/A","1283.70","1283.70","1283.70","N/A","N/A","N/A","1283.70","1283.70","N/A","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70"
"5","N/A","CATHETER BALLOON STELLAREX OTW 035 6F 6X40MMX135CM","N/A","N/A","0272","N/A","N/A","4290.00","4290.00","4290.00","N/A","N/A","N/A","4290.00","4290.00","N/A","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00"
"5","N/A","CATHETER BALLOON STERLING RX 4F 3X20MMX135CM","N/A","N/A","0272","N/A","N/A","759.00","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","CATHETER BALLOON TRAPPER 6-8F 100CM","N/A","N/A","0272","N/A","N/A","1180.84","1180.84","1180.84","N/A","N/A","N/A","1180.84","1180.84","N/A","1180.84","1180.84","1180.84","1180.84","1180.84","1180.84","1180.84","1180.84","1180.84","1180.84"
"5","N/A","CATHETER BALLOON TRI-LOBE 18F 16-34MM","N/A","N/A","0272","N/A","N/A","2052.60","2052.60","2052.60","N/A","N/A","N/A","2052.60","2052.60","N/A","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60"
"5","N/A","CATHETER BALLOON TRI-LOBE 18F 26-42MM","N/A","N/A","0272","N/A","N/A","2052.60","2052.60","2052.60","N/A","N/A","N/A","2052.60","2052.60","N/A","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60","2052.60"
"5","N/A","CATHETER BALLOON TRUE 18MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON TRUE 20MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON TRUE 21MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON TRUE 22MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON TRUE 23MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON TRUE 24MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON TRUE 25MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON TRUE 26MMX4.5X110CM","N/A","N/A","0272","N/A","N/A","2896.74","2896.74","2896.74","N/A","N/A","N/A","2896.74","2896.74","N/A","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74","2896.74"
"5","N/A","CATHETER BALLOON ULTRAVERSE PTA 018 4F 4X40MMX150CM","N/A","N/A","0272","N/A","N/A","610.50","610.50","610.50","N/A","N/A","N/A","610.50","610.50","N/A","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50"
"5","N/A","CATHETER BALLOON ULTRAVERSE PTA 018 5F 6X40MMX130CM","N/A","N/A","0272","N/A","N/A","610.50","610.50","610.50","N/A","N/A","N/A","610.50","610.50","N/A","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50"
"5","N/A","CATHETER BERENSTEIN SOFVU 038 5FR 40CM","N/A","N/A","0272","N/A","N/A","47.61","47.61","47.61","N/A","N/A","N/A","47.61","47.61","N/A","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61","47.61"
"5","N/A","CATHETER BURR ROTAPRO OS 2.0 1.25MM","N/A","N/A","0272","N/A","N/A","5758.50","5758.50","5758.50","N/A","N/A","N/A","5758.50","5758.50","N/A","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50"
"5","N/A","CATHETER BURR ROTAPRO OS 2.0 1.50MM","N/A","N/A","0272","N/A","N/A","5758.50","5758.50","5758.50","N/A","N/A","N/A","5758.50","5758.50","N/A","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50"
"5","N/A","CATHETER BURR ROTAPRO OS 2.0 1.75MM","N/A","N/A","0272","N/A","N/A","5758.50","5758.50","5758.50","N/A","N/A","N/A","5758.50","5758.50","N/A","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50","5758.50"
"5","N/A","CATHETER CARDIO RETRO 14FX27CM","N/A","N/A","0272","N/A","N/A","402.30","402.30","402.30","N/A","N/A","N/A","402.30","402.30","N/A","402.30","402.30","402.30","402.30","402.30","402.30","402.30","402.30","402.30","402.30"
"5","N/A","CATHETER CENTRAL VENOUS TRAY IR TL POWERPICC 5FX135CM","N/A","N/A","0272","N/A","N/A","508.83","508.83","508.83","N/A","N/A","N/A","508.83","508.83","N/A","508.83","508.83","508.83","508.83","508.83","508.83","508.83","508.83","508.83","508.83"
"5","N/A","CATHETER CHOLANGIOGRAM 5MMX23CM","N/A","N/A","0272","N/A","N/A","473.36","473.36","473.36","N/A","N/A","N/A","473.36","473.36","N/A","473.36","473.36","473.36","473.36","473.36","473.36","473.36","473.36","473.36","473.36"
"5","N/A","CATHETER CHOLANGIOGRAM 7.5FR 18"","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","CATHETER CIRCULATORY SUPPORT IMPELLA 9F","N/A","N/A","0272","N/A","N/A","82500.00","82500.00","82500.00","N/A","N/A","N/A","82500.00","82500.00","N/A","82500.00","82500.00","82500.00","82500.00","82500.00","82500.00","82500.00","82500.00","82500.00","82500.00"
"5","N/A","CATHETER CLOSUREFAST 7F 60X7CM","N/A","N/A","0272","N/A","N/A","3465.00","3465.00","3465.00","N/A","N/A","N/A","3465.00","3465.00","N/A","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00","3465.00"
"5","N/A","CATHETER COOL LINE HEPARIN","N/A","N/A","0272","N/A","N/A","1699.63","1699.63","1699.63","N/A","N/A","N/A","1699.63","1699.63","N/A","1699.63","1699.63","1699.63","1699.63","1699.63","1699.63","1699.63","1699.63","1699.63","1699.63"
"5","N/A","CATHETER CORONARY JACKY RADIAL 5F 3.5 100CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","CATHETER CORONARY JACKY RADIAL 5F 3.5 110CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","CATHETER CTO CROSSBOSS 135CM","N/A","N/A","0272","N/A","N/A","3975.18","3975.18","3975.18","N/A","N/A","N/A","3975.18","3975.18","N/A","3975.18","3975.18","3975.18","3975.18","3975.18","3975.18","3975.18","3975.18","3975.18","3975.18"
"5","N/A","CATHETER CXI SUPPORT 4F 035 135CM","N/A","N/A","0272","N/A","N/A","528.00","528.00","528.00","N/A","N/A","N/A","528.00","528.00","N/A","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00"
"5","N/A","CATHETER DIAGNOSTIC H1 SUPER TRQ 038 5F 80","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER DIAGNOSTIC TEMPO 038 5FR 100CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","CATHETER DILATATION MUSTANG 5X40MMX40CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER DILATATION MUSTANG 7X100MMX75CM","N/A","N/A","0272","N/A","N/A","524.70","524.70","524.70","N/A","N/A","N/A","524.70","524.70","N/A","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70","524.70"
"5","N/A","CATHETER DILATION VIATRAC 14+ 4X40MMX135CM","N/A","N/A","0272","N/A","N/A","726.00","726.00","726.00","N/A","N/A","N/A","726.00","726.00","N/A","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00"
"5","N/A","CATHETER DILATION VIATRAC 14+ 5X40MMX135CM","N/A","N/A","0272","N/A","N/A","726.00","726.00","726.00","N/A","N/A","N/A","726.00","726.00","N/A","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00"
"5","N/A","CATHETER DILATION VIATRAC 14+ 6X40MMX135CM","N/A","N/A","0272","N/A","N/A","726.00","726.00","726.00","N/A","N/A","N/A","726.00","726.00","N/A","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00"
"5","N/A","CATHETER DISTAL ACS SOFIA 6F 131CM","N/A","N/A","0272","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","CATHETER DISTAL ACS SOFIA EX 058 5F 115CM","N/A","N/A","0272","N/A","N/A","3927.00","3927.00","3927.00","N/A","N/A","N/A","3927.00","3927.00","N/A","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00"
"5","N/A","CATHETER DRAGONFLY OPTIS IMAGING 2.7F 135CM","N/A","N/A","0272","N/A","N/A","2937.00","2937.00","2937.00","N/A","N/A","N/A","2937.00","2937.00","N/A","2937.00","2937.00","2937.00","2937.00","2937.00","2937.00","2937.00","2937.00","2937.00","2937.00"
"5","N/A","CATHETER EDM V TRANSLUCENT 2.6MM","N/A","N/A","0272","N/A","N/A","511.10","511.10","511.10","N/A","N/A","N/A","511.10","511.10","N/A","511.10","511.10","511.10","511.10","511.10","511.10","511.10","511.10","511.10","511.10"
"5","N/A","CATHETER ELCA RX X-80 0.9MMX135CM","N/A","N/A","0272","N/A","N/A","8778.00","8778.00","8778.00","N/A","N/A","N/A","8778.00","8778.00","N/A","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00","8778.00"
"5","N/A","CATHETER ELECTRO C HEMOSTASIS 7FR 210CM","N/A","N/A","0272","N/A","N/A","709.50","709.50","709.50","N/A","N/A","N/A","709.50","709.50","N/A","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50"
"5","N/A","CATHETER ELECTRODE MAP-IT 3F 2-5-2MM 120CM","N/A","N/A","0272","N/A","N/A","3927.00","3927.00","3927.00","N/A","N/A","N/A","3927.00","3927.00","N/A","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00","3927.00"
"5","N/A","CATHETER ELECTROHEMOSTAS GOLD PROBE 7F 300CM","N/A","N/A","0272","N/A","N/A","517.28","517.28","517.28","N/A","N/A","N/A","517.28","517.28","N/A","517.28","517.28","517.28","517.28","517.28","517.28","517.28","517.28","517.28","517.28"
"5","N/A","CATHETER EMBOLECTOMY SYNTEL 5F 80CM","N/A","N/A","0272","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","CATHETER EP CS AUTO ID D 6F 2-8-2MM","N/A","N/A","0272","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","CATHETER EP CS AUTO ID F 6F 2-8-2MM","N/A","N/A","0272","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","CATHETER EP DECANAV F 7F 115CM","N/A","N/A","0272","N/A","N/A","3428.70","3428.70","3428.70","N/A","N/A","N/A","3428.70","3428.70","N/A","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70"
"5","N/A","CATHETER EP DYNAMIC DECA LRG CRV 6F 2-5-2MM 110CM","N/A","N/A","0272","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","CATHETER EP DYNAMIC XT HEXA 6F 2MM","N/A","N/A","0272","N/A","N/A","990.00","990.00","990.00","N/A","N/A","N/A","990.00","990.00","N/A","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00"
"5","N/A","CATHETER EP DYNAMIC XT LC 6F 5-5-5MM 110CM","N/A","N/A","0272","N/A","N/A","1237.50","1237.50","1237.50","N/A","N/A","N/A","1237.50","1237.50","N/A","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50"
"5","N/A","CATHETER EP EZ STEER FJ 7F 115CM","N/A","N/A","0272","N/A","N/A","1785.30","1785.30","1785.30","N/A","N/A","N/A","1785.30","1785.30","N/A","1785.30","1785.30","1785.30","1785.30","1785.30","1785.30","1785.30","1785.30","1785.30","1785.30"
"5","N/A","CATHETER EP EZ STEER FJ 7F 4MM","N/A","N/A","0272","N/A","N/A","7137.90","7137.90","7137.90","N/A","N/A","N/A","7137.90","7137.90","N/A","7137.90","7137.90","7137.90","7137.90","7137.90","7137.90","7137.90","7137.90","7137.90","7137.90"
"5","N/A","CATHETER EP LIVEWIRE DUO 7F 2-8-2MM","N/A","N/A","0272","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","CATHETER EP QUAD D-CRV 6F 10MMX92CM","N/A","N/A","0272","N/A","N/A","1032.90","1032.90","1032.90","N/A","N/A","N/A","1032.90","1032.90","N/A","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90"
"5","N/A","CATHETER EP QUAD D-CRV 6F 5MMX92CM","N/A","N/A","0272","N/A","N/A","1032.90","1032.90","1032.90","N/A","N/A","N/A","1032.90","1032.90","N/A","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90"
"5","N/A","CATHETER EP QUAD FXD CRVD 5F 5MMX100CM","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","CATHETER EP QUAD FXD CRVD AUTO ID 5F 5MMX100CM","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","CATHETER EP STAR FIXED 2F 5-5-5MM","N/A","N/A","0272","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","CATHETER EP TRICUSPID HALO CARTO 3 7F 110CM","N/A","N/A","0272","N/A","N/A","3570.60","3570.60","3570.60","N/A","N/A","N/A","3570.60","3570.60","N/A","3570.60","3570.60","3570.60","3570.60","3570.60","3570.60","3570.60","3570.60","3570.60","3570.60"
"5","N/A","CATHETER EP VIKING JC 6F 5-5-5MM 115CM","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","CATHETER EP WOVEN 5MM SPACE 120CM","N/A","N/A","0272","N/A","N/A","990.00","990.00","990.00","N/A","N/A","N/A","990.00","990.00","N/A","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00"
"5","N/A","CATHETER EXTERNAL MALE SPIRIT STYLE 2 LRG 36MM","N/A","N/A","0272","N/A","N/A","3.20","3.20","3.20","N/A","N/A","N/A","3.20","3.20","N/A","3.20","3.20","3.20","3.20","3.20","3.20","3.20","3.20","3.20","3.20"
"5","N/A","CATHETER EXTERNAL MALE SPIRIT STYLE 2 MED 29MM","N/A","N/A","0272","N/A","N/A","2.78","2.78","2.78","N/A","N/A","N/A","2.78","2.78","N/A","2.78","2.78","2.78","2.78","2.78","2.78","2.78","2.78","2.78","2.78"
"5","N/A","CATHETER EXTERNAL MALE SPIRIT STYLE 2 SM 25MM","N/A","N/A","0272","N/A","N/A","2.78","2.78","2.78","N/A","N/A","N/A","2.78","2.78","N/A","2.78","2.78","2.78","2.78","2.78","2.78","2.78","2.78","2.78","2.78"
"5","N/A","CATHETER EXTRACTOR PRO RX 15-18MM","N/A","N/A","0272","N/A","N/A","488.40","488.40","488.40","N/A","N/A","N/A","488.40","488.40","N/A","488.40","488.40","488.40","488.40","488.40","488.40","488.40","488.40","488.40","488.40"
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"5","N/A","CATHETER GUIDE LAUNCHER 7F IMA 90CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 7F JL40 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 7F JR4.0 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 7F JR4.0 90CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 7F MP1 90CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F AL.75 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F AL1.0 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F AL1.0D 90CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F AL2.0 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F EBU3.5 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F EBU3.75 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F EBU3.75D 90CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F EBU4.0 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F JR4.0 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F JR4.0D 90CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE LAUNCHER 8F MP1 100CM","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CATHETER GUIDE MP C ENVOY 6FR 90CM","N/A","N/A","0272","N/A","N/A","1346.40","1346.40","1346.40","N/A","N/A","N/A","1346.40","1346.40","N/A","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40"
"5","N/A","CATHETER GUIDE MPD ENVOY 6FR 90CM","N/A","N/A","0272","N/A","N/A","1346.40","1346.40","1346.40","N/A","N/A","N/A","1346.40","1346.40","N/A","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40"
"5","N/A","CATHETER GUIDE RUNWAY 6F FR5","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","CATHETER GUIDE STR VISTA 6FR 55CM","N/A","N/A","0272","N/A","N/A","112.20","112.20","112.20","N/A","N/A","N/A","112.20","112.20","N/A","112.20","112.20","112.20","112.20","112.20","112.20","112.20","112.20","112.20","112.20"
"5","N/A","CATHETER GUIDE STRAIGHT TIP GLIDECATH .038 4F 100CM","N/A","N/A","0272","N/A","N/A","160.22","160.22","160.22","N/A","N/A","N/A","160.22","160.22","N/A","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22"
"5","N/A","CATHETER GUIDE STRAIGHT TIP GLIDECATH .038 5F 100CM","N/A","N/A","0272","N/A","N/A","160.22","160.22","160.22","N/A","N/A","N/A","160.22","160.22","N/A","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22"
"5","N/A","CATHETER GUIDE TRAPLINER 7F 13CM","N/A","N/A","0272","N/A","N/A","2016.30","2016.30","2016.30","N/A","N/A","N/A","2016.30","2016.30","N/A","2016.30","2016.30","2016.30","2016.30","2016.30","2016.30","2016.30","2016.30","2016.30","2016.30"
"5","N/A","CATHETER GUIDE VBT 6F MPA1 125CM","N/A","N/A","0272","N/A","N/A","498.96","498.96","498.96","N/A","N/A","N/A","498.96","498.96","N/A","498.96","498.96","498.96","498.96","498.96","498.96","498.96","498.96","498.96","498.96"
"5","N/A","CATHETER GUIDING STR ENVOY 6FR 90CM","N/A","N/A","0272","N/A","N/A","1346.40","1346.40","1346.40","N/A","N/A","N/A","1346.40","1346.40","N/A","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40","1346.40"
"5","N/A","CATHETER GUIDING VISTA BRITE TIP IM CRV 8FX90CM","N/A","N/A","0272","N/A","N/A","147.68","147.68","147.68","N/A","N/A","N/A","147.68","147.68","N/A","147.68","147.68","147.68","147.68","147.68","147.68","147.68","147.68","147.68","147.68"
"5","N/A","CATHETER H1 TORCON NB 038 5FR 100","N/A","N/A","0272","N/A","N/A","67.65","67.65","67.65","N/A","N/A","N/A","67.65","67.65","N/A","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65","67.65"
"5","N/A","CATHETER HEADWAY 27 156CM","N/A","N/A","0272","N/A","N/A","2772.00","2772.00","2772.00","N/A","N/A","N/A","2772.00","2772.00","N/A","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00"
"5","N/A","CATHETER HSG FIRM HI VOL SI 5FR","N/A","N/A","0272","N/A","N/A","54.45","54.45","54.45","N/A","N/A","N/A","54.45","54.45","N/A","54.45","54.45","54.45","54.45","54.45","54.45","54.45","54.45","54.45","54.45"
"5","N/A","CATHETER HSG HI VOL SI 5FR","N/A","N/A","0272","N/A","N/A","51.15","51.15","51.15","N/A","N/A","N/A","51.15","51.15","N/A","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15"
"5","N/A","CATHETER INF VALVED CRAGG-MCNAMARA 5F 038" 10X135CM","N/A","N/A","0272","N/A","N/A","323.40","323.40","323.40","N/A","N/A","N/A","323.40","323.40","N/A","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40"
"5","N/A","CATHETER INF VALVED CRAGG-MCNAMARA 5F 038" 20X135CM","N/A","N/A","0272","N/A","N/A","323.40","323.40","323.40","N/A","N/A","N/A","323.40","323.40","N/A","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40"
"5","N/A","CATHETER INF VALVED CRAGG-MCNAMARA 5F 038" 40X135CM","N/A","N/A","0272","N/A","N/A","501.27","501.27","501.27","N/A","N/A","N/A","501.27","501.27","N/A","501.27","501.27","501.27","501.27","501.27","501.27","501.27","501.27","501.27","501.27"
"5","N/A","CATHETER INF VALVED CRAGG-MCNAMARA 5F 038" 50X135CM","N/A","N/A","0272","N/A","N/A","501.27","501.27","501.27","N/A","N/A","N/A","501.27","501.27","N/A","501.27","501.27","501.27","501.27","501.27","501.27","501.27","501.27","501.27","501.27"
"5","N/A","CATHETER INFILTRALONG W/ SPIT CANNULA 19GX500MM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","CATHETER INFILTRALONG W/ SPIT CANNULA 19GX700MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","CATHETER INFUSION 45 DEG 1.7FR 150CM","N/A","N/A","0272","N/A","N/A","2409.00","2409.00","2409.00","N/A","N/A","N/A","2409.00","2409.00","N/A","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00"
"5","N/A","CATHETER INFUSION 90 DEG 1.7FR 150CM","N/A","N/A","0272","N/A","N/A","2409.00","2409.00","2409.00","N/A","N/A","N/A","2409.00","2409.00","N/A","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00","2409.00"
"5","N/A","CATHETER INFUSION RENEGADE 018 115CM","N/A","N/A","0272","N/A","N/A","1620.76","1620.76","1620.76","N/A","N/A","N/A","1620.76","1620.76","N/A","1620.76","1620.76","1620.76","1620.76","1620.76","1620.76","1620.76","1620.76","1620.76","1620.76"
"5","N/A","CATHETER INTERNAL MAMMARY IMPULSE 5F 100CM","N/A","N/A","0272","N/A","N/A","29.04","29.04","29.04","N/A","N/A","N/A","29.04","29.04","N/A","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04","29.04"
"5","N/A","CATHETER INTERVENTIONAL DL ARGYLE 14F 20","N/A","N/A","0272","N/A","N/A","79.63","79.63","79.63","N/A","N/A","N/A","79.63","79.63","N/A","79.63","79.63","79.63","79.63","79.63","79.63","79.63","79.63","79.63","79.63"
"5","N/A","CATHETER INTRA AORTIC BLLN FIBEROPTIX 8F 40ML","N/A","N/A","0272","N/A","N/A","3450.25","3450.25","3450.25","N/A","N/A","N/A","3450.25","3450.25","N/A","3450.25","3450.25","3450.25","3450.25","3450.25","3450.25","3450.25","3450.25","3450.25","3450.25"
"5","N/A","CATHETER INTRA AORTIC BLLN FIBEROPTIX 8FR 30ML","N/A","N/A","0272","N/A","N/A","3357.92","3357.92","3357.92","N/A","N/A","N/A","3357.92","3357.92","N/A","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92","3357.92"
"5","N/A","CATHETER INTRAUTERINE INTRAN + SM","N/A","N/A","0272","N/A","N/A","96.53","96.53","96.53","N/A","N/A","N/A","96.53","96.53","N/A","96.53","96.53","96.53","96.53","96.53","96.53","96.53","96.53","96.53","96.53"
"5","N/A","CATHETER INTRAVENOUS ANGIOCATH 14GAX5.25"","N/A","N/A","0272","N/A","N/A","44.76","44.76","44.76","N/A","N/A","N/A","44.76","44.76","N/A","44.76","44.76","44.76","44.76","44.76","44.76","44.76","44.76","44.76","44.76"
"5","N/A","CATHETER INTRAVENOUS ANGIOCATH 16GAX5.25"","N/A","N/A","0272","N/A","N/A","44.76","44.76","44.76","N/A","N/A","N/A","44.76","44.76","N/A","44.76","44.76","44.76","44.76","44.76","44.76","44.76","44.76","44.76","44.76"
"5","N/A","CATHETER INTRAVENOUS ANGIOCATH 20GAX1.88"","N/A","N/A","0272","N/A","N/A","13.02","13.02","13.02","N/A","N/A","N/A","13.02","13.02","N/A","13.02","13.02","13.02","13.02","13.02","13.02","13.02","13.02","13.02","13.02"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 14GX1.75"","N/A","N/A","0272","N/A","N/A","5.28","5.28","5.28","N/A","N/A","N/A","5.28","5.28","N/A","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 16GX1.16"","N/A","N/A","0272","N/A","N/A","5.24","5.24","5.24","N/A","N/A","N/A","5.24","5.24","N/A","5.24","5.24","5.24","5.24","5.24","5.24","5.24","5.24","5.24","5.24"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 18GAX1.16"","N/A","N/A","0272","N/A","N/A","5.27","5.27","5.27","N/A","N/A","N/A","5.27","5.27","N/A","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 20GAX1"","N/A","N/A","0272","N/A","N/A","5.27","5.27","5.27","N/A","N/A","N/A","5.27","5.27","N/A","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 20GAX1.88","N/A","N/A","0272","N/A","N/A","5.27","5.27","5.27","N/A","N/A","N/A","5.27","5.27","N/A","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 22GAX1"","N/A","N/A","0272","N/A","N/A","5.27","5.27","5.27","N/A","N/A","N/A","5.27","5.27","N/A","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 24GAX0.75"","N/A","N/A","0272","N/A","N/A","5.27","5.27","5.27","N/A","N/A","N/A","5.27","5.27","N/A","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27","5.27"
"5","N/A","CATHETER INTRAVENOUS AUTOGUARD 24GX0.56"","N/A","N/A","0272","N/A","N/A","7.97","7.97","7.97","N/A","N/A","N/A","7.97","7.97","N/A","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97"
"5","N/A","CATHETER IV ACCUCATH 20GAX2.25"","N/A","N/A","0272","N/A","N/A","138.60","138.60","138.60","N/A","N/A","N/A","138.60","138.60","N/A","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60"
"5","N/A","CATHETER IV ACCUCATH 22GAX1.25"","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","CATHETER IV ACCUCATH ACE 20GX2.25"","N/A","N/A","0272","N/A","N/A","138.60","138.60","138.60","N/A","N/A","N/A","138.60","138.60","N/A","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60"
"5","N/A","CATHETER IV ACCUCATH ACE 22GX1.25"","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","CATHETER IV SURFLO TEFLON 22GX1"","N/A","N/A","0272","N/A","N/A","7.26","7.26","7.26","N/A","N/A","N/A","7.26","7.26","N/A","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26"
"5","N/A","CATHETER JUGULAR CRESCENT DUAL LUMEN 3/8" 30FX34CM","N/A","N/A","0272","N/A","N/A","8250.00","8250.00","8250.00","N/A","N/A","N/A","8250.00","8250.00","N/A","8250.00","8250.00","8250.00","8250.00","8250.00","8250.00","8250.00","8250.00","8250.00","8250.00"
"5","N/A","CATHETER KUMPE SOFVU 035 5F 40CM","N/A","N/A","0272","N/A","N/A","62.40","62.40","62.40","N/A","N/A","N/A","62.40","62.40","N/A","62.40","62.40","62.40","62.40","62.40","62.40","62.40","62.40","62.40","62.40"
"5","N/A","CATHETER MAPP INTELLAMAP ORION 8.5F 115CM","N/A","N/A","0272","N/A","N/A","9735.00","9735.00","9735.00","N/A","N/A","N/A","9735.00","9735.00","N/A","9735.00","9735.00","9735.00","9735.00","9735.00","9735.00","9735.00","9735.00","9735.00","9735.00"
"5","N/A","CATHETER MAPPING DECANAV D 7F 2-8-2MM","N/A","N/A","0272","N/A","N/A","3428.70","3428.70","3428.70","N/A","N/A","N/A","3428.70","3428.70","N/A","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70","3428.70"
"5","N/A","CATHETER MAPPING ESOPHASTAR 8F","N/A","N/A","0272","N/A","N/A","1339.80","1339.80","1339.80","N/A","N/A","N/A","1339.80","1339.80","N/A","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80"
"5","N/A","CATHETER MICRO COAXIAL PROGREAT 2.8F 130CM","N/A","N/A","0272","N/A","N/A","1683.00","1683.00","1683.00","N/A","N/A","N/A","1683.00","1683.00","N/A","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00"
"5","N/A","CATHETER MICRO DEL LANTERN PX SLIM STR 135CM","N/A","N/A","0272","N/A","N/A","1947.00","1947.00","1947.00","N/A","N/A","N/A","1947.00","1947.00","N/A","1947.00","1947.00","1947.00","1947.00","1947.00","1947.00","1947.00","1947.00","1947.00","1947.00"
"5","N/A","CATHETER MICRO ECHELON 10 90 DEG 2.1/1.7FX150CM","N/A","N/A","0272","N/A","N/A","1815.00","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","CATHETER MICRO ECHELON 10 STR TIP 2.1/1.7FX150CM","N/A","N/A","0272","N/A","N/A","1732.50","1732.50","1732.50","N/A","N/A","N/A","1732.50","1732.50","N/A","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50"
"5","N/A","CATHETER MICRO ECHELON 14 90 DEG 2.4/1.9FX150CM","N/A","N/A","0272","N/A","N/A","1815.00","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","CATHETER MICRO ECHELON 14 STR TIP 2.4/1.9FX150CM","N/A","N/A","0272","N/A","N/A","1732.50","1732.50","1732.50","N/A","N/A","N/A","1732.50","1732.50","N/A","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50"
"5","N/A","CATHETER MICRO HEADWAY 1.9FR","N/A","N/A","0272","N/A","N/A","2343.00","2343.00","2343.00","N/A","N/A","N/A","2343.00","2343.00","N/A","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00"
"5","N/A","CATHETER MICRO HEADWAY 21 156CM","N/A","N/A","0272","N/A","N/A","2402.40","2402.40","2402.40","N/A","N/A","N/A","2402.40","2402.40","N/A","2402.40","2402.40","2402.40","2402.40","2402.40","2402.40","2402.40","2402.40","2402.40","2402.40"
"5","N/A","CATHETER MICRO HEADWAY DUO 156CM","N/A","N/A","0272","N/A","N/A","2623.50","2623.50","2623.50","N/A","N/A","N/A","2623.50","2623.50","N/A","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50"
"5","N/A","CATHETER MICRO MAESTRO STR TIP 2.8FX130CM","N/A","N/A","0272","N/A","N/A","973.50","973.50","973.50","N/A","N/A","N/A","973.50","973.50","N/A","973.50","973.50","973.50","973.50","973.50","973.50","973.50","973.50","973.50","973.50"
"5","N/A","CATHETER MICRO MAMBA 014 2.4F 135CM","N/A","N/A","0272","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","CATHETER MICRO MAMBA FLEX 014 2.1F 150CM","N/A","N/A","0272","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","CATHETER MICRO MARATHON 2.7/1.5FX165CM","N/A","N/A","0272","N/A","N/A","2184.60","2184.60","2184.60","N/A","N/A","N/A","2184.60","2184.60","N/A","2184.60","2184.60","2184.60","2184.60","2184.60","2184.60","2184.60","2184.60","2184.60","2184.60"
"5","N/A","CATHETER MICRO PHENOM .027" 3.1X2.8F 15X150CM","N/A","N/A","0272","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","CATHETER MICRO PHENOM .027" 3.1X2.8FX150CM","N/A","N/A","0272","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","CATHETER MICRO PROGREAT 2.4F 130CM","N/A","N/A","0272","N/A","N/A","1023.00","1023.00","1023.00","N/A","N/A","N/A","1023.00","1023.00","N/A","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00"
"5","N/A","CATHETER MICRO PROGREAT 2.8F 130CM","N/A","N/A","0272","N/A","N/A","1023.00","1023.00","1023.00","N/A","N/A","N/A","1023.00","1023.00","N/A","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00"
"5","N/A","CATHETER MICRO REBAR 18 021 2.4/2.7F 153CM","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","CATHETER MICRO SOFT HEADWAY 150CM","N/A","N/A","0272","N/A","N/A","2343.00","2343.00","2343.00","N/A","N/A","N/A","2343.00","2343.00","N/A","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00","2343.00"
"5","N/A","CATHETER MICRO STEERABLE SWIFTNINJA 021 2.4/2.9F 125CM","N/A","N/A","0272","N/A","N/A","5610.00","5610.00","5610.00","N/A","N/A","N/A","5610.00","5610.00","N/A","5610.00","5610.00","5610.00","5610.00","5610.00","5610.00","5610.00","5610.00","5610.00","5610.00"
"5","N/A","CATHETER MICRO TELEPORT STR 2.0F 135CM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","CATHETER MICRO TELEPORT STR 2.1F 135CM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","CATHETER MICRO VIA 17" 2.4F 154CM","N/A","N/A","0272","N/A","N/A","4092.00","4092.00","4092.00","N/A","N/A","N/A","4092.00","4092.00","N/A","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00"
"5","N/A","CATHETER MICRO VIA 27" 3.2FX154CM","N/A","N/A","0272","N/A","N/A","4092.00","4092.00","4092.00","N/A","N/A","N/A","4092.00","4092.00","N/A","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00","4092.00"
"5","N/A","CATHETER MONITORING NEUROVENT-P 5FR","N/A","N/A","0272","N/A","N/A","2867.70","2867.70","2867.70","N/A","N/A","N/A","2867.70","2867.70","N/A","2867.70","2867.70","2867.70","2867.70","2867.70","2867.70","2867.70","2867.70","2867.70","2867.70"
"5","N/A","CATHETER MULTIPURPOSE GLIDECATH 5FR 65CM","N/A","N/A","0272","N/A","N/A","160.22","160.22","160.22","N/A","N/A","N/A","160.22","160.22","N/A","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22"
"5","N/A","CATHETER MULTIPURPOSE SLIP-CATH 035 5F 125","N/A","N/A","0272","N/A","N/A","377.29","377.29","377.29","N/A","N/A","N/A","377.29","377.29","N/A","377.29","377.29","377.29","377.29","377.29","377.29","377.29","377.29","377.29","377.29"
"5","N/A","CATHETER OCCLUSION HYPERFORM 4X7X150","N/A","N/A","0272","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","CATHETER OCCLUSION HYPERFORM 7X7X150","N/A","N/A","0272","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","CATHETER OCCLUSION HYPERGLIDE 3X10MM","N/A","N/A","0272","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","CATHETER OCCLUSION HYPERGLIDE 4X10MM","N/A","N/A","0272","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","CATHETER OCCLUSION PRUITT 3FR 27CM","N/A","N/A","0272","N/A","N/A","970.20","970.20","970.20","N/A","N/A","N/A","970.20","970.20","N/A","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20"
"5","N/A","CATHETER OCCLUSION PRUITT 4F","N/A","N/A","0272","N/A","N/A","966.90","966.90","966.90","N/A","N/A","N/A","966.90","966.90","N/A","966.90","966.90","966.90","966.90","966.90","966.90","966.90","966.90","966.90","966.90"
"5","N/A","CATHETER OCCLUSION PRUITT 5F","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","CATHETER OMNI 1 SOFVU 035 5FR 80CM","N/A","N/A","0272","N/A","N/A","46.23","46.23","46.23","N/A","N/A","N/A","46.23","46.23","N/A","46.23","46.23","46.23","46.23","46.23","46.23","46.23","46.23","46.23","46.23"
"5","N/A","CATHETER OMNI 1 SOFVU 038 5F 80CM","N/A","N/A","0272","N/A","N/A","74.78","74.78","74.78","N/A","N/A","N/A","74.78","74.78","N/A","74.78","74.78","74.78","74.78","74.78","74.78","74.78","74.78","74.78","74.78"
"5","N/A","CATHETER OMNI 2 SOFT-VU 038 5FR 80CM","N/A","N/A","0272","N/A","N/A","46.23","46.23","46.23","N/A","N/A","N/A","46.23","46.23","N/A","46.23","46.23","46.23","46.23","46.23","46.23","46.23","46.23","46.23","46.23"
"5","N/A","CATHETER OVER THE WIRE COYOTE 4X60MMX90CM","N/A","N/A","0272","N/A","N/A","1023.00","1023.00","1023.00","N/A","N/A","N/A","1023.00","1023.00","N/A","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00","1023.00"
"5","N/A","CATHETER OVER THE WIRE CUTTING BLLN 7MMX2X90","N/A","N/A","0272","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","CATHETER PACING BIPOLAR PACEL 5F 110CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CATHETER PENTARAY F TYPE NAV 7FX115CM","N/A","N/A","0272","N/A","N/A","5940.00","5940.00","5940.00","N/A","N/A","N/A","5940.00","5940.00","N/A","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00"
"5","N/A","CATHETER PENTARAY NAV ECO 7F","N/A","N/A","0272","N/A","N/A","5940.00","5940.00","5940.00","N/A","N/A","N/A","5940.00","5940.00","N/A","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00"
"5","N/A","CATHETER PERICARDIOCENTESIS STR PERIVAC 8.3","N/A","N/A","0272","N/A","N/A","543.40","543.40","543.40","N/A","N/A","N/A","543.40","543.40","N/A","543.40","543.40","543.40","543.40","543.40","543.40","543.40","543.40","543.40","543.40"
"5","N/A","CATHETER PEZZER 2 EYE MUSHROOM 16F","N/A","N/A","0272","N/A","N/A","58.29","58.29","58.29","N/A","N/A","N/A","58.29","58.29","N/A","58.29","58.29","58.29","58.29","58.29","58.29","58.29","58.29","58.29","58.29"
"5","N/A","CATHETER PHENOM PLUS .0445" 4.7X4.2FX120CM","N/A","N/A","0272","N/A","N/A","3300.00","3300.00","3300.00","N/A","N/A","N/A","3300.00","3300.00","N/A","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00"
"5","N/A","CATHETER PIGTAIL 6SH SPRTQ 038 5FR 110","N/A","N/A","0272","N/A","N/A","211.20","211.20","211.20","N/A","N/A","N/A","211.20","211.20","N/A","211.20","211.20","211.20","211.20","211.20","211.20","211.20","211.20","211.20","211.20"
"5","N/A","CATHETER PIGTAIL 8 SH SPRTQ 038 5FR 65","N/A","N/A","0272","N/A","N/A","211.20","211.20","211.20","N/A","N/A","N/A","211.20","211.20","N/A","211.20","211.20","211.20","211.20","211.20","211.20","211.20","211.20","211.20","211.20"
"5","N/A","CATHETER PIGTAIL SH SOFVU 035 5F 65CM","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER PIGTAIL SH SOFVU 038 5F 110","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER PIGTAIL SOFVU 035 4F 90CM","N/A","N/A","0272","N/A","N/A","47.96","47.96","47.96","N/A","N/A","N/A","47.96","47.96","N/A","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96","47.96"
"5","N/A","CATHETER PIGTAIL SOFVU 4F 150CM","N/A","N/A","0272","N/A","N/A","113.53","113.53","113.53","N/A","N/A","N/A","113.53","113.53","N/A","113.53","113.53","113.53","113.53","113.53","113.53","113.53","113.53","113.53","113.53"
"5","N/A","CATHETER PNEUMOTHORAX 20 SP 14 29","N/A","N/A","0272","N/A","N/A","650.13","650.13","650.13","N/A","N/A","N/A","650.13","650.13","N/A","650.13","650.13","650.13","650.13","650.13","650.13","650.13","650.13","650.13","650.13"
"5","N/A","CATHETER POSTPARTUM 500ML 24FR 54","N/A","N/A","0272","N/A","N/A","820.30","820.30","820.30","N/A","N/A","N/A","820.30","820.30","N/A","820.30","820.30","820.30","820.30","820.30","820.30","820.30","820.30","820.30","820.30"
"5","N/A","CATHETER PTA DORADO 10MMX4X80CM","N/A","N/A","0272","N/A","N/A","554.40","554.40","554.40","N/A","N/A","N/A","554.40","554.40","N/A","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40"
"5","N/A","CATHETER PTA DORADO 5F 4MMX4X80CM","N/A","N/A","0272","N/A","N/A","554.40","554.40","554.40","N/A","N/A","N/A","554.40","554.40","N/A","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40"
"5","N/A","CATHETER PTA DORADO 6MMX2X80CM","N/A","N/A","0272","N/A","N/A","554.40","554.40","554.40","N/A","N/A","N/A","554.40","554.40","N/A","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40"
"5","N/A","CATHETER PTA DORADO 6MMX4X80CM","N/A","N/A","0272","N/A","N/A","554.40","554.40","554.40","N/A","N/A","N/A","554.40","554.40","N/A","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40"
"5","N/A","CATHETER PTA DORADO 8MMX2X80CM","N/A","N/A","0272","N/A","N/A","554.40","554.40","554.40","N/A","N/A","N/A","554.40","554.40","N/A","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40"
"5","N/A","CATHETER PTA DORADO 8MMX4X80CM","N/A","N/A","0272","N/A","N/A","554.40","554.40","554.40","N/A","N/A","N/A","554.40","554.40","N/A","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40"
"5","N/A","CATHETER PTA PWRFL P3 5MMX10X110CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","CATHETER PTA PWRFL P3 5MMX4X110CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","CATHETER PTA PWRFL P3 6MMX4X110CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","CATHETER PUREWICK EXTERNAL FEMALE","N/A","N/A","0272","N/A","N/A","21.72","21.72","21.72","N/A","N/A","N/A","21.72","21.72","N/A","21.72","21.72","21.72","21.72","21.72","21.72","21.72","21.72","21.72","21.72"
"5","N/A","CATHETER RABINOV SM 012 30CM","N/A","N/A","0272","N/A","N/A","88.18","88.18","88.18","N/A","N/A","N/A","88.18","88.18","N/A","88.18","88.18","88.18","88.18","88.18","88.18","88.18","88.18","88.18","88.18"
"5","N/A","CATHETER RE-ENTRY OUTBACK ELITE 120CM","N/A","N/A","0272","N/A","N/A","5775.00","5775.00","5775.00","N/A","N/A","N/A","5775.00","5775.00","N/A","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00"
"5","N/A","CATHETER RE-ENTRY OUTBACK ELITE 80CM","N/A","N/A","0272","N/A","N/A","5775.00","5775.00","5775.00","N/A","N/A","N/A","5775.00","5775.00","N/A","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00"
"5","N/A","CATHETER RFA BARRX CHANNEL ENDO 135CM","N/A","N/A","0272","N/A","N/A","6078.60","6078.60","6078.60","N/A","N/A","N/A","6078.60","6078.60","N/A","6078.60","6078.60","6078.60","6078.60","6078.60","6078.60","6078.60","6078.60","6078.60","6078.60"
"5","N/A","CATHETER SABER PTA 4X40X150CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","CATHETER SABER PTA 4X40X90CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","CATHETER SELECT NEURON SIM 040 6FX125CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","CATHETER SELECT NEURON SIMS 040 5FX130CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","CATHETER SET MELKER 6MMX7.5 G04652","N/A","N/A","0272","N/A","N/A","571.73","571.73","571.73","N/A","N/A","N/A","571.73","571.73","N/A","571.73","571.73","571.73","571.73","571.73","571.73","571.73","571.73","571.73","571.73"
"5","N/A","CATHETER SIL 2WAY 1.5CC 6FR","N/A","N/A","0272","N/A","N/A","75.83","75.83","75.83","N/A","N/A","N/A","75.83","75.83","N/A","75.83","75.83","75.83","75.83","75.83","75.83","75.83","75.83","75.83","75.83"
"5","N/A","CATHETER SIMMONS 2 GLIDE 5FR 100CM","N/A","N/A","0272","N/A","N/A","160.22","160.22","160.22","N/A","N/A","N/A","160.22","160.22","N/A","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22"
"5","N/A","CATHETER SIMMONS 2 TORCON NB 038 5F 65CM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","CATHETER SIZING AMPZR II 6FR 18X70","N/A","N/A","0272","N/A","N/A","1283.70","1283.70","1283.70","N/A","N/A","N/A","1283.70","1283.70","N/A","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70","1283.70"
"5","N/A","CATHETER SMARTTOUCH SF DF CURVE 8F","N/A","N/A","0272","N/A","N/A","10642.50","10642.50","10642.50","N/A","N/A","N/A","10642.50","10642.50","N/A","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50"
"5","N/A","CATHETER SMARTTOUCH SF F CURVE 8FR","N/A","N/A","0272","N/A","N/A","10071.60","10071.60","10071.60","N/A","N/A","N/A","10071.60","10071.60","N/A","10071.60","10071.60","10071.60","10071.60","10071.60","10071.60","10071.60","10071.60","10071.60","10071.60"
"5","N/A","CATHETER SMARTTOUCH SF FJ CURVE 8F","N/A","N/A","0272","N/A","N/A","10642.50","10642.50","10642.50","N/A","N/A","N/A","10642.50","10642.50","N/A","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50","10642.50"
"5","N/A","CATHETER SOFT VU COBRA 1 5F .038 65CM","N/A","N/A","0272","N/A","N/A","85.65","85.65","85.65","N/A","N/A","N/A","85.65","85.65","N/A","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65","85.65"
"5","N/A","CATHETER SPECIMEN EXTRACTOR PRO RX-S 9-12MMX200CM","N/A","N/A","0272","N/A","N/A","488.40","488.40","488.40","N/A","N/A","N/A","488.40","488.40","N/A","488.40","488.40","488.40","488.40","488.40","488.40","488.40","488.40","488.40","488.40"
"5","N/A","CATHETER STANDARD GLD PROBE 10FR 210C","N/A","N/A","0272","N/A","N/A","709.50","709.50","709.50","N/A","N/A","N/A","709.50","709.50","N/A","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50"
"5","N/A","CATHETER STANDARD GLD PROBE 10FR 300CM","N/A","N/A","0272","N/A","N/A","410.22","410.22","410.22","N/A","N/A","N/A","410.22","410.22","N/A","410.22","410.22","410.22","410.22","410.22","410.22","410.22","410.22","410.22","410.22"
"5","N/A","CATHETER STANDARD GLD PROBE 7FR 300CM","N/A","N/A","0272","N/A","N/A","410.22","410.22","410.22","N/A","N/A","N/A","410.22","410.22","N/A","410.22","410.22","410.22","410.22","410.22","410.22","410.22","410.22","410.22","410.22"
"5","N/A","CATHETER STRAIGHT EAGLE EYE 014 5FR 150","N/A","N/A","0272","N/A","N/A","2623.50","2623.50","2623.50","N/A","N/A","N/A","2623.50","2623.50","N/A","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50"
"5","N/A","CATHETER STRAIGHT GLIDECATH 4FR 65CM","N/A","N/A","0272","N/A","N/A","160.22","160.22","160.22","N/A","N/A","N/A","160.22","160.22","N/A","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22","160.22"
"5","N/A","CATHETER SUCTION T PC TRACH 14F 54CM","N/A","N/A","0272","N/A","N/A","20.34","20.34","20.34","N/A","N/A","N/A","20.34","20.34","N/A","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34"
"5","N/A","CATHETER SUPPORT CXI ANG2 2.6F 150CM","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","CATHETER SUPPORT CXI SS 018 2.6F 90CM","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","CATHETER SUPPORT CXI STR 2.6F 150CM","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","CATHETER SUPPORT NAVICROSS STR 4F 90CM","N/A","N/A","0272","N/A","N/A","564.30","564.30","564.30","N/A","N/A","N/A","564.30","564.30","N/A","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30"
"5","N/A","CATHETER SUPPORT RUBICON 035 135CM","N/A","N/A","0272","N/A","N/A","461.34","461.34","461.34","N/A","N/A","N/A","461.34","461.34","N/A","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34"
"5","N/A","CATHETER SUPPORT STR RUBICON 035 5 90","N/A","N/A","0272","N/A","N/A","461.34","461.34","461.34","N/A","N/A","N/A","461.34","461.34","N/A","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34","461.34"
"5","N/A","CATHETER SUPRAPUBIC SET 12FX25CM","N/A","N/A","0272","N/A","N/A","246.68","246.68","246.68","N/A","N/A","N/A","246.68","246.68","N/A","246.68","246.68","246.68","246.68","246.68","246.68","246.68","246.68","246.68","246.68"
"5","N/A","CATHETER SUPRAPUBIC ST 10FR 22CM","N/A","N/A","0272","N/A","N/A","214.01","214.01","214.01","N/A","N/A","N/A","214.01","214.01","N/A","214.01","214.01","214.01","214.01","214.01","214.01","214.01","214.01","214.01","214.01"
"5","N/A","CATHETER SUPRAPUBIC ST RUTNER 16FR","N/A","N/A","0272","N/A","N/A","214.01","214.01","214.01","N/A","N/A","N/A","214.01","214.01","N/A","214.01","214.01","214.01","214.01","214.01","214.01","214.01","214.01","214.01","214.01"
"5","N/A","CATHETER SUPRAPUBIC UNIVERSA MALECOT 16F 30CM","N/A","N/A","0272","N/A","N/A","149.85","149.85","149.85","N/A","N/A","N/A","149.85","149.85","N/A","149.85","149.85","149.85","149.85","149.85","149.85","149.85","149.85","149.85","149.85"
"5","N/A","CATHETER THERMO 4 LUM SWAN-GANZ 7FX110CM","N/A","N/A","0272","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","CATHETER THORACIC RT ANG 5 EYE 32F","N/A","N/A","0272","N/A","N/A","20.46","20.46","20.46","N/A","N/A","N/A","20.46","20.46","N/A","20.46","20.46","20.46","20.46","20.46","20.46","20.46","20.46","20.46","20.46"
"5","N/A","CATHETER THORACIC RT ANG 5 EYE 36FR","N/A","N/A","0272","N/A","N/A","20.58","20.58","20.58","N/A","N/A","N/A","20.58","20.58","N/A","20.58","20.58","20.58","20.58","20.58","20.58","20.58","20.58","20.58","20.58"
"5","N/A","CATHETER THORACIC STR 4 EYE 16F","N/A","N/A","0272","N/A","N/A","13.44","13.44","13.44","N/A","N/A","N/A","13.44","13.44","N/A","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44"
"5","N/A","CATHETER THORACIC STR 4 EYE 20FR","N/A","N/A","0272","N/A","N/A","13.96","13.96","13.96","N/A","N/A","N/A","13.96","13.96","N/A","13.96","13.96","13.96","13.96","13.96","13.96","13.96","13.96","13.96","13.96"
"5","N/A","CATHETER THORACIC STR 5 EYE 24FR","N/A","N/A","0272","N/A","N/A","14.32","14.32","14.32","N/A","N/A","N/A","14.32","14.32","N/A","14.32","14.32","14.32","14.32","14.32","14.32","14.32","14.32","14.32","14.32"
"5","N/A","CATHETER THORACIC STR 6 EYE 28F","N/A","N/A","0272","N/A","N/A","14.32","14.32","14.32","N/A","N/A","N/A","14.32","14.32","N/A","14.32","14.32","14.32","14.32","14.32","14.32","14.32","14.32","14.32","14.32"
"5","N/A","CATHETER THORACIC STR 6 EYE 32FR","N/A","N/A","0272","N/A","N/A","13.81","13.81","13.81","N/A","N/A","N/A","13.81","13.81","N/A","13.81","13.81","13.81","13.81","13.81","13.81","13.81","13.81","13.81","13.81"
"5","N/A","CATHETER THORACIC STR 6 EYE 36FR","N/A","N/A","0272","N/A","N/A","13.81","13.81","13.81","N/A","N/A","N/A","13.81","13.81","N/A","13.81","13.81","13.81","13.81","13.81","13.81","13.81","13.81","13.81","13.81"
"5","N/A","CATHETER THROMBECTOMY INDIGO RX W/TUBING 140CM","N/A","N/A","0272","N/A","N/A","6402.00","6402.00","6402.00","N/A","N/A","N/A","6402.00","6402.00","N/A","6402.00","6402.00","6402.00","6402.00","6402.00","6402.00","6402.00","6402.00","6402.00","6402.00"
"5","N/A","CATHETER THROMBECTOMY INDIGO W/ TUBING 8F 115CM","N/A","N/A","0272","N/A","N/A","10741.50","10741.50","10741.50","N/A","N/A","N/A","10741.50","10741.50","N/A","10741.50","10741.50","10741.50","10741.50","10741.50","10741.50","10741.50","10741.50","10741.50","10741.50"
"5","N/A","CATHETER TRAY POWERPICC MAX BARRIER SL 4F","N/A","N/A","0272","N/A","N/A","356.63","356.63","356.63","N/A","N/A","N/A","356.63","356.63","N/A","356.63","356.63","356.63","356.63","356.63","356.63","356.63","356.63","356.63","356.63"
"5","N/A","CATHETER TURNPIKE 135CM","N/A","N/A","0272","N/A","N/A","1871.10","1871.10","1871.10","N/A","N/A","N/A","1871.10","1871.10","N/A","1871.10","1871.10","1871.10","1871.10","1871.10","1871.10","1871.10","1871.10","1871.10","1871.10"
"5","N/A","CATHETER TURNPIKE LP 135CM","N/A","N/A","0272","N/A","N/A","1897.50","1897.50","1897.50","N/A","N/A","N/A","1897.50","1897.50","N/A","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50"
"5","N/A","CATHETER TURNPIKE LP 150CM","N/A","N/A","0272","N/A","N/A","1943.70","1943.70","1943.70","N/A","N/A","N/A","1943.70","1943.70","N/A","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70"
"5","N/A","CATHETER TURNPIKE SPIRAL 135CM","N/A","N/A","0272","N/A","N/A","1920.60","1920.60","1920.60","N/A","N/A","N/A","1920.60","1920.60","N/A","1920.60","1920.60","1920.60","1920.60","1920.60","1920.60","1920.60","1920.60","1920.60","1920.60"
"5","N/A","CATHETER TWIN-PASS TORQUE 3.5F 135CM","N/A","N/A","0272","N/A","N/A","1419.00","1419.00","1419.00","N/A","N/A","N/A","1419.00","1419.00","N/A","1419.00","1419.00","1419.00","1419.00","1419.00","1419.00","1419.00","1419.00","1419.00","1419.00"
"5","N/A","CATHETER ULTRASOUND ACUNAV 8F 90CM - REPROCESSED","N/A","N/A","0272","N/A","N/A","2600.40","2600.40","2600.40","N/A","N/A","N/A","2600.40","2600.40","N/A","2600.40","2600.40","2600.40","2600.40","2600.40","2600.40","2600.40","2600.40","2600.40","2600.40"
"5","N/A","CATHETER ULTRASOUND C3 SOUNDSTAR 10F","N/A","N/A","0272","N/A","N/A","8322.60","8322.60","8322.60","N/A","N/A","N/A","8322.60","8322.60","N/A","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60"
"5","N/A","CATHETER ULTRASOUND CHROMOFLO 014 120","N/A","N/A","0272","N/A","N/A","9553.50","9553.50","9553.50","N/A","N/A","N/A","9553.50","9553.50","N/A","9553.50","9553.50","9553.50","9553.50","9553.50","9553.50","9553.50","9553.50","9553.50","9553.50"
"5","N/A","CATHETER ULTRASOUND CYPRESS 8FR 90CM","N/A","N/A","0272","N/A","N/A","8629.50","8629.50","8629.50","N/A","N/A","N/A","8629.50","8629.50","N/A","8629.50","8629.50","8629.50","8629.50","8629.50","8629.50","8629.50","8629.50","8629.50","8629.50"
"5","N/A","CATHETER ULTRASOUND SMS SOUNDSTAR 8FR","N/A","N/A","0272","N/A","N/A","8322.60","8322.60","8322.60","N/A","N/A","N/A","8322.60","8322.60","N/A","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60","8322.60"
"5","N/A","CATHETER ULTRASOUND SOUNDSTAR 10F - REPROCESSED","N/A","N/A","0272","N/A","N/A","3946.80","3946.80","3946.80","N/A","N/A","N/A","3946.80","3946.80","N/A","3946.80","3946.80","3946.80","3946.80","3946.80","3946.80","3946.80","3946.80","3946.80","3946.80"
"5","N/A","CATHETER ULTRASOUND SOUNDSTAR 8F - REPROCESSED","N/A","N/A","0272","N/A","N/A","4184.40","4184.40","4184.40","N/A","N/A","N/A","4184.40","4184.40","N/A","4184.40","4184.40","4184.40","4184.40","4184.40","4184.40","4184.40","4184.40","4184.40","4184.40"
"5","N/A","CATHETER ULTRASOUND VISIONS PV IVUS OTW 035 8.5F 90CM","N/A","N/A","0272","N/A","N/A","3098.99","3098.99","3098.99","N/A","N/A","N/A","3098.99","3098.99","N/A","3098.99","3098.99","3098.99","3098.99","3098.99","3098.99","3098.99","3098.99","3098.99","3098.99"
"5","N/A","CATHETER URETHRAL PUREWICK FEMALE EXTERNAL","N/A","N/A","0272","N/A","N/A","25.18","25.18","25.18","N/A","N/A","N/A","25.18","25.18","N/A","25.18","25.18","25.18","25.18","25.18","25.18","25.18","25.18","25.18","25.18"
"5","N/A","CATHETER URETHRAL ROB RED 14F 16"","N/A","N/A","0272","N/A","N/A","9.49","9.49","9.49","N/A","N/A","N/A","9.49","9.49","N/A","9.49","9.49","9.49","9.49","9.49","9.49","9.49","9.49","9.49","9.49"
"5","N/A","CATHETER UROLOGY KT GLV LF FMLE 8F","N/A","N/A","0272","N/A","N/A","5.12","5.12","5.12","N/A","N/A","N/A","5.12","5.12","N/A","5.12","5.12","5.12","5.12","5.12","5.12","5.12","5.12","5.12","5.12"
"5","N/A","CATHETER UROLOGY KT GLV LF INF 5F","N/A","N/A","0272","N/A","N/A","5.12","5.12","5.12","N/A","N/A","N/A","5.12","5.12","N/A","5.12","5.12","5.12","5.12","5.12","5.12","5.12","5.12","5.12","5.12"
"5","N/A","CATHETER VELOCITY 2.6F 160CM","N/A","N/A","0272","N/A","N/A","3418.80","3418.80","3418.80","N/A","N/A","N/A","3418.80","3418.80","N/A","3418.80","3418.80","3418.80","3418.80","3418.80","3418.80","3418.80","3418.80","3418.80","3418.80"
"5","N/A","CATHETER VENT LT HEART DLP 16FR 16","N/A","N/A","0272","N/A","N/A","71.91","71.91","71.91","N/A","N/A","N/A","71.91","71.91","N/A","71.91","71.91","71.91","71.91","71.91","71.91","71.91","71.91","71.91","71.91"
"5","N/A","CATHETER VENTRICULAR OPEN BLUNT 18FR","N/A","N/A","0272","N/A","N/A","50.59","50.59","50.59","N/A","N/A","N/A","50.59","50.59","N/A","50.59","50.59","50.59","50.59","50.59","50.59","50.59","50.59","50.59","50.59"
"5","N/A","CATHETER VERSAFLEX-Z ZNIS+8R 6F 8 RING","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","CATHETERGUIDINGIM6F.07090","N/A","N/A","0272","N/A","N/A","135.73","135.73","135.73","N/A","N/A","N/A","135.73","135.73","N/A","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73","135.73"
"5","N/A","CAUTERY HIGH FINE ACCU-TEMP 0.5"","N/A","N/A","0272","N/A","N/A","38.24","38.24","38.24","N/A","N/A","N/A","38.24","38.24","N/A","38.24","38.24","38.24","38.24","38.24","38.24","38.24","38.24","38.24","38.24"
"5","N/A","CAUTERY OPHTHALMIC I-STAT 0.5" SHAFT","N/A","N/A","0272","N/A","N/A","30.00","30.00","30.00","N/A","N/A","N/A","30.00","30.00","N/A","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00"
"5","N/A","CAUTERY SWITCHPEN L HOOK ELECT","N/A","N/A","0272","N/A","N/A","173.25","173.25","173.25","N/A","N/A","N/A","173.25","173.25","N/A","173.25","173.25","173.25","173.25","173.25","173.25","173.25","173.25","173.25","173.25"
"5","N/A","CELLULOSE SURGICEL SNOW 4X4"","N/A","N/A","0272","N/A","N/A","558.50","558.50","558.50","N/A","N/A","N/A","558.50","558.50","N/A","558.50","558.50","558.50","558.50","558.50","558.50","558.50","558.50","558.50","558.50"
"5","N/A","CHAMBER HOLDING METERED OPTICHMBR","N/A","N/A","0272","N/A","N/A","17.80","17.80","17.80","N/A","N/A","N/A","17.80","17.80","N/A","17.80","17.80","17.80","17.80","17.80","17.80","17.80","17.80","17.80","17.80"
"5","N/A","CHAMBER IRRIGATOR ANT LNG 30GAX1","N/A","N/A","0272","N/A","N/A","16.07","16.07","16.07","N/A","N/A","N/A","16.07","16.07","N/A","16.07","16.07","16.07","16.07","16.07","16.07","16.07","16.07","16.07","16.07"
"5","N/A","CHANDELIER CONSTELLATION 25G","N/A","N/A","0272","N/A","N/A","398.48","398.48","398.48","N/A","N/A","N/A","398.48","398.48","N/A","398.48","398.48","398.48","398.48","398.48","398.48","398.48","398.48","398.48","398.48"
"5","N/A","CIRCUIT BREATHING PEDI 1L 20-50"","N/A","N/A","0272","N/A","N/A","12.34","12.34","12.34","N/A","N/A","N/A","12.34","12.34","N/A","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34"
"5","N/A","CIRCUIT VENTILATOR MNTR 15/22MMX6"","N/A","N/A","0272","N/A","N/A","3.79","3.79","3.79","N/A","N/A","N/A","3.79","3.79","N/A","3.79","3.79","3.79","3.79","3.79","3.79","3.79","3.79","3.79","3.79"
"5","N/A","CLAMP CATHETER W/FASTENER 5F","N/A","N/A","0272","N/A","N/A","7.51","7.51","7.51","N/A","N/A","N/A","7.51","7.51","N/A","7.51","7.51","7.51","7.51","7.51","7.51","7.51","7.51","7.51","7.51"
"5","N/A","CLAMP EXTERNAL FIXATION COMBO LG","N/A","N/A","0272","N/A","N/A","2265.15","2265.15","2265.15","N/A","N/A","N/A","2265.15","2265.15","N/A","2265.15","2265.15","2265.15","2265.15","2265.15","2265.15","2265.15","2265.15","2265.15","2265.15"
"5","N/A","CLAMP EXTERNAL FIXATION HOFFMANN 3 5H","N/A","N/A","0272","N/A","N/A","2815.89","2815.89","2815.89","N/A","N/A","N/A","2815.89","2815.89","N/A","2815.89","2815.89","2815.89","2815.89","2815.89","2815.89","2815.89","2815.89","2815.89","2815.89"
"5","N/A","CLAMP EXTERNAL FIXATION MULTI PN 4 H LG","N/A","N/A","0272","N/A","N/A","2404.84","2404.84","2404.84","N/A","N/A","N/A","2404.84","2404.84","N/A","2404.84","2404.84","2404.84","2404.84","2404.84","2404.84","2404.84","2404.84","2404.84","2404.84"
"5","N/A","CLAMP EXTERNAL FIXATION MULTI PN 6 H LG","N/A","N/A","0272","N/A","N/A","2574.66","2574.66","2574.66","N/A","N/A","N/A","2574.66","2574.66","N/A","2574.66","2574.66","2574.66","2574.66","2574.66","2574.66","2574.66","2574.66","2574.66","2574.66"
"5","N/A","CLAMP EXTERNAL FIXATION OPEN ADJ LG","N/A","N/A","0272","N/A","N/A","1865.26","1865.26","1865.26","N/A","N/A","N/A","1865.26","1865.26","N/A","1865.26","1865.26","1865.26","1865.26","1865.26","1865.26","1865.26","1865.26","1865.26","1865.26"
"5","N/A","CLAMP EXTERNAL FIXATION PN 4 POSTN LG","N/A","N/A","0272","N/A","N/A","1558.49","1558.49","1558.49","N/A","N/A","N/A","1558.49","1558.49","N/A","1558.49","1558.49","1558.49","1558.49","1558.49","1558.49","1558.49","1558.49","1558.49","1558.49"
"5","N/A","CLAMP EXTERNAL FIXATION PN 6 POSTN LG","N/A","N/A","0272","N/A","N/A","1046.10","1046.10","1046.10","N/A","N/A","N/A","1046.10","1046.10","N/A","1046.10","1046.10","1046.10","1046.10","1046.10","1046.10","1046.10","1046.10","1046.10","1046.10"
"5","N/A","CLAMP EXTERNAL FIXATION SMALL","N/A","N/A","0272","N/A","N/A","1185.99","1185.99","1185.99","N/A","N/A","N/A","1185.99","1185.99","N/A","1185.99","1185.99","1185.99","1185.99","1185.99","1185.99","1185.99","1185.99","1185.99","1185.99"
"5","N/A","CLAMP EXTERNAL FIXATOR COMBO MD","N/A","N/A","0272","N/A","N/A","1826.91","1826.91","1826.91","N/A","N/A","N/A","1826.91","1826.91","N/A","1826.91","1826.91","1826.91","1826.91","1826.91","1826.91","1826.91","1826.91","1826.91","1826.91"
"5","N/A","CLAMP FIXATOR ADJ RADIUS 4MM","N/A","N/A","0272","N/A","N/A","2665.05","2665.05","2665.05","N/A","N/A","N/A","2665.05","2665.05","N/A","2665.05","2665.05","2665.05","2665.05","2665.05","2665.05","2665.05","2665.05","2665.05","2665.05"
"5","N/A","CLAMP TISSUE ISOLATOR 5MM 6.3CM","N/A","N/A","0272","N/A","N/A","8910.00","8910.00","8910.00","N/A","N/A","N/A","8910.00","8910.00","N/A","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00"
"5","N/A","CLEANER CAUTERY TIP 2X2"","N/A","N/A","0272","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","CLIP DILATOR PHANTOM XL 183CM","N/A","N/A","0272","N/A","N/A","376.20","376.20","376.20","N/A","N/A","N/A","376.20","376.20","N/A","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20"
"5","N/A","CLIP ENDO HEMOSTASIS RESOLUTION 360 235CM","N/A","N/A","0272","N/A","N/A","722.70","722.70","722.70","N/A","N/A","N/A","722.70","722.70","N/A","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70"
"5","N/A","CLIP ENDO HEMOSTATIC RESOLUTION 360 ULTRA 17MMX235CM","N/A","N/A","0272","N/A","N/A","744.15","744.15","744.15","N/A","N/A","N/A","744.15","744.15","N/A","744.15","744.15","744.15","744.15","744.15","744.15","744.15","744.15","744.15","744.15"
"5","N/A","CLIP HEMOSTASIS INSTINCT 16X230CM","N/A","N/A","0272","N/A","N/A","769.56","769.56","769.56","N/A","N/A","N/A","769.56","769.56","N/A","769.56","769.56","769.56","769.56","769.56","769.56","769.56","769.56","769.56","769.56"
"5","N/A","CLIP HEMOSTATIC 360 RESO","N/A","N/A","0272","N/A","N/A","722.70","722.70","722.70","N/A","N/A","N/A","722.70","722.70","N/A","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70"
"5","N/A","CLIP INSTRUMENT CLOSED TUBE GAMMA 3","N/A","N/A","0272","N/A","N/A","658.35","658.35","658.35","N/A","N/A","N/A","658.35","658.35","N/A","658.35","658.35","658.35","658.35","658.35","658.35","658.35","658.35","658.35","658.35"
"5","N/A","CLIP LIGATING HEM-O-LOK LG","N/A","N/A","0272","N/A","N/A","121.16","121.16","121.16","N/A","N/A","N/A","121.16","121.16","N/A","121.16","121.16","121.16","121.16","121.16","121.16","121.16","121.16","121.16","121.16"
"5","N/A","CLIP LIGATING POLYMER MD LG 5MM","N/A","N/A","0272","N/A","N/A","121.16","121.16","121.16","N/A","N/A","N/A","121.16","121.16","N/A","121.16","121.16","121.16","121.16","121.16","121.16","121.16","121.16","121.16","121.16"
"5","N/A","CLIP LIGATING TRANSV TI MICRO","N/A","N/A","0272","N/A","N/A","13.42","13.42","13.42","N/A","N/A","N/A","13.42","13.42","N/A","13.42","13.42","13.42","13.42","13.42","13.42","13.42","13.42","13.42","13.42"
"5","N/A","CLIP MICRO HEMOSTATIC TI 2.2MM","N/A","N/A","0272","N/A","N/A","34.10","34.10","34.10","N/A","N/A","N/A","34.10","34.10","N/A","34.10","34.10","34.10","34.10","34.10","34.10","34.10","34.10","34.10","34.10"
"5","N/A","CLIP RETRACTION COR ARTERY DLP 3MM","N/A","N/A","0272","N/A","N/A","50.09","50.09","50.09","N/A","N/A","N/A","50.09","50.09","N/A","50.09","50.09","50.09","50.09","50.09","50.09","50.09","50.09","50.09","50.09"
"5","N/A","CLIP RETRACTION COR ARTERY DLP 5MM","N/A","N/A","0272","N/A","N/A","51.12","51.12","51.12","N/A","N/A","N/A","51.12","51.12","N/A","51.12","51.12","51.12","51.12","51.12","51.12","51.12","51.12","51.12","51.12"
"5","N/A","CLIP SCALP LEROY PEDIATRIC","N/A","N/A","0272","N/A","N/A","4.24","4.24","4.24","N/A","N/A","N/A","4.24","4.24","N/A","4.24","4.24","4.24","4.24","4.24","4.24","4.24","4.24","4.24","4.24"
"5","N/A","CLIP SUTURE 360 DEG LAPRA-TY","N/A","N/A","0272","N/A","N/A","950.87","950.87","950.87","N/A","N/A","N/A","950.87","950.87","N/A","950.87","950.87","950.87","950.87","950.87","950.87","950.87","950.87","950.87","950.87"
"5","N/A","CLOSURE SURGICAL SKIN ZIP 16","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","CLOSURE SURGICAL SKIN ZIP 24","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","CLOSURE SURGICAL SKIN ZIP 8I","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","COIL 360 TARGET NANO 2MMX4CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET NANO 3MMX4CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET ULTRA 2.5MMX4CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET ULTRA 2MMX4CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET ULTRA 2MMX6CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET ULTRA 3.5MMX8CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET ULTRA 3MMX10CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET ULTRA 3MMX8CM","N/A","N/A","0272","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL HELICAL TARGET NANO 2MMX2CM","N/A","N/A","0272","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COIL HELICAL TARGET NANO 2MMX6CM","N/A","N/A","0272","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COIL HELICAL TARGET NANO 3MMX8CM","N/A","N/A","0272","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COLLAR ADULT SZ UNIVERSAL SIERRA","N/A","N/A","0272","N/A","N/A","34.65","34.65","34.65","N/A","N/A","N/A","34.65","34.65","N/A","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65"
"5","N/A","COLLAR PEDS SZ UNIVERSAL SIERRA","N/A","N/A","0272","N/A","N/A","34.65","34.65","34.65","N/A","N/A","N/A","34.65","34.65","N/A","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65","34.65"
"5","N/A","COLLECTOR TISSUE GRAFTNET AUTOLOGOUS","N/A","N/A","0272","N/A","N/A","1270.50","1270.50","1270.50","N/A","N/A","N/A","1270.50","1270.50","N/A","1270.50","1270.50","1270.50","1270.50","1270.50","1270.50","1270.50","1270.50","1270.50","1270.50"
"5","N/A","COMPONENT BODY DJD II EXTERNAL FIXATION","N/A","N/A","0272","N/A","N/A","18570.09","18570.09","18570.09","N/A","N/A","N/A","18570.09","18570.09","N/A","18570.09","18570.09","18570.09","18570.09","18570.09","18570.09","18570.09","18570.09","18570.09","18570.09"
"5","N/A","CONNECTOR 1:1 STR BLAKE J VAC","N/A","N/A","0272","N/A","N/A","40.71","40.71","40.71","N/A","N/A","N/A","40.71","40.71","N/A","40.71","40.71","40.71","40.71","40.71","40.71","40.71","40.71","40.71","40.71"
"5","N/A","CONNECTOR CATHETER EXTENDER ADLT","N/A","N/A","0272","N/A","N/A","387.49","387.49","387.49","N/A","N/A","N/A","387.49","387.49","N/A","387.49","387.49","387.49","387.49","387.49","387.49","387.49","387.49","387.49","387.49"
"5","N/A","CONNECTOR CATHETER LUER HEMODIALYSIS TEGO","N/A","N/A","0272","N/A","N/A","9.46","9.46","9.46","N/A","N/A","N/A","9.46","9.46","N/A","9.46","9.46","9.46","9.46","9.46","9.46","9.46","9.46","9.46","9.46"
"5","N/A","CONNECTOR DUAL HOSE 36"","N/A","N/A","0272","N/A","N/A","24.87","24.87","24.87","N/A","N/A","N/A","24.87","24.87","N/A","24.87","24.87","24.87","24.87","24.87","24.87","24.87","24.87","24.87","24.87"
"5","N/A","CONNECTOR PERFUSION STR STER 0.25X0.25","N/A","N/A","0272","N/A","N/A","13.70","13.70","13.70","N/A","N/A","N/A","13.70","13.70","N/A","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70"
"5","N/A","CONNECTOR PERFUSION STR STER 0.25X3/8"","N/A","N/A","0272","N/A","N/A","13.70","13.70","13.70","N/A","N/A","N/A","13.70","13.70","N/A","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70"
"5","N/A","CONNECTOR PERFUSION STR STER 0.5X0.5"","N/A","N/A","0272","N/A","N/A","13.70","13.70","13.70","N/A","N/A","N/A","13.70","13.70","N/A","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70"
"5","N/A","CONNECTOR PERFUSION STR STER 3/8X0.5"","N/A","N/A","0272","N/A","N/A","13.70","13.70","13.70","N/A","N/A","N/A","13.70","13.70","N/A","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70","13.70"
"5","N/A","CONNECTOR PERFUSION Y 0.25X0.25X0.25"","N/A","N/A","0272","N/A","N/A","15.64","15.64","15.64","N/A","N/A","N/A","15.64","15.64","N/A","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64"
"5","N/A","CONNECTOR PERFUSION Y 0.25X3/8"","N/A","N/A","0272","N/A","N/A","22.69","22.69","22.69","N/A","N/A","N/A","22.69","22.69","N/A","22.69","22.69","22.69","22.69","22.69","22.69","22.69","22.69","22.69","22.69"
"5","N/A","CONNECTOR PERFUSION Y 0.5X0.5X0.5"","N/A","N/A","0272","N/A","N/A","15.64","15.64","15.64","N/A","N/A","N/A","15.64","15.64","N/A","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64"
"5","N/A","CONNECTOR PERFUSION Y 3/8X3/8X3/8"","N/A","N/A","0272","N/A","N/A","15.64","15.64","15.64","N/A","N/A","N/A","15.64","15.64","N/A","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64"
"5","N/A","CONNECTOR TMP STR PCARB 3/8X3/8"","N/A","N/A","0272","N/A","N/A","11.91","11.91","11.91","N/A","N/A","N/A","11.91","11.91","N/A","11.91","11.91","11.91","11.91","11.91","11.91","11.91","11.91","11.91","11.91"
"5","N/A","CONNECTOR TMP Y PCARB 3/8X3/8X0.5"","N/A","N/A","0272","N/A","N/A","14.72","14.72","14.72","N/A","N/A","N/A","14.72","14.72","N/A","14.72","14.72","14.72","14.72","14.72","14.72","14.72","14.72","14.72","14.72"
"5","N/A","CONNECTOR TUBING STER Y TY DIAL","N/A","N/A","0272","N/A","N/A","20.01","20.01","20.01","N/A","N/A","N/A","20.01","20.01","N/A","20.01","20.01","20.01","20.01","20.01","20.01","20.01","20.01","20.01","20.01"
"5","N/A","CONNECTOR WATERJET ENDOGATOR","N/A","N/A","0272","N/A","N/A","4.95","4.95","4.95","N/A","N/A","N/A","4.95","4.95","N/A","4.95","4.95","4.95","4.95","4.95","4.95","4.95","4.95","4.95","4.95"
"5","N/A","CONNECTOR Y 8.25X9.5X11"","N/A","N/A","0272","N/A","N/A","22.20","22.20","22.20","N/A","N/A","N/A","22.20","22.20","N/A","22.20","22.20","22.20","22.20","22.20","22.20","22.20","22.20","22.20","22.20"
"5","N/A","CONNECTOR Y DUAL SPIKE PULSAVAC","N/A","N/A","0272","N/A","N/A","51.15","51.15","51.15","N/A","N/A","N/A","51.15","51.15","N/A","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15"
"5","N/A","CONNECTOR Y WND DRSG Y TRAC VAC","N/A","N/A","0272","N/A","N/A","5.33","5.33","5.33","N/A","N/A","N/A","5.33","5.33","N/A","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33"
"5","N/A","CONTROL MAGNET STIMULATOR NEUROPACE","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","CONTROLLER DETACHMENT AZUR COIL","N/A","N/A","0272","N/A","N/A","552.32","552.32","552.32","N/A","N/A","N/A","552.32","552.32","N/A","552.32","552.32","552.32","552.32","552.32","552.32","552.32","552.32","552.32","552.32"
"5","N/A","CONTROLLER DETACHMENT WEB","N/A","N/A","0272","N/A","N/A","610.50","610.50","610.50","N/A","N/A","N/A","610.50","610.50","N/A","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50"
"5","N/A","CORD BIPOLAR FORCEPS VALLEYLAB 12'","N/A","N/A","0272","N/A","N/A","9.47","9.47","9.47","N/A","N/A","N/A","9.47","9.47","N/A","9.47","9.47","9.47","9.47","9.47","9.47","9.47","9.47","9.47","9.47"
"5","N/A","CORD BIPOLAR STER 12' CLEAR","N/A","N/A","0272","N/A","N/A","13.20","13.20","13.20","N/A","N/A","N/A","13.20","13.20","N/A","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20"
"5","N/A","CORD ELECTROSURGICAL BI DUAL 12'","N/A","N/A","0272","N/A","N/A","22.00","22.00","22.00","N/A","N/A","N/A","22.00","22.00","N/A","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00"
"5","N/A","COUNTERSINK DRILL BIT CANN 3.0/4.0MM","N/A","N/A","0272","N/A","N/A","1254.00","1254.00","1254.00","N/A","N/A","N/A","1254.00","1254.00","N/A","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00"
"5","N/A","COUPLER MICRO VASC GRN 2MM","N/A","N/A","0272","N/A","N/A","987.25","987.25","987.25","N/A","N/A","N/A","987.25","987.25","N/A","987.25","987.25","987.25","987.25","987.25","987.25","987.25","987.25","987.25","987.25"
"5","N/A","COUPLING EXFIX HOFFMANN II COMPACT PIN TO ROD","N/A","N/A","0272","N/A","N/A","1568.49","1568.49","1568.49","N/A","N/A","N/A","1568.49","1568.49","N/A","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49"
"5","N/A","COUPLING EXFIX HOFFMANN II COMPACT ROD TO ROD","N/A","N/A","0272","N/A","N/A","1568.49","1568.49","1568.49","N/A","N/A","N/A","1568.49","1568.49","N/A","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49","1568.49"
"5","N/A","COUPLING EXTERNAL FXTN HOFFMAN 3 ROD TO ROD DELTA","N/A","N/A","0272","N/A","N/A","2732.73","2732.73","2732.73","N/A","N/A","N/A","2732.73","2732.73","N/A","2732.73","2732.73","2732.73","2732.73","2732.73","2732.73","2732.73","2732.73","2732.73","2732.73"
"5","N/A","COVER PIN W/ SHEATH BLU 0.9MM","N/A","N/A","0272","N/A","N/A","5.14","5.14","5.14","N/A","N/A","N/A","5.14","5.14","N/A","5.14","5.14","5.14","5.14","5.14","5.14","5.14","5.14","5.14","5.14"
"5","N/A","COVER PIN W/ SHEATH WHT 0.045"","N/A","N/A","0272","N/A","N/A","5.14","5.14","5.14","N/A","N/A","N/A","5.14","5.14","N/A","5.14","5.14","5.14","5.14","5.14","5.14","5.14","5.14","5.14","5.14"
"5","N/A","COVER PROBE FOLDED 5X96IN","N/A","N/A","0272","N/A","N/A","18.88","18.88","18.88","N/A","N/A","N/A","18.88","18.88","N/A","18.88","18.88","18.88","18.88","18.88","18.88","18.88","18.88","18.88","18.88"
"5","N/A","COVER PROTECTIVE SMART RECEIVER UNIT","N/A","N/A","0272","N/A","N/A","59.07","59.07","59.07","N/A","N/A","N/A","59.07","59.07","N/A","59.07","59.07","59.07","59.07","59.07","59.07","59.07","59.07","59.07","59.07"
"5","N/A","COVER SHOE RIGID FOOT PUMP IMPAD LG","N/A","N/A","0272","N/A","N/A","153.72","153.72","153.72","N/A","N/A","N/A","153.72","153.72","N/A","153.72","153.72","153.72","153.72","153.72","153.72","153.72","153.72","153.72","153.72"
"5","N/A","COVER SHOE RIGID FOOT PUMP IMPAD MD","N/A","N/A","0272","N/A","N/A","205.30","205.30","205.30","N/A","N/A","N/A","205.30","205.30","N/A","205.30","205.30","205.30","205.30","205.30","205.30","205.30","205.30","205.30","205.30"
"5","N/A","COVER TIP SCSR CRV MONOPOLAR 8X8","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","COVER TRANSDUCER FOLDED LF 5.5X58"","N/A","N/A","0272","N/A","N/A","37.13","37.13","37.13","N/A","N/A","N/A","37.13","37.13","N/A","37.13","37.13","37.13","37.13","37.13","37.13","37.13","37.13","37.13","37.13"
"5","N/A","COVER TRANSDUCER PE LF STER 3X72"","N/A","N/A","0272","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","CUFF BALLOON ENDO ULTRSND 20FR","N/A","N/A","0272","N/A","N/A","82.51","82.51","82.51","N/A","N/A","N/A","82.51","82.51","N/A","82.51","82.51","82.51","82.51","82.51","82.51","82.51","82.51","82.51","82.51"
"5","N/A","CUFF BALLOON ENDO ULTRSND 30FR","N/A","N/A","0272","N/A","N/A","85.41","85.41","85.41","N/A","N/A","N/A","85.41","85.41","N/A","85.41","85.41","85.41","85.41","85.41","85.41","85.41","85.41","85.41","85.41"
"5","N/A","CUFF PEDIATRIC DELFI 2.25"","N/A","N/A","0272","N/A","N/A","130.35","130.35","130.35","N/A","N/A","N/A","130.35","130.35","N/A","130.35","130.35","130.35","130.35","130.35","130.35","130.35","130.35","130.35","130.35"
"5","N/A","CUFF QUICK BLACK 12X3.5"","N/A","N/A","0272","N/A","N/A","54.45","54.45","54.45","N/A","N/A","N/A","54.45","54.45","N/A","54.45","54.45","54.45","54.45","54.45","54.45","54.45","54.45","54.45","54.45"
"5","N/A","CUFF QUICK BLACK 18X4"","N/A","N/A","0272","N/A","N/A","60.98","60.98","60.98","N/A","N/A","N/A","60.98","60.98","N/A","60.98","60.98","60.98","60.98","60.98","60.98","60.98","60.98","60.98","60.98"
"5","N/A","CUFF QUICK BLACK 24X4"","N/A","N/A","0272","N/A","N/A","64.45","64.45","64.45","N/A","N/A","N/A","64.45","64.45","N/A","64.45","64.45","64.45","64.45","64.45","64.45","64.45","64.45","64.45","64.45"
"5","N/A","CUFF QUICK BLACK 34X4"","N/A","N/A","0272","N/A","N/A","76.16","76.16","76.16","N/A","N/A","N/A","76.16","76.16","N/A","76.16","76.16","76.16","76.16","76.16","76.16","76.16","76.16","76.16","76.16"
"5","N/A","CUFF QUICK BLACK 44X4"","N/A","N/A","0272","N/A","N/A","85.07","85.07","85.07","N/A","N/A","N/A","85.07","85.07","N/A","85.07","85.07","85.07","85.07","85.07","85.07","85.07","85.07","85.07","85.07"
"5","N/A","CUFF TOURNIQUET DUAL BLADDER 18X5.5","N/A","N/A","0272","N/A","N/A","108.49","108.49","108.49","N/A","N/A","N/A","108.49","108.49","N/A","108.49","108.49","108.49","108.49","108.49","108.49","108.49","108.49","108.49","108.49"
"5","N/A","CUFF TOURNIQUET PEDIATRIC DELFI 3X15"","N/A","N/A","0272","N/A","N/A","130.35","130.35","130.35","N/A","N/A","N/A","130.35","130.35","N/A","130.35","130.35","130.35","130.35","130.35","130.35","130.35","130.35","130.35","130.35"
"5","N/A","CURETTE DERMAL SS STER 4MM","N/A","N/A","0272","N/A","N/A","4.90","4.90","4.90","N/A","N/A","N/A","4.90","4.90","N/A","4.90","4.90","4.90","4.90","4.90","4.90","4.90","4.90","4.90","4.90"
"5","N/A","CURETTE SUCTION ENDOMETRIAL 3.1MM","N/A","N/A","0272","N/A","N/A","24.35","24.35","24.35","N/A","N/A","N/A","24.35","24.35","N/A","24.35","24.35","24.35","24.35","24.35","24.35","24.35","24.35","24.35","24.35"
"5","N/A","CURETTE UTERINE VAC CRV 10MM","N/A","N/A","0272","N/A","N/A","3.95","3.95","3.95","N/A","N/A","N/A","3.95","3.95","N/A","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95"
"5","N/A","CURETTE UTERINE VAC CRV 11MM","N/A","N/A","0272","N/A","N/A","3.95","3.95","3.95","N/A","N/A","N/A","3.95","3.95","N/A","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95"
"5","N/A","CURETTE UTERINE VAC CRV 12MM","N/A","N/A","0272","N/A","N/A","3.95","3.95","3.95","N/A","N/A","N/A","3.95","3.95","N/A","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95"
"5","N/A","CURETTE UTERINE VAC CRV 14MM","N/A","N/A","0272","N/A","N/A","5.03","5.03","5.03","N/A","N/A","N/A","5.03","5.03","N/A","5.03","5.03","5.03","5.03","5.03","5.03","5.03","5.03","5.03","5.03"
"5","N/A","CURETTE UTERINE VAC CRV 7MM","N/A","N/A","0272","N/A","N/A","3.95","3.95","3.95","N/A","N/A","N/A","3.95","3.95","N/A","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95"
"5","N/A","CURETTE UTERINE VAC CRV 8MM","N/A","N/A","0272","N/A","N/A","3.95","3.95","3.95","N/A","N/A","N/A","3.95","3.95","N/A","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95"
"5","N/A","CURETTE UTERINE VAC CRV 9MM","N/A","N/A","0272","N/A","N/A","3.95","3.95","3.95","N/A","N/A","N/A","3.95","3.95","N/A","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95"
"5","N/A","CURETTE VACUUM CRV VACURETTE 8MM","N/A","N/A","0272","N/A","N/A","14.83","14.83","14.83","N/A","N/A","N/A","14.83","14.83","N/A","14.83","14.83","14.83","14.83","14.83","14.83","14.83","14.83","14.83","14.83"
"5","N/A","CURETTE VACUUM CRV VACURETTE 9MM","N/A","N/A","0272","N/A","N/A","14.83","14.83","14.83","N/A","N/A","N/A","14.83","14.83","N/A","14.83","14.83","14.83","14.83","14.83","14.83","14.83","14.83","14.83","14.83"
"5","N/A","CURETTE VACUUM F-TIP VACURETTE 6","N/A","N/A","0272","N/A","N/A","15.69","15.69","15.69","N/A","N/A","N/A","15.69","15.69","N/A","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69"
"5","N/A","CUSHION POSITIONING ULNAR NERVE FOAM","N/A","N/A","0272","N/A","N/A","7.79","7.79","7.79","N/A","N/A","N/A","7.79","7.79","N/A","7.79","7.79","7.79","7.79","7.79","7.79","7.79","7.79","7.79","7.79"
"5","N/A","CUSHION WAFFLE BARIATRIC ADULT 28X22X1.5"","N/A","N/A","0272","N/A","N/A","141.82","141.82","141.82","N/A","N/A","N/A","141.82","141.82","N/A","141.82","141.82","141.82","141.82","141.82","141.82","141.82","141.82","141.82","141.82"
"5","N/A","CUSHION WAFFLE STANDARD ADULT 19X19X1.5"","N/A","N/A","0272","N/A","N/A","66.67","66.67","66.67","N/A","N/A","N/A","66.67","66.67","N/A","66.67","66.67","66.67","66.67","66.67","66.67","66.67","66.67","66.67","66.67"
"5","N/A","CUTTER ENDOSCOPIC FLIPCUTTER II 10MM","N/A","N/A","0272","N/A","N/A","1072.50","1072.50","1072.50","N/A","N/A","N/A","1072.50","1072.50","N/A","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50"
"5","N/A","CUTTER ENDOSCOPIC FLIPCUTTER II 11MM","N/A","N/A","0272","N/A","N/A","1072.50","1072.50","1072.50","N/A","N/A","N/A","1072.50","1072.50","N/A","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50"
"5","N/A","CUTTER ENDOSCOPIC FLIPCUTTER II 8MM","N/A","N/A","0272","N/A","N/A","1072.50","1072.50","1072.50","N/A","N/A","N/A","1072.50","1072.50","N/A","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50","1072.50"
"5","N/A","CUTTER LEAD LKNG DEVICE LLD 8"","N/A","N/A","0272","N/A","N/A","306.90","306.90","306.90","N/A","N/A","N/A","306.90","306.90","N/A","306.90","306.90","306.90","306.90","306.90","306.90","306.90","306.90","306.90","306.90"
"5","N/A","CUTTER SUTURE KNOT PUSHER DISP STER","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","CUTTER SUTURE KNOT PUSHER F/ 2-0 FIBERWIRE","N/A","N/A","0272","N/A","N/A","726.00","726.00","726.00","N/A","N/A","N/A","726.00","726.00","N/A","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00"
"5","N/A","CYSTOTOME IRRIGATING CRV 25GAX5/8"","N/A","N/A","0272","N/A","N/A","13.34","13.34","13.34","N/A","N/A","N/A","13.34","13.34","N/A","13.34","13.34","13.34","13.34","13.34","13.34","13.34","13.34","13.34","13.34"
"5","N/A","CYSTOTOME IRRIGATING STR 25GA","N/A","N/A","0272","N/A","N/A","19.97","19.97","19.97","N/A","N/A","N/A","19.97","19.97","N/A","19.97","19.97","19.97","19.97","19.97","19.97","19.97","19.97","19.97","19.97"
"5","N/A","DELIVERY SYSTEM LEAD ACUITY PRO 7FR","N/A","N/A","0272","N/A","N/A","1765.50","1765.50","1765.50","N/A","N/A","N/A","1765.50","1765.50","N/A","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50"
"5","N/A","DEVICE BIOPSY ACQUIRE EBUS FINE NDL 25G","N/A","N/A","0272","N/A","N/A","1171.50","1171.50","1171.50","N/A","N/A","N/A","1171.50","1171.50","N/A","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50"
"5","N/A","DEVICE BIOPSY ACQUIRE FINE NDL 22G","N/A","N/A","0272","N/A","N/A","1171.50","1171.50","1171.50","N/A","N/A","N/A","1171.50","1171.50","N/A","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50"
"5","N/A","DEVICE BIOPSY BREAST BREVERA 9G","N/A","N/A","0272","N/A","N/A","891.00","891.00","891.00","N/A","N/A","N/A","891.00","891.00","N/A","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00"
"5","N/A","DEVICE BIOPSY BRST CELERO 12G","N/A","N/A","0272","N/A","N/A","702.90","702.90","702.90","N/A","N/A","N/A","702.90","702.90","N/A","702.90","702.90","702.90","702.90","702.90","702.90","702.90","702.90","702.90","702.90"
"5","N/A","DEVICE CAPSULE REFLUX","N/A","N/A","0272","N/A","N/A","984.72","984.72","984.72","N/A","N/A","N/A","984.72","984.72","N/A","984.72","984.72","984.72","984.72","984.72","984.72","984.72","984.72","984.72","984.72"
"5","N/A","DEVICE CLOSURE DUPLOTIP 20GX10CM","N/A","N/A","0272","N/A","N/A","141.36","141.36","141.36","N/A","N/A","N/A","141.36","141.36","N/A","141.36","141.36","141.36","141.36","141.36","141.36","141.36","141.36","141.36","141.36"
"5","N/A","DEVICE CLOSURE LAPRO-SHARK","N/A","N/A","0272","N/A","N/A","211.04","211.04","211.04","N/A","N/A","N/A","211.04","211.04","N/A","211.04","211.04","211.04","211.04","211.04","211.04","211.04","211.04","211.04","211.04"
"5","N/A","DEVICE CLOSURE RPRC 0-2 10MM","N/A","N/A","0272","N/A","N/A","76.36","76.36","76.36","N/A","N/A","N/A","76.36","76.36","N/A","76.36","76.36","76.36","76.36","76.36","76.36","76.36","76.36","76.36","76.36"
"5","N/A","DEVICE CLOSURE WOUND MICROMEND SM 12X28MM 2/PK","N/A","N/A","0272","N/A","N/A","48.12","48.12","48.12","N/A","N/A","N/A","48.12","48.12","N/A","48.12","48.12","48.12","48.12","48.12","48.12","48.12","48.12","48.12","48.12"
"5","N/A","DEVICE CLOSURE WOUND MICROMEND XS 7X28MM 2/PK","N/A","N/A","0272","N/A","N/A","48.12","48.12","48.12","N/A","N/A","N/A","48.12","48.12","N/A","48.12","48.12","48.12","48.12","48.12","48.12","48.12","48.12","48.12","48.12"
"5","N/A","DEVICE DELIVERY CAPSULE ADV 2.5X10","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","DEVICE DELIVERY LSR FIBER MOXY","N/A","N/A","0272","N/A","N/A","5351.98","5351.98","5351.98","N/A","N/A","N/A","5351.98","5351.98","N/A","5351.98","5351.98","5351.98","5351.98","5351.98","5351.98","5351.98","5351.98","5351.98","5351.98"
"5","N/A","DEVICE EMBOLIC SENTINEL PROX 15MM DISTAL 10MM","N/A","N/A","0272","N/A","N/A","9405.00","9405.00","9405.00","N/A","N/A","N/A","9405.00","9405.00","N/A","9405.00","9405.00","9405.00","9405.00","9405.00","9405.00","9405.00","9405.00","9405.00","9405.00"
"5","N/A","DEVICE EMBOLIZATION COMANECI 017 3X22MM","N/A","N/A","0272","N/A","N/A","13530.00","13530.00","13530.00","N/A","N/A","N/A","13530.00","13530.00","N/A","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00"
"5","N/A","DEVICE EMBOLIZATION COMANECI 021 4.5X32MM","N/A","N/A","0272","N/A","N/A","13530.00","13530.00","13530.00","N/A","N/A","N/A","13530.00","13530.00","N/A","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00"
"5","N/A","DEVICE EXTERNAL FXTN MNIBOLT 3.3MM","N/A","N/A","0272","N/A","N/A","3290.10","3290.10","3290.10","N/A","N/A","N/A","3290.10","3290.10","N/A","3290.10","3290.10","3290.10","3290.10","3290.10","3290.10","3290.10","3290.10","3290.10","3290.10"
"5","N/A","DEVICE FEEDING TB FLEXWEAR 5-18FR","N/A","N/A","0272","N/A","N/A","6.96","6.96","6.96","N/A","N/A","N/A","6.96","6.96","N/A","6.96","6.96","6.96","6.96","6.96","6.96","6.96","6.96","6.96","6.96"
"5","N/A","DEVICE FIXATION 30 TACK 5MM","N/A","N/A","0272","N/A","N/A","1625.05","1625.05","1625.05","N/A","N/A","N/A","1625.05","1625.05","N/A","1625.05","1625.05","1625.05","1625.05","1625.05","1625.05","1625.05","1625.05","1625.05","1625.05"
"5","N/A","DEVICE FIXATION C QUICKCLIP PRO 230","N/A","N/A","0272","N/A","N/A","530.88","530.88","530.88","N/A","N/A","N/A","530.88","530.88","N/A","530.88","530.88","530.88","530.88","530.88","530.88","530.88","530.88","530.88","530.88"
"5","N/A","DEVICE FIXATION MESH HELICAL SHT 5","N/A","N/A","0272","N/A","N/A","625.56","625.56","625.56","N/A","N/A","N/A","625.56","625.56","N/A","625.56","625.56","625.56","625.56","625.56","625.56","625.56","625.56","625.56","625.56"
"5","N/A","DEVICE FIXATION MESH PROTACK 5MM","N/A","N/A","0272","N/A","N/A","1369.06","1369.06","1369.06","N/A","N/A","N/A","1369.06","1369.06","N/A","1369.06","1369.06","1369.06","1369.06","1369.06","1369.06","1369.06","1369.06","1369.06","1369.06"
"5","N/A","DEVICE FIXATION RELOAD 10-TACK RELIATACK","N/A","N/A","0272","N/A","N/A","508.56","508.56","508.56","N/A","N/A","N/A","508.56","508.56","N/A","508.56","508.56","508.56","508.56","508.56","508.56","508.56","508.56","508.56","508.56"
"5","N/A","DEVICE FIXATION RELOAD 3X10 TACK RELIATACK STANDARD","N/A","N/A","0272","N/A","N/A","1787.25","1787.25","1787.25","N/A","N/A","N/A","1787.25","1787.25","N/A","1787.25","1787.25","1787.25","1787.25","1787.25","1787.25","1787.25","1787.25","1787.25","1787.25"
"5","N/A","DEVICE FIXATION RELOAD 5-TACK RELIATACK STD","N/A","N/A","0272","N/A","N/A","291.29","291.29","291.29","N/A","N/A","N/A","291.29","291.29","N/A","291.29","291.29","291.29","291.29","291.29","291.29","291.29","291.29","291.29","291.29"
"5","N/A","DEVICE FIXATION STAYFIX SM 5-12FR","N/A","N/A","0272","N/A","N/A","29.70","29.70","29.70","N/A","N/A","N/A","29.70","29.70","N/A","29.70","29.70","29.70","29.70","29.70","29.70","29.70","29.70","29.70","29.70"
"5","N/A","DEVICE GRASPING HOOK 2.5MM 160CM","N/A","N/A","0272","N/A","N/A","458.70","458.70","458.70","N/A","N/A","N/A","458.70","458.70","N/A","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70"
"5","N/A","DEVICE HEMOSTASIS PRESSURE 24CM","N/A","N/A","0272","N/A","N/A","204.60","204.60","204.60","N/A","N/A","N/A","204.60","204.60","N/A","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60"
"5","N/A","DEVICE HOOK L RETRACTABLE LIGASURE","N/A","N/A","0272","N/A","N/A","2170.97","2170.97","2170.97","N/A","N/A","N/A","2170.97","2170.97","N/A","2170.97","2170.97","2170.97","2170.97","2170.97","2170.97","2170.97","2170.97","2170.97","2170.97"
"5","N/A","DEVICE INFLATION BIL ENCORE 26","N/A","N/A","0272","N/A","N/A","237.07","237.07","237.07","N/A","N/A","N/A","237.07","237.07","N/A","237.07","237.07","237.07","237.07","237.07","237.07","237.07","237.07","237.07","237.07"
"5","N/A","DEVICE INFLATION BLLN RELIEVA 20ML","N/A","N/A","0272","N/A","N/A","246.02","246.02","246.02","N/A","N/A","N/A","246.02","246.02","N/A","246.02","246.02","246.02","246.02","246.02","246.02","246.02","246.02","246.02","246.02"
"5","N/A","DEVICE INFLATION BRACHYBALLOON 2X14CM","N/A","N/A","0272","N/A","N/A","138.27","138.27","138.27","N/A","N/A","N/A","138.27","138.27","N/A","138.27","138.27","138.27","138.27","138.27","138.27","138.27","138.27","138.27","138.27"
"5","N/A","DEVICE INFLATION HI PRESR PRESTO","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","DEVICE LAA FLEX ATRICLIP 35MM","N/A","N/A","0272","N/A","N/A","3795.00","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","DEVICE LAA FLEX ATRICLIP 40MM","N/A","N/A","0272","N/A","N/A","3795.00","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","DEVICE LAA FLEX ATRICLIP 45MM","N/A","N/A","0272","N/A","N/A","3795.00","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","DEVICE LAA FLEX ATRICLIP 50MM","N/A","N/A","0272","N/A","N/A","3795.00","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","DEVICE LAPAROSCOPIC GELPORT 120MM","N/A","N/A","0272","N/A","N/A","1732.50","1732.50","1732.50","N/A","N/A","N/A","1732.50","1732.50","N/A","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50"
"5","N/A","DEVICE LIGATING SPU POLYLOOP 30MM","N/A","N/A","0272","N/A","N/A","267.77","267.77","267.77","N/A","N/A","N/A","267.77","267.77","N/A","267.77","267.77","267.77","267.77","267.77","267.77","267.77","267.77","267.77","267.77"
"5","N/A","DEVICE LOCKING + BX CAP 035 7FR","N/A","N/A","0272","N/A","N/A","30.44","30.44","30.44","N/A","N/A","N/A","30.44","30.44","N/A","30.44","30.44","30.44","30.44","30.44","30.44","30.44","30.44","30.44","30.44"
"5","N/A","DEVICE LOCKING LEAD LLD EZ 65CM","N/A","N/A","0272","N/A","N/A","1870.00","1870.00","1870.00","N/A","N/A","N/A","1870.00","1870.00","N/A","1870.00","1870.00","1870.00","1870.00","1870.00","1870.00","1870.00","1870.00","1870.00","1870.00"
"5","N/A","DEVICE MONITORING IAP","N/A","N/A","0272","N/A","N/A","234.23","234.23","234.23","N/A","N/A","N/A","234.23","234.23","N/A","234.23","234.23","234.23","234.23","234.23","234.23","234.23","234.23","234.23","234.23"
"5","N/A","DEVICE REMOVAL MYOSURE REACH","N/A","N/A","0272","N/A","N/A","3845.60","3845.60","3845.60","N/A","N/A","N/A","3845.60","3845.60","N/A","3845.60","3845.60","3845.60","3845.60","3845.60","3845.60","3845.60","3845.60","3845.60","3845.60"
"5","N/A","DEVICE REMOVAL TISSUE XL MYOSURE","N/A","N/A","0272","N/A","N/A","4010.60","4010.60","4010.60","N/A","N/A","N/A","4010.60","4010.60","N/A","4010.60","4010.60","4010.60","4010.60","4010.60","4010.60","4010.60","4010.60","4010.60","4010.60"
"5","N/A","DEVICE RESOLUTION 2.8X11X235CM","N/A","N/A","0272","N/A","N/A","510.66","510.66","510.66","N/A","N/A","N/A","510.66","510.66","N/A","510.66","510.66","510.66","510.66","510.66","510.66","510.66","510.66","510.66","510.66"
"5","N/A","DEVICE RETRIEVAL ENDO INZII 10MM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","DEVICE RETRIEVAL ENDO INZII 5MM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","DEVICE SECUREMENT ST IMMOBILE","N/A","N/A","0272","N/A","N/A","18.12","18.12","18.12","N/A","N/A","N/A","18.12","18.12","N/A","18.12","18.12","18.12","18.12","18.12","18.12","18.12","18.12","18.12","18.12"
"5","N/A","DEVICE SECURING BRIDLE PRO RANGE 8-10F TEAL","N/A","N/A","0272","N/A","N/A","302.94","302.94","302.94","N/A","N/A","N/A","302.94","302.94","N/A","302.94","302.94","302.94","302.94","302.94","302.94","302.94","302.94","302.94","302.94"
"5","N/A","DEVICE STABILIZING SECURACATH 4FR","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","DEVICE STABILIZING SECURACATH 5FR","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","DEVICE STATLOCK F/ARROW IAB CATHETERS","N/A","N/A","0272","N/A","N/A","70.95","70.95","70.95","N/A","N/A","N/A","70.95","70.95","N/A","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95"
"5","N/A","DEVICE SUCTION BIOVAC","N/A","N/A","0272","N/A","N/A","330.00","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","DEVICE SUTURE 70 DEG UP SLINGSHOT","N/A","N/A","0272","N/A","N/A","864.60","864.60","864.60","N/A","N/A","N/A","864.60","864.60","N/A","864.60","864.60","864.60","864.60","864.60","864.60","864.60","864.60","864.60","864.60"
"5","N/A","DEVICE SUTURING 0 ES-9 48"","N/A","N/A","0272","N/A","N/A","70.83","70.83","70.83","N/A","N/A","N/A","70.83","70.83","N/A","70.83","70.83","70.83","70.83","70.83","70.83","70.83","70.83","70.83","70.83"
"5","N/A","DEVICE SUTURING 2-0 ES-9 48"","N/A","N/A","0272","N/A","N/A","68.94","68.94","68.94","N/A","N/A","N/A","68.94","68.94","N/A","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94"
"5","N/A","DEVICE SUTURING 2-0 ES-9 7"","N/A","N/A","0272","N/A","N/A","70.83","70.83","70.83","N/A","N/A","N/A","70.83","70.83","N/A","70.83","70.83","70.83","70.83","70.83","70.83","70.83","70.83","70.83","70.83"
"5","N/A","DEVICE SUTURING RPRC 10MM","N/A","N/A","0272","N/A","N/A","389.70","389.70","389.70","N/A","N/A","N/A","389.70","389.70","N/A","389.70","389.70","389.70","389.70","389.70","389.70","389.70","389.70","389.70","389.70"
"5","N/A","DEVICE TISSUE REMVL 3MMX32CM","N/A","N/A","0272","N/A","N/A","2063.60","2063.60","2063.60","N/A","N/A","N/A","2063.60","2063.60","N/A","2063.60","2063.60","2063.60","2063.60","2063.60","2063.60","2063.60","2063.60","2063.60","2063.60"
"5","N/A","DEVICE TORQUE GLIDECATH 0.010-0.038"","N/A","N/A","0272","N/A","N/A","19.60","19.60","19.60","N/A","N/A","N/A","19.60","19.60","N/A","19.60","19.60","19.60","19.60","19.60","19.60","19.60","19.60","19.60","19.60"
"5","N/A","DEVICE TORQUE OLCOTT 0.014-0.045"","N/A","N/A","0272","N/A","N/A","36.30","36.30","36.30","N/A","N/A","N/A","36.30","36.30","N/A","36.30","36.30","36.30","36.30","36.30","36.30","36.30","36.30","36.30","36.30"
"5","N/A","DEVICE TORQUE WHOLEY 0.020-0.040"","N/A","N/A","0272","N/A","N/A","31.37","31.37","31.37","N/A","N/A","N/A","31.37","31.37","N/A","31.37","31.37","31.37","31.37","31.37","31.37","31.37","31.37","31.37","31.37"
"5","N/A","DILATOR CERVICAL TFLN STER OS FINDER","N/A","N/A","0272","N/A","N/A","11.70","11.70","11.70","N/A","N/A","N/A","11.70","11.70","N/A","11.70","11.70","11.70","11.70","11.70","11.70","11.70","11.70","11.70","11.70"
"5","N/A","DILATOR FASCIAL PE 10FR 20CM","N/A","N/A","0272","N/A","N/A","44.35","44.35","44.35","N/A","N/A","N/A","44.35","44.35","N/A","44.35","44.35","44.35","44.35","44.35","44.35","44.35","44.35","44.35","44.35"
"5","N/A","DILATOR FASCIAL PE 6FR 20CM","N/A","N/A","0272","N/A","N/A","44.35","44.35","44.35","N/A","N/A","N/A","44.35","44.35","N/A","44.35","44.35","44.35","44.35","44.35","44.35","44.35","44.35","44.35","44.35"
"5","N/A","DILATOR FASCIAL PE 8FR 20CM","N/A","N/A","0272","N/A","N/A","45.47","45.47","45.47","N/A","N/A","N/A","45.47","45.47","N/A","45.47","45.47","45.47","45.47","45.47","45.47","45.47","45.47","45.47","45.47"
"5","N/A","DILATOR FASCIAL PE 9FR 20CM","N/A","N/A","0272","N/A","N/A","45.47","45.47","45.47","N/A","N/A","N/A","45.47","45.47","N/A","45.47","45.47","45.47","45.47","45.47","45.47","45.47","45.47","45.47","45.47"
"5","N/A","DILATOR FASCIAL SET 8-24F 37CM","N/A","N/A","0272","N/A","N/A","742.24","742.24","742.24","N/A","N/A","N/A","742.24","742.24","N/A","742.24","742.24","742.24","742.24","742.24","742.24","742.24","742.24","742.24","742.24"
"5","N/A","DILATOR HEALICOIL REGENESORB FT 5.5MM","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","DILATOR NEPHROSTOMY AMPLATZ 30F 30CM","N/A","N/A","0272","N/A","N/A","112.43","112.43","112.43","N/A","N/A","N/A","112.43","112.43","N/A","112.43","112.43","112.43","112.43","112.43","112.43","112.43","112.43","112.43","112.43"
"5","N/A","DILATOR RENAL AMPZ 28FR 35CM","N/A","N/A","0272","N/A","N/A","136.52","136.52","136.52","N/A","N/A","N/A","136.52","136.52","N/A","136.52","136.52","136.52","136.52","136.52","136.52","136.52","136.52","136.52","136.52"
"5","N/A","DILATOR SET PHANTOM XL INSULATED 8/13/18MM","N/A","N/A","0272","N/A","N/A","2887.50","2887.50","2887.50","N/A","N/A","N/A","2887.50","2887.50","N/A","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50"
"5","N/A","DILATOR SURGICAL HEALICOIL REGENESORB F/T 5.5MM","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","DILATOR URETHRAL ST S-CURVE 8-20 37CM","N/A","N/A","0272","N/A","N/A","655.12","655.12","655.12","N/A","N/A","N/A","655.12","655.12","N/A","655.12","655.12","655.12","655.12","655.12","655.12","655.12","655.12","655.12","655.12"
"5","N/A","DILATOR VASCULAR COONS 038 10F 20CM","N/A","N/A","0272","N/A","N/A","36.99","36.99","36.99","N/A","N/A","N/A","36.99","36.99","N/A","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99"
"5","N/A","DILATOR VASCULAR COONS 038 12F 20CM","N/A","N/A","0272","N/A","N/A","36.99","36.99","36.99","N/A","N/A","N/A","36.99","36.99","N/A","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99"
"5","N/A","DILATOR VASCULAR COONS 038 14F 20CM","N/A","N/A","0272","N/A","N/A","36.99","36.99","36.99","N/A","N/A","N/A","36.99","36.99","N/A","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99","36.99"
"5","N/A","DILATOR VASCULAR COONS 038 16F 20CM","N/A","N/A","0272","N/A","N/A","39.53","39.53","39.53","N/A","N/A","N/A","39.53","39.53","N/A","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53"
"5","N/A","DILATOR VASCULAR COONS 038 18F 20CM","N/A","N/A","0272","N/A","N/A","39.53","39.53","39.53","N/A","N/A","N/A","39.53","39.53","N/A","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53"
"5","N/A","DILATOR VASCULAR COONS 038 20F 20CM","N/A","N/A","0272","N/A","N/A","55.54","55.54","55.54","N/A","N/A","N/A","55.54","55.54","N/A","55.54","55.54","55.54","55.54","55.54","55.54","55.54","55.54","55.54","55.54"
"5","N/A","DILATOR VASCULAR COONS 038 22F 20CM","N/A","N/A","0272","N/A","N/A","55.54","55.54","55.54","N/A","N/A","N/A","55.54","55.54","N/A","55.54","55.54","55.54","55.54","55.54","55.54","55.54","55.54","55.54","55.54"
"5","N/A","DILATOR VASCULAR COONS 038 6F 20CM","N/A","N/A","0272","N/A","N/A","39.53","39.53","39.53","N/A","N/A","N/A","39.53","39.53","N/A","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53"
"5","N/A","DILATOR VASCULAR COONS 038 8F 20CM","N/A","N/A","0272","N/A","N/A","39.53","39.53","39.53","N/A","N/A","N/A","39.53","39.53","N/A","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53","39.53"
"5","N/A","DILATOR VASCULAR STD 0.038" 7FR 20CM","N/A","N/A","0272","N/A","N/A","17.33","17.33","17.33","N/A","N/A","N/A","17.33","17.33","N/A","17.33","17.33","17.33","17.33","17.33","17.33","17.33","17.33","17.33","17.33"
"5","N/A","DILATOR VASCULAR STD 0.038" 9FR 20CM","N/A","N/A","0272","N/A","N/A","18.84","18.84","18.84","N/A","N/A","N/A","18.84","18.84","N/A","18.84","18.84","18.84","18.84","18.84","18.84","18.84","18.84","18.84","18.84"
"5","N/A","DISC DIAMOND LNG 25.4X99X0.8MM","N/A","N/A","0272","N/A","N/A","376.20","376.20","376.20","N/A","N/A","N/A","376.20","376.20","N/A","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20"
"5","N/A","DISCONTINUED PER ANN 10/25/18. SUGGESTED SUB G00511. PK","N/A","N/A","0272","N/A","N/A","41.25","41.25","41.25","N/A","N/A","N/A","41.25","41.25","N/A","41.25","41.25","41.25","41.25","41.25","41.25","41.25","41.25","41.25","41.25"
"5","N/A","DISSECTOR BALLOON OVAL SPACEMAKER +","N/A","N/A","0272","N/A","N/A","1841.18","1841.18","1841.18","N/A","N/A","N/A","1841.18","1841.18","N/A","1841.18","1841.18","1841.18","1841.18","1841.18","1841.18","1841.18","1841.18","1841.18","1841.18"
"5","N/A","DISSECTOR BALLOON RND SPACEMAKER +","N/A","N/A","0272","N/A","N/A","1791.90","1791.90","1791.90","N/A","N/A","N/A","1791.90","1791.90","N/A","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90"
"5","N/A","DISSECTOR BLUNT EPTH 5MM","N/A","N/A","0272","N/A","N/A","59.45","59.45","59.45","N/A","N/A","N/A","59.45","59.45","N/A","59.45","59.45","59.45","59.45","59.45","59.45","59.45","59.45","59.45","59.45"
"5","N/A","DIVIDER SEALER BLUNT TIP 37CM","N/A","N/A","0272","N/A","N/A","1710.33","1710.33","1710.33","N/A","N/A","N/A","1710.33","1710.33","N/A","1710.33","1710.33","1710.33","1710.33","1710.33","1710.33","1710.33","1710.33","1710.33","1710.33"
"5","N/A","DIVIDER SEALER LAPSCP LIGASURE 20.3MMX37CM","N/A","N/A","0272","N/A","N/A","1868.34","1868.34","1868.34","N/A","N/A","N/A","1868.34","1868.34","N/A","1868.34","1868.34","1868.34","1868.34","1868.34","1868.34","1868.34","1868.34","1868.34","1868.34"
"5","N/A","DRAIN CHANNEL RND FLT SI 10FR 1/8"","N/A","N/A","0272","N/A","N/A","46.01","46.01","46.01","N/A","N/A","N/A","46.01","46.01","N/A","46.01","46.01","46.01","46.01","46.01","46.01","46.01","46.01","46.01","46.01"
"5","N/A","DRAIN CHANNEL RND FLT SI 15FR 4.7MMX3/16"","N/A","N/A","0272","N/A","N/A","46.01","46.01","46.01","N/A","N/A","N/A","46.01","46.01","N/A","46.01","46.01","46.01","46.01","46.01","46.01","46.01","46.01","46.01","46.01"
"5","N/A","DRAIN CHANNEL RND FLT SI 19FR 0.25"","N/A","N/A","0272","N/A","N/A","45.91","45.91","45.91","N/A","N/A","N/A","45.91","45.91","N/A","45.91","45.91","45.91","45.91","45.91","45.91","45.91","45.91","45.91","45.91"
"5","N/A","DRAIN CHANNEL RND FLT SI 24FR 5/16"","N/A","N/A","0272","N/A","N/A","47.63","47.63","47.63","N/A","N/A","N/A","47.63","47.63","N/A","47.63","47.63","47.63","47.63","47.63","47.63","47.63","47.63","47.63","47.63"
"5","N/A","DRAIN CHANNEL RND FLT SI 28FR 3/8"","N/A","N/A","0272","N/A","N/A","84.35","84.35","84.35","N/A","N/A","N/A","84.35","84.35","N/A","84.35","84.35","84.35","84.35","84.35","84.35","84.35","84.35","84.35","84.35"
"5","N/A","DRAIN CHANNEL RND FLT SI 32FR 0.25"","N/A","N/A","0272","N/A","N/A","81.33","81.33","81.33","N/A","N/A","N/A","81.33","81.33","N/A","81.33","81.33","81.33","81.33","81.33","81.33","81.33","81.33","81.33","81.33"
"5","N/A","DRAIN CHEST DRY SUCT OASIS 3/8"","N/A","N/A","0272","N/A","N/A","96.13","96.13","96.13","N/A","N/A","N/A","96.13","96.13","N/A","96.13","96.13","96.13","96.13","96.13","96.13","96.13","96.13","96.13","96.13"
"5","N/A","DRAIN CHEST MOBILE PNEUMOSTAT ATRIUM MINI","N/A","N/A","0272","N/A","N/A","220.67","220.67","220.67","N/A","N/A","N/A","220.67","220.67","N/A","220.67","220.67","220.67","220.67","220.67","220.67","220.67","220.67","220.67","220.67"
"5","N/A","DRAIN CHEST RND HUBLESS SI 10F","N/A","N/A","0272","N/A","N/A","202.61","202.61","202.61","N/A","N/A","N/A","202.61","202.61","N/A","202.61","202.61","202.61","202.61","202.61","202.61","202.61","202.61","202.61","202.61"
"5","N/A","DRAIN EVAC TLS ROUND 10F","N/A","N/A","0272","N/A","N/A","103.95","103.95","103.95","N/A","N/A","N/A","103.95","103.95","N/A","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95"
"5","N/A","DRAIN EVAC TLS ROUND 7F","N/A","N/A","0272","N/A","N/A","103.95","103.95","103.95","N/A","N/A","N/A","103.95","103.95","N/A","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95"
"5","N/A","DRAIN FLAT FLT TROCAR 10MMX3/8"","N/A","N/A","0272","N/A","N/A","49.85","49.85","49.85","N/A","N/A","N/A","49.85","49.85","N/A","49.85","49.85","49.85","49.85","49.85","49.85","49.85","49.85","49.85","49.85"
"5","N/A","DRAIN GRAVITY CROSSBAR T 16FR 11"","N/A","N/A","0272","N/A","N/A","24.95","24.95","24.95","N/A","N/A","N/A","24.95","24.95","N/A","24.95","24.95","24.95","24.95","24.95","24.95","24.95","24.95","24.95","24.95"
"5","N/A","DRAIN GRAVITY WHELAN MOSS T 16FR","N/A","N/A","0272","N/A","N/A","26.67","26.67","26.67","N/A","N/A","N/A","26.67","26.67","N/A","26.67","26.67","26.67","26.67","26.67","26.67","26.67","26.67","26.67","26.67"
"5","N/A","DRAIN INCISION FULL PERF 7MMX20","N/A","N/A","0272","N/A","N/A","15.26","15.26","15.26","N/A","N/A","N/A","15.26","15.26","N/A","15.26","15.26","15.26","15.26","15.26","15.26","15.26","15.26","15.26","15.26"
"5","N/A","DRAIN INCISION ROUND JACKSON-PRATT 10F","N/A","N/A","0272","N/A","N/A","36.84","36.84","36.84","N/A","N/A","N/A","36.84","36.84","N/A","36.84","36.84","36.84","36.84","36.84","36.84","36.84","36.84","36.84","36.84"
"5","N/A","DRAIN ROUND PERF SI 7FR 3/32"","N/A","N/A","0272","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","DRAPE SURGICAL UNDER BUTTOCKS POUCH STYLE 40X44"","N/A","N/A","0272","N/A","N/A","14.71","14.71","14.71","N/A","N/A","N/A","14.71","14.71","N/A","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71"
"5","N/A","DRAPE UNDERBUTTOCKS W/GRADUATED POUCH","N/A","N/A","0272","N/A","N/A","14.13","14.13","14.13","N/A","N/A","N/A","14.13","14.13","N/A","14.13","14.13","14.13","14.13","14.13","14.13","14.13","14.13","14.13","14.13"
"5","N/A","DREAMTOMERX44.035260CM","N/A","N/A","0272","N/A","N/A","1318.65","1318.65","1318.65","N/A","N/A","N/A","1318.65","1318.65","N/A","1318.65","1318.65","1318.65","1318.65","1318.65","1318.65","1318.65","1318.65","1318.65","1318.65"
"5","N/A","DRESSING ABSORBENT PRIMAPORE 3 1/8X4"","N/A","N/A","0272","N/A","N/A","1.72","1.72","1.72","N/A","N/A","N/A","1.72","1.72","N/A","1.72","1.72","1.72","1.72","1.72","1.72","1.72","1.72","1.72","1.72"
"5","N/A","DRESSING ABSORBENT PRIMAPORE 4X11.75"","N/A","N/A","0272","N/A","N/A","3.24","3.24","3.24","N/A","N/A","N/A","3.24","3.24","N/A","3.24","3.24","3.24","3.24","3.24","3.24","3.24","3.24","3.24","3.24"
"5","N/A","DRESSING ABSORBENT PRIMAPORE 4X8"","N/A","N/A","0272","N/A","N/A","2.64","2.64","2.64","N/A","N/A","N/A","2.64","2.64","N/A","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64"
"5","N/A","DRESSING ALGINATE MAXORB AG 4X4.75"","N/A","N/A","0272","N/A","N/A","19.85","19.85","19.85","N/A","N/A","N/A","19.85","19.85","N/A","19.85","19.85","19.85","19.85","19.85","19.85","19.85","19.85","19.85","19.85"
"5","N/A","DRESSING ALGINATE SHEET MAXORB 4X4","N/A","N/A","0272","N/A","N/A","8.49","8.49","8.49","N/A","N/A","N/A","8.49","8.49","N/A","8.49","8.49","8.49","8.49","8.49","8.49","8.49","8.49","8.49","8.49"
"5","N/A","DRESSING BIOPATCH 4MMX1"","N/A","N/A","0272","N/A","N/A","21.40","21.40","21.40","N/A","N/A","N/A","21.40","21.40","N/A","21.40","21.40","21.40","21.40","21.40","21.40","21.40","21.40","21.40","21.40"
"5","N/A","DRESSING BORDER MEPILEX 4X4"","N/A","N/A","0272","N/A","N/A","8.30","8.30","8.30","N/A","N/A","N/A","8.30","8.30","N/A","8.30","8.30","8.30","8.30","8.30","8.30","8.30","8.30","8.30","8.30"
"5","N/A","DRESSING BORDER MEPILEX 6X6"","N/A","N/A","0272","N/A","N/A","14.09","14.09","14.09","N/A","N/A","N/A","14.09","14.09","N/A","14.09","14.09","14.09","14.09","14.09","14.09","14.09","14.09","14.09","14.09"
"5","N/A","DRESSING BORDER MEPILEX AG 4X4"","N/A","N/A","0272","N/A","N/A","30.50","30.50","30.50","N/A","N/A","N/A","30.50","30.50","N/A","30.50","30.50","30.50","30.50","30.50","30.50","30.50","30.50","30.50","30.50"
"5","N/A","DRESSING BORDER MEPILEX AG 6X6"","N/A","N/A","0272","N/A","N/A","65.05","65.05","65.05","N/A","N/A","N/A","65.05","65.05","N/A","65.05","65.05","65.05","65.05","65.05","65.05","65.05","65.05","65.05","65.05"
"5","N/A","DRESSING BORDER MEPILEX POST OP AG 4X10"","N/A","N/A","0272","N/A","N/A","85.45","85.45","85.45","N/A","N/A","N/A","85.45","85.45","N/A","85.45","85.45","85.45","85.45","85.45","85.45","85.45","85.45","85.45","85.45"
"5","N/A","DRESSING BORDER MEPILEX POST OP AG 4X12"","N/A","N/A","0272","N/A","N/A","97.65","97.65","97.65","N/A","N/A","N/A","97.65","97.65","N/A","97.65","97.65","97.65","97.65","97.65","97.65","97.65","97.65","97.65","97.65"
"5","N/A","DRESSING BORDER MEPILEX POST OP AG 4X14"","N/A","N/A","0272","N/A","N/A","113.03","113.03","113.03","N/A","N/A","N/A","113.03","113.03","N/A","113.03","113.03","113.03","113.03","113.03","113.03","113.03","113.03","113.03","113.03"
"5","N/A","DRESSING BORDER MEPILEX POST OP AG 4X6"","N/A","N/A","0272","N/A","N/A","68.84","68.84","68.84","N/A","N/A","N/A","68.84","68.84","N/A","68.84","68.84","68.84","68.84","68.84","68.84","68.84","68.84","68.84","68.84"
"5","N/A","DRESSING BORDER MEPILEX POST OP AG 4X8","N/A","N/A","0272","N/A","N/A","79.35","79.35","79.35","N/A","N/A","N/A","79.35","79.35","N/A","79.35","79.35","79.35","79.35","79.35","79.35","79.35","79.35","79.35","79.35"
"5","N/A","DRESSING BORDER SACRUM MEPILEX 7.2X7.2"","N/A","N/A","0272","N/A","N/A","18.60","18.60","18.60","N/A","N/A","N/A","18.60","18.60","N/A","18.60","18.60","18.60","18.60","18.60","18.60","18.60","18.60","18.60","18.60"
"5","N/A","DRESSING BORDER SACRUM MEPILEX 9.2X9.2"","N/A","N/A","0272","N/A","N/A","29.21","29.21","29.21","N/A","N/A","N/A","29.21","29.21","N/A","29.21","29.21","29.21","29.21","29.21","29.21","29.21","29.21","29.21","29.21"
"5","N/A","DRESSING CLEANSE CHOICE FOR VAC VERAFLO MEDIUM","N/A","N/A","0272","N/A","N/A","441.74","441.74","441.74","N/A","N/A","N/A","441.74","441.74","N/A","441.74","441.74","441.74","441.74","441.74","441.74","441.74","441.74","441.74","441.74"
"5","N/A","DRESSING CMPRSN CRYO CUFF UNIV SHLDR W/COOLER","N/A","N/A","0272","N/A","N/A","287.83","287.83","287.83","N/A","N/A","N/A","287.83","287.83","N/A","287.83","287.83","287.83","287.83","287.83","287.83","287.83","287.83","287.83","287.83"
"5","N/A","DRESSING COLLAGEN PURACOL + AG 2X2.22","N/A","N/A","0272","N/A","N/A","24.25","24.25","24.25","N/A","N/A","N/A","24.25","24.25","N/A","24.25","24.25","24.25","24.25","24.25","24.25","24.25","24.25","24.25","24.25"
"5","N/A","DRESSING COMPRESSION COOLER CRYOCUFF LG","N/A","N/A","0272","N/A","N/A","187.27","187.27","187.27","N/A","N/A","N/A","187.27","187.27","N/A","187.27","187.27","187.27","187.27","187.27","187.27","187.27","187.27","187.27","187.27"
"5","N/A","DRESSING COMPRESSION COOLER CRYOCUFF MD","N/A","N/A","0272","N/A","N/A","183.64","183.64","183.64","N/A","N/A","N/A","183.64","183.64","N/A","183.64","183.64","183.64","183.64","183.64","183.64","183.64","183.64","183.64","183.64"
"5","N/A","DRESSING EAR KT GLASSCOCK ADLT","N/A","N/A","0272","N/A","N/A","51.15","51.15","51.15","N/A","N/A","N/A","51.15","51.15","N/A","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15"
"5","N/A","DRESSING FOAM HYDROFERA BLUE CLASSIC 2X2"","N/A","N/A","0272","N/A","N/A","13.02","13.02","13.02","N/A","N/A","N/A","13.02","13.02","N/A","13.02","13.02","13.02","13.02","13.02","13.02","13.02","13.02","13.02","13.02"
"5","N/A","DRESSING FOAM HYDROFERA BLUE CLASSIC 4X4"","N/A","N/A","0272","N/A","N/A","19.73","19.73","19.73","N/A","N/A","N/A","19.73","19.73","N/A","19.73","19.73","19.73","19.73","19.73","19.73","19.73","19.73","19.73","19.73"
"5","N/A","DRESSING FOAM HYDROFERA BLUE READY 4X5"","N/A","N/A","0272","N/A","N/A","19.73","19.73","19.73","N/A","N/A","N/A","19.73","19.73","N/A","19.73","19.73","19.73","19.73","19.73","19.73","19.73","19.73","19.73","19.73"
"5","N/A","DRESSING FOAM LF STER ABTHERA","N/A","N/A","0272","N/A","N/A","1578.72","1578.72","1578.72","N/A","N/A","N/A","1578.72","1578.72","N/A","1578.72","1578.72","1578.72","1578.72","1578.72","1578.72","1578.72","1578.72","1578.72","1578.72"
"5","N/A","DRESSING FOAM MEPILEX BORDER HEEL 9.1X8.7"","N/A","N/A","0272","N/A","N/A","30.75","30.75","30.75","N/A","N/A","N/A","30.75","30.75","N/A","30.75","30.75","30.75","30.75","30.75","30.75","30.75","30.75","30.75","30.75"
"5","N/A","DRESSING FOAM PD LF IODOFLEX 5X5"","N/A","N/A","0272","N/A","N/A","20.38","20.38","20.38","N/A","N/A","N/A","20.38","20.38","N/A","20.38","20.38","20.38","20.38","20.38","20.38","20.38","20.38","20.38","20.38"
"5","N/A","DRESSING FOAM VAC LG 15X10X1CM","N/A","N/A","0272","N/A","N/A","37.64","37.64","37.64","N/A","N/A","N/A","37.64","37.64","N/A","37.64","37.64","37.64","37.64","37.64","37.64","37.64","37.64","37.64","37.64"
"5","N/A","DRESSING FOAM VAC VERAFLO LG","N/A","N/A","0272","N/A","N/A","691.42","691.42","691.42","N/A","N/A","N/A","691.42","691.42","N/A","691.42","691.42","691.42","691.42","691.42","691.42","691.42","691.42","691.42","691.42"
"5","N/A","DRESSING GAUZE QUIKCLOT KAOLIN HYDRO RADPQ 4X4"","N/A","N/A","0272","N/A","N/A","61.34","61.34","61.34","N/A","N/A","N/A","61.34","61.34","N/A","61.34","61.34","61.34","61.34","61.34","61.34","61.34","61.34","61.34","61.34"
"5","N/A","DRESSING GAUZE QUIKCLOT KAOLIN RADIOPAQUE 2X2"","N/A","N/A","0272","N/A","N/A","30.08","30.08","30.08","N/A","N/A","N/A","30.08","30.08","N/A","30.08","30.08","30.08","30.08","30.08","30.08","30.08","30.08","30.08","30.08"
"5","N/A","DRESSING GEL SHEET THERAHONEY 4X5"","N/A","N/A","0272","N/A","N/A","19.43","19.43","19.43","N/A","N/A","N/A","19.43","19.43","N/A","19.43","19.43","19.43","19.43","19.43","19.43","19.43","19.43","19.43","19.43"
"5","N/A","DRESSING GEL TB THERAHONEY 1.5 OZ","N/A","N/A","0272","N/A","N/A","33.03","33.03","33.03","N/A","N/A","N/A","33.03","33.03","N/A","33.03","33.03","33.03","33.03","33.03","33.03","33.03","33.03","33.03","33.03"
"5","N/A","DRESSING HYDROGEL SILVASORB 1.5 OZ","N/A","N/A","0272","N/A","N/A","50.36","50.36","50.36","N/A","N/A","N/A","50.36","50.36","N/A","50.36","50.36","50.36","50.36","50.36","50.36","50.36","50.36","50.36","50.36"
"5","N/A","DRESSING INCISION ADH PREVENA","N/A","N/A","0272","N/A","N/A","876.15","876.15","876.15","N/A","N/A","N/A","876.15","876.15","N/A","876.15","876.15","876.15","876.15","876.15","876.15","876.15","876.15","876.15","876.15"
"5","N/A","DRESSING INTERDRY AG ANTIMICROBIAL SILVER 10X36"","N/A","N/A","0272","N/A","N/A","121.46","121.46","121.46","N/A","N/A","N/A","121.46","121.46","N/A","121.46","121.46","121.46","121.46","121.46","121.46","121.46","121.46","121.46","121.46"
"5","N/A","DRESSING OCCLUSIVE IV3000 4X4.75"","N/A","N/A","0272","N/A","N/A","2.18","2.18","2.18","N/A","N/A","N/A","2.18","2.18","N/A","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18"
"5","N/A","DRESSING PAD ADH ENT DISP STER LF","N/A","N/A","0272","N/A","N/A","18.73","18.73","18.73","N/A","N/A","N/A","18.73","18.73","N/A","18.73","18.73","18.73","18.73","18.73","18.73","18.73","18.73","18.73","18.73"
"5","N/A","DRESSING PICO 7 NEGATIVE PRESSURE 10X20CM","N/A","N/A","0272","N/A","N/A","787.60","787.60","787.60","N/A","N/A","N/A","787.60","787.60","N/A","787.60","787.60","787.60","787.60","787.60","787.60","787.60","787.60","787.60","787.60"
"5","N/A","DRESSING PICO 7 NEGATIVE PRESSURE 10X30CM","N/A","N/A","0272","N/A","N/A","851.40","851.40","851.40","N/A","N/A","N/A","851.40","851.40","N/A","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40"
"5","N/A","DRESSING PICO 7 NEGATIVE PRESSURE 15X15CM","N/A","N/A","0272","N/A","N/A","851.40","851.40","851.40","N/A","N/A","N/A","851.40","851.40","N/A","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40"
"5","N/A","DRESSING PROMOGRAN PRISMA MATRIX 123CM","N/A","N/A","0272","N/A","N/A","78.46","78.46","78.46","N/A","N/A","N/A","78.46","78.46","N/A","78.46","78.46","78.46","78.46","78.46","78.46","78.46","78.46","78.46","78.46"
"5","N/A","DRESSING PROMOGRAN PRISMA MATRIX 28CM","N/A","N/A","0272","N/A","N/A","29.45","29.45","29.45","N/A","N/A","N/A","29.45","29.45","N/A","29.45","29.45","29.45","29.45","29.45","29.45","29.45","29.45","29.45","29.45"
"5","N/A","DRESSING SECUREMENT SORBAVIEW SHIELD CONTOUR 3.75X4.75"","N/A","N/A","0272","N/A","N/A","10.73","10.73","10.73","N/A","N/A","N/A","10.73","10.73","N/A","10.73","10.73","10.73","10.73","10.73","10.73","10.73","10.73","10.73","10.73"
"5","N/A","DRESSING SECUREMENT SORBAVIEW SHIELD OVAL 4.75X4.6"","N/A","N/A","0272","N/A","N/A","12.62","12.62","12.62","N/A","N/A","N/A","12.62","12.62","N/A","12.62","12.62","12.62","12.62","12.62","12.62","12.62","12.62","12.62","12.62"
"5","N/A","DRESSING SECUREMENT TEGADERM CHG 4.5X3"","N/A","N/A","0272","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","DRESSING SECUREMENT TEGADERM CHG 4X6"","N/A","N/A","0272","N/A","N/A","21.35","21.35","21.35","N/A","N/A","N/A","21.35","21.35","N/A","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35"
"5","N/A","DRESSING SILVERLON LIFESAVER 4MM","N/A","N/A","0272","N/A","N/A","11.55","11.55","11.55","N/A","N/A","N/A","11.55","11.55","N/A","11.55","11.55","11.55","11.55","11.55","11.55","11.55","11.55","11.55","11.55"
"5","N/A","DRESSING SINUS SINU-FOAM","N/A","N/A","0272","N/A","N/A","273.90","273.90","273.90","N/A","N/A","N/A","273.90","273.90","N/A","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90"
"5","N/A","DRESSING SOFT SI MEPILEX 4X4"","N/A","N/A","0272","N/A","N/A","8.73","8.73","8.73","N/A","N/A","N/A","8.73","8.73","N/A","8.73","8.73","8.73","8.73","8.73","8.73","8.73","8.73","8.73","8.73"
"5","N/A","DRESSING SOFT SI MEPILEX AG 4X4"","N/A","N/A","0272","N/A","N/A","22.34","22.34","22.34","N/A","N/A","N/A","22.34","22.34","N/A","22.34","22.34","22.34","22.34","22.34","22.34","22.34","22.34","22.34","22.34"
"5","N/A","DRESSING SOFT SI MEPILEX AG 6X6"","N/A","N/A","0272","N/A","N/A","51.73","51.73","51.73","N/A","N/A","N/A","51.73","51.73","N/A","51.73","51.73","51.73","51.73","51.73","51.73","51.73","51.73","51.73","51.73"
"5","N/A","DRESSING SOFT SI MEPITEL 3X4"","N/A","N/A","0272","N/A","N/A","13.49","13.49","13.49","N/A","N/A","N/A","13.49","13.49","N/A","13.49","13.49","13.49","13.49","13.49","13.49","13.49","13.49","13.49","13.49"
"5","N/A","DRESSING TRANSFER MEPILEX 6X8"","N/A","N/A","0272","N/A","N/A","18.84","18.84","18.84","N/A","N/A","N/A","18.84","18.84","N/A","18.84","18.84","18.84","18.84","18.84","18.84","18.84","18.84","18.84","18.84"
"5","N/A","DRESSING TRANSPARENT TEGADERM IV PORT CHG 4.75X4.75"","N/A","N/A","0272","N/A","N/A","25.21","25.21","25.21","N/A","N/A","N/A","25.21","25.21","N/A","25.21","25.21","25.21","25.21","25.21","25.21","25.21","25.21","25.21","25.21"
"5","N/A","DRESSING WOUND AQUACEL AG W/SILVER 9X10CM","N/A","N/A","0272","N/A","N/A","74.70","74.70","74.70","N/A","N/A","N/A","74.70","74.70","N/A","74.70","74.70","74.70","74.70","74.70","74.70","74.70","74.70","74.70","74.70"
"5","N/A","DRESSING WOUND AQUACEL AG W/SILVER 9X15CM","N/A","N/A","0272","N/A","N/A","94.11","94.11","94.11","N/A","N/A","N/A","94.11","94.11","N/A","94.11","94.11","94.11","94.11","94.11","94.11","94.11","94.11","94.11","94.11"
"5","N/A","DRESSING WOUND HEMOSTAT SNOW ABS 2X4"","N/A","N/A","0272","N/A","N/A","446.80","446.80","446.80","N/A","N/A","N/A","446.80","446.80","N/A","446.80","446.80","446.80","446.80","446.80","446.80","446.80","446.80","446.80","446.80"
"5","N/A","DRESSING WOUND HYDRO TRIAD 2.5 OZ","N/A","N/A","0272","N/A","N/A","17.46","17.46","17.46","N/A","N/A","N/A","17.46","17.46","N/A","17.46","17.46","17.46","17.46","17.46","17.46","17.46","17.46","17.46","17.46"
"5","N/A","DRESSING WOUND NUSTAT FLEX 4X48"","N/A","N/A","0272","N/A","N/A","192.46","192.46","192.46","N/A","N/A","N/A","192.46","192.46","N/A","192.46","192.46","192.46","192.46","192.46","192.46","192.46","192.46","192.46","192.46"
"5","N/A","DRESSING WOUND NUSTAT TACTICAL 2X36"","N/A","N/A","0272","N/A","N/A","110.30","110.30","110.30","N/A","N/A","N/A","110.30","110.30","N/A","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30"
"5","N/A","DRESSING WOUND NUSTAT TRAUMA XR 8X12"","N/A","N/A","0272","N/A","N/A","160.78","160.78","160.78","N/A","N/A","N/A","160.78","160.78","N/A","160.78","160.78","160.78","160.78","160.78","160.78","160.78","160.78","160.78","160.78"
"5","N/A","DRESSING WOUND PRIMAPORE 4X8"","N/A","N/A","0272","N/A","N/A","2.64","2.64","2.64","N/A","N/A","N/A","2.64","2.64","N/A","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64"
"5","N/A","DRESSING WOUND PROMOGRAN PRISMA MATRIX 28CM","N/A","N/A","0272","N/A","N/A","29.87","29.87","29.87","N/A","N/A","N/A","29.87","29.87","N/A","29.87","29.87","29.87","29.87","29.87","29.87","29.87","29.87","29.87","29.87"
"5","N/A","DRESSING WOUND RIBBON AQUACEL AG .75X18"","N/A","N/A","0272","N/A","N/A","32.80","32.80","32.80","N/A","N/A","N/A","32.80","32.80","N/A","32.80","32.80","32.80","32.80","32.80","32.80","32.80","32.80","32.80","32.80"
"5","N/A","DRILL ADJUSTABLE","N/A","N/A","0272","N/A","N/A","1179.75","1179.75","1179.75","N/A","N/A","N/A","1179.75","1179.75","N/A","1179.75","1179.75","1179.75","1179.75","1179.75","1179.75","1179.75","1179.75","1179.75","1179.75"
"5","N/A","DRILL BIT 15X50MM","N/A","N/A","0272","N/A","N/A","558.76","558.76","558.76","N/A","N/A","N/A","558.76","558.76","N/A","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76","558.76"
"5","N/A","DRILL BIT 3.1X165MM W/STOP","N/A","N/A","0272","N/A","N/A","287.60","287.60","287.60","N/A","N/A","N/A","287.60","287.60","N/A","287.60","287.60","287.60","287.60","287.60","287.60","287.60","287.60","287.60","287.60"
"5","N/A","DRILL BIT CALIBRATED 2.5MM","N/A","N/A","0272","N/A","N/A","224.40","224.40","224.40","N/A","N/A","N/A","224.40","224.40","N/A","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40"
"5","N/A","DRILL BIT ENDOSCOPIC FLIPCUTTER III 6-12MM","N/A","N/A","0272","N/A","N/A","1369.50","1369.50","1369.50","N/A","N/A","N/A","1369.50","1369.50","N/A","1369.50","1369.50","1369.50","1369.50","1369.50","1369.50","1369.50","1369.50","1369.50","1369.50"
"5","N/A","DRILL BIT PARAGON 3.5MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","DRILL BIT SOLD PARAGON 2.3MM","N/A","N/A","0272","N/A","N/A","632.78","632.78","632.78","N/A","N/A","N/A","632.78","632.78","N/A","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78"
"5","N/A","DRILL BIT TWIST SCP 3.5X70MM","N/A","N/A","0272","N/A","N/A","405.90","405.90","405.90","N/A","N/A","N/A","405.90","405.90","N/A","405.90","405.90","405.90","405.90","405.90","405.90","405.90","405.90","405.90","405.90"
"5","N/A","DRILL CALCANEUS PANTA LONG 4.1MM","N/A","N/A","0272","N/A","N/A","1143.29","1143.29","1143.29","N/A","N/A","N/A","1143.29","1143.29","N/A","1143.29","1143.29","1143.29","1143.29","1143.29","1143.29","1143.29","1143.29","1143.29","1143.29"
"5","N/A","DRILL CALCANEUS PANTA SHORT 4.1MM","N/A","N/A","0272","N/A","N/A","1123.98","1123.98","1123.98","N/A","N/A","N/A","1123.98","1123.98","N/A","1123.98","1123.98","1123.98","1123.98","1123.98","1123.98","1123.98","1123.98","1123.98","1123.98"
"5","N/A","DRILL CALI TIBIAL/HUMERAL 4.3MM","N/A","N/A","0272","N/A","N/A","815.10","815.10","815.10","N/A","N/A","N/A","815.10","815.10","N/A","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10"
"5","N/A","DRILL CALIBRATED 4.3X320MM BIOMET","N/A","N/A","0272","N/A","N/A","587.00","587.00","587.00","N/A","N/A","N/A","587.00","587.00","N/A","587.00","587.00","587.00","587.00","587.00","587.00","587.00","587.00","587.00","587.00"
"5","N/A","DRILL CALIBRATED AO 5.5MM (AOS)","N/A","N/A","0272","N/A","N/A","892.32","892.32","892.32","N/A","N/A","N/A","892.32","892.32","N/A","892.32","892.32","892.32","892.32","892.32","892.32","892.32","892.32","892.32","892.32"
"5","N/A","DRILL CALIBRATED AO SHORT 2.5X95MM","N/A","N/A","0272","N/A","N/A","647.79","647.79","647.79","N/A","N/A","N/A","647.79","647.79","N/A","647.79","647.79","647.79","647.79","647.79","647.79","647.79","647.79","647.79","647.79"
"5","N/A","DRILL CALIBRATED LNG GRN 4MM","N/A","N/A","0272","N/A","N/A","870.87","870.87","870.87","N/A","N/A","N/A","870.87","870.87","N/A","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87"
"5","N/A","DRILL CALIBRATED LONG 2.5MM","N/A","N/A","0272","N/A","N/A","811.80","811.80","811.80","N/A","N/A","N/A","811.80","811.80","N/A","811.80","811.80","811.80","811.80","811.80","811.80","811.80","811.80","811.80","811.80"
"5","N/A","DRILL CANNULATED 3.2MM (AAI)","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","DRILL CANNULATED 4.6X220MM (PARAGON)","N/A","N/A","0272","N/A","N/A","697.13","697.13","697.13","N/A","N/A","N/A","697.13","697.13","N/A","697.13","697.13","697.13","697.13","697.13","697.13","697.13","697.13","697.13","697.13"
"5","N/A","DRILL CANNULATED 7X200MM BIOMET","N/A","N/A","0272","N/A","N/A","877.80","877.80","877.80","N/A","N/A","N/A","877.80","877.80","N/A","877.80","877.80","877.80","877.80","877.80","877.80","877.80","877.80","877.80","877.80"
"5","N/A","DRILL CANNULATED AO 2.3X120MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","DRILL CANNULATED AO 2.6X130MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","DRILL CANNULATED DISTAL CUTTING 2.7X70MM","N/A","N/A","0272","N/A","N/A","1232.55","1232.55","1232.55","N/A","N/A","N/A","1232.55","1232.55","N/A","1232.55","1232.55","1232.55","1232.55","1232.55","1232.55","1232.55","1232.55","1232.55","1232.55"
"5","N/A","DRILL CANNULATED LAG SCREW 10.3MM","N/A","N/A","0272","N/A","N/A","1477.91","1477.91","1477.91","N/A","N/A","N/A","1477.91","1477.91","N/A","1477.91","1477.91","1477.91","1477.91","1477.91","1477.91","1477.91","1477.91","1477.91","1477.91"
"5","N/A","DRILL CANNULATED PARAGON 3.5X160MM","N/A","N/A","0272","N/A","N/A","557.70","557.70","557.70","N/A","N/A","N/A","557.70","557.70","N/A","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70"
"5","N/A","DRILL CANNULATED PLYAX 2MM","N/A","N/A","0272","N/A","N/A","267.96","267.96","267.96","N/A","N/A","N/A","267.96","267.96","N/A","267.96","267.96","267.96","267.96","267.96","267.96","267.96","267.96","267.96","267.96"
"5","N/A","DRILL COLAG 2.7MM","N/A","N/A","0272","N/A","N/A","751.34","751.34","751.34","N/A","N/A","N/A","751.34","751.34","N/A","751.34","751.34","751.34","751.34","751.34","751.34","751.34","751.34","751.34","751.34"
"5","N/A","DRILL COLAG 4.8MM","N/A","N/A","0272","N/A","N/A","751.30","751.30","751.30","N/A","N/A","N/A","751.30","751.30","N/A","751.30","751.30","751.30","751.30","751.30","751.30","751.30","751.30","751.30","751.30"
"5","N/A","DRILL FLEX REFLECTION 25MM","N/A","N/A","0272","N/A","N/A","425.70","425.70","425.70","N/A","N/A","N/A","425.70","425.70","N/A","425.70","425.70","425.70","425.70","425.70","425.70","425.70","425.70","425.70","425.70"
"5","N/A","DRILL FLEXIBLE Q-FIX 1.8MM DISP","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","DRILL FLEXIBLE REFLECTION 50MM","N/A","N/A","0272","N/A","N/A","633.60","633.60","633.60","N/A","N/A","N/A","633.60","633.60","N/A","633.60","633.60","633.60","633.60","633.60","633.60","633.60","633.60","633.60","633.60"
"5","N/A","DRILL HAND IVAS 10G 7.7MM","N/A","N/A","0272","N/A","N/A","354.01","354.01","354.01","N/A","N/A","N/A","354.01","354.01","N/A","354.01","354.01","354.01","354.01","354.01","354.01","354.01","354.01","354.01","354.01"
"5","N/A","DRILL LAG 2.7MM","N/A","N/A","0272","N/A","N/A","750.75","750.75","750.75","N/A","N/A","N/A","750.75","750.75","N/A","750.75","750.75","750.75","750.75","750.75","750.75","750.75","750.75","750.75","750.75"
"5","N/A","DRILL PILOT SHORT QUICK RELEASE 2.0MM","N/A","N/A","0272","N/A","N/A","607.20","607.20","607.20","N/A","N/A","N/A","607.20","607.20","N/A","607.20","607.20","607.20","607.20","607.20","607.20","607.20","607.20","607.20","607.20"
"5","N/A","DRILL PIN ACL CLOSED EYELET 4MM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","DRILL PROFILE ACUTRAK 2 MINI INSTRUMENT","N/A","N/A","0272","N/A","N/A","739.20","739.20","739.20","N/A","N/A","N/A","739.20","739.20","N/A","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20"
"5","N/A","DRILL PROFILE COMPRESSION LRG FT SCREWS 5.0MM","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","DRILL QUICK RELEASE 2.8MMX5"","N/A","N/A","0272","N/A","N/A","402.60","402.60","402.60","N/A","N/A","N/A","402.60","402.60","N/A","402.60","402.60","402.60","402.60","402.60","402.60","402.60","402.60","402.60","402.60"
"5","N/A","DRILL QUICK RELEASE STD LNG ACTRK2","N/A","N/A","0272","N/A","N/A","1258.95","1258.95","1258.95","N/A","N/A","N/A","1258.95","1258.95","N/A","1258.95","1258.95","1258.95","1258.95","1258.95","1258.95","1258.95","1258.95","1258.95","1258.95"
"5","N/A","DRILL SCREW COMPRESSION META-TAN","N/A","N/A","0272","N/A","N/A","1557.60","1557.60","1557.60","N/A","N/A","N/A","1557.60","1557.60","N/A","1557.60","1557.60","1557.60","1557.60","1557.60","1557.60","1557.60","1557.60","1557.60","1557.60"
"5","N/A","DRILL SCREW LAG META-TAN","N/A","N/A","0272","N/A","N/A","2557.50","2557.50","2557.50","N/A","N/A","N/A","2557.50","2557.50","N/A","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50"
"5","N/A","DRILL SHAFT REDAPT STR 25MM","N/A","N/A","0272","N/A","N/A","561.00","561.00","561.00","N/A","N/A","N/A","561.00","561.00","N/A","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00"
"5","N/A","DRILL SHAFT REDAPT STR 35MM","N/A","N/A","0272","N/A","N/A","597.30","597.30","597.30","N/A","N/A","N/A","597.30","597.30","N/A","597.30","597.30","597.30","597.30","597.30","597.30","597.30","597.30","597.30","597.30"
"5","N/A","DRILL SHORT 4.0MM (ORTHOS)","N/A","N/A","0272","N/A","N/A","834.41","834.41","834.41","N/A","N/A","N/A","834.41","834.41","N/A","834.41","834.41","834.41","834.41","834.41","834.41","834.41","834.41","834.41","834.41"
"5","N/A","DRILL SOLID 2.6 X130MM (PARAGON)","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","DRILL SOLID AO 1.3X100MM","N/A","N/A","0272","N/A","N/A","632.78","632.78","632.78","N/A","N/A","N/A","632.78","632.78","N/A","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78"
"5","N/A","DRILL SOLID AO 1.6X110MM","N/A","N/A","0272","N/A","N/A","632.78","632.78","632.78","N/A","N/A","N/A","632.78","632.78","N/A","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78","632.78"
"5","N/A","DRILL SOLID LONG GORILLA PLATE 2.4X140MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","DRILL SOLID LONG GORILLA PLATE 2.4X160MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","DRILL SOLID SIDE CUTTING 2.3X40MM","N/A","N/A","0272","N/A","N/A","287.10","287.10","287.10","N/A","N/A","N/A","287.10","287.10","N/A","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10"
"5","N/A","DRILL SOLID SIDE CUTTING 2.5X40MM","N/A","N/A","0272","N/A","N/A","273.90","273.90","273.90","N/A","N/A","N/A","273.90","273.90","N/A","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90"
"5","N/A","DRILL SOLID SIDE CUTTING 2.7X40MM","N/A","N/A","0272","N/A","N/A","287.10","287.10","287.10","N/A","N/A","N/A","287.10","287.10","N/A","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10"
"5","N/A","DRILL SOLID SIDE CUTTING 2.7X80MM","N/A","N/A","0272","N/A","N/A","287.10","287.10","287.10","N/A","N/A","N/A","287.10","287.10","N/A","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10"
"5","N/A","DRILL SOLID SIDE CUTTING 2X40MM","N/A","N/A","0272","N/A","N/A","273.90","273.90","273.90","N/A","N/A","N/A","273.90","273.90","N/A","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90"
"5","N/A","DRILL SOLID SIDE CUTTING 3.5X70MM","N/A","N/A","0272","N/A","N/A","630.30","630.30","630.30","N/A","N/A","N/A","630.30","630.30","N/A","630.30","630.30","630.30","630.30","630.30","630.30","630.30","630.30","630.30","630.30"
"5","N/A","DRILL STARTER META-TAN COMPRESSION SCREW","N/A","N/A","0272","N/A","N/A","1366.20","1366.20","1366.20","N/A","N/A","N/A","1366.20","1366.20","N/A","1366.20","1366.20","1366.20","1366.20","1366.20","1366.20","1366.20","1366.20","1366.20","1366.20"
"5","N/A","DRILL SURGICAL ACUTRAK 2 MICRO LONG","N/A","N/A","0272","N/A","N/A","1442.10","1442.10","1442.10","N/A","N/A","N/A","1442.10","1442.10","N/A","1442.10","1442.10","1442.10","1442.10","1442.10","1442.10","1442.10","1442.10","1442.10","1442.10"
"5","N/A","DRILL SURGICAL FIBERTAK 1.7MM","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","DRILL SURGICAL INTERTAN CMPRSN SCREW STARTER 7MM","N/A","N/A","0272","N/A","N/A","1007.95","1007.95","1007.95","N/A","N/A","N/A","1007.95","1007.95","N/A","1007.95","1007.95","1007.95","1007.95","1007.95","1007.95","1007.95","1007.95","1007.95","1007.95"
"5","N/A","DRILL SURGICAL INTERTAN LAG SCREW","N/A","N/A","0272","N/A","N/A","2611.75","2611.75","2611.75","N/A","N/A","N/A","2611.75","2611.75","N/A","2611.75","2611.75","2611.75","2611.75","2611.75","2611.75","2611.75","2611.75","2611.75","2611.75"
"5","N/A","DRILL SURGICAL PROFILE XL 7.0X120MM","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","DRILL SURGICAL PUSHLOCK 2.4MM SHORT","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","DRILL SURGICAL SOLID AO CONNECTION 2.7X110MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","DRILL SURGICAL TALAR POST CADENCE","N/A","N/A","0272","N/A","N/A","553.41","553.41","553.41","N/A","N/A","N/A","553.41","553.41","N/A","553.41","553.41","553.41","553.41","553.41","553.41","553.41","553.41","553.41","553.41"
"5","N/A","DRILL SURGICAL TRIGEN CMPRSN SCREW 7MM","N/A","N/A","0272","N/A","N/A","967.79","967.79","967.79","N/A","N/A","N/A","967.79","967.79","N/A","967.79","967.79","967.79","967.79","967.79","967.79","967.79","967.79","967.79","967.79"
"5","N/A","DRILL SURGICAL VUEPOINT II STR OCCIPITAL 3.35MM","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","DRILL TIP SPADE F/ 3.9MM SWIVELOCK","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","DRILL TRIMED 1.8MM/0.9","N/A","N/A","0272","N/A","N/A","396.00","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","DRILL TWIST 1.5X50MM","N/A","N/A","0272","N/A","N/A","425.04","425.04","425.04","N/A","N/A","N/A","425.04","425.04","N/A","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04"
"5","N/A","DRILL TWIST 4MM 1.6X40MM","N/A","N/A","0272","N/A","N/A","522.72","522.72","522.72","N/A","N/A","N/A","522.72","522.72","N/A","522.72","522.72","522.72","522.72","522.72","522.72","522.72","522.72","522.72","522.72"
"5","N/A","DRILL TWIST CROWE POINT 4.3MM","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","DRILL TWIST F/20MM SCREW","N/A","N/A","0272","N/A","N/A","480.55","480.55","480.55","N/A","N/A","N/A","480.55","480.55","N/A","480.55","480.55","480.55","480.55","480.55","480.55","480.55","480.55","480.55","480.55"
"5","N/A","DRILL TWIST MORRISON 1.5X115MM","N/A","N/A","0272","N/A","N/A","970.20","970.20","970.20","N/A","N/A","N/A","970.20","970.20","N/A","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20"
"5","N/A","DRILL TWIST SS 1.5X115MM","N/A","N/A","0272","N/A","N/A","425.04","425.04","425.04","N/A","N/A","N/A","425.04","425.04","N/A","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04","425.04"
"5","N/A","DRILL WIRE PASS TPS ELITE 1.5MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","DRILL WIRE PASS TPS ELITE 1MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","DRIVER AO CONNECTION SQ TIP GEMINUS 2MM","N/A","N/A","0272","N/A","N/A","221.10","221.10","221.10","N/A","N/A","N/A","221.10","221.10","N/A","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10"
"5","N/A","DRIVER NEEDLE EZ-IO ARROW VAS ACCESS","N/A","N/A","0272","N/A","N/A","986.70","986.70","986.70","N/A","N/A","N/A","986.70","986.70","N/A","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70","986.70"
"5","N/A","DRIVER PROBE ROBOTIC","N/A","N/A","0272","N/A","N/A","9890.10","9890.10","9890.10","N/A","N/A","N/A","9890.10","9890.10","N/A","9890.10","9890.10","9890.10","9890.10","9890.10","9890.10","9890.10","9890.10","9890.10","9890.10"
"5","N/A","DRIVER QUICK CONNECT UNIV","N/A","N/A","0272","N/A","N/A","254.10","254.10","254.10","N/A","N/A","N/A","254.10","254.10","N/A","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10"
"5","N/A","DRIVER SCREW LAG CANN T15","N/A","N/A","0272","N/A","N/A","752.40","752.40","752.40","N/A","N/A","N/A","752.40","752.40","N/A","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40"
"5","N/A","DRIVER SCREW LAG T15","N/A","N/A","0272","N/A","N/A","752.40","752.40","752.40","N/A","N/A","N/A","752.40","752.40","N/A","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40"
"5","N/A","DRIVER SURGICAL AO PLYAX LKNG SCRW","N/A","N/A","0272","N/A","N/A","288.64","288.64","288.64","N/A","N/A","N/A","288.64","288.64","N/A","288.64","288.64","288.64","288.64","288.64","288.64","288.64","288.64","288.64","288.64"
"5","N/A","DRIVER SURGICAL HCS 2.5MM","N/A","N/A","0272","N/A","N/A","739.20","739.20","739.20","N/A","N/A","N/A","739.20","739.20","N/A","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20"
"5","N/A","DRIVER SURGICAL HEXAGON CANNULATED LRG QR 4.0MM","N/A","N/A","0272","N/A","N/A","2055.90","2055.90","2055.90","N/A","N/A","N/A","2055.90","2055.90","N/A","2055.90","2055.90","2055.90","2055.90","2055.90","2055.90","2055.90","2055.90","2055.90","2055.90"
"5","N/A","DRIVER TIP ACUTRAK 2 MINI CANNULATED QR 1.5MM","N/A","N/A","0272","N/A","N/A","1032.90","1032.90","1032.90","N/A","N/A","N/A","1032.90","1032.90","N/A","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90"
"5","N/A","DRIVER TIP ACUTRAK 2 MINI CANNULATED QR 2.0MM","N/A","N/A","0272","N/A","N/A","1032.90","1032.90","1032.90","N/A","N/A","N/A","1032.90","1032.90","N/A","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90","1032.90"
"5","N/A","DRIVER TORQUE HIGH","N/A","N/A","0272","N/A","N/A","425.70","425.70","425.70","N/A","N/A","N/A","425.70","425.70","N/A","425.70","425.70","425.70","425.70","425.70","425.70","425.70","425.70","425.70","425.70"
"5","N/A","DRIVER UNIVERSAL QC T-20","N/A","N/A","0272","N/A","N/A","151.80","151.80","151.80","N/A","N/A","N/A","151.80","151.80","N/A","151.80","151.80","151.80","151.80","151.80","151.80","151.80","151.80","151.80","151.80"
"5","N/A","DUODENOSCOPE EXALT MODEL D SINGLE- USE 1/BX","N/A","N/A","0272","N/A","N/A","9669.00","9669.00","9669.00","N/A","N/A","N/A","9669.00","9669.00","N/A","9669.00","9669.00","9669.00","9669.00","9669.00","9669.00","9669.00","9669.00","9669.00","9669.00"
"5","N/A","EAR WICK IVALON 9X15MM","N/A","N/A","0272","N/A","N/A","7.89","7.89","7.89","N/A","N/A","N/A","7.89","7.89","N/A","7.89","7.89","7.89","7.89","7.89","7.89","7.89","7.89","7.89","7.89"
"5","N/A","ELECTRODE BALL UTAHBALL 11CM 3MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","ELECTRODE BLADE EDGE INSULATED 4"","N/A","N/A","0272","N/A","N/A","17.69","17.69","17.69","N/A","N/A","N/A","17.69","17.69","N/A","17.69","17.69","17.69","17.69","17.69","17.69","17.69","17.69","17.69","17.69"
"5","N/A","ELECTRODE BLADE EDGE NON-INSULATED 4"","N/A","N/A","0272","N/A","N/A","14.98","14.98","14.98","N/A","N/A","N/A","14.98","14.98","N/A","14.98","14.98","14.98","14.98","14.98","14.98","14.98","14.98","14.98","14.98"
"5","N/A","ELECTRODE BLADE EXT PTFE STER 6.5"","N/A","N/A","0272","N/A","N/A","15.29","15.29","15.29","N/A","N/A","N/A","15.29","15.29","N/A","15.29","15.29","15.29","15.29","15.29","15.29","15.29","15.29","15.29","15.29"
"5","N/A","ELECTRODE BLADE MOD E-Z CLEAN 2.75"","N/A","N/A","0272","N/A","N/A","13.63","13.63","13.63","N/A","N/A","N/A","13.63","13.63","N/A","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63"
"5","N/A","ELECTRODE CAUTERY SPAT DAVINCI 5MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","ELECTRODE CUTTING LOOP 21FR 0.3MM","N/A","N/A","0272","N/A","N/A","1198.74","1198.74","1198.74","N/A","N/A","N/A","1198.74","1198.74","N/A","1198.74","1198.74","1198.74","1198.74","1198.74","1198.74","1198.74","1198.74","1198.74","1198.74"
"5","N/A","ELECTRODE E-Z CLEAN STD 4MMX4"","N/A","N/A","0272","N/A","N/A","15.47","15.47","15.47","N/A","N/A","N/A","15.47","15.47","N/A","15.47","15.47","15.47","15.47","15.47","15.47","15.47","15.47","15.47","15.47"
"5","N/A","ELECTRODE ELECTROCARDIOGRAM SPIRAL QWIK CONN +","N/A","N/A","0272","N/A","N/A","8.87","8.87","8.87","N/A","N/A","N/A","8.87","8.87","N/A","8.87","8.87","8.87","8.87","8.87","8.87","8.87","8.87","8.87","8.87"
"5","N/A","ELECTRODE ELECTROSURGICAL PREMIERE 50","N/A","N/A","0272","N/A","N/A","1244.10","1244.10","1244.10","N/A","N/A","N/A","1244.10","1244.10","N/A","1244.10","1244.10","1244.10","1244.10","1244.10","1244.10","1244.10","1244.10","1244.10","1244.10"
"5","N/A","ELECTRODE EMG SBDRML TWISTED 12MM","N/A","N/A","0272","N/A","N/A","443.54","443.54","443.54","N/A","N/A","N/A","443.54","443.54","N/A","443.54","443.54","443.54","443.54","443.54","443.54","443.54","443.54","443.54","443.54"
"5","N/A","ELECTRODE ESG PLASMA LOOP MEDIUM 12","N/A","N/A","0272","N/A","N/A","1674.75","1674.75","1674.75","N/A","N/A","N/A","1674.75","1674.75","N/A","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75"
"5","N/A","ELECTRODE HOOK L 36CM","N/A","N/A","0272","N/A","N/A","115.34","115.34","115.34","N/A","N/A","N/A","115.34","115.34","N/A","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34"
"5","N/A","ELECTRODE LAPAROSCOPIC CLEANCOAT CRV SPATULA 36CM","N/A","N/A","0272","N/A","N/A","115.34","115.34","115.34","N/A","N/A","N/A","115.34","115.34","N/A","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34"
"5","N/A","ELECTRODE LAPAROSCOPIC CLEANCOAT STR SPATULA 36CM","N/A","N/A","0272","N/A","N/A","118.80","118.80","118.80","N/A","N/A","N/A","118.80","118.80","N/A","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80"
"5","N/A","ELECTRODE LAPAROSCOPIC WIRE J-HOOK CLEAN COAT 36CM","N/A","N/A","0272","N/A","N/A","115.34","115.34","115.34","N/A","N/A","N/A","115.34","115.34","N/A","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34"
"5","N/A","ELECTRODE LIGASURE MAX 3-5MM 23CM","N/A","N/A","0272","N/A","N/A","778.18","778.18","778.18","N/A","N/A","N/A","778.18","778.18","N/A","778.18","778.18","778.18","778.18","778.18","778.18","778.18","778.18","778.18","778.18"
"5","N/A","ELECTRODE LOOP RND TAN 20X25MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","ELECTRODE LOOP WRE GRN 15X12MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","ELECTRODE LOOP WRE RED 5MMX11CM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","ELECTRODE LOOP WRE WHT 20X12MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","ELECTRODE LOOP WRE YEL 10X10MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","ELECTRODE MONOPOLAR ANG CUTTING LOOP 24F","N/A","N/A","0272","N/A","N/A","422.00","422.00","422.00","N/A","N/A","N/A","422.00","422.00","N/A","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00"
"5","N/A","ELECTRODE MONOPOLAR BALL COAG 5MM","N/A","N/A","0272","N/A","N/A","428.12","428.12","428.12","N/A","N/A","N/A","428.12","428.12","N/A","428.12","428.12","428.12","428.12","428.12","428.12","428.12","428.12","428.12","428.12"
"5","N/A","ELECTRODE MONOPOLAR LOOP 12 DEG 24","N/A","N/A","0272","N/A","N/A","323.60","323.60","323.60","N/A","N/A","N/A","323.60","323.60","N/A","323.60","323.60","323.60","323.60","323.60","323.60","323.60","323.60","323.60","323.60"
"5","N/A","ELECTRODE NERVE STIM D.ZAP","N/A","N/A","0272","N/A","N/A","617.10","617.10","617.10","N/A","N/A","N/A","617.10","617.10","N/A","617.10","617.10","617.10","617.10","617.10","617.10","617.10","617.10","617.10","617.10"
"5","N/A","ELECTRODE NEUROTHERM 10CM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","ELECTRODE PATIENT RET PD REM INF 9'","N/A","N/A","0272","N/A","N/A","15.49","15.49","15.49","N/A","N/A","N/A","15.49","15.49","N/A","15.49","15.49","15.49","15.49","15.49","15.49","15.49","15.49","15.49","15.49"
"5","N/A","ELECTRODE PLASMA BUTTON ESG 24F 12-30 DEG","N/A","N/A","0272","N/A","N/A","1734.15","1734.15","1734.15","N/A","N/A","N/A","1734.15","1734.15","N/A","1734.15","1734.15","1734.15","1734.15","1734.15","1734.15","1734.15","1734.15","1734.15","1734.15"
"5","N/A","ELECTRODE PLASMA NEEDLE ESG ANG 24F 12-30 DEG","N/A","N/A","0272","N/A","N/A","1674.75","1674.75","1674.75","N/A","N/A","N/A","1674.75","1674.75","N/A","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75","1674.75"
"5","N/A","ELECTRODE RESUSCITATION BASIC R ADLT","N/A","N/A","0272","N/A","N/A","129.72","129.72","129.72","N/A","N/A","N/A","129.72","129.72","N/A","129.72","129.72","129.72","129.72","129.72","129.72","129.72","129.72","129.72","129.72"
"5","N/A","ELECTRODE RESUSCITATION COMPL R ADLT","N/A","N/A","0272","N/A","N/A","229.73","229.73","229.73","N/A","N/A","N/A","229.73","229.73","N/A","229.73","229.73","229.73","229.73","229.73","229.73","229.73","229.73","229.73","229.73"
"5","N/A","ELECTRODE ROLLER 12 DEG 24-28FR","N/A","N/A","0272","N/A","N/A","315.43","315.43","315.43","N/A","N/A","N/A","315.43","315.43","N/A","315.43","315.43","315.43","315.43","315.43","315.43","315.43","315.43","315.43","315.43"
"5","N/A","ELECTRODE SIMPLICITY III","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ELECTRODE SUBDERMAL PAIRED 4 CHNL","N/A","N/A","0272","N/A","N/A","564.30","564.30","564.30","N/A","N/A","N/A","564.30","564.30","N/A","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30","564.30"
"5","N/A","ELEVATOR ARM CURTIS LRG","N/A","N/A","0272","N/A","N/A","18.41","18.41","18.41","N/A","N/A","N/A","18.41","18.41","N/A","18.41","18.41","18.41","18.41","18.41","18.41","18.41","18.41","18.41","18.41"
"5","N/A","ELEVIEW 10ML","N/A","N/A","0272","N/A","N/A","267.30","267.30","267.30","N/A","N/A","N/A","267.30","267.30","N/A","267.30","267.30","267.30","267.30","267.30","267.30","267.30","267.30","267.30","267.30"
"5","N/A","EXCISOR BIOPSY CONE BLU LG","N/A","N/A","0272","N/A","N/A","73.52","73.52","73.52","N/A","N/A","N/A","73.52","73.52","N/A","73.52","73.52","73.52","73.52","73.52","73.52","73.52","73.52","73.52","73.52"
"5","N/A","EXCISOR BIOPSY CONE BLU MD","N/A","N/A","0272","N/A","N/A","75.73","75.73","75.73","N/A","N/A","N/A","75.73","75.73","N/A","75.73","75.73","75.73","75.73","75.73","75.73","75.73","75.73","75.73","75.73"
"5","N/A","EXTENSION DRAIN JACKSON PRATT 6.75"","N/A","N/A","0272","N/A","N/A","21.36","21.36","21.36","N/A","N/A","N/A","21.36","21.36","N/A","21.36","21.36","21.36","21.36","21.36","21.36","21.36","21.36","21.36","21.36"
"5","N/A","EXTENSION GUIDEWIRE ASAHI .014 165CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","EXTRACTOR STONE NGAGE NITINOL 1.7F 11MMX115CM","N/A","N/A","0272","N/A","N/A","777.84","777.84","777.84","N/A","N/A","N/A","777.84","777.84","N/A","777.84","777.84","777.84","777.84","777.84","777.84","777.84","777.84","777.84","777.84"
"5","N/A","EXTRACTOR STONE NTRAP 2.8FR 145","N/A","N/A","0272","N/A","N/A","777.84","777.84","777.84","N/A","N/A","N/A","777.84","777.84","N/A","777.84","777.84","777.84","777.84","777.84","777.84","777.84","777.84","777.84","777.84"
"5","N/A","EXTRACTOR STONE SS 2.5FR 115CM","N/A","N/A","0272","N/A","N/A","633.50","633.50","633.50","N/A","N/A","N/A","633.50","633.50","N/A","633.50","633.50","633.50","633.50","633.50","633.50","633.50","633.50","633.50","633.50"
"5","N/A","FIBER LASER HOLMIUM FLEXIVA 1000","N/A","N/A","0272","N/A","N/A","2261.99","2261.99","2261.99","N/A","N/A","N/A","2261.99","2261.99","N/A","2261.99","2261.99","2261.99","2261.99","2261.99","2261.99","2261.99","2261.99","2261.99","2261.99"
"5","N/A","FIBER LASER HOLMIUM FLEXIVA 200","N/A","N/A","0272","N/A","N/A","1475.17","1475.17","1475.17","N/A","N/A","N/A","1475.17","1475.17","N/A","1475.17","1475.17","1475.17","1475.17","1475.17","1475.17","1475.17","1475.17","1475.17","1475.17"
"5","N/A","FIBER LASER HOLMIUM FLEXIVA 365","N/A","N/A","0272","N/A","N/A","1034.45","1034.45","1034.45","N/A","N/A","N/A","1034.45","1034.45","N/A","1034.45","1034.45","1034.45","1034.45","1034.45","1034.45","1034.45","1034.45","1034.45","1034.45"
"5","N/A","FIBER LASER HOLMIUM TRACTIP 200","N/A","N/A","0272","N/A","N/A","1505.59","1505.59","1505.59","N/A","N/A","N/A","1505.59","1505.59","N/A","1505.59","1505.59","1505.59","1505.59","1505.59","1505.59","1505.59","1505.59","1505.59","1505.59"
"5","N/A","FIBER LASER MOSES 200UM 80HZ 60W","N/A","N/A","0272","N/A","N/A","1617.17","1617.17","1617.17","N/A","N/A","N/A","1617.17","1617.17","N/A","1617.17","1617.17","1617.17","1617.17","1617.17","1617.17","1617.17","1617.17","1617.17","1617.17"
"5","N/A","FIBER LASER MOSES 365UM 80HZ 120W","N/A","N/A","0272","N/A","N/A","1290.47","1290.47","1290.47","N/A","N/A","N/A","1290.47","1290.47","N/A","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47"
"5","N/A","FIBER LASER MOSES 550UM 80HZ 120W","N/A","N/A","0272","N/A","N/A","1747.85","1747.85","1747.85","N/A","N/A","N/A","1747.85","1747.85","N/A","1747.85","1747.85","1747.85","1747.85","1747.85","1747.85","1747.85","1747.85","1747.85","1747.85"
"5","N/A","FIBER LASER STER OTO-S BEAMPATH","N/A","N/A","0272","N/A","N/A","2755.50","2755.50","2755.50","N/A","N/A","N/A","2755.50","2755.50","N/A","2755.50","2755.50","2755.50","2755.50","2755.50","2755.50","2755.50","2755.50","2755.50","2755.50"
"5","N/A","FILTER AIR ELIMINATING 2.7ML","N/A","N/A","0272","N/A","N/A","16.49","16.49","16.49","N/A","N/A","N/A","16.49","16.49","N/A","16.49","16.49","16.49","16.49","16.49","16.49","16.49","16.49","16.49","16.49"
"5","N/A","FILTER BACTERIAL/VIRAL ANG HME","N/A","N/A","0272","N/A","N/A","9.63","9.63","9.63","N/A","N/A","N/A","9.63","9.63","N/A","9.63","9.63","9.63","9.63","9.63","9.63","9.63","9.63","9.63","9.63"
"5","N/A","FILTER INSUFFLATION HYDROPHOBIC","N/A","N/A","0272","N/A","N/A","52.79","52.79","52.79","N/A","N/A","N/A","52.79","52.79","N/A","52.79","52.79","52.79","52.79","52.79","52.79","52.79","52.79","52.79","52.79"
"5","N/A","FILTER LASER HI PRESR GAS 100PSI","N/A","N/A","0272","N/A","N/A","229.35","229.35","229.35","N/A","N/A","N/A","229.35","229.35","N/A","229.35","229.35","229.35","229.35","229.35","229.35","229.35","229.35","229.35","229.35"
"5","N/A","FILTER SMOKE CATSMART","N/A","N/A","0272","N/A","N/A","253.01","253.01","253.01","N/A","N/A","N/A","253.01","253.01","N/A","253.01","253.01","253.01","253.01","253.01","253.01","253.01","253.01","253.01","253.01"
"5","N/A","FILTER TRANSFUSION BLD 40MIC PALL","N/A","N/A","0272","N/A","N/A","31.90","31.90","31.90","N/A","N/A","N/A","31.90","31.90","N/A","31.90","31.90","31.90","31.90","31.90","31.90","31.90","31.90","31.90","31.90"
"5","N/A","FILTER TRANSFUSION BLD ADMN ST","N/A","N/A","0272","N/A","N/A","50.85","50.85","50.85","N/A","N/A","N/A","50.85","50.85","N/A","50.85","50.85","50.85","50.85","50.85","50.85","50.85","50.85","50.85","50.85"
"5","N/A","FOAM GELATIN TORPEDO 2.5X20MM","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","FORCEP ASSYMETRIC 25G","N/A","N/A","0272","N/A","N/A","465.30","465.30","465.30","N/A","N/A","N/A","465.30","465.30","N/A","465.30","465.30","465.30","465.30","465.30","465.30","465.30","465.30","465.30","465.30"
"5","N/A","FORCEP BIOPSY BIPAL 7F 50CM","N/A","N/A","0272","N/A","N/A","528.00","528.00","528.00","N/A","N/A","N/A","528.00","528.00","N/A","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00"
"5","N/A","FORCEP BIOPSY HOT RADIAL JAW 4","N/A","N/A","0272","N/A","N/A","58.16","58.16","58.16","N/A","N/A","N/A","58.16","58.16","N/A","58.16","58.16","58.16","58.16","58.16","58.16","58.16","58.16","58.16","58.16"
"5","N/A","FORCEP BIOPSY NDL RADIAL JAW 4 160CM","N/A","N/A","0272","N/A","N/A","118.14","118.14","118.14","N/A","N/A","N/A","118.14","118.14","N/A","118.14","118.14","118.14","118.14","118.14","118.14","118.14","118.14","118.14","118.14"
"5","N/A","FORCEP BIOPSY NDL RADIAL JAW 4 JUMBO","N/A","N/A","0272","N/A","N/A","105.20","105.20","105.20","N/A","N/A","N/A","105.20","105.20","N/A","105.20","105.20","105.20","105.20","105.20","105.20","105.20","105.20","105.20","105.20"
"5","N/A","FORCEP BIOPSY OVAL RADIAL JAW 4 LRG 2.4MMX240CM W/NDL","N/A","N/A","0272","N/A","N/A","31.10","31.10","31.10","N/A","N/A","N/A","31.10","31.10","N/A","31.10","31.10","31.10","31.10","31.10","31.10","31.10","31.10","31.10","31.10"
"5","N/A","FORCEP BIOPSY PIRANHA 1MMX115CM","N/A","N/A","0272","N/A","N/A","1037.03","1037.03","1037.03","N/A","N/A","N/A","1037.03","1037.03","N/A","1037.03","1037.03","1037.03","1037.03","1037.03","1037.03","1037.03","1037.03","1037.03","1037.03"
"5","N/A","FORCEP BIOPSY PRECISOR OVAL CUP 1.8MMX115CM","N/A","N/A","0272","N/A","N/A","128.70","128.70","128.70","N/A","N/A","N/A","128.70","128.70","N/A","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70"
"5","N/A","FORCEP BIOPSY RADIAL JAW 4 HOT","N/A","N/A","0272","N/A","N/A","125.40","125.40","125.40","N/A","N/A","N/A","125.40","125.40","N/A","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40"
"5","N/A","FORCEP BIOPSY RADIAL JAW 4 PEDI","N/A","N/A","0272","N/A","N/A","118.14","118.14","118.14","N/A","N/A","N/A","118.14","118.14","N/A","118.14","118.14","118.14","118.14","118.14","118.14","118.14","118.14","118.14","118.14"
"5","N/A","FORCEP BIOPSY RADIAL JAW 4 STD 100","N/A","N/A","0272","N/A","N/A","141.90","141.90","141.90","N/A","N/A","N/A","141.90","141.90","N/A","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90"
"5","N/A","FORCEP BIPOLAR IRRIGATING DUAL SPETZLER","N/A","N/A","0272","N/A","N/A","1498.86","1498.86","1498.86","N/A","N/A","N/A","1498.86","1498.86","N/A","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86"
"5","N/A","FORCEP BIPOLAR NON-IRRIGATING DUAL SPETZLER","N/A","N/A","0272","N/A","N/A","1362.90","1362.90","1362.90","N/A","N/A","N/A","1362.90","1362.90","N/A","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90"
"5","N/A","FORCEP BIPOLAR SPETZLER MALIS IM 9"X0.5MM","N/A","N/A","0272","N/A","N/A","1498.86","1498.86","1498.86","N/A","N/A","N/A","1498.86","1498.86","N/A","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86","1498.86"
"5","N/A","FORCEP BIPOLAR SPETZLER MALIS SM 9"X0.5MM","N/A","N/A","0272","N/A","N/A","1362.90","1362.90","1362.90","N/A","N/A","N/A","1362.90","1362.90","N/A","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90","1362.90"
"5","N/A","FORCEP ENDOMYOCARDIAL BIOPSY JAWZ PRE-CVRD 7.5F 2.4MMX50CM","N/A","N/A","0272","N/A","N/A","1064.25","1064.25","1064.25","N/A","N/A","N/A","1064.25","1064.25","N/A","1064.25","1064.25","1064.25","1064.25","1064.25","1064.25","1064.25","1064.25","1064.25","1064.25"
"5","N/A","FORCEP ENDOMYOCARDIAL BIOPSY JAWZ STR 7F 2.2MMX105CM","N/A","N/A","0272","N/A","N/A","1006.50","1006.50","1006.50","N/A","N/A","N/A","1006.50","1006.50","N/A","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50"
"5","N/A","FORCEP ENDOSCOPIC ALLGTR 1.8MMX115CM","N/A","N/A","0272","N/A","N/A","128.70","128.70","128.70","N/A","N/A","N/A","128.70","128.70","N/A","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70"
"5","N/A","FORCEP GRASPING ALLIGATOR RAT TOOTH","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","FORCEP GRASPING GRSHBR MAXGRIP 25+","N/A","N/A","0272","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","FORCEP INTERNAL LIMITING MEMB 25+","N/A","N/A","0272","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","FORCEP NON RETRACTING TRICEP 3FR","N/A","N/A","0272","N/A","N/A","572.32","572.32","572.32","N/A","N/A","N/A","572.32","572.32","N/A","572.32","572.32","572.32","572.32","572.32","572.32","572.32","572.32","572.32","572.32"
"5","N/A","FORCEPS BIOPSY SPYBITE 1MMX286CM","N/A","N/A","0272","N/A","N/A","1702.80","1702.80","1702.80","N/A","N/A","N/A","1702.80","1702.80","N/A","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80"
"5","N/A","FORCEPS BIPOLAR HET","N/A","N/A","0272","N/A","N/A","1963.50","1963.50","1963.50","N/A","N/A","N/A","1963.50","1963.50","N/A","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50"
"5","N/A","FUNNEL GEL IMPL STER KELLER FNL 2","N/A","N/A","0272","N/A","N/A","451.44","451.44","451.44","N/A","N/A","N/A","451.44","451.44","N/A","451.44","451.44","451.44","451.44","451.44","451.44","451.44","451.44","451.44","451.44"
"5","N/A","FUNNEL INPLANT","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","GAUZE XEROFORM STERILE 1X8"","N/A","N/A","0272","N/A","N/A","1.10","1.10","1.10","N/A","N/A","N/A","1.10","1.10","N/A","1.10","1.10","1.10","1.10","1.10","1.10","1.10","1.10","1.10","1.10"
"5","N/A","GEL ORISE","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","GENERATOR PULSE EXTERNAL TRIAL 2 PORT","N/A","N/A","0272","N/A","N/A","495.00","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","GONIOPRISM SURGICAL","N/A","N/A","0272","N/A","N/A","64.35","64.35","64.35","N/A","N/A","N/A","64.35","64.35","N/A","64.35","64.35","64.35","64.35","64.35","64.35","64.35","64.35","64.35","64.35"
"5","N/A","GRASPER ALLIGATOR PERC MINILAP","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","GRASPER HYBRID JAW 2.4MMX230CM","N/A","N/A","0272","N/A","N/A","330.00","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","GRIPPER RETRACTOR STABILIZER","N/A","N/A","0272","N/A","N/A","413.99","413.99","413.99","N/A","N/A","N/A","413.99","413.99","N/A","413.99","413.99","413.99","413.99","413.99","413.99","413.99","413.99","413.99","413.99"
"5","N/A","GUIDE AIM GEMINUS 1.5MM","N/A","N/A","0272","N/A","N/A","75.90","75.90","75.90","N/A","N/A","N/A","75.90","75.90","N/A","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90"
"5","N/A","GUIDE AIM GEMINUS 2.0MM","N/A","N/A","0272","N/A","N/A","75.90","75.90","75.90","N/A","N/A","N/A","75.90","75.90","N/A","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90"
"5","N/A","GUIDE DRILL NON THRD 2.5X300MM","N/A","N/A","0272","N/A","N/A","216.00","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","GUIDE NEEDLE DUAL TRANSDUCER","N/A","N/A","0272","N/A","N/A","66.92","66.92","66.92","N/A","N/A","N/A","66.92","66.92","N/A","66.92","66.92","66.92","66.92","66.92","66.92","66.92","66.92","66.92","66.92"
"5","N/A","GUIDE SURGICAL AIMING PLS","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","GUIDE TRAJECTORY KT EXT NAVIGUS","N/A","N/A","0272","N/A","N/A","4699.20","4699.20","4699.20","N/A","N/A","N/A","4699.20","4699.20","N/A","4699.20","4699.20","4699.20","4699.20","4699.20","4699.20","4699.20","4699.20","4699.20","4699.20"
"5","N/A","GUIDE WIRE 1.1MMX18"","N/A","N/A","0272","N/A","N/A","161.70","161.70","161.70","N/A","N/A","N/A","161.70","161.70","N/A","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70"
"5","N/A","GUIDEWIRE 0.8X100MM","N/A","N/A","0272","N/A","N/A","203.15","203.15","203.15","N/A","N/A","N/A","203.15","203.15","N/A","203.15","203.15","203.15","203.15","203.15","203.15","203.15","203.15","203.15","203.15"
"5","N/A","GUIDEWIRE 1.1X150MM","N/A","N/A","0272","N/A","N/A","225.72","225.72","225.72","N/A","N/A","N/A","225.72","225.72","N/A","225.72","225.72","225.72","225.72","225.72","225.72","225.72","225.72","225.72","225.72"
"5","N/A","GUIDEWIRE 1.4X150MM","N/A","N/A","0272","N/A","N/A","261.46","261.46","261.46","N/A","N/A","N/A","261.46","261.46","N/A","261.46","261.46","261.46","261.46","261.46","261.46","261.46","261.46","261.46","261.46"
"5","N/A","GUIDEWIRE 28 DEG STINGRAY 014 185","N/A","N/A","0272","N/A","N/A","1225.13","1225.13","1225.13","N/A","N/A","N/A","1225.13","1225.13","N/A","1225.13","1225.13","1225.13","1225.13","1225.13","1225.13","1225.13","1225.13","1225.13","1225.13"
"5","N/A","GUIDEWIRE ACCESS SOFT SYNCHRO 2 200","N/A","N/A","0272","N/A","N/A","1765.50","1765.50","1765.50","N/A","N/A","N/A","1765.50","1765.50","N/A","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50"
"5","N/A","GUIDEWIRE ACCESS STD SYNCHRO 2 200","N/A","N/A","0272","N/A","N/A","1765.50","1765.50","1765.50","N/A","N/A","N/A","1765.50","1765.50","N/A","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50"
"5","N/A","GUIDEWIRE ACCESS SYNCHRO 10 55CM 200","N/A","N/A","0272","N/A","N/A","1765.50","1765.50","1765.50","N/A","N/A","N/A","1765.50","1765.50","N/A","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50","1765.50"
"5","N/A","GUIDEWIRE ADVANTAGE GLIDEWIRE ANGLE 035 5X260CM","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","GUIDEWIRE ANGIO ADX PTFE FC ST 035X260CM","N/A","N/A","0272","N/A","N/A","37.29","37.29","37.29","N/A","N/A","N/A","37.29","37.29","N/A","37.29","37.29","37.29","37.29","37.29","37.29","37.29","37.29","37.29","37.29"
"5","N/A","GUIDEWIRE ANGLED GLDWR 035 3X150M","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","GUIDEWIRE ANGLED GLDWR 035 3X180","N/A","N/A","0272","N/A","N/A","131.01","131.01","131.01","N/A","N/A","N/A","131.01","131.01","N/A","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01"
"5","N/A","GUIDEWIRE ANGLED RDRNR PC 035 180CM","N/A","N/A","0272","N/A","N/A","102.30","102.30","102.30","N/A","N/A","N/A","102.30","102.30","N/A","102.30","102.30","102.30","102.30","102.30","102.30","102.30","102.30","102.30","102.30"
"5","N/A","GUIDEWIRE ANGLED SENSOR 035 3X150CM","N/A","N/A","0272","N/A","N/A","133.89","133.89","133.89","N/A","N/A","N/A","133.89","133.89","N/A","133.89","133.89","133.89","133.89","133.89","133.89","133.89","133.89","133.89","133.89"
"5","N/A","GUIDEWIRE ANGLED STD ZIPWIRE 035 150","N/A","N/A","0272","N/A","N/A","120.76","120.76","120.76","N/A","N/A","N/A","120.76","120.76","N/A","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76"
"5","N/A","GUIDEWIRE ANGLED STIFF 035 3X180CM","N/A","N/A","0272","N/A","N/A","154.11","154.11","154.11","N/A","N/A","N/A","154.11","154.11","N/A","154.11","154.11","154.11","154.11","154.11","154.11","154.11","154.11","154.11","154.11"
"5","N/A","GUIDEWIRE ANGLED STIFF 035 3X260","N/A","N/A","0272","N/A","N/A","164.51","164.51","164.51","N/A","N/A","N/A","164.51","164.51","N/A","164.51","164.51","164.51","164.51","164.51","164.51","164.51","164.51","164.51","164.51"
"5","N/A","GUIDEWIRE ASAHI GLADIUS MONGO 14 STR 190CM","N/A","N/A","0272","N/A","N/A","413.16","413.16","413.16","N/A","N/A","N/A","413.16","413.16","N/A","413.16","413.16","413.16","413.16","413.16","413.16","413.16","413.16","413.16","413.16"
"5","N/A","GUIDEWIRE BALL TIP STL 3X1000MM","N/A","N/A","0272","N/A","N/A","850.08","850.08","850.08","N/A","N/A","N/A","850.08","850.08","N/A","850.08","850.08","850.08","850.08","850.08","850.08","850.08","850.08","850.08","850.08"
"5","N/A","GUIDEWIRE BEAD TIP 2.6X80MM","N/A","N/A","0272","N/A","N/A","327.00","327.00","327.00","N/A","N/A","N/A","327.00","327.00","N/A","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00"
"5","N/A","GUIDEWIRE BENTSON 035 20X180CM","N/A","N/A","0272","N/A","N/A","47.85","47.85","47.85","N/A","N/A","N/A","47.85","47.85","N/A","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85"
"5","N/A","GUIDEWIRE BENTSON CBRL 018 180CM","N/A","N/A","0272","N/A","N/A","42.80","42.80","42.80","N/A","N/A","N/A","42.80","42.80","N/A","42.80","42.80","42.80","42.80","42.80","42.80","42.80","42.80","42.80","42.80"
"5","N/A","GUIDEWIRE BENTSON NON-HEP 035 20X260CM","N/A","N/A","0272","N/A","N/A","56.10","56.10","56.10","N/A","N/A","N/A","56.10","56.10","N/A","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10"
"5","N/A","GUIDEWIRE CORONARY ASAHI PROWATERFLEX 180CM","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","GUIDEWIRE CORONARY ASAHI PROWATERFLEX 300CM","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","GUIDEWIRE CORONARY ASAHI RG3 330CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","GUIDEWIRE CORONARY DIAMONDBACK 360 .014 325CM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","GUIDEWIRE CORONARY H-T BMW UNIV II 190CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","GUIDEWIRE CORONARY H-T BMW UNIV II STR .014 300CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","GUIDEWIRE CORONARY H-T IRON MAN J .014 3X300CM","N/A","N/A","0272","N/A","N/A","277.64","277.64","277.64","N/A","N/A","N/A","277.64","277.64","N/A","277.64","277.64","277.64","277.64","277.64","277.64","277.64","277.64","277.64","277.64"
"5","N/A","GUIDEWIRE CORONARY H-T PILOT 200 STR 014 300CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","GUIDEWIRE CORONARY H-T PILOT 50 STR 014 300CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","GUIDEWIRE CORONARY H-T STEELCORE STR .018 300CM","N/A","N/A","0272","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","GUIDEWIRE CORONARY H-T WHISPER MS STR 014 3X190CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","GUIDEWIRE CORONARY H-T WIGGLE STR .014 30X300CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","GUIDEWIRE DOUBLE 90/60 HDLNR 016 300","N/A","N/A","0272","N/A","N/A","957.00","957.00","957.00","N/A","N/A","N/A","957.00","957.00","N/A","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00"
"5","N/A","GUIDEWIRE DRILL TIP J-CHUCK 2.5X200","N/A","N/A","0272","N/A","N/A","209.52","209.52","209.52","N/A","N/A","N/A","209.52","209.52","N/A","209.52","209.52","209.52","209.52","209.52","209.52","209.52","209.52","209.52","209.52"
"5","N/A","GUIDEWIRE ENTRY 3.2X320MM BIOMET","N/A","N/A","0272","N/A","N/A","367.29","367.29","367.29","N/A","N/A","N/A","367.29","367.29","N/A","367.29","367.29","367.29","367.29","367.29","367.29","367.29","367.29","367.29","367.29"
"5","N/A","GUIDEWIRE EXTENSION DOC .014-018 145CM","N/A","N/A","0272","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","GUIDEWIRE EXTRA SM SAFARI 2 035 275CM","N/A","N/A","0272","N/A","N/A","656.70","656.70","656.70","N/A","N/A","N/A","656.70","656.70","N/A","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70"
"5","N/A","GUIDEWIRE EXTRA SPRT ROTAWIRE 014 330CM","N/A","N/A","0272","N/A","N/A","497.86","497.86","497.86","N/A","N/A","N/A","497.86","497.86","N/A","497.86","497.86","497.86","497.86","497.86","497.86","497.86","497.86","497.86","497.86"
"5","N/A","GUIDEWIRE EXTRA STIFF LNDRQST 035 4X260","N/A","N/A","0272","N/A","N/A","458.70","458.70","458.70","N/A","N/A","N/A","458.70","458.70","N/A","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70"
"5","N/A","GUIDEWIRE EXTRA STIFF LNDRQST 035 4X300","N/A","N/A","0272","N/A","N/A","500.94","500.94","500.94","N/A","N/A","N/A","500.94","500.94","N/A","500.94","500.94","500.94","500.94","500.94","500.94","500.94","500.94","500.94","500.94"
"5","N/A","GUIDEWIRE FIXED CORE .035 2X180CM","N/A","N/A","0272","N/A","N/A","33.00","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","GUIDEWIRE FIXED CORE AMPLATZ EXTRA STIFF .035 145CM","N/A","N/A","0272","N/A","N/A","98.74","98.74","98.74","N/A","N/A","N/A","98.74","98.74","N/A","98.74","98.74","98.74","98.74","98.74","98.74","98.74","98.74","98.74","98.74"
"5","N/A","GUIDEWIRE FIXED CORE BSN STR 035 150","N/A","N/A","0272","N/A","N/A","44.55","44.55","44.55","N/A","N/A","N/A","44.55","44.55","N/A","44.55","44.55","44.55","44.55","44.55","44.55","44.55","44.55","44.55","44.55"
"5","N/A","GUIDEWIRE FIXED CORE GUIDERIGHT 3J .032 260CM","N/A","N/A","0272","N/A","N/A","52.80","52.80","52.80","N/A","N/A","N/A","52.80","52.80","N/A","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80"
"5","N/A","GUIDEWIRE FLOPPY 45 DEG HDLNR 016 200","N/A","N/A","0272","N/A","N/A","957.00","957.00","957.00","N/A","N/A","N/A","957.00","957.00","N/A","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00"
"5","N/A","GUIDEWIRE FLOPPY 90 DEG HDLNR 016 200","N/A","N/A","0272","N/A","N/A","957.00","957.00","957.00","N/A","N/A","N/A","957.00","957.00","N/A","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00"
"5","N/A","GUIDEWIRE FLOPPY ROTAWIRE 014 330CM","N/A","N/A","0272","N/A","N/A","497.86","497.86","497.86","N/A","N/A","N/A","497.86","497.86","N/A","497.86","497.86","497.86","497.86","497.86","497.86","497.86","497.86","497.86","497.86"
"5","N/A","GUIDEWIRE FLOPPY TRANSEND EX 35CM 300","N/A","N/A","0272","N/A","N/A","1831.50","1831.50","1831.50","N/A","N/A","N/A","1831.50","1831.50","N/A","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50"
"5","N/A","GUIDEWIRE FLUTE CAL 2.8X300MM","N/A","N/A","0272","N/A","N/A","317.73","317.73","317.73","N/A","N/A","N/A","317.73","317.73","N/A","317.73","317.73","317.73","317.73","317.73","317.73","317.73","317.73","317.73","317.73"
"5","N/A","GUIDEWIRE GLIDEX PT + 018 180CM","N/A","N/A","0272","N/A","N/A","273.90","273.90","273.90","N/A","N/A","N/A","273.90","273.90","N/A","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90"
"5","N/A","GUIDEWIRE HYDROPHILIC GLIDEWIRE ANGLE .035 3X260CM","N/A","N/A","0272","N/A","N/A","146.52","146.52","146.52","N/A","N/A","N/A","146.52","146.52","N/A","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52"
"5","N/A","GUIDEWIRE HYDROPHILIC GLIDEWIRE J .035 180CM","N/A","N/A","0272","N/A","N/A","131.01","131.01","131.01","N/A","N/A","N/A","131.01","131.01","N/A","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01"
"5","N/A","GUIDEWIRE HYDROPHILIC GLIDEWIRE STIFF STR 035 3X260CM","N/A","N/A","0272","N/A","N/A","164.51","164.51","164.51","N/A","N/A","N/A","164.51","164.51","N/A","164.51","164.51","164.51","164.51","164.51","164.51","164.51","164.51","164.51","164.51"
"5","N/A","GUIDEWIRE HYDROPHILIC GLIDEWIRE STR .035 3X180CM","N/A","N/A","0272","N/A","N/A","131.01","131.01","131.01","N/A","N/A","N/A","131.01","131.01","N/A","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01","131.01"
"5","N/A","GUIDEWIRE HYDROPHILIC GLIDEWIRE STR .035 3X260CM","N/A","N/A","0272","N/A","N/A","146.52","146.52","146.52","N/A","N/A","N/A","146.52","146.52","N/A","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52"
"5","N/A","GUIDEWIRE INTRAMEDULLARY SCRW 3.2X400MM","N/A","N/A","0272","N/A","N/A","295.81","295.81","295.81","N/A","N/A","N/A","295.81","295.81","N/A","295.81","295.81","295.81","295.81","295.81","295.81","295.81","295.81","295.81","295.81"
"5","N/A","GUIDEWIRE LONG TPR PT + 018 260CM","N/A","N/A","0272","N/A","N/A","273.90","273.90","273.90","N/A","N/A","N/A","273.90","273.90","N/A","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90"
"5","N/A","GUIDEWIRE LUNDERQUIST X-STF DBL CRVD 035 4X260CM","N/A","N/A","0272","N/A","N/A","512.96","512.96","512.96","N/A","N/A","N/A","512.96","512.96","N/A","512.96","512.96","512.96","512.96","512.96","512.96","512.96","512.96","512.96","512.96"
"5","N/A","GUIDEWIRE MINI SS ACTRK 035 6"","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","GUIDEWIRE MINI SS ACTRK 045 6"","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","GUIDEWIRE MINI SS ACTRK 062 6"","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","GUIDEWIRE MINI SS ACTRK 54 7"","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","GUIDEWIRE NON THRD CANN TI 1.25X150MM","N/A","N/A","0272","N/A","N/A","86.96","86.96","86.96","N/A","N/A","N/A","86.96","86.96","N/A","86.96","86.96","86.96","86.96","86.96","86.96","86.96","86.96","86.96","86.96"
"5","N/A","GUIDEWIRE ORTHO 1.35MM DUAL TROCAR","N/A","N/A","0272","N/A","N/A","135.30","135.30","135.30","N/A","N/A","N/A","135.30","135.30","N/A","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30"
"5","N/A","GUIDEWIRE ORTHO BALL NOSE 3.0X100CM","N/A","N/A","0272","N/A","N/A","699.60","699.60","699.60","N/A","N/A","N/A","699.60","699.60","N/A","699.60","699.60","699.60","699.60","699.60","699.60","699.60","699.60","699.60","699.60"
"5","N/A","GUIDEWIRE ORTHO BALL NOSE 80CM","N/A","N/A","0272","N/A","N/A","508.20","508.20","508.20","N/A","N/A","N/A","508.20","508.20","N/A","508.20","508.20","508.20","508.20","508.20","508.20","508.20","508.20","508.20","508.20"
"5","N/A","GUIDEWIRE ORTHO T2 BALL TIP TI 3X1250MM","N/A","N/A","0272","N/A","N/A","801.57","801.57","801.57","N/A","N/A","N/A","801.57","801.57","N/A","801.57","801.57","801.57","801.57","801.57","801.57","801.57","801.57","801.57","801.57"
"5","N/A","GUIDEWIRE ORTHO TEAR DROP 2.4MMX70CM","N/A","N/A","0272","N/A","N/A","514.80","514.80","514.80","N/A","N/A","N/A","514.80","514.80","N/A","514.80","514.80","514.80","514.80","514.80","514.80","514.80","514.80","514.80","514.80"
"5","N/A","GUIDEWIRE ORTHOPEDIC 045 6"","N/A","N/A","0272","N/A","N/A","84.65","84.65","84.65","N/A","N/A","N/A","84.65","84.65","N/A","84.65","84.65","84.65","84.65","84.65","84.65","84.65","84.65","84.65","84.65"
"5","N/A","GUIDEWIRE ORTHOPEDIC 3.2X290MM","N/A","N/A","0272","N/A","N/A","295.81","295.81","295.81","N/A","N/A","N/A","295.81","295.81","N/A","295.81","295.81","295.81","295.81","295.81","295.81","295.81","295.81","295.81","295.81"
"5","N/A","GUIDEWIRE ORTHOPEDIC BALL NOSE 3MM","N/A","N/A","0272","N/A","N/A","870.87","870.87","870.87","N/A","N/A","N/A","870.87","870.87","N/A","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87"
"5","N/A","GUIDEWIRE ORTHOPEDIC DISPOSABLE 062 7"","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","GUIDEWIRE ORTHOPEDIC TROCAR 1.35X130MM","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","GUIDEWIRE ORTHOPEDIC TROCAR TIP 062","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","GUIDEWIRE PANTA 3.2X600MM","N/A","N/A","0272","N/A","N/A","639.21","639.21","639.21","N/A","N/A","N/A","639.21","639.21","N/A","639.21","639.21","639.21","639.21","639.21","639.21","639.21","639.21","639.21","639.21"
"5","N/A","GUIDEWIRE PERIPHERAL STR ASTATO XS 20 .014 17X300CM","N/A","N/A","0272","N/A","N/A","862.95","862.95","862.95","N/A","N/A","N/A","862.95","862.95","N/A","862.95","862.95","862.95","862.95","862.95","862.95","862.95","862.95","862.95","862.95"
"5","N/A","GUIDEWIRE PLATINUM TRANSEND EX 014 205","N/A","N/A","0272","N/A","N/A","1544.40","1544.40","1544.40","N/A","N/A","N/A","1544.40","1544.40","N/A","1544.40","1544.40","1544.40","1544.40","1544.40","1544.40","1544.40","1544.40","1544.40","1544.40"
"5","N/A","GUIDEWIRE PRESSURE OMNIWIRE STR 014 3X185CM","N/A","N/A","0272","N/A","N/A","2359.50","2359.50","2359.50","N/A","N/A","N/A","2359.50","2359.50","N/A","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50"
"5","N/A","GUIDEWIRE ROADRUNNER THE FIRM 035 180","N/A","N/A","0272","N/A","N/A","89.10","89.10","89.10","N/A","N/A","N/A","89.10","89.10","N/A","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10"
"5","N/A","GUIDEWIRE ROADRUNNER THE FIRM 035 260","N/A","N/A","0272","N/A","N/A","125.40","125.40","125.40","N/A","N/A","N/A","125.40","125.40","N/A","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40"
"5","N/A","GUIDEWIRE SAFE-T-J 035 3MMX145CM","N/A","N/A","0272","N/A","N/A","35.48","35.48","35.48","N/A","N/A","N/A","35.48","35.48","N/A","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48"
"5","N/A","GUIDEWIRE SAFE-T-J 038 3MMX80CM","N/A","N/A","0272","N/A","N/A","33.07","33.07","33.07","N/A","N/A","N/A","33.07","33.07","N/A","33.07","33.07","33.07","33.07","33.07","33.07","33.07","33.07","33.07","33.07"
"5","N/A","GUIDEWIRE SHAPEABLE TRAXCESS 3 014 200","N/A","N/A","0272","N/A","N/A","1204.50","1204.50","1204.50","N/A","N/A","N/A","1204.50","1204.50","N/A","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50","1204.50"
"5","N/A","GUIDEWIRE SHORT TPR PT + 018 180CM","N/A","N/A","0272","N/A","N/A","273.90","273.90","273.90","N/A","N/A","N/A","273.90","273.90","N/A","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90"
"5","N/A","GUIDEWIRE SMALL BN DBL TROCAR 062 6"","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","GUIDEWIRE STANDARD 90/60 HDLNR 012 200","N/A","N/A","0272","N/A","N/A","957.00","957.00","957.00","N/A","N/A","N/A","957.00","957.00","N/A","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00"
"5","N/A","GUIDEWIRE STANDARD NIT COPE 018 7X60CM","N/A","N/A","0272","N/A","N/A","102.20","102.20","102.20","N/A","N/A","N/A","102.20","102.20","N/A","102.20","102.20","102.20","102.20","102.20","102.20","102.20","102.20","102.20","102.20"
"5","N/A","GUIDEWIRE STIFF DREAMWIRE 035 450","N/A","N/A","0272","N/A","N/A","566.75","566.75","566.75","N/A","N/A","N/A","566.75","566.75","N/A","566.75","566.75","566.75","566.75","566.75","566.75","566.75","566.75","566.75","566.75"
"5","N/A","GUIDEWIRE STRAIGHT ASAHI CHIKAI 010 200","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","GUIDEWIRE STRAIGHT COONS 035 3.5X260CM","N/A","N/A","0272","N/A","N/A","89.10","89.10","89.10","N/A","N/A","N/A","89.10","89.10","N/A","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10"
"5","N/A","GUIDEWIRE STRAIGHT DREAMWIRE 035 260CM","N/A","N/A","0272","N/A","N/A","567.58","567.58","567.58","N/A","N/A","N/A","567.58","567.58","N/A","567.58","567.58","567.58","567.58","567.58","567.58","567.58","567.58","567.58","567.58"
"5","N/A","GUIDEWIRE STRAIGHT FLP WHOLEY 035 260","N/A","N/A","0272","N/A","N/A","355.74","355.74","355.74","N/A","N/A","N/A","355.74","355.74","N/A","355.74","355.74","355.74","355.74","355.74","355.74","355.74","355.74","355.74","355.74"
"5","N/A","GUIDEWIRE STRAIGHT FLP WHOLEY 035 300","N/A","N/A","0272","N/A","N/A","465.70","465.70","465.70","N/A","N/A","N/A","465.70","465.70","N/A","465.70","465.70","465.70","465.70","465.70","465.70","465.70","465.70","465.70","465.70"
"5","N/A","GUIDEWIRE STRAIGHT FXD CORE 035 3X150","N/A","N/A","0272","N/A","N/A","35.15","35.15","35.15","N/A","N/A","N/A","35.15","35.15","N/A","35.15","35.15","35.15","35.15","35.15","35.15","35.15","35.15","35.15","35.15"
"5","N/A","GUIDEWIRE STRAIGHT FXD GLDWR 038 150CM","N/A","N/A","0272","N/A","N/A","35.15","35.15","35.15","N/A","N/A","N/A","35.15","35.15","N/A","35.15","35.15","35.15","35.15","35.15","35.15","35.15","35.15","35.15","35.15"
"5","N/A","GUIDEWIRE STRAIGHT HALO 360 038 260CM","N/A","N/A","0272","N/A","N/A","547.80","547.80","547.80","N/A","N/A","N/A","547.80","547.80","N/A","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80"
"5","N/A","GUIDEWIRE STRAIGHT HI JAG 035 260CM","N/A","N/A","0272","N/A","N/A","325.03","325.03","325.03","N/A","N/A","N/A","325.03","325.03","N/A","325.03","325.03","325.03","325.03","325.03","325.03","325.03","325.03","325.03","325.03"
"5","N/A","GUIDEWIRE STRAIGHT REG ZIPWIRE 035 150 AMPLATZ SPR STF","N/A","N/A","0272","N/A","N/A","120.76","120.76","120.76","N/A","N/A","N/A","120.76","120.76","N/A","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76"
"5","N/A","GUIDEWIRE STRAIGHT SENSOR 035 3X150CM","N/A","N/A","0272","N/A","N/A","133.89","133.89","133.89","N/A","N/A","N/A","133.89","133.89","N/A","133.89","133.89","133.89","133.89","133.89","133.89","133.89","133.89","133.89","133.89"
"5","N/A","GUIDEWIRE STRAIGHT SHT THRUWAY 018 190","N/A","N/A","0272","N/A","N/A","311.85","311.85","311.85","N/A","N/A","N/A","311.85","311.85","N/A","311.85","311.85","311.85","311.85","311.85","311.85","311.85","311.85","311.85","311.85"
"5","N/A","GUIDEWIRE STRAIGHT SHT THRUWAY 018 300","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","GUIDEWIRE STRAIGHT STBL XS 014 180CM","N/A","N/A","0272","N/A","N/A","221.10","221.10","221.10","N/A","N/A","N/A","221.10","221.10","N/A","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10"
"5","N/A","GUIDEWIRE STRAIGHT STBL XS 014 300CM","N/A","N/A","0272","N/A","N/A","221.10","221.10","221.10","N/A","N/A","N/A","221.10","221.10","N/A","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10"
"5","N/A","GUIDEWIRE STRAIGHT STIFF JAG 025 260CM","N/A","N/A","0272","N/A","N/A","325.03","325.03","325.03","N/A","N/A","N/A","325.03","325.03","N/A","325.03","325.03","325.03","325.03","325.03","325.03","325.03","325.03","325.03","325.03"
"5","N/A","GUIDEWIRE STRAIGHT VERRATA 014 3X185CM","N/A","N/A","0272","N/A","N/A","2359.50","2359.50","2359.50","N/A","N/A","N/A","2359.50","2359.50","N/A","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50","2359.50"
"5","N/A","GUIDEWIRE STRAIGHT VICTORY 18G 018 300","N/A","N/A","0272","N/A","N/A","528.00","528.00","528.00","N/A","N/A","N/A","528.00","528.00","N/A","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00"
"5","N/A","GUIDEWIRE STRAIGHT VICTORY 30G 014 300","N/A","N/A","0272","N/A","N/A","699.60","699.60","699.60","N/A","N/A","N/A","699.60","699.60","N/A","699.60","699.60","699.60","699.60","699.60","699.60","699.60","699.60","699.60","699.60"
"5","N/A","GUIDEWIRE SUPPORT TRAXCESS 014 200CM","N/A","N/A","0272","N/A","N/A","1254.00","1254.00","1254.00","N/A","N/A","N/A","1254.00","1254.00","N/A","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00"
"5","N/A","GUIDEWIRE THREADED 2.8X300MM","N/A","N/A","0272","N/A","N/A","293.70","293.70","293.70","N/A","N/A","N/A","293.70","293.70","N/A","293.70","293.70","293.70","293.70","293.70","293.70","293.70","293.70","293.70","293.70"
"5","N/A","GUIDEWIRE THREADED CAL 2.8X450MM","N/A","N/A","0272","N/A","N/A","246.51","246.51","246.51","N/A","N/A","N/A","246.51","246.51","N/A","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51","246.51"
"5","N/A","GUIDEWIRE THREADED QUICKFIX SS 0.034"","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","GUIDEWIRE THREADED QUICKFIX SS 0.045"","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","GUIDEWIRE THREADED QUICKFIX SS 1.1MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","GUIDEWIRE THREADED QUICKFIX SS 1.35MM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","GUIDEWIRE THREADED SPADE PNT 1.6X150MM","N/A","N/A","0272","N/A","N/A","105.44","105.44","105.44","N/A","N/A","N/A","105.44","105.44","N/A","105.44","105.44","105.44","105.44","105.44","105.44","105.44","105.44","105.44","105.44"
"5","N/A","GUIDEWIRE THREADED TRIGEN 3.2MMX100CM","N/A","N/A","0272","N/A","N/A","293.36","293.36","293.36","N/A","N/A","N/A","293.36","293.36","N/A","293.36","293.36","293.36","293.36","293.36","293.36","293.36","293.36","293.36","293.36"
"5","N/A","GUIDEWIRE THREADED TROCAR PNT 2.8X300","N/A","N/A","0272","N/A","N/A","142.43","142.43","142.43","N/A","N/A","N/A","142.43","142.43","N/A","142.43","142.43","142.43","142.43","142.43","142.43","142.43","142.43","142.43","142.43"
"5","N/A","GUIDEWIRE TROCAR LSR LINE 0.045"","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","GUIDEWIRE TROCAR N/TRD 1.6X220MM","N/A","N/A","0272","N/A","N/A","118.44","118.44","118.44","N/A","N/A","N/A","118.44","118.44","N/A","118.44","118.44","118.44","118.44","118.44","118.44","118.44","118.44","118.44","118.44"
"5","N/A","GUIDEWIRE UROLOGICAL ZIPWIRE STD STR 035X150CM","N/A","N/A","0272","N/A","N/A","120.76","120.76","120.76","N/A","N/A","N/A","120.76","120.76","N/A","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76","120.76"
"5","N/A","GUIDEWIRE VASCULAR ADVANTAGE GLDWR ANGLE 035 5X180CM","N/A","N/A","0272","N/A","N/A","528.00","528.00","528.00","N/A","N/A","N/A","528.00","528.00","N/A","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00"
"5","N/A","GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STR .035 145CM","N/A","N/A","0272","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STR .035 180CM","N/A","N/A","0272","N/A","N/A","138.60","138.60","138.60","N/A","N/A","N/A","138.60","138.60","N/A","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60","138.60"
"5","N/A","GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STR .035 260CM","N/A","N/A","0272","N/A","N/A","155.10","155.10","155.10","N/A","N/A","N/A","155.10","155.10","N/A","155.10","155.10","155.10","155.10","155.10","155.10","155.10","155.10","155.10","155.10"
"5","N/A","GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STR .035 75CM","N/A","N/A","0272","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","GUIDEWIRE VASCULAR AMPLATZ SUPER STIFF STR 035 260CM","N/A","N/A","0272","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","GUIDEWIRE VASCULAR BENTSON STR .035X200CM","N/A","N/A","0272","N/A","N/A","46.20","46.20","46.20","N/A","N/A","N/A","46.20","46.20","N/A","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20"
"5","N/A","GUIDEWIRE VASCULAR CONTROL V-18 018 12X300CM","N/A","N/A","0272","N/A","N/A","277.20","277.20","277.20","N/A","N/A","N/A","277.20","277.20","N/A","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20"
"5","N/A","GUIDEWIRE VASCULAR CONTROL V-18 018 8X300CM","N/A","N/A","0272","N/A","N/A","277.20","277.20","277.20","N/A","N/A","N/A","277.20","277.20","N/A","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20"
"5","N/A","GUIDEWIRE VASCULAR FIELDER XT STR .014 16X190CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","GUIDEWIRE VASCULAR FIELDER XT STR .014 300CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","GUIDEWIRE VASCULAR FIXED CORE 3J 021 260CM","N/A","N/A","0272","N/A","N/A","56.10","56.10","56.10","N/A","N/A","N/A","56.10","56.10","N/A","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10"
"5","N/A","GUIDEWIRE VASCULAR FIXED CORE 3J 025 180CM","N/A","N/A","0272","N/A","N/A","34.68","34.68","34.68","N/A","N/A","N/A","34.68","34.68","N/A","34.68","34.68","34.68","34.68","34.68","34.68","34.68","34.68","34.68","34.68"
"5","N/A","GUIDEWIRE VASCULAR GLIDEWIRE ANG 025 3X260CM","N/A","N/A","0272","N/A","N/A","190.08","190.08","190.08","N/A","N/A","N/A","190.08","190.08","N/A","190.08","190.08","190.08","190.08","190.08","190.08","190.08","190.08","190.08","190.08"
"5","N/A","GUIDEWIRE VASCULAR GLIDEWIRE ANGLE 025 3X180CM","N/A","N/A","0272","N/A","N/A","177.38","177.38","177.38","N/A","N/A","N/A","177.38","177.38","N/A","177.38","177.38","177.38","177.38","177.38","177.38","177.38","177.38","177.38","177.38"
"5","N/A","GUIDEWIRE VASCULAR GLIDEWIRE STR 025 3X180CM","N/A","N/A","0272","N/A","N/A","177.38","177.38","177.38","N/A","N/A","N/A","177.38","177.38","N/A","177.38","177.38","177.38","177.38","177.38","177.38","177.38","177.38","177.38","177.38"
"5","N/A","GUIDEWIRE VASCULAR GLIDEWIRE STR 035 3X150CM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","GUIDEWIRE VASCULAR HI-TORQUE COMMAND 18 LT 018 210CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","GUIDEWIRE VASCULAR HI-TORQUE COMMAND 18 ST 018 210CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","GUIDEWIRE VASCULAR HI-TORQUE COMMAND ES SS 014 190CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","GUIDEWIRE VASCULAR HI-TORQUE COMMAND STR 018 300CM","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","GUIDEWIRE VASCULAR IMPELLA RP STIFF .027 260CM","N/A","N/A","0272","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","GUIDEWIRE VASCULAR LUNDERQUIST EX-STIFF 035 11X300CM","N/A","N/A","0272","N/A","N/A","538.53","538.53","538.53","N/A","N/A","N/A","538.53","538.53","N/A","538.53","538.53","538.53","538.53","538.53","538.53","538.53","538.53","538.53","538.53"
"5","N/A","GUIDEWIRE VASCULAR TRANSEND 014 2X190","N/A","N/A","0272","N/A","N/A","659.21","659.21","659.21","N/A","N/A","N/A","659.21","659.21","N/A","659.21","659.21","659.21","659.21","659.21","659.21","659.21","659.21","659.21","659.21"
"5","N/A","GUIDEWIRE VASCULAR VIPER ADVANCE 014 335CM","N/A","N/A","0272","N/A","N/A","561.00","561.00","561.00","N/A","N/A","N/A","561.00","561.00","N/A","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00"
"5","N/A","GUIDEWIRE VASCULAR ZIPWIRE STIFF ANG TIP 035 3X260CM","N/A","N/A","0272","N/A","N/A","170.94","170.94","170.94","N/A","N/A","N/A","170.94","170.94","N/A","170.94","170.94","170.94","170.94","170.94","170.94","170.94","170.94","170.94","170.94"
"5","N/A","GUIDEWIRE VISIGLIDE SPHINCTEROTIME CLEVERCUT 3V 20MM","N/A","N/A","0272","N/A","N/A","1228.92","1228.92","1228.92","N/A","N/A","N/A","1228.92","1228.92","N/A","1228.92","1228.92","1228.92","1228.92","1228.92","1228.92","1228.92","1228.92","1228.92","1228.92"
"5","N/A","GUIDEWIRE VSI NITINOL W/COIL TIP .018 40CM","N/A","N/A","0272","N/A","N/A","51.15","51.15","51.15","N/A","N/A","N/A","51.15","51.15","N/A","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15","51.15"
"5","N/A","GUN DELIVERY AND TRAY MIX TIP","N/A","N/A","0272","N/A","N/A","1646.70","1646.70","1646.70","N/A","N/A","N/A","1646.70","1646.70","N/A","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70"
"5","N/A","HAND PIECE HYDRO SURGERY 45 DEG 14","N/A","N/A","0272","N/A","N/A","1646.70","1646.70","1646.70","N/A","N/A","N/A","1646.70","1646.70","N/A","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70"
"5","N/A","HANDLE DETACHMENT COIL RUBY","N/A","N/A","0272","N/A","N/A","785.40","785.40","785.40","N/A","N/A","N/A","785.40","785.40","N/A","785.40","785.40","785.40","785.40","785.40","785.40","785.40","785.40","785.40","785.40"
"5","N/A","HANDLE INSTRUMENT COIL DETACHMENT","N/A","N/A","0272","N/A","N/A","785.40","785.40","785.40","N/A","N/A","N/A","785.40","785.40","N/A","785.40","785.40","785.40","785.40","785.40","785.40","785.40","785.40","785.40","785.40"
"5","N/A","HANDLE SYSTEM ZONENAVIGATOR","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","HANDPIECE 45 CAPSULEGUARD IA 137","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","HANDPIECE BIOPSY BRST EVIVA 9GX13CM","N/A","N/A","0272","N/A","N/A","788.70","788.70","788.70","N/A","N/A","N/A","788.70","788.70","N/A","788.70","788.70","788.70","788.70","788.70","788.70","788.70","788.70","788.70","788.70"
"5","N/A","HANDPIECE ELECTROSURGICAL 5MMX35CM","N/A","N/A","0272","N/A","N/A","1815.00","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","HANDPIECE THUNDERBEAT TYPE S 5MMX35CM","N/A","N/A","0272","N/A","N/A","1815.00","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","HARVESTER BONE GRAFT COLINK 6MM","N/A","N/A","0272","N/A","N/A","2953.50","2953.50","2953.50","N/A","N/A","N/A","2953.50","2953.50","N/A","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50"
"5","N/A","HARVESTER BONE GRAFT COLINK 8MM","N/A","N/A","0272","N/A","N/A","2953.50","2953.50","2953.50","N/A","N/A","N/A","2953.50","2953.50","N/A","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50"
"5","N/A","HCHG EXT WEAR OST SKN BARR <=4SQ","N/A","N/A","0272","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","HCHG NEEDLE GUIDE KIT 21G SITE RITE","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","HCHG NEEDLE GUIDE KIT 21G SITE RITE (AKA IVT)","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","HCHG NEEDLE HUBER W EXTENSION","N/A","N/A","0272","N/A","N/A","64.00","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG NEEDLE HUBER W EXTENSION (AKA IVT)","N/A","N/A","0272","N/A","N/A","64.00","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG OPTIME STERILE SUPPLY","N/A","N/A","0272","N/A","N/A","1089.00","1089.00","1089.00","N/A","N/A","N/A","1089.00","1089.00","N/A","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00"
"5","N/A","HCHG SLEEVE INTERMITT LIMB COMP REPL EA","N/A","N/A","0272","N/A","N/A","152.59","152.59","152.59","N/A","N/A","N/A","152.59","152.59","N/A","152.59","152.59","152.59","152.59","152.59","152.59","152.59","152.59","152.59","152.59"
"5","N/A","HCHG STERILE SUPPLY","N/A","N/A","0272","N/A","N/A","135.51","135.51","135.51","N/A","N/A","N/A","135.51","135.51","N/A","135.51","135.51","135.51","135.51","135.51","135.51","135.51","135.51","135.51","135.51"
"5","N/A","HEAD REAMER MEDULLARY 12.5MM","N/A","N/A","0272","N/A","N/A","1027.13","1027.13","1027.13","N/A","N/A","N/A","1027.13","1027.13","N/A","1027.13","1027.13","1027.13","1027.13","1027.13","1027.13","1027.13","1027.13","1027.13","1027.13"
"5","N/A","HEAD REAMER RIA 2 10.0MM","N/A","N/A","0272","N/A","N/A","2277.00","2277.00","2277.00","N/A","N/A","N/A","2277.00","2277.00","N/A","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00"
"5","N/A","HEAD REAMER RIA 2 12.0MM","N/A","N/A","0272","N/A","N/A","2277.00","2277.00","2277.00","N/A","N/A","N/A","2277.00","2277.00","N/A","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00"
"5","N/A","HEAD REAMER RIA 2 13.5MM","N/A","N/A","0272","N/A","N/A","2277.00","2277.00","2277.00","N/A","N/A","N/A","2277.00","2277.00","N/A","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00"
"5","N/A","HEAD REAMER RIA 2 13MM","N/A","N/A","0272","N/A","N/A","2277.00","2277.00","2277.00","N/A","N/A","N/A","2277.00","2277.00","N/A","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00"
"5","N/A","HEAD REAMER RIA 2 14.0MM","N/A","N/A","0272","N/A","N/A","2277.00","2277.00","2277.00","N/A","N/A","N/A","2277.00","2277.00","N/A","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00"
"5","N/A","HEAD REAMER RIA 2 15.0MM","N/A","N/A","0272","N/A","N/A","2277.00","2277.00","2277.00","N/A","N/A","N/A","2277.00","2277.00","N/A","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00"
"5","N/A","HEAD REAMER RIA 2 15.5MM","N/A","N/A","0272","N/A","N/A","2277.00","2277.00","2277.00","N/A","N/A","N/A","2277.00","2277.00","N/A","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00","2277.00"
"5","N/A","HEMOSTAT ABSORBABLE NU-KNIT 2X4"","N/A","N/A","0272","N/A","N/A","459.96","459.96","459.96","N/A","N/A","N/A","459.96","459.96","N/A","459.96","459.96","459.96","459.96","459.96","459.96","459.96","459.96","459.96","459.96"
"5","N/A","HEMOSTAT ABSORBABLE NU-KNIT 3X4"","N/A","N/A","0272","N/A","N/A","284.01","284.01","284.01","N/A","N/A","N/A","284.01","284.01","N/A","284.01","284.01","284.01","284.01","284.01","284.01","284.01","284.01","284.01","284.01"
"5","N/A","HEMOSTAT ABSORBABLE POWDER SURGICEL 3GM","N/A","N/A","0272","N/A","N/A","759.27","759.27","759.27","N/A","N/A","N/A","759.27","759.27","N/A","759.27","759.27","759.27","759.27","759.27","759.27","759.27","759.27","759.27","759.27"
"5","N/A","HEMOSTAT ABSORBABLE SURGICEL 1X2"","N/A","N/A","0272","N/A","N/A","249.91","249.91","249.91","N/A","N/A","N/A","249.91","249.91","N/A","249.91","249.91","249.91","249.91","249.91","249.91","249.91","249.91","249.91","249.91"
"5","N/A","HEMOSTAT ABSORBABLE SURGICEL 2X14"","N/A","N/A","0272","N/A","N/A","300.25","300.25","300.25","N/A","N/A","N/A","300.25","300.25","N/A","300.25","300.25","300.25","300.25","300.25","300.25","300.25","300.25","300.25","300.25"
"5","N/A","HEMOSTAT ABSORBABLE SURGICEL 2X3"","N/A","N/A","0272","N/A","N/A","153.70","153.70","153.70","N/A","N/A","N/A","153.70","153.70","N/A","153.70","153.70","153.70","153.70","153.70","153.70","153.70","153.70","153.70","153.70"
"5","N/A","HEMOSTAT ABSORBABLE SURGICEL 4X8"","N/A","N/A","0272","N/A","N/A","307.40","307.40","307.40","N/A","N/A","N/A","307.40","307.40","N/A","307.40","307.40","307.40","307.40","307.40","307.40","307.40","307.40","307.40","307.40"
"5","N/A","HEMOSTATIC MATRIX FLOSEAL 10ML","N/A","N/A","0272","N/A","N/A","939.69","939.69","939.69","N/A","N/A","N/A","939.69","939.69","N/A","939.69","939.69","939.69","939.69","939.69","939.69","939.69","939.69","939.69","939.69"
"5","N/A","HINGE EXTERNAL FIXATION TRUELOK UNIVERSAL","N/A","N/A","0272","N/A","N/A","990.00","990.00","990.00","N/A","N/A","N/A","990.00","990.00","N/A","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00"
"5","N/A","HOLDER SCOPE W/ BTN WINGMAN","N/A","N/A","0272","N/A","N/A","119.06","119.06","119.06","N/A","N/A","N/A","119.06","119.06","N/A","119.06","119.06","119.06","119.06","119.06","119.06","119.06","119.06","119.06","119.06"
"5","N/A","HOLDER TUBE ET ORAL ANCHORFAST","N/A","N/A","0272","N/A","N/A","23.61","23.61","23.61","N/A","N/A","N/A","23.61","23.61","N/A","23.61","23.61","23.61","23.61","23.61","23.61","23.61","23.61","23.61","23.61"
"5","N/A","HOOD FOREIGN BODY PROTECTOR","N/A","N/A","0272","N/A","N/A","124.88","124.88","124.88","N/A","N/A","N/A","124.88","124.88","N/A","124.88","124.88","124.88","124.88","124.88","124.88","124.88","124.88","124.88","124.88"
"5","N/A","HOOD PROTECTION PEELAWAY LENS FLYTE","N/A","N/A","0272","N/A","N/A","118.49","118.49","118.49","N/A","N/A","N/A","118.49","118.49","N/A","118.49","118.49","118.49","118.49","118.49","118.49","118.49","118.49","118.49","118.49"
"5","N/A","HOOK ELECTRODE 22/24F","N/A","N/A","0272","N/A","N/A","311.48","311.48","311.48","N/A","N/A","N/A","311.48","311.48","N/A","311.48","311.48","311.48","311.48","311.48","311.48","311.48","311.48","311.48","311.48"
"5","N/A","HOOK RETRACTION ELAS STAY 5MM","N/A","N/A","0272","N/A","N/A","34.46","34.46","34.46","N/A","N/A","N/A","34.46","34.46","N/A","34.46","34.46","34.46","34.46","34.46","34.46","34.46","34.46","34.46","34.46"
"5","N/A","HOOK RETRACTION ELAS STAY BLUNT 12","N/A","N/A","0272","N/A","N/A","34.46","34.46","34.46","N/A","N/A","N/A","34.46","34.46","N/A","34.46","34.46","34.46","34.46","34.46","34.46","34.46","34.46","34.46","34.46"
"5","N/A","HUMIDIFIER AQUA + 150-1000ML","N/A","N/A","0272","N/A","N/A","3.33","3.33","3.33","N/A","N/A","N/A","3.33","3.33","N/A","3.33","3.33","3.33","3.33","3.33","3.33","3.33","3.33","3.33","3.33"
"5","N/A","HUMIDIFIER RESPIRATORY KT PRE-FD 650","N/A","N/A","0272","N/A","N/A","3.80","3.80","3.80","N/A","N/A","N/A","3.80","3.80","N/A","3.80","3.80","3.80","3.80","3.80","3.80","3.80","3.80","3.80","3.80"
"5","N/A","ILLUMINATOR FLAT NRW WAVEGUIDE","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","ILLUMINATOR FLAT NRW WAVEGUIDE XT","N/A","N/A","0272","N/A","N/A","1095.60","1095.60","1095.60","N/A","N/A","N/A","1095.60","1095.60","N/A","1095.60","1095.60","1095.60","1095.60","1095.60","1095.60","1095.60","1095.60","1095.60","1095.60"
"5","N/A","ILLUMINATOR SURGICAL LIGHTMAT 0.6X1"","N/A","N/A","0272","N/A","N/A","295.35","295.35","295.35","N/A","N/A","N/A","295.35","295.35","N/A","295.35","295.35","295.35","295.35","295.35","295.35","295.35","295.35","295.35","295.35"
"5","N/A","ILLUMINATOR WIDE FLAT WAVEGUIDE","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","INACTIVATE FIBER LASER SLIMLINE EZ 1000MIC","N/A","N/A","0272","N/A","N/A","3327.79","3327.79","3327.79","N/A","N/A","N/A","3327.79","3327.79","N/A","3327.79","3327.79","3327.79","3327.79","3327.79","3327.79","3327.79","3327.79","3327.79","3327.79"
"5","N/A","INACTIVE BLADE CATARACT STR 20.5X1.7MM","N/A","N/A","0272","N/A","N/A","69.43","69.43","69.43","N/A","N/A","N/A","69.43","69.43","N/A","69.43","69.43","69.43","69.43","69.43","69.43","69.43","69.43","69.43","69.43"
"5","N/A","INACTIVE KNIFE SLIT DUAL CLEARCUT 2.8MM","N/A","N/A","0272","N/A","N/A","174.87","174.87","174.87","N/A","N/A","N/A","174.87","174.87","N/A","174.87","174.87","174.87","174.87","174.87","174.87","174.87","174.87","174.87","174.87"
"5","N/A","INSERT CLAMP SOFT TRACTION 61MM","N/A","N/A","0272","N/A","N/A","37.95","37.95","37.95","N/A","N/A","N/A","37.95","37.95","N/A","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95"
"5","N/A","INSERT CLAMP STD SOFT 33MM","N/A","N/A","0272","N/A","N/A","37.95","37.95","37.95","N/A","N/A","N/A","37.95","37.95","N/A","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95"
"5","N/A","INSERT CLAMP STD SOFT 86MM","N/A","N/A","0272","N/A","N/A","37.95","37.95","37.95","N/A","N/A","N/A","37.95","37.95","N/A","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95","37.95"
"5","N/A","INSERT CLAMP ULTRA INTRACK 66MM","N/A","N/A","0272","N/A","N/A","87.45","87.45","87.45","N/A","N/A","N/A","87.45","87.45","N/A","87.45","87.45","87.45","87.45","87.45","87.45","87.45","87.45","87.45","87.45"
"5","N/A","INSERT GRASPER DIR DRIVE 5MMX32CM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","INSERT GRASPER DIR DRIVE 5MMX38CM","N/A","N/A","0272","N/A","N/A","222.32","222.32","222.32","N/A","N/A","N/A","222.32","222.32","N/A","222.32","222.32","222.32","222.32","222.32","222.32","222.32","222.32","222.32","222.32"
"5","N/A","INSERT RETRACTOR OCTOBASE 16MM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","INSERTER SCREW SELF RETAINING T8 QC","N/A","N/A","0272","N/A","N/A","331.35","331.35","331.35","N/A","N/A","N/A","331.35","331.35","N/A","331.35","331.35","331.35","331.35","331.35","331.35","331.35","331.35","331.35","331.35"
"5","N/A","INST DISP F/COLINK PLATING SYSTEM","N/A","N/A","0272","N/A","N/A","1963.50","1963.50","1963.50","N/A","N/A","N/A","1963.50","1963.50","N/A","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50"
"5","N/A","INSTRUMENT BIOPSY BIOPINCE ULTRA W/ CO-AXIAL NDL 18GX15CM","N/A","N/A","0272","N/A","N/A","254.10","254.10","254.10","N/A","N/A","N/A","254.10","254.10","N/A","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10"
"5","N/A","INSTRUMENT BIOPSY MARQUEE 12GX10CM","N/A","N/A","0272","N/A","N/A","210.54","210.54","210.54","N/A","N/A","N/A","210.54","210.54","N/A","210.54","210.54","210.54","210.54","210.54","210.54","210.54","210.54","210.54","210.54"
"5","N/A","INSTRUMENT BIOPSY MARQUEE 14GX10CM","N/A","N/A","0272","N/A","N/A","166.98","166.98","166.98","N/A","N/A","N/A","166.98","166.98","N/A","166.98","166.98","166.98","166.98","166.98","166.98","166.98","166.98","166.98","166.98"
"5","N/A","INSTRUMENT BIOPSY MARQUEE 16GX10CM","N/A","N/A","0272","N/A","N/A","166.98","166.98","166.98","N/A","N/A","N/A","166.98","166.98","N/A","166.98","166.98","166.98","166.98","166.98","166.98","166.98","166.98","166.98","166.98"
"5","N/A","INSTRUMENT BIOPSY MAX-CORE 18GX25CM","N/A","N/A","0272","N/A","N/A","89.73","89.73","89.73","N/A","N/A","N/A","89.73","89.73","N/A","89.73","89.73","89.73","89.73","89.73","89.73","89.73","89.73","89.73","89.73"
"5","N/A","INSTRUMENT BIOPSY MISSION 20GX6CM","N/A","N/A","0272","N/A","N/A","132.11","132.11","132.11","N/A","N/A","N/A","132.11","132.11","N/A","132.11","132.11","132.11","132.11","132.11","132.11","132.11","132.11","132.11","132.11"
"5","N/A","INSTRUMENT CUP REMOVAL FINISH ARC 54MM","N/A","N/A","0272","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","INSTRUMENT CUP REMOVAL FINISH ARC 60MM","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","INSTRUMENT CUP REMOVAL STARTER ARC 54MM","N/A","N/A","0272","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","INSTRUMENT CUP REMOVAL STARTER ARC 58MM","N/A","N/A","0272","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","INSTRUMENT ORTHOPEDIC COMPREHENSIVE REV SHLDR MINI GUIDE","N/A","N/A","0272","N/A","N/A","3960.00","3960.00","3960.00","N/A","N/A","N/A","3960.00","3960.00","N/A","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00"
"5","N/A","INSTRUMENT ORTHOPEDIC PORTAL SKID","N/A","N/A","0272","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","INSTRUMENT REPAIR SM JOINT BB-TAK","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","INSTRUMENT SUCTION OSTEOTOME SERRATED 6MM","N/A","N/A","0272","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","INSTRUMENT SURGICAL FLEX LOOP +25G","N/A","N/A","0272","N/A","N/A","557.70","557.70","557.70","N/A","N/A","N/A","557.70","557.70","N/A","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70"
"5","N/A","INTRODUCER ADVANCED LVI HOCKEY STICK WORLEY 7F 62CM","N/A","N/A","0272","N/A","N/A","1237.50","1237.50","1237.50","N/A","N/A","N/A","1237.50","1237.50","N/A","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50"
"5","N/A","INTRODUCER ACCUSTICK II W/O GWIRE","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","INTRODUCER BIOPSY BRST DISP 9G 20CM","N/A","N/A","0272","N/A","N/A","580.80","580.80","580.80","N/A","N/A","N/A","580.80","580.80","N/A","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80"
"5","N/A","INTRODUCER BULLET MAT STIMULAN 7X9X20MM","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","INTRODUCER CATH-GARD 7.5/8F 80CM","N/A","N/A","0272","N/A","N/A","38.45","38.45","38.45","N/A","N/A","N/A","38.45","38.45","N/A","38.45","38.45","38.45","38.45","38.45","38.45","38.45","38.45","38.45","38.45"
"5","N/A","INTRODUCER CATHETER CODMAN PEEL-AWAY 14F","N/A","N/A","0272","N/A","N/A","632.61","632.61","632.61","N/A","N/A","N/A","632.61","632.61","N/A","632.61","632.61","632.61","632.61","632.61","632.61","632.61","632.61","632.61","632.61"
"5","N/A","INTRODUCER ENDOTRACHEAL TB COUDE LF 15F 70CM","N/A","N/A","0272","N/A","N/A","26.21","26.21","26.21","N/A","N/A","N/A","26.21","26.21","N/A","26.21","26.21","26.21","26.21","26.21","26.21","26.21","26.21","26.21","26.21"
"5","N/A","INTRODUCER GLIDESHEATH SLENDER RADIAL 5F 10CM","N/A","N/A","0272","N/A","N/A","185.63","185.63","185.63","N/A","N/A","N/A","185.63","185.63","N/A","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63"
"5","N/A","INTRODUCER GLIDESHEATH SLENDER RADIAL 5F 10CM W/ENTRY NDL","N/A","N/A","0272","N/A","N/A","309.38","309.38","309.38","N/A","N/A","N/A","309.38","309.38","N/A","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38"
"5","N/A","INTRODUCER GLIDESHEATH SLENDER RADIAL 5F 16CM W/ENTRY NDL","N/A","N/A","0272","N/A","N/A","309.38","309.38","309.38","N/A","N/A","N/A","309.38","309.38","N/A","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38"
"5","N/A","INTRODUCER GLIDESHEATH SLENDER RADIAL 6F 10CM","N/A","N/A","0272","N/A","N/A","185.63","185.63","185.63","N/A","N/A","N/A","185.63","185.63","N/A","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63"
"5","N/A","INTRODUCER GLIDESHEATH SLENDER RADIAL 6F 10CM W/ENTRY NDL","N/A","N/A","0272","N/A","N/A","309.38","309.38","309.38","N/A","N/A","N/A","309.38","309.38","N/A","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38"
"5","N/A","INTRODUCER GLIDESHEATH SLENDER RADIAL 6F 16CM W/ENTRY NDL","N/A","N/A","0272","N/A","N/A","309.38","309.38","309.38","N/A","N/A","N/A","309.38","309.38","N/A","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38","309.38"
"5","N/A","INTRODUCER GLIDESHEATH SLENDER RADIAL 7F 10CM","N/A","N/A","0272","N/A","N/A","185.63","185.63","185.63","N/A","N/A","N/A","185.63","185.63","N/A","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63","185.63"
"5","N/A","INTRODUCER GUIDE BRAIDED SWARTZ SL1 8.5F 63CM","N/A","N/A","0272","N/A","N/A","742.50","742.50","742.50","N/A","N/A","N/A","742.50","742.50","N/A","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50"
"5","N/A","INTRODUCER GUIDEWIRE ST 12FR 22CM","N/A","N/A","0272","N/A","N/A","120.85","120.85","120.85","N/A","N/A","N/A","120.85","120.85","N/A","120.85","120.85","120.85","120.85","120.85","120.85","120.85","120.85","120.85","120.85"
"5","N/A","INTRODUCER GUIDEWIRE STR .009-.018"","N/A","N/A","0272","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","INTRODUCER MICROPUNCTURE STIFF 5F 10CM","N/A","N/A","0272","N/A","N/A","125.40","125.40","125.40","N/A","N/A","N/A","125.40","125.40","N/A","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40"
"5","N/A","INTRODUCER PEEL AWAY 13FR BLNT","N/A","N/A","0272","N/A","N/A","235.29","235.29","235.29","N/A","N/A","N/A","235.29","235.29","N/A","235.29","235.29","235.29","235.29","235.29","235.29","235.29","235.29","235.29","235.29"
"5","N/A","INTRODUCER PERCUTANEOUS KT 6F 10CM","N/A","N/A","0272","N/A","N/A","102.51","102.51","102.51","N/A","N/A","N/A","102.51","102.51","N/A","102.51","102.51","102.51","102.51","102.51","102.51","102.51","102.51","102.51","102.51"
"5","N/A","INTRODUCER PERCUTANEOUS PEEL APART 10FR 15","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","INTRODUCER SET SUPRAPUBIC TUBE 8-14F","N/A","N/A","0272","N/A","N/A","308.75","308.75","308.75","N/A","N/A","N/A","308.75","308.75","N/A","308.75","308.75","308.75","308.75","308.75","308.75","308.75","308.75","308.75","308.75"
"5","N/A","INTRODUCER SHEATH ANL2 6F 55CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH ANL2 6FR 45CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH ANSEL 6F 55CM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","INTRODUCER SHEATH ANSEL 6F 70CM","N/A","N/A","0272","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","INTRODUCER SHEATH ANSEL FLEXOR 8F 55CM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","INTRODUCER SHEATH ANSEL MP 7FR 45CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH BALKIN 6FR 40CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH BALKIN 7F 40CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH BALKIN 8FR 40CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH BRITE TIP BLK 9F 35CM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","INTRODUCER SHEATH BRITE TIP BLU 8F 55CM","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","INTRODUCER SHEATH BRITE TIP BLUE 8F 11CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","INTRODUCER SHEATH BRITE TIP BLUE 8F 5.5CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","INTRODUCER SHEATH BRITE TIP FUSCHIA 10F 11CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","INTRODUCER SHEATH BRITE TIP GRN 6F 11CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","INTRODUCER SHEATH BRITE TIP GRN 6F 55CM","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","INTRODUCER SHEATH BRITE TIP ORNG 7F 55CM","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","INTRODUCER SHEATH BRITE TIP YEL 11F 23CM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","INTRODUCER SHEATH CHECK FLO 10FR 80","N/A","N/A","0272","N/A","N/A","287.10","287.10","287.10","N/A","N/A","N/A","287.10","287.10","N/A","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10","287.10"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 10F 40CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 11F 30CM","N/A","N/A","0272","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 12F 13CM","N/A","N/A","0272","N/A","N/A","194.70","194.70","194.70","N/A","N/A","N/A","194.70","194.70","N/A","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 12F 30CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 14F 13CM","N/A","N/A","0272","N/A","N/A","141.90","141.90","141.90","N/A","N/A","N/A","141.90","141.90","N/A","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 14F 30CM","N/A","N/A","0272","N/A","N/A","326.70","326.70","326.70","N/A","N/A","N/A","326.70","326.70","N/A","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 16F 13CM","N/A","N/A","0272","N/A","N/A","141.90","141.90","141.90","N/A","N/A","N/A","141.90","141.90","N/A","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90","141.90"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 16F 30CM","N/A","N/A","0272","N/A","N/A","326.70","326.70","326.70","N/A","N/A","N/A","326.70","326.70","N/A","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 7F 30CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 8F 30CM","N/A","N/A","0272","N/A","N/A","79.20","79.20","79.20","N/A","N/A","N/A","79.20","79.20","N/A","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20"
"5","N/A","INTRODUCER SHEATH CHECK-FLO 8F 90CM","N/A","N/A","0272","N/A","N/A","194.70","194.70","194.70","N/A","N/A","N/A","194.70","194.70","N/A","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70"
"5","N/A","INTRODUCER SHEATH FAST-CATH 6F 12CM","N/A","N/A","0272","N/A","N/A","46.20","46.20","46.20","N/A","N/A","N/A","46.20","46.20","N/A","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20"
"5","N/A","INTRODUCER SHEATH FAST-CATH 7F 45CM","N/A","N/A","0272","N/A","N/A","254.10","254.10","254.10","N/A","N/A","N/A","254.10","254.10","N/A","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10"
"5","N/A","INTRODUCER SHEATH FAST-CATH 7F 98CM","N/A","N/A","0272","N/A","N/A","429.00","429.00","429.00","N/A","N/A","N/A","429.00","429.00","N/A","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00"
"5","N/A","INTRODUCER SHEATH FAST-CATH 8F 12CM","N/A","N/A","0272","N/A","N/A","46.20","46.20","46.20","N/A","N/A","N/A","46.20","46.20","N/A","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20"
"5","N/A","INTRODUCER SHEATH FAST-CATH SR0 8.5F 63CM","N/A","N/A","0272","N/A","N/A","528.00","528.00","528.00","N/A","N/A","N/A","528.00","528.00","N/A","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00","528.00"
"5","N/A","INTRODUCER SHEATH HYDRO MICRA 23F 7CM","N/A","N/A","0272","N/A","N/A","1980.00","1980.00","1980.00","N/A","N/A","N/A","1980.00","1980.00","N/A","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00"
"5","N/A","INTRODUCER SHEATH IMPELLA RP 23F","N/A","N/A","0272","N/A","N/A","2310.00","2310.00","2310.00","N/A","N/A","N/A","2310.00","2310.00","N/A","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00"
"5","N/A","INTRODUCER SHEATH MULLINS 11F 63CM","N/A","N/A","0272","N/A","N/A","293.70","293.70","293.70","N/A","N/A","N/A","293.70","293.70","N/A","293.70","293.70","293.70","293.70","293.70","293.70","293.70","293.70","293.70","293.70"
"5","N/A","INTRODUCER SHEATH PEEL-AWAY 035 5FR","N/A","N/A","0272","N/A","N/A","129.39","129.39","129.39","N/A","N/A","N/A","129.39","129.39","N/A","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39"
"5","N/A","INTRODUCER SHEATH PEEL-AWAY 035 6FR","N/A","N/A","0272","N/A","N/A","129.39","129.39","129.39","N/A","N/A","N/A","129.39","129.39","N/A","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39"
"5","N/A","INTRODUCER SHEATH PEEL-AWAY 038 18","N/A","N/A","0272","N/A","N/A","129.39","129.39","129.39","N/A","N/A","N/A","129.39","129.39","N/A","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39","129.39"
"5","N/A","INTRODUCER SHEATH PEEL-AWAY 20 13CM","N/A","N/A","0272","N/A","N/A","120.12","120.12","120.12","N/A","N/A","N/A","120.12","120.12","N/A","120.12","120.12","120.12","120.12","120.12","120.12","120.12","120.12","120.12","120.12"
"5","N/A","INTRODUCER SHEATH PEEL-AWAY 22 13CM","N/A","N/A","0272","N/A","N/A","120.12","120.12","120.12","N/A","N/A","N/A","120.12","120.12","N/A","120.12","120.12","120.12","120.12","120.12","120.12","120.12","120.12","120.12","120.12"
"5","N/A","INTRODUCER SHEATH PERFORMER 10F 30CM","N/A","N/A","0272","N/A","N/A","108.90","108.90","108.90","N/A","N/A","N/A","108.90","108.90","N/A","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90"
"5","N/A","INTRODUCER SHEATH PERFORMER 12F 45","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","INTRODUCER SHEATH PERFORMER 6FR 30","N/A","N/A","0272","N/A","N/A","79.20","79.20","79.20","N/A","N/A","N/A","79.20","79.20","N/A","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20"
"5","N/A","INTRODUCER SHEATH PERFORMER 7FR 30","N/A","N/A","0272","N/A","N/A","79.20","79.20","79.20","N/A","N/A","N/A","79.20","79.20","N/A","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20"
"5","N/A","INTRODUCER SHEATH PINNACLE CARDIOVASCULAR 5F 25CM W/O WIRE","N/A","N/A","0272","N/A","N/A","70.95","70.95","70.95","N/A","N/A","N/A","70.95","70.95","N/A","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95"
"5","N/A","INTRODUCER SHEATH PINNACLE CARDIOVASCULAR 6F 25CM W/O WIRE","N/A","N/A","0272","N/A","N/A","70.95","70.95","70.95","N/A","N/A","N/A","70.95","70.95","N/A","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95"
"5","N/A","INTRODUCER SHEATH PINNACLE CARDIOVASCULAR 7F 25CM W/O WIRE","N/A","N/A","0272","N/A","N/A","70.95","70.95","70.95","N/A","N/A","N/A","70.95","70.95","N/A","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95"
"5","N/A","INTRODUCER SHEATH PINNACLE CARDIOVASCULAR 8F 25CM W/O WIRE","N/A","N/A","0272","N/A","N/A","70.95","70.95","70.95","N/A","N/A","N/A","70.95","70.95","N/A","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95"
"5","N/A","INTRODUCER SHEATH PINNACLE CARDIOVASCULAR 9F 25CM W/O WIRE","N/A","N/A","0272","N/A","N/A","70.95","70.95","70.95","N/A","N/A","N/A","70.95","70.95","N/A","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95","70.95"
"5","N/A","INTRODUCER SHEATH PINNACLE PERIPHERAL 5F 10CM W/O WIRE","N/A","N/A","0272","N/A","N/A","28.88","28.88","28.88","N/A","N/A","N/A","28.88","28.88","N/A","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88"
"5","N/A","INTRODUCER SHEATH PINNACLE PERIPHERAL 6F 10CM W/O WIRE","N/A","N/A","0272","N/A","N/A","28.88","28.88","28.88","N/A","N/A","N/A","28.88","28.88","N/A","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88"
"5","N/A","INTRODUCER SHEATH PINNACLE PERIPHERAL 7F 10CM W/O WIRE","N/A","N/A","0272","N/A","N/A","28.88","28.88","28.88","N/A","N/A","N/A","28.88","28.88","N/A","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88"
"5","N/A","INTRODUCER SHEATH PINNACLE PERIPHERAL 8F 10CM W/O WIRE","N/A","N/A","0272","N/A","N/A","28.88","28.88","28.88","N/A","N/A","N/A","28.88","28.88","N/A","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88","28.88"
"5","N/A","INTRODUCER SHEATH PREC PNCL 6F","N/A","N/A","0272","N/A","N/A","107.25","107.25","107.25","N/A","N/A","N/A","107.25","107.25","N/A","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25"
"5","N/A","INTRODUCER SHEATH PRECISION PINNACLE 5FR","N/A","N/A","0272","N/A","N/A","61.05","61.05","61.05","N/A","N/A","N/A","61.05","61.05","N/A","61.05","61.05","61.05","61.05","61.05","61.05","61.05","61.05","61.05","61.05"
"5","N/A","INTRODUCER SHEATH RAABE 9FR 55CM","N/A","N/A","0272","N/A","N/A","158.40","158.40","158.40","N/A","N/A","N/A","158.40","158.40","N/A","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40","158.40"
"5","N/A","INTRODUCER SHEATH RAABE 9FR 70CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","INTRODUCER SHEATH SHUTTLE 5FR 110CM","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","INTRODUCER SHEATH SHUTTLE SL 6FR 90","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","INTRODUCER SHEATH SHUTTLE-SL 5F 90CM","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","INTRODUCER SHEATH SILHOUETTE 16 30","N/A","N/A","0272","N/A","N/A","179.49","179.49","179.49","N/A","N/A","N/A","179.49","179.49","N/A","179.49","179.49","179.49","179.49","179.49","179.49","179.49","179.49","179.49","179.49"
"5","N/A","INTRODUCER SHEATH SILHOUETTE 8 30CM","N/A","N/A","0272","N/A","N/A","409.20","409.20","409.20","N/A","N/A","N/A","409.20","409.20","N/A","409.20","409.20","409.20","409.20","409.20","409.20","409.20","409.20","409.20","409.20"
"5","N/A","INTRODUCER SHEATH SILHOUETTE 9 30CM","N/A","N/A","0272","N/A","N/A","179.49","179.49","179.49","N/A","N/A","N/A","179.49","179.49","N/A","179.49","179.49","179.49","179.49","179.49","179.49","179.49","179.49","179.49","179.49"
"5","N/A","INTRODUCER SHEATH STEERABLE AGILIS NXT LRG CURL 8.5F 82CM","N/A","N/A","0272","N/A","N/A","3494.70","3494.70","3494.70","N/A","N/A","N/A","3494.70","3494.70","N/A","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70"
"5","N/A","INTRODUCER SHEATH STEERABLE AGILIS NXT MED CURL 8.5F 71CM","N/A","N/A","0272","N/A","N/A","3494.70","3494.70","3494.70","N/A","N/A","N/A","3494.70","3494.70","N/A","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70"
"5","N/A","INTRODUCER SHEATH STEERABLE AGILIS NXT SM CURL 8.5F 71CM","N/A","N/A","0272","N/A","N/A","3494.70","3494.70","3494.70","N/A","N/A","N/A","3494.70","3494.70","N/A","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70","3494.70"
"5","N/A","INTRODUCER SHEATH SUPER R/O 7F 7CM","N/A","N/A","0272","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","INTRODUCER SHEATH TIPS 035 10FX40CM","N/A","N/A","0272","N/A","N/A","1092.30","1092.30","1092.30","N/A","N/A","N/A","1092.30","1092.30","N/A","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30"
"5","N/A","INTRODUCER SHEATH VIZIGO STEERABLE MED CRV 8.5F 71CM","N/A","N/A","0272","N/A","N/A","3108.60","3108.60","3108.60","N/A","N/A","N/A","3108.60","3108.60","N/A","3108.60","3108.60","3108.60","3108.60","3108.60","3108.60","3108.60","3108.60","3108.60","3108.60"
"5","N/A","INTRODUCER STRBL AGILIS NXT MED CURL 8.5F 71CM - REPROCESSED","N/A","N/A","0272","N/A","N/A","1819.76","1819.76","1819.76","N/A","N/A","N/A","1819.76","1819.76","N/A","1819.76","1819.76","1819.76","1819.76","1819.76","1819.76","1819.76","1819.76","1819.76","1819.76"
"5","N/A","INTRODUCER TRACHEOSTOMY ST RHINO 24/26/28","N/A","N/A","0272","N/A","N/A","953.70","953.70","953.70","N/A","N/A","N/A","953.70","953.70","N/A","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70"
"5","N/A","INTRODUCER TUBE KT GASTRO MIC-G 18F","N/A","N/A","0272","N/A","N/A","713.76","713.76","713.76","N/A","N/A","N/A","713.76","713.76","N/A","713.76","713.76","713.76","713.76","713.76","713.76","713.76","713.76","713.76","713.76"
"5","N/A","INTRODUCER TUBE KT GASTRO MIC-G 22F","N/A","N/A","0272","N/A","N/A","713.76","713.76","713.76","N/A","N/A","N/A","713.76","713.76","N/A","713.76","713.76","713.76","713.76","713.76","713.76","713.76","713.76","713.76","713.76"
"5","N/A","INTRODUCER TUBE KT L-SCP MIC-G 18FR","N/A","N/A","0272","N/A","N/A","762.93","762.93","762.93","N/A","N/A","N/A","762.93","762.93","N/A","762.93","762.93","762.93","762.93","762.93","762.93","762.93","762.93","762.93","762.93"
"5","N/A","IRRIGATOR BIOPSY 1W BIOSHIELD 30.5CM","N/A","N/A","0272","N/A","N/A","14.85","14.85","14.85","N/A","N/A","N/A","14.85","14.85","N/A","14.85","14.85","14.85","14.85","14.85","14.85","14.85","14.85","14.85","14.85"
"5","N/A","IRRIGATOR SUCTION ENDOWRIST 8MM","N/A","N/A","0272","N/A","N/A","874.50","874.50","874.50","N/A","N/A","N/A","874.50","874.50","N/A","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50"
"5","N/A","IRRIGATOR SUCTION STRYKEFLOW II","N/A","N/A","0272","N/A","N/A","176.68","176.68","176.68","N/A","N/A","N/A","176.68","176.68","N/A","176.68","176.68","176.68","176.68","176.68","176.68","176.68","176.68","176.68","176.68"
"5","N/A","K-WIRE OLIVE SMOOTH 1.3MM","N/A","N/A","0272","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","K-WIRE OLIVE SMOOTH 1.4MM","N/A","N/A","0272","N/A","N/A","332.48","332.48","332.48","N/A","N/A","N/A","332.48","332.48","N/A","332.48","332.48","332.48","332.48","332.48","332.48","332.48","332.48","332.48","332.48"
"5","N/A","KIT ACCESORY PROST PENILE P-CON","N/A","N/A","0272","N/A","N/A","3025.00","3025.00","3025.00","N/A","N/A","N/A","3025.00","3025.00","N/A","3025.00","3025.00","3025.00","3025.00","3025.00","3025.00","3025.00","3025.00","3025.00","3025.00"
"5","N/A","KIT ACCESS CENTRAL VENOUS DUAL LUMEN 9F 4.5"","N/A","N/A","0272","N/A","N/A","354.69","354.69","354.69","N/A","N/A","N/A","354.69","354.69","N/A","354.69","354.69","354.69","354.69","354.69","354.69","354.69","354.69","354.69","354.69"
"5","N/A","KIT ACCESS DIAMOND TIP SIDE OPENING 10GA","N/A","N/A","0272","N/A","N/A","525.95","525.95","525.95","N/A","N/A","N/A","525.95","525.95","N/A","525.95","525.95","525.95","525.95","525.95","525.95","525.95","525.95","525.95","525.95"
"5","N/A","KIT ACCESS SURGICAL MAXCESS 4","N/A","N/A","0272","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","KIT ACCESS VASCULAR AVALON","N/A","N/A","0272","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","KIT ACCESSORY LEAD LKNG DEVICE LLD","N/A","N/A","0272","N/A","N/A","389.40","389.40","389.40","N/A","N/A","N/A","389.40","389.40","N/A","389.40","389.40","389.40","389.40","389.40","389.40","389.40","389.40","389.40","389.40"
"5","N/A","KIT ACL GUID PN TIB CANN CAP","N/A","N/A","0272","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","KIT ACL TRANSTIBIAL W/ SAW BLD","N/A","N/A","0272","N/A","N/A","742.50","742.50","742.50","N/A","N/A","N/A","742.50","742.50","N/A","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50"
"5","N/A","KIT ADMINISTRATION WORLEY ADVANCED CA 1","N/A","N/A","0272","N/A","N/A","87.09","87.09","87.09","N/A","N/A","N/A","87.09","87.09","N/A","87.09","87.09","87.09","87.09","87.09","87.09","87.09","87.09","87.09","87.09"
"5","N/A","KIT ANCHOR DX SWIVELOCK SL 3.5MM","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","KIT ANCHOR SWIVELOCK 3.5MM","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","KIT ARTERIAL CATH 18GAX2.25"","N/A","N/A","0272","N/A","N/A","62.55","62.55","62.55","N/A","N/A","N/A","62.55","62.55","N/A","62.55","62.55","62.55","62.55","62.55","62.55","62.55","62.55","62.55","62.55"
"5","N/A","KIT ARTERIAL LINE RADIAL","N/A","N/A","0272","N/A","N/A","57.98","57.98","57.98","N/A","N/A","N/A","57.98","57.98","N/A","57.98","57.98","57.98","57.98","57.98","57.98","57.98","57.98","57.98","57.98"
"5","N/A","KIT ARTHROSCOPIC FBWR DISP STER BTNDS","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","KIT ARTHROSCOPIC FIXATION STRAIGHT SPEAR","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","KIT ARTHROSCOPIC HIP 7209874","N/A","N/A","0272","N/A","N/A","999.90","999.90","999.90","N/A","N/A","N/A","999.90","999.90","N/A","999.90","999.90","999.90","999.90","999.90","999.90","999.90","999.90","999.90","999.90"
"5","N/A","KIT ARTHROSCOPY SHLDR WRAP STER","N/A","N/A","0272","N/A","N/A","128.70","128.70","128.70","N/A","N/A","N/A","128.70","128.70","N/A","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70"
"5","N/A","KIT BACKSTOP (CUSTOM)","N/A","N/A","0272","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","KIT BALLOON FRONTAL SPIN 6X16MM","N/A","N/A","0272","N/A","N/A","6435.00","6435.00","6435.00","N/A","N/A","N/A","6435.00","6435.00","N/A","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00"
"5","N/A","KIT BEACH CHAIR TRIMANO AR-1644","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","KIT BIOPSY IOBP INTRAOSSEOUS OPEN-TIP","N/A","N/A","0272","N/A","N/A","1897.50","1897.50","1897.50","N/A","N/A","N/A","1897.50","1897.50","N/A","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50"
"5","N/A","KIT BIOPSY NDL PASSIVE DISP","N/A","N/A","0272","N/A","N/A","2450.49","2450.49","2450.49","N/A","N/A","N/A","2450.49","2450.49","N/A","2450.49","2450.49","2450.49","2450.49","2450.49","2450.49","2450.49","2450.49","2450.49","2450.49"
"5","N/A","KIT BIOPSY NEEDLE MARQUEE 12GX10CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","KIT BIOPSY NEEDLE MARQUEE 14GX10CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","KIT BIOPSY NEEDLE MARQUEE 16GX10CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","KIT BIOPSY NEEDLE MISSION 20GX10CM","N/A","N/A","0272","N/A","N/A","124.08","124.08","124.08","N/A","N/A","N/A","124.08","124.08","N/A","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08"
"5","N/A","KIT BIOPSY NEEDLE MISSION 20GX16CM","N/A","N/A","0272","N/A","N/A","124.08","124.08","124.08","N/A","N/A","N/A","124.08","124.08","N/A","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08"
"5","N/A","KIT BIOPSY NEEDLE MISSION 20GX20CM","N/A","N/A","0272","N/A","N/A","124.08","124.08","124.08","N/A","N/A","N/A","124.08","124.08","N/A","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08","124.08"
"5","N/A","KIT BLOOD SAFESET PT MOUNT 10ML","N/A","N/A","0272","N/A","N/A","30.66","30.66","30.66","N/A","N/A","N/A","30.66","30.66","N/A","30.66","30.66","30.66","30.66","30.66","30.66","30.66","30.66","30.66","30.66"
"5","N/A","KIT BOLT PARENCHYMA CH5 W/ SEAL","N/A","N/A","0272","N/A","N/A","745.80","745.80","745.80","N/A","N/A","N/A","745.80","745.80","N/A","745.80","745.80","745.80","745.80","745.80","745.80","745.80","745.80","745.80","745.80"
"5","N/A","KIT BOLT SL NEUROVENT-PTO/-TO","N/A","N/A","0272","N/A","N/A","745.80","745.80","745.80","N/A","N/A","N/A","745.80","745.80","N/A","745.80","745.80","745.80","745.80","745.80","745.80","745.80","745.80","745.80","745.80"
"5","N/A","KIT BONE CMT 0306573000","N/A","N/A","0272","N/A","N/A","275.56","275.56","275.56","N/A","N/A","N/A","275.56","275.56","N/A","275.56","275.56","275.56","275.56","275.56","275.56","275.56","275.56","275.56","275.56"
"5","N/A","KIT BONE FLAP QMC 001/10","N/A","N/A","0272","N/A","N/A","34.42","34.42","34.42","N/A","N/A","N/A","34.42","34.42","N/A","34.42","34.42","34.42","34.42","34.42","34.42","34.42","34.42","34.42","34.42"
"5","N/A","KIT BONE HARVESTING 520MM","N/A","N/A","0272","N/A","N/A","9306.00","9306.00","9306.00","N/A","N/A","N/A","9306.00","9306.00","N/A","9306.00","9306.00","9306.00","9306.00","9306.00","9306.00","9306.00","9306.00","9306.00","9306.00"
"5","N/A","KIT BREAST PUMP SYMPHONY HARMONY DBL DUET STL","N/A","N/A","0272","N/A","N/A","89.05","89.05","89.05","N/A","N/A","N/A","89.05","89.05","N/A","89.05","89.05","89.05","89.05","89.05","89.05","89.05","89.05","89.05","89.05"
"5","N/A","KIT CANNULA BIO-MEDICUS NEXTGEN 17F","N/A","N/A","0272","N/A","N/A","1208.79","1208.79","1208.79","N/A","N/A","N/A","1208.79","1208.79","N/A","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79"
"5","N/A","KIT CANNULA BIO-MEDICUS NEXTGEN 19F","N/A","N/A","0272","N/A","N/A","1290.47","1290.47","1290.47","N/A","N/A","N/A","1290.47","1290.47","N/A","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47","1290.47"
"5","N/A","KIT CANNULA BIO-MEDICUS NEXTGEN 21F","N/A","N/A","0272","N/A","N/A","1208.79","1208.79","1208.79","N/A","N/A","N/A","1208.79","1208.79","N/A","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79","1208.79"
"5","N/A","KIT CANNULA BIO-MEDICUS NEXTGEN 25F","N/A","N/A","0272","N/A","N/A","1372.14","1372.14","1372.14","N/A","N/A","N/A","1372.14","1372.14","N/A","1372.14","1372.14","1372.14","1372.14","1372.14","1372.14","1372.14","1372.14","1372.14","1372.14"
"5","N/A","KIT CATHETER ARES VENT 23X120CM","N/A","N/A","0272","N/A","N/A","2843.50","2843.50","2843.50","N/A","N/A","N/A","2843.50","2843.50","N/A","2843.50","2843.50","2843.50","2843.50","2843.50","2843.50","2843.50","2843.50","2843.50","2843.50"
"5","N/A","KIT CATHETER BENCHMARK 071 STR 95X120CM","N/A","N/A","0272","N/A","N/A","2953.50","2953.50","2953.50","N/A","N/A","N/A","2953.50","2953.50","N/A","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50"
"5","N/A","KIT CATHETER BMX 096 STR 8F 90CM W/BER 125CM","N/A","N/A","0272","N/A","N/A","2953.50","2953.50","2953.50","N/A","N/A","N/A","2953.50","2953.50","N/A","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50"
"5","N/A","KIT CATHETER BRIDGE PREP","N/A","N/A","0272","N/A","N/A","874.50","874.50","874.50","N/A","N/A","N/A","874.50","874.50","N/A","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50"
"5","N/A","KIT CATHETER CENTRAL VENOUS 4 LUMEN 8.5F 8"","N/A","N/A","0272","N/A","N/A","264.28","264.28","264.28","N/A","N/A","N/A","264.28","264.28","N/A","264.28","264.28","264.28","264.28","264.28","264.28","264.28","264.28","264.28","264.28"
"5","N/A","KIT CATHETER LUMBAR CLSD NDL 80CM","N/A","N/A","0272","N/A","N/A","1153.90","1153.90","1153.90","N/A","N/A","N/A","1153.90","1153.90","N/A","1153.90","1153.90","1153.90","1153.90","1153.90","1153.90","1153.90","1153.90","1153.90","1153.90"
"5","N/A","KIT CATHETER PROVENA MIDLINE 1 LUMEN 3FX20CM","N/A","N/A","0272","N/A","N/A","554.40","554.40","554.40","N/A","N/A","N/A","554.40","554.40","N/A","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40","554.40"
"5","N/A","KIT CATHETERIZATION SLIMLINE 15","N/A","N/A","0272","N/A","N/A","6.07","6.07","6.07","N/A","N/A","N/A","6.07","6.07","N/A","6.07","6.07","6.07","6.07","6.07","6.07","6.07","6.07","6.07","6.07"
"5","N/A","KIT CATHETHER BALLOON LACRICATH 3MM","N/A","N/A","0272","N/A","N/A","1831.50","1831.50","1831.50","N/A","N/A","N/A","1831.50","1831.50","N/A","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50","1831.50"
"5","N/A","KIT CEMENT SYR VERTECEM V+ 1ML 2ML","N/A","N/A","0272","N/A","N/A","576.84","576.84","576.84","N/A","N/A","N/A","576.84","576.84","N/A","576.84","576.84","576.84","576.84","576.84","576.84","576.84","576.84","576.84","576.84"
"5","N/A","KIT CIRCUIT T-PIECE INFANT CLASSIC 10MM","N/A","N/A","0272","N/A","N/A","18.51","18.51","18.51","N/A","N/A","N/A","18.51","18.51","N/A","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51","18.51"
"5","N/A","KIT CLARIFIX (GEN 2)","N/A","N/A","0272","N/A","N/A","6253.50","6253.50","6253.50","N/A","N/A","N/A","6253.50","6253.50","N/A","6253.50","6253.50","6253.50","6253.50","6253.50","6253.50","6253.50","6253.50","6253.50","6253.50"
"5","N/A","KIT COLOSTOMY/ILEOSTOMY 2.5"","N/A","N/A","0272","N/A","N/A","7.41","7.41","7.41","N/A","N/A","N/A","7.41","7.41","N/A","7.41","7.41","7.41","7.41","7.41","7.41","7.41","7.41","7.41","7.41"
"5","N/A","KIT COMPLIANCE ENDO (PB)","N/A","N/A","0272","N/A","N/A","19.64","19.64","19.64","N/A","N/A","N/A","19.64","19.64","N/A","19.64","19.64","19.64","19.64","19.64","19.64","19.64","19.64","19.64","19.64"
"5","N/A","KIT COMPLIANCE ENDO W/O LUBRICANT (WEST)","N/A","N/A","0272","N/A","N/A","16.53","16.53","16.53","N/A","N/A","N/A","16.53","16.53","N/A","16.53","16.53","16.53","16.53","16.53","16.53","16.53","16.53","16.53","16.53"
"5","N/A","KIT COMPLIANCE ENDO WITH LUBE (PB & QCCSP)","N/A","N/A","0272","N/A","N/A","22.94","22.94","22.94","N/A","N/A","N/A","22.94","22.94","N/A","22.94","22.94","22.94","22.94","22.94","22.94","22.94","22.94","22.94","22.94"
"5","N/A","KIT COUDE FOLEY CLOSED STATLOCK UROMETER 14F","N/A","N/A","0272","N/A","N/A","86.53","86.53","86.53","N/A","N/A","N/A","86.53","86.53","N/A","86.53","86.53","86.53","86.53","86.53","86.53","86.53","86.53","86.53","86.53"
"5","N/A","KIT COUDE FOLEY CLOSED STATLOCK UROMETER 16F","N/A","N/A","0272","N/A","N/A","86.53","86.53","86.53","N/A","N/A","N/A","86.53","86.53","N/A","86.53","86.53","86.53","86.53","86.53","86.53","86.53","86.53","86.53","86.53"
"5","N/A","KIT COUDE FOLEY CLOSED STATLOCK UROMETER LF 14F","N/A","N/A","0272","N/A","N/A","113.69","113.69","113.69","N/A","N/A","N/A","113.69","113.69","N/A","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69"
"5","N/A","KIT COUDE FOLEY CLOSED STATLOCK UROMETER LF 18F","N/A","N/A","0272","N/A","N/A","113.69","113.69","113.69","N/A","N/A","N/A","113.69","113.69","N/A","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69"
"5","N/A","KIT COUDE FOLEY CLOSED STATLOCK UROMETER LF16F","N/A","N/A","0272","N/A","N/A","113.69","113.69","113.69","N/A","N/A","N/A","113.69","113.69","N/A","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69","113.69"
"5","N/A","KIT CRANIAL POINTER BUNDLE","N/A","N/A","0272","N/A","N/A","2481.60","2481.60","2481.60","N/A","N/A","N/A","2481.60","2481.60","N/A","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60"
"5","N/A","KIT CURVED DISPOSABLE FIBERTAK","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","KIT DEBRIDEMENT DISP 50-4350","N/A","N/A","0272","N/A","N/A","30.92","30.92","30.92","N/A","N/A","N/A","30.92","30.92","N/A","30.92","30.92","30.92","30.92","30.92","30.92","30.92","30.92","30.92","30.92"
"5","N/A","KIT DILATOR DISP M5 XLIF","N/A","N/A","0272","N/A","N/A","2461.80","2461.80","2461.80","N/A","N/A","N/A","2461.80","2461.80","N/A","2461.80","2461.80","2461.80","2461.80","2461.80","2461.80","2461.80","2461.80","2461.80","2461.80"
"5","N/A","KIT DRESSING ARROW VPS G4 STYLET DEHP","N/A","N/A","0272","N/A","N/A","404.25","404.25","404.25","N/A","N/A","N/A","404.25","404.25","N/A","404.25","404.25","404.25","404.25","404.25","404.25","404.25","404.25","404.25","404.25"
"5","N/A","KIT DRESSING GRANUFOAM BRIDGE V.A.C.","N/A","N/A","0272","N/A","N/A","147.18","147.18","147.18","N/A","N/A","N/A","147.18","147.18","N/A","147.18","147.18","147.18","147.18","147.18","147.18","147.18","147.18","147.18","147.18"
"5","N/A","KIT DRESSING PREVENA PLUS CUSTOMIZABLE","N/A","N/A","0272","N/A","N/A","1048.41","1048.41","1048.41","N/A","N/A","N/A","1048.41","1048.41","N/A","1048.41","1048.41","1048.41","1048.41","1048.41","1048.41","1048.41","1048.41","1048.41","1048.41"
"5","N/A","KIT DRESSING VAC GRANUFOAM XL","N/A","N/A","0272","N/A","N/A","318.26","318.26","318.26","N/A","N/A","N/A","318.26","318.26","N/A","318.26","318.26","318.26","318.26","318.26","318.26","318.26","318.26","318.26","318.26"
"5","N/A","KIT DRESSING VAC SENSATRAC LG","N/A","N/A","0272","N/A","N/A","153.97","153.97","153.97","N/A","N/A","N/A","153.97","153.97","N/A","153.97","153.97","153.97","153.97","153.97","153.97","153.97","153.97","153.97","153.97"
"5","N/A","KIT DRESSING VAC SENSATRAC MD","N/A","N/A","0272","N/A","N/A","125.03","125.03","125.03","N/A","N/A","N/A","125.03","125.03","N/A","125.03","125.03","125.03","125.03","125.03","125.03","125.03","125.03","125.03","125.03"
"5","N/A","KIT DRESSING VAC SENSATRAC SM","N/A","N/A","0272","N/A","N/A","101.18","101.18","101.18","N/A","N/A","N/A","101.18","101.18","N/A","101.18","101.18","101.18","101.18","101.18","101.18","101.18","101.18","101.18","101.18"
"5","N/A","KIT DRESSING VAC STER VERAFLO SM","N/A","N/A","0272","N/A","N/A","313.70","313.70","313.70","N/A","N/A","N/A","313.70","313.70","N/A","313.70","313.70","313.70","313.70","313.70","313.70","313.70","313.70","313.70","313.70"
"5","N/A","KIT DRESSING VAC VERAFLO CLEANSE MD","N/A","N/A","0272","N/A","N/A","422.53","422.53","422.53","N/A","N/A","N/A","422.53","422.53","N/A","422.53","422.53","422.53","422.53","422.53","422.53","422.53","422.53","422.53","422.53"
"5","N/A","KIT DRESSING VAC VERAFLO MD","N/A","N/A","0272","N/A","N/A","368.12","368.12","368.12","N/A","N/A","N/A","368.12","368.12","N/A","368.12","368.12","368.12","368.12","368.12","368.12","368.12","368.12","368.12","368.12"
"5","N/A","KIT DRILL FOR FIEBERTAK","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","KIT DRILL PARENCHYMA CH5 W/ BIT","N/A","N/A","0272","N/A","N/A","372.90","372.90","372.90","N/A","N/A","N/A","372.90","372.90","N/A","372.90","372.90","372.90","372.90","372.90","372.90","372.90","372.90","372.90","372.90"
"5","N/A","KIT DRILL W/STOP 2.4MM DIAM","N/A","N/A","0272","N/A","N/A","1879.35","1879.35","1879.35","N/A","N/A","N/A","1879.35","1879.35","N/A","1879.35","1879.35","1879.35","1879.35","1879.35","1879.35","1879.35","1879.35","1879.35","1879.35"
"5","N/A","KIT DRILLING ELITE BME 3MM","N/A","N/A","0272","N/A","N/A","1355.81","1355.81","1355.81","N/A","N/A","N/A","1355.81","1355.81","N/A","1355.81","1355.81","1355.81","1355.81","1355.81","1355.81","1355.81","1355.81","1355.81","1355.81"
"5","N/A","KIT ELECTRODE AND ACTIVATOR TMAP NVM5","N/A","N/A","0272","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","KIT EMG ET TB NVM5 7MM","N/A","N/A","0272","N/A","N/A","869.55","869.55","869.55","N/A","N/A","N/A","869.55","869.55","N/A","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55"
"5","N/A","KIT EMG ET TB NVM5 8MM","N/A","N/A","0272","N/A","N/A","869.55","869.55","869.55","N/A","N/A","N/A","869.55","869.55","N/A","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55"
"5","N/A","KIT ENEMA TUB BG 1500ML 60"","N/A","N/A","0272","N/A","N/A","7.46","7.46","7.46","N/A","N/A","N/A","7.46","7.46","N/A","7.46","7.46","7.46","7.46","7.46","7.46","7.46","7.46","7.46","7.46"
"5","N/A","KIT ENTRY PORTAL HIP 30ML 17GA","N/A","N/A","0272","N/A","N/A","815.10","815.10","815.10","N/A","N/A","N/A","815.10","815.10","N/A","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10"
"5","N/A","KIT EP FLUSH INTERVENTIONAL","N/A","N/A","0272","N/A","N/A","99.00","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","KIT FALL MANAGEMENT CUSTOM LARGE","N/A","N/A","0272","N/A","N/A","33.69","33.69","33.69","N/A","N/A","N/A","33.69","33.69","N/A","33.69","33.69","33.69","33.69","33.69","33.69","33.69","33.69","33.69","33.69"
"5","N/A","KIT FALL MANAGEMENT CUSTOM REGULAR","N/A","N/A","0272","N/A","N/A","23.73","23.73","23.73","N/A","N/A","N/A","23.73","23.73","N/A","23.73","23.73","23.73","23.73","23.73","23.73","23.73","23.73","23.73","23.73"
"5","N/A","KIT GASTRO ENDOVIVE PEG PULL 20F","N/A","N/A","0272","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","KIT HEART RIGHT (CUSTOM)","N/A","N/A","0272","N/A","N/A","25.31","25.31","25.31","N/A","N/A","N/A","25.31","25.31","N/A","25.31","25.31","25.31","25.31","25.31","25.31","25.31","25.31","25.31","25.31"
"5","N/A","KIT HEMOSTASIS DEVICE","N/A","N/A","0272","N/A","N/A","44.70","44.70","44.70","N/A","N/A","N/A","44.70","44.70","N/A","44.70","44.70","44.70","44.70","44.70","44.70","44.70","44.70","44.70","44.70"
"5","N/A","KIT HEMOSTATIC FLOSEAL MATRIX 10ML","N/A","N/A","0272","N/A","N/A","992.56","992.56","992.56","N/A","N/A","N/A","992.56","992.56","N/A","992.56","992.56","992.56","992.56","992.56","992.56","992.56","992.56","992.56","992.56"
"5","N/A","KIT HEMOSTATIC FLOSEAL MATRIX 5ML","N/A","N/A","0272","N/A","N/A","543.29","543.29","543.29","N/A","N/A","N/A","543.29","543.29","N/A","543.29","543.29","543.29","543.29","543.29","543.29","543.29","543.29","543.29","543.29"
"5","N/A","KIT HIP ARTHRO BANA BLD DISP","N/A","N/A","0272","N/A","N/A","1237.50","1237.50","1237.50","N/A","N/A","N/A","1237.50","1237.50","N/A","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50"
"5","N/A","KIT HIP BN ENHANCED TOT PREP IM","N/A","N/A","0272","N/A","N/A","1141.64","1141.64","1141.64","N/A","N/A","N/A","1141.64","1141.64","N/A","1141.64","1141.64","1141.64","1141.64","1141.64","1141.64","1141.64","1141.64","1141.64","1141.64"
"5","N/A","KIT HIP DISP F/1.8MM Q-FIX IMP","N/A","N/A","0272","N/A","N/A","719.40","719.40","719.40","N/A","N/A","N/A","719.40","719.40","N/A","719.40","719.40","719.40","719.40","719.40","719.40","719.40","719.40","719.40","719.40"
"5","N/A","KIT IMAGING PAQ PHI SPY","N/A","N/A","0272","N/A","N/A","1518.25","1518.25","1518.25","N/A","N/A","N/A","1518.25","1518.25","N/A","1518.25","1518.25","1518.25","1518.25","1518.25","1518.25","1518.25","1518.25","1518.25","1518.25"
"5","N/A","KIT IMAGING SPY-MIS ICG PACK","N/A","N/A","0272","N/A","N/A","550.06","550.06","550.06","N/A","N/A","N/A","550.06","550.06","N/A","550.06","550.06","550.06","550.06","550.06","550.06","550.06","550.06","550.06","550.06"
"5","N/A","KIT IMMUNOLOGY TEST SYNOVASURE AD LF","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","KIT INCISION MGMT PREVENA 45ML","N/A","N/A","0272","N/A","N/A","1470.15","1470.15","1470.15","N/A","N/A","N/A","1470.15","1470.15","N/A","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15"
"5","N/A","KIT INSERTION FEM STD BIO MEDICUS","N/A","N/A","0272","N/A","N/A","261.36","261.36","261.36","N/A","N/A","N/A","261.36","261.36","N/A","261.36","261.36","261.36","261.36","261.36","261.36","261.36","261.36","261.36","261.36"
"5","N/A","KIT INSERTION PERC AR-1923PK","N/A","N/A","0272","N/A","N/A","726.00","726.00","726.00","N/A","N/A","N/A","726.00","726.00","N/A","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00"
"5","N/A","KIT INSERTION PERCUTANEOUS KNOTLESS SUTURETAK 3.0MM","N/A","N/A","0272","N/A","N/A","1171.50","1171.50","1171.50","N/A","N/A","N/A","1171.50","1171.50","N/A","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50","1171.50"
"5","N/A","KIT INSTRUMENT F/ 2.6 FIBERTAK ANCHORS","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","KIT INSTRUMENT F/ Q-FIX IMPLANT 2.8MM","N/A","N/A","0272","N/A","N/A","748.18","748.18","748.18","N/A","N/A","N/A","748.18","748.18","N/A","748.18","748.18","748.18","748.18","748.18","748.18","748.18","748.18","748.18","748.18"
"5","N/A","KIT INSTRUMENT FIBULOCK","N/A","N/A","0272","N/A","N/A","2310.00","2310.00","2310.00","N/A","N/A","N/A","2310.00","2310.00","N/A","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00"
"5","N/A","KIT INSTRUMENT FOR 2.9MM HP PUSHLOCK","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","KIT INSTRUMENT INSTAFIX 1.5MM","N/A","N/A","0272","N/A","N/A","1227.60","1227.60","1227.60","N/A","N/A","N/A","1227.60","1227.60","N/A","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60"
"5","N/A","KIT INSTRUMENT KNEE ROSA DISPOSABLES","N/A","N/A","0272","N/A","N/A","2141.70","2141.70","2141.70","N/A","N/A","N/A","2141.70","2141.70","N/A","2141.70","2141.70","2141.70","2141.70","2141.70","2141.70","2141.70","2141.70","2141.70","2141.70"
"5","N/A","KIT INSTRUMENT KNOTLESS CORKSCREW 3.9MM","N/A","N/A","0272","N/A","N/A","973.50","973.50","973.50","N/A","N/A","N/A","973.50","973.50","N/A","973.50","973.50","973.50","973.50","973.50","973.50","973.50","973.50","973.50","973.50"
"5","N/A","KIT INSTRUMENT NEOSYS IBS","N/A","N/A","0272","N/A","N/A","1963.50","1963.50","1963.50","N/A","N/A","N/A","1963.50","1963.50","N/A","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50","1963.50"
"5","N/A","KIT INSTRUMENT XL F/ SHORT 2.9MM HP PUSHLOCK","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","KIT INTRO LAP JEJUNAL/GASTRIC 22F","N/A","N/A","0272","N/A","N/A","762.93","762.93","762.93","N/A","N/A","N/A","762.93","762.93","N/A","762.93","762.93","762.93","762.93","762.93","762.93","762.93","762.93","762.93","762.93"
"5","N/A","KIT INTRODUCER MICRO 4F .018"X40CM","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","KIT INTRODUCER MICRO 5F .018"X40CM","N/A","N/A","0272","N/A","N/A","55.94","55.94","55.94","N/A","N/A","N/A","55.94","55.94","N/A","55.94","55.94","55.94","55.94","55.94","55.94","55.94","55.94","55.94","55.94"
"5","N/A","KIT INTRODUCER MICRO STIFF 5F .018"X40CM","N/A","N/A","0272","N/A","N/A","59.24","59.24","59.24","N/A","N/A","N/A","59.24","59.24","N/A","59.24","59.24","59.24","59.24","59.24","59.24","59.24","59.24","59.24","59.24"
"5","N/A","KIT INTRODUCER MICRO X-SHP STIFF 5F .018X40CM","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","KIT INTRODUCER PERCUTANEOUS SHEATH 8.5FX4"","N/A","N/A","0272","N/A","N/A","137.42","137.42","137.42","N/A","N/A","N/A","137.42","137.42","N/A","137.42","137.42","137.42","137.42","137.42","137.42","137.42","137.42","137.42","137.42"
"5","N/A","KIT INTRODUCER SHEATH PERCUTANEOUS 9F 4-1/8"","N/A","N/A","0272","N/A","N/A","179.81","179.81","179.81","N/A","N/A","N/A","179.81","179.81","N/A","179.81","179.81","179.81","179.81","179.81","179.81","179.81","179.81","179.81","179.81"
"5","N/A","KIT INTRODUCER SUPRAPUBIC SUPRA-FOLEY RED 18F","N/A","N/A","0272","N/A","N/A","145.20","145.20","145.20","N/A","N/A","N/A","145.20","145.20","N/A","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20"
"5","N/A","KIT IV START","N/A","N/A","0272","N/A","N/A","5.54","5.54","5.54","N/A","N/A","N/A","5.54","5.54","N/A","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54"
"5","N/A","KIT KYPHOPLASTY FX KPHPK 15/3MM","N/A","N/A","0272","N/A","N/A","7682.40","7682.40","7682.40","N/A","N/A","N/A","7682.40","7682.40","N/A","7682.40","7682.40","7682.40","7682.40","7682.40","7682.40","7682.40","7682.40","7682.40","7682.40"
"5","N/A","KIT LAPAROSCOPIC ENTRYGUIDE 100MM","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","KIT MANIFOLD 3 VALVES","N/A","N/A","0272","N/A","N/A","175.26","175.26","175.26","N/A","N/A","N/A","175.26","175.26","N/A","175.26","175.26","175.26","175.26","175.26","175.26","175.26","175.26","175.26","175.26"
"5","N/A","KIT MAPP REFERENCE PATCH RM LOCATION","N/A","N/A","0272","N/A","N/A","1897.50","1897.50","1897.50","N/A","N/A","N/A","1897.50","1897.50","N/A","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50","1897.50"
"5","N/A","KIT MICRO INTRO NDL 4F 10CM","N/A","N/A","0272","N/A","N/A","81.58","81.58","81.58","N/A","N/A","N/A","81.58","81.58","N/A","81.58","81.58","81.58","81.58","81.58","81.58","81.58","81.58","81.58","81.58"
"5","N/A","KIT MISCARRIAGE MANAGEMENT","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","KIT MODULE 4 MAS TLIF XLIF MAXCESS","N/A","N/A","0272","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","KIT MONITORING DL BOLT LICOX IP2P","N/A","N/A","0272","N/A","N/A","5784.90","5784.90","5784.90","N/A","N/A","N/A","5784.90","5784.90","N/A","5784.90","5784.90","5784.90","5784.90","5784.90","5784.90","5784.90","5784.90","5784.90","5784.90"
"5","N/A","KIT MULTIMODALITY NVM4 NEEDLE EMG","N/A","N/A","0272","N/A","N/A","14018.40","14018.40","14018.40","N/A","N/A","N/A","14018.40","14018.40","N/A","14018.40","14018.40","14018.40","14018.40","14018.40","14018.40","14018.40","14018.40","14018.40","14018.40"
"5","N/A","KIT ORTHO F/DX FIBERTAK","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","KIT OSTO STMA CONE IRR CNCT LF","N/A","N/A","0272","N/A","N/A","24.42","24.42","24.42","N/A","N/A","N/A","24.42","24.42","N/A","24.42","24.42","24.42","24.42","24.42","24.42","24.42","24.42","24.42","24.42"
"5","N/A","KIT PATIENT CARD STRNAL TALON SM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","KIT PEG GASTRO 20FR M00566461","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","KIT PEG GASTRO 24FR M00566491","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","KIT POSITION PATIENT THE PINK PAD XL","N/A","N/A","0272","N/A","N/A","303.60","303.60","303.60","N/A","N/A","N/A","303.60","303.60","N/A","303.60","303.60","303.60","303.60","303.60","303.60","303.60","303.60","303.60","303.60"
"5","N/A","KIT POSITIONING ELBOW TRIMANO STL","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","KIT POST MORTEM BARIATRIC ADLT","N/A","N/A","0272","N/A","N/A","54.97","54.97","54.97","N/A","N/A","N/A","54.97","54.97","N/A","54.97","54.97","54.97","54.97","54.97","54.97","54.97","54.97","54.97","54.97"
"5","N/A","KIT PREP CEMENT BONE QUIK USE","N/A","N/A","0272","N/A","N/A","385.44","385.44","385.44","N/A","N/A","N/A","385.44","385.44","N/A","385.44","385.44","385.44","385.44","385.44","385.44","385.44","385.44","385.44","385.44"
"5","N/A","KIT PRESSURE MONITORING STANDALONE STER","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","KIT PRESSURE MONITORING V+ 60"","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","KIT PRESSURE MONITORING V+ 84"","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","KIT PROCEDURAL PERFLUORON STER","N/A","N/A","0272","N/A","N/A","1302.84","1302.84","1302.84","N/A","N/A","N/A","1302.84","1302.84","N/A","1302.84","1302.84","1302.84","1302.84","1302.84","1302.84","1302.84","1302.84","1302.84","1302.84"
"5","N/A","KIT PROCEDURE CARPAL DISP ECTRA II","N/A","N/A","0272","N/A","N/A","632.35","632.35","632.35","N/A","N/A","N/A","632.35","632.35","N/A","632.35","632.35","632.35","632.35","632.35","632.35","632.35","632.35","632.35","632.35"
"5","N/A","KIT PROCEDURE CUSTOM","N/A","N/A","0272","N/A","N/A","41.25","41.25","41.25","N/A","N/A","N/A","41.25","41.25","N/A","41.25","41.25","41.25","41.25","41.25","41.25","41.25","41.25","41.25","41.25"
"5","N/A","KIT PROCEDURE DCP CATH LACRICATH 3MM","N/A","N/A","0272","N/A","N/A","504.90","504.90","504.90","N/A","N/A","N/A","504.90","504.90","N/A","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90"
"5","N/A","KIT REMOTE MONITOR NEUROPACE","N/A","N/A","0272","N/A","N/A","9240.00","9240.00","9240.00","N/A","N/A","N/A","9240.00","9240.00","N/A","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00","9240.00"
"5","N/A","KIT REPAIR DRAINAGE SYSTEM ASPIRA","N/A","N/A","0272","N/A","N/A","111.21","111.21","111.21","N/A","N/A","N/A","111.21","111.21","N/A","111.21","111.21","111.21","111.21","111.21","111.21","111.21","111.21","111.21","111.21"
"5","N/A","KIT SMALL JOINT COMPST SUTURETAK","N/A","N/A","0272","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","KIT SNARE AMPLATZ 25MMX65CM","N/A","N/A","0272","N/A","N/A","986.37","986.37","986.37","N/A","N/A","N/A","986.37","986.37","N/A","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37"
"5","N/A","KIT SNARE VASCULAR ATRIEVE 6F 12-20MM","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT SNARE VASCULAR ATRIEVE 7F 18-30MM","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT SPHINCTER ACCS INC ACTICON","N/A","N/A","0272","N/A","N/A","4438.50","4438.50","4438.50","N/A","N/A","N/A","4438.50","4438.50","N/A","4438.50","4438.50","4438.50","4438.50","4438.50","4438.50","4438.50","4438.50","4438.50","4438.50"
"5","N/A","KIT START-UP COOLGARD STD TUBING","N/A","N/A","0272","N/A","N/A","600.04","600.04","600.04","N/A","N/A","N/A","600.04","600.04","N/A","600.04","600.04","600.04","600.04","600.04","600.04","600.04","600.04","600.04","600.04"
"5","N/A","KIT SUCTION YANKAUER COVERED Y CONNECTOR","N/A","N/A","0272","N/A","N/A","7.97","7.97","7.97","N/A","N/A","N/A","7.97","7.97","N/A","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97"
"5","N/A","KIT SUTURE FIBERWIRE APEX UNIVERS SHOULDER","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT SUTURE PASSING UCL #2","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","KIT SUTURING PERC SUTURETAK 3MM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","KIT SYRINGE NEW ACP SERIES I","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","KIT SYRINGE ORISE INTERJECT 23G 10ML","N/A","N/A","0272","N/A","N/A","396.00","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","KIT TEMPLATE ELITE STAPLES","N/A","N/A","0272","N/A","N/A","301.29","301.29","301.29","N/A","N/A","N/A","301.29","301.29","N/A","301.29","301.29","301.29","301.29","301.29","301.29","301.29","301.29","301.29","301.29"
"5","N/A","KIT TEMPLATE PATELLA ANTERIOR SYNTHES","N/A","N/A","0272","N/A","N/A","1158.30","1158.30","1158.30","N/A","N/A","N/A","1158.30","1158.30","N/A","1158.30","1158.30","1158.30","1158.30","1158.30","1158.30","1158.30","1158.30","1158.30","1158.30"
"5","N/A","KIT THORACENTESIS PLEURA-SEAL","N/A","N/A","0272","N/A","N/A","197.01","197.01","197.01","N/A","N/A","N/A","197.01","197.01","N/A","197.01","197.01","197.01","197.01","197.01","197.01","197.01","197.01","197.01","197.01"
"5","N/A","KIT TISSUE EXPANDER 60MLX122CM","N/A","N/A","0272","N/A","N/A","29.70","29.70","29.70","N/A","N/A","N/A","29.70","29.70","N/A","29.70","29.70","29.70","29.70","29.70","29.70","29.70","29.70","29.70","29.70"
"5","N/A","KIT TRACHEOSTOMY DRSG TWILL TAPE BRUSH","N/A","N/A","0272","N/A","N/A","5.08","5.08","5.08","N/A","N/A","N/A","5.08","5.08","N/A","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08"
"5","N/A","KIT TRAUMA CEMENT CANNULA","N/A","N/A","0272","N/A","N/A","1780.35","1780.35","1780.35","N/A","N/A","N/A","1780.35","1780.35","N/A","1780.35","1780.35","1780.35","1780.35","1780.35","1780.35","1780.35","1780.35","1780.35","1780.35"
"5","N/A","KIT TRAUMA CEMENT SYRINGE","N/A","N/A","0272","N/A","N/A","657.36","657.36","657.36","N/A","N/A","N/A","657.36","657.36","N/A","657.36","657.36","657.36","657.36","657.36","657.36","657.36","657.36","657.36","657.36"
"5","N/A","KIT TROCAR SURG ENTRÉE II 90MM","N/A","N/A","0272","N/A","N/A","110.29","110.29","110.29","N/A","N/A","N/A","110.29","110.29","N/A","110.29","110.29","110.29","110.29","110.29","110.29","110.29","110.29","110.29","110.29"
"5","N/A","KIT UROSTOMY 1PC DRAINABLE 9"","N/A","N/A","0272","N/A","N/A","10.16","10.16","10.16","N/A","N/A","N/A","10.16","10.16","N/A","10.16","10.16","10.16","10.16","10.16","10.16","10.16","10.16","10.16","10.16"
"5","N/A","KIT VALVE CONNECTING CAPS","N/A","N/A","0272","N/A","N/A","24.01","24.01","24.01","N/A","N/A","N/A","24.01","24.01","N/A","24.01","24.01","24.01","24.01","24.01","24.01","24.01","24.01","24.01","24.01"
"5","N/A","KIT VALVE HEMOSTASIS Y-CLICK","N/A","N/A","0272","N/A","N/A","58.41","58.41","58.41","N/A","N/A","N/A","58.41","58.41","N/A","58.41","58.41","58.41","58.41","58.41","58.41","58.41","58.41","58.41","58.41"
"5","N/A","KIT VALVULOTOME TRU-INCISE 2/3/4MM HEAD 2/3/4MM SLV","N/A","N/A","0272","N/A","N/A","5606.70","5606.70","5606.70","N/A","N/A","N/A","5606.70","5606.70","N/A","5606.70","5606.70","5606.70","5606.70","5606.70","5606.70","5606.70","5606.70","5606.70","5606.70"
"5","N/A","KIT VENTRICULOSTOMY LDCN 1% 30ML","N/A","N/A","0272","N/A","N/A","1065.77","1065.77","1065.77","N/A","N/A","N/A","1065.77","1065.77","N/A","1065.77","1065.77","1065.77","1065.77","1065.77","1065.77","1065.77","1065.77","1065.77","1065.77"
"5","N/A","KIT VERTEBRAL AUG IVAS ELITE 10G 15MM","N/A","N/A","0272","N/A","N/A","4483.60","4483.60","4483.60","N/A","N/A","N/A","4483.60","4483.60","N/A","4483.60","4483.60","4483.60","4483.60","4483.60","4483.60","4483.60","4483.60","4483.60","4483.60"
"5","N/A","KIT VISUALIZATION SYS CLEARIFY","N/A","N/A","0272","N/A","N/A","139.02","139.02","139.02","N/A","N/A","N/A","139.02","139.02","N/A","139.02","139.02","139.02","139.02","139.02","139.02","139.02","139.02","139.02","139.02"
"5","N/A","KNIFE CRESCENT UP 55 DEG 2.5MM","N/A","N/A","0272","N/A","N/A","50.08","50.08","50.08","N/A","N/A","N/A","50.08","50.08","N/A","50.08","50.08","50.08","50.08","50.08","50.08","50.08","50.08","50.08","50.08"
"5","N/A","KNIFE HANDPIECE SONOPET AGGRESSIVE SERRATED","N/A","N/A","0272","N/A","N/A","2588.52","2588.52","2588.52","N/A","N/A","N/A","2588.52","2588.52","N/A","2588.52","2588.52","2588.52","2588.52","2588.52","2588.52","2588.52","2588.52","2588.52","2588.52"
"5","N/A","KNIFE INSERT MICRO CAPPABIANCA","N/A","N/A","0272","N/A","N/A","552.01","552.01","552.01","N/A","N/A","N/A","552.01","552.01","N/A","552.01","552.01","552.01","552.01","552.01","552.01","552.01","552.01","552.01","552.01"
"5","N/A","KNIFE LIGAMENT RGD SEG-WAY","N/A","N/A","0272","N/A","N/A","914.10","914.10","914.10","N/A","N/A","N/A","914.10","914.10","N/A","914.10","914.10","914.10","914.10","914.10","914.10","914.10","914.10","914.10","914.10"
"5","N/A","KNIFE MYRINGOTOMY LANCE TIP NRW 45 DEG","N/A","N/A","0272","N/A","N/A","40.58","40.58","40.58","N/A","N/A","N/A","40.58","40.58","N/A","40.58","40.58","40.58","40.58","40.58","40.58","40.58","40.58","40.58","40.58"
"5","N/A","KNIFE OPHTHALMIC 15 DEG STR OPTIMUM","N/A","N/A","0272","N/A","N/A","21.34","21.34","21.34","N/A","N/A","N/A","21.34","21.34","N/A","21.34","21.34","21.34","21.34","21.34","21.34","21.34","21.34","21.34","21.34"
"5","N/A","KNIFE PARACENTESIS CLEARCUT 1.2","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","KNIFE PARACENTESIS CLEARCUT 1MM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","KNIFE SCLERAL V-LANCE 20GAX1.4MM","N/A","N/A","0272","N/A","N/A","113.59","113.59","113.59","N/A","N/A","N/A","113.59","113.59","N/A","113.59","113.59","113.59","113.59","113.59","113.59","113.59","113.59","113.59","113.59"
"5","N/A","KNIFE SLIT BEVEL UP 45 DEG 2.8MM","N/A","N/A","0272","N/A","N/A","49.74","49.74","49.74","N/A","N/A","N/A","49.74","49.74","N/A","49.74","49.74","49.74","49.74","49.74","49.74","49.74","49.74","49.74","49.74"
"5","N/A","KNIFE SLIT DUAL CLEARCUT 2.4MM","N/A","N/A","0272","N/A","N/A","161.70","161.70","161.70","N/A","N/A","N/A","161.70","161.70","N/A","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70"
"5","N/A","KNIFE SLIT DUAL CLEARCUT 2.75MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","KNIFE SLIT DUAL CLEARCUT 2.8MM","N/A","N/A","0272","N/A","N/A","174.87","174.87","174.87","N/A","N/A","N/A","174.87","174.87","N/A","174.87","174.87","174.87","174.87","174.87","174.87","174.87","174.87","174.87","174.87"
"5","N/A","KNIFE SURGICAL STR 22.5 DEG OPTIMUM","N/A","N/A","0272","N/A","N/A","21.28","21.28","21.28","N/A","N/A","N/A","21.28","21.28","N/A","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28"
"5","N/A","LEAD PACING BI MYO 53CM","N/A","N/A","0272","N/A","N/A","143.00","143.00","143.00","N/A","N/A","N/A","143.00","143.00","N/A","143.00","143.00","143.00","143.00","143.00","143.00","143.00","143.00","143.00","143.00"
"5","N/A","LEAD PACING UNI STREAMLINE ADLT","N/A","N/A","0272","N/A","N/A","39.87","39.87","39.87","N/A","N/A","N/A","39.87","39.87","N/A","39.87","39.87","39.87","39.87","39.87","39.87","39.87","39.87","39.87","39.87"
"5","N/A","LENS OCULAR IRRIG MORGAN","N/A","N/A","0272","N/A","N/A","80.52","80.52","80.52","N/A","N/A","N/A","80.52","80.52","N/A","80.52","80.52","80.52","80.52","80.52","80.52","80.52","80.52","80.52","80.52"
"5","N/A","LENS SURGICAL GONIO AHMED DVX HANDS FREE","N/A","N/A","0272","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","LENS VITRECTOMY FLAT SI DISP","N/A","N/A","0272","N/A","N/A","132.03","132.03","132.03","N/A","N/A","N/A","132.03","132.03","N/A","132.03","132.03","132.03","132.03","132.03","132.03","132.03","132.03","132.03","132.03"
"5","N/A","LENS VITRECTOMY WD VIEW SI DISP","N/A","N/A","0272","N/A","N/A","124.74","124.74","124.74","N/A","N/A","N/A","124.74","124.74","N/A","124.74","124.74","124.74","124.74","124.74","124.74","124.74","124.74","124.74","124.74"
"5","N/A","LIGATOR SUPER 7 8.6-11.5MM","N/A","N/A","0272","N/A","N/A","482.72","482.72","482.72","N/A","N/A","N/A","482.72","482.72","N/A","482.72","482.72","482.72","482.72","482.72","482.72","482.72","482.72","482.72","482.72"
"5","N/A","LINE CONTRAST INJECTION F/M LL 48"","N/A","N/A","0272","N/A","N/A","28.21","28.21","28.21","N/A","N/A","N/A","28.21","28.21","N/A","28.21","28.21","28.21","28.21","28.21","28.21","28.21","28.21","28.21","28.21"
"5","N/A","LINE EXTENSION FLU PRFS INJ PORT 54","N/A","N/A","0272","N/A","N/A","52.25","52.25","52.25","N/A","N/A","N/A","52.25","52.25","N/A","52.25","52.25","52.25","52.25","52.25","52.25","52.25","52.25","52.25","52.25"
"5","N/A","LINE INJECTION F/M LL FLEX CIL 60"","N/A","N/A","0272","N/A","N/A","40.26","40.26","40.26","N/A","N/A","N/A","40.26","40.26","N/A","40.26","40.26","40.26","40.26","40.26","40.26","40.26","40.26","40.26","40.26"
"5","N/A","LINE PRESSURE MONITORING F/M LL 72"","N/A","N/A","0272","N/A","N/A","6.36","6.36","6.36","N/A","N/A","N/A","6.36","6.36","N/A","6.36","6.36","6.36","6.36","6.36","6.36","6.36","6.36","6.36","6.36"
"5","N/A","LINE PRESSURE MONITORING F/M LL ADLT 12","N/A","N/A","0272","N/A","N/A","4.56","4.56","4.56","N/A","N/A","N/A","4.56","4.56","N/A","4.56","4.56","4.56","4.56","4.56","4.56","4.56","4.56","4.56","4.56"
"5","N/A","LINE SAMPLING CAPNOLINE + ADLT","N/A","N/A","0272","N/A","N/A","50.64","50.64","50.64","N/A","N/A","N/A","50.64","50.64","N/A","50.64","50.64","50.64","50.64","50.64","50.64","50.64","50.64","50.64","50.64"
"5","N/A","LINE SAMPLING CAPNOLINE H +","N/A","N/A","0272","N/A","N/A","54.34","54.34","54.34","N/A","N/A","N/A","54.34","54.34","N/A","54.34","54.34","54.34","54.34","54.34","54.34","54.34","54.34","54.34","54.34"
"5","N/A","LINE SAMPLING CAPNOLINE PEDI","N/A","N/A","0272","N/A","N/A","42.83","42.83","42.83","N/A","N/A","N/A","42.83","42.83","N/A","42.83","42.83","42.83","42.83","42.83","42.83","42.83","42.83","42.83","42.83"
"5","N/A","LINE SAMPLING ST VITALINE H","N/A","N/A","0272","N/A","N/A","75.35","75.35","75.35","N/A","N/A","N/A","75.35","75.35","N/A","75.35","75.35","75.35","75.35","75.35","75.35","75.35","75.35","75.35","75.35"
"5","N/A","LINE VACUUM ATV CATSMART 70CM","N/A","N/A","0272","N/A","N/A","48.31","48.31","48.31","N/A","N/A","N/A","48.31","48.31","N/A","48.31","48.31","48.31","48.31","48.31","48.31","48.31","48.31","48.31","48.31"
"5","N/A","LOOP CUTTING MONOPOLAR ANGLED 19/22F","N/A","N/A","0272","N/A","N/A","428.12","428.12","428.12","N/A","N/A","N/A","428.12","428.12","N/A","428.12","428.12","428.12","428.12","428.12","428.12","428.12","428.12","428.12","428.12"
"5","N/A","LOOP LAP PK","N/A","N/A","0272","N/A","N/A","1443.87","1443.87","1443.87","N/A","N/A","N/A","1443.87","1443.87","N/A","1443.87","1443.87","1443.87","1443.87","1443.87","1443.87","1443.87","1443.87","1443.87","1443.87"
"5","N/A","LOOP VESSEL SI BLU MAXI 2.5MM","N/A","N/A","0272","N/A","N/A","1.90","1.90","1.90","N/A","N/A","N/A","1.90","1.90","N/A","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90"
"5","N/A","LOOP VESSEL SUPER MAXI 1.27 X 5","N/A","N/A","0272","N/A","N/A","6.67","6.67","6.67","N/A","N/A","N/A","6.67","6.67","N/A","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67"
"5","N/A","LUBRICANT ASSEMBLY STER ROTAGLIDE 20ML","N/A","N/A","0272","N/A","N/A","293.15","293.15","293.15","N/A","N/A","N/A","293.15","293.15","N/A","293.15","293.15","293.15","293.15","293.15","293.15","293.15","293.15","293.15","293.15"
"5","N/A","LUBRICANT ATHERECTOMY VIPERSLIDE 100ML","N/A","N/A","0272","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","MANIPULATOR Z-UTERINE 4.5MM","N/A","N/A","0272","N/A","N/A","93.33","93.33","93.33","N/A","N/A","N/A","93.33","93.33","N/A","93.33","93.33","93.33","93.33","93.33","93.33","93.33","93.33","93.33","93.33"
"5","N/A","MASK HYPERINFLATION 500CC W/MANOMETER 10' TUBING","N/A","N/A","0272","N/A","N/A","32.25","32.25","32.25","N/A","N/A","N/A","32.25","32.25","N/A","32.25","32.25","32.25","32.25","32.25","32.25","32.25","32.25","32.25","32.25"
"5","N/A","MATERIAL CONTRAST STER BLU 1X2"","N/A","N/A","0272","N/A","N/A","39.60","39.60","39.60","N/A","N/A","N/A","39.60","39.60","N/A","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60"
"5","N/A","MATRIX HEMOSTATIC FLOSEAL 10ML","N/A","N/A","0272","N/A","N/A","939.69","939.69","939.69","N/A","N/A","N/A","939.69","939.69","N/A","939.69","939.69","939.69","939.69","939.69","939.69","939.69","939.69","939.69","939.69"
"5","N/A","MATTRESS OVERLAY WAFFLE 75X30"","N/A","N/A","0272","N/A","N/A","116.97","116.97","116.97","N/A","N/A","N/A","116.97","116.97","N/A","116.97","116.97","116.97","116.97","116.97","116.97","116.97","116.97","116.97","116.97"
"5","N/A","MIXER BONE CMT MIXEVAC 3","N/A","N/A","0272","N/A","N/A","145.20","145.20","145.20","N/A","N/A","N/A","145.20","145.20","N/A","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20"
"5","N/A","MIXER BONE CMT STER VERTECEM II","N/A","N/A","0272","N/A","N/A","882.19","882.19","882.19","N/A","N/A","N/A","882.19","882.19","N/A","882.19","882.19","882.19","882.19","882.19","882.19","882.19","882.19","882.19","882.19"
"5","N/A","MIXING BOWL VACUUM SINGLE","N/A","N/A","0272","N/A","N/A","250.80","250.80","250.80","N/A","N/A","N/A","250.80","250.80","N/A","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80"
"5","N/A","MODEL ANATOMICAL IPS CRYSTAL","N/A","N/A","0272","N/A","N/A","16470.30","16470.30","16470.30","N/A","N/A","N/A","16470.30","16470.30","N/A","16470.30","16470.30","16470.30","16470.30","16470.30","16470.30","16470.30","16470.30","16470.30","16470.30"
"5","N/A","MODEL IMPLANT EP IPS","N/A","N/A","0272","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","MODULE EMG MEP NEUROVISION","N/A","N/A","0272","N/A","N/A","4207.50","4207.50","4207.50","N/A","N/A","N/A","4207.50","4207.50","N/A","4207.50","4207.50","4207.50","4207.50","4207.50","4207.50","4207.50","4207.50","4207.50","4207.50"
"5","N/A","MODULE NEEDLE NVM5 SSEP","N/A","N/A","0272","N/A","N/A","4290.00","4290.00","4290.00","N/A","N/A","N/A","4290.00","4290.00","N/A","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00"
"5","N/A","MONITOR C02 FLOCAP END TIDAL","N/A","N/A","0272","N/A","N/A","26.05","26.05","26.05","N/A","N/A","N/A","26.05","26.05","N/A","26.05","26.05","26.05","26.05","26.05","26.05","26.05","26.05","26.05","26.05"
"5","N/A","NASAL SNARE WIRE SZ 6","N/A","N/A","0272","N/A","N/A","6.52","6.52","6.52","N/A","N/A","N/A","6.52","6.52","N/A","6.52","6.52","6.52","6.52","6.52","6.52","6.52","6.52","6.52","6.52"
"5","N/A","NEBULIZER AEROSOL AIRLIFE MISTY MAX 10","N/A","N/A","0272","N/A","N/A","2.24","2.24","2.24","N/A","N/A","N/A","2.24","2.24","N/A","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24"
"5","N/A","NEBULIZER PREFILLED AQUAPAK 760ML","N/A","N/A","0272","N/A","N/A","3.08","3.08","3.08","N/A","N/A","N/A","3.08","3.08","N/A","3.08","3.08","3.08","3.08","3.08","3.08","3.08","3.08","3.08","3.08"
"5","N/A","NEEDLE ACCESS PERCUTANEOUS NAVIGUIDE 18GX12CM","N/A","N/A","0272","N/A","N/A","131.24","131.24","131.24","N/A","N/A","N/A","131.24","131.24","N/A","131.24","131.24","131.24","131.24","131.24","131.24","131.24","131.24","131.24","131.24"
"5","N/A","NEEDLE ACCESS PERCUTANEOUS NAVIGUIDE18GX16CM","N/A","N/A","0272","N/A","N/A","131.24","131.24","131.24","N/A","N/A","N/A","131.24","131.24","N/A","131.24","131.24","131.24","131.24","131.24","131.24","131.24","131.24","131.24","131.24"
"5","N/A","NEEDLE ASPIRATION EXCELON 21GAX15MM","N/A","N/A","0272","N/A","N/A","271.02","271.02","271.02","N/A","N/A","N/A","271.02","271.02","N/A","271.02","271.02","271.02","271.02","271.02","271.02","271.02","271.02","271.02","271.02"
"5","N/A","NEEDLE ASPIRATION EXPECT 22GAX2.4MM","N/A","N/A","0272","N/A","N/A","719.66","719.66","719.66","N/A","N/A","N/A","719.66","719.66","N/A","719.66","719.66","719.66","719.66","719.66","719.66","719.66","719.66","719.66","719.66"
"5","N/A","NEEDLE ASPIRATION EXPECT 25GAX2.4MM","N/A","N/A","0272","N/A","N/A","719.66","719.66","719.66","N/A","N/A","N/A","719.66","719.66","N/A","719.66","719.66","719.66","719.66","719.66","719.66","719.66","719.66","719.66","719.66"
"5","N/A","NEEDLE ASPIRATION EXPECT PULMONARY 25G","N/A","N/A","0272","N/A","N/A","627.00","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","NEEDLE ASPIRATION OLYMUS 21G","N/A","N/A","0272","N/A","N/A","650.10","650.10","650.10","N/A","N/A","N/A","650.10","650.10","N/A","650.10","650.10","650.10","650.10","650.10","650.10","650.10","650.10","650.10","650.10"
"5","N/A","NEEDLE ASPIRATION VIZISHOT 19G","N/A","N/A","0272","N/A","N/A","933.24","933.24","933.24","N/A","N/A","N/A","933.24","933.24","N/A","933.24","933.24","933.24","933.24","933.24","933.24","933.24","933.24","933.24","933.24"
"5","N/A","NEEDLE BIOPSY BONE 11G 15CM","N/A","N/A","0272","N/A","N/A","197.51","197.51","197.51","N/A","N/A","N/A","197.51","197.51","N/A","197.51","197.51","197.51","197.51","197.51","197.51","197.51","197.51","197.51","197.51"
"5","N/A","NEEDLE BIOPSY CHIBA 18GX15CM","N/A","N/A","0272","N/A","N/A","31.52","31.52","31.52","N/A","N/A","N/A","31.52","31.52","N/A","31.52","31.52","31.52","31.52","31.52","31.52","31.52","31.52","31.52","31.52"
"5","N/A","NEEDLE BIOPSY CHIBA 18GX20CM","N/A","N/A","0272","N/A","N/A","31.52","31.52","31.52","N/A","N/A","N/A","31.52","31.52","N/A","31.52","31.52","31.52","31.52","31.52","31.52","31.52","31.52","31.52","31.52"
"5","N/A","NEEDLE BIOPSY CHIBA 22GAX6"","N/A","N/A","0272","N/A","N/A","17.02","17.02","17.02","N/A","N/A","N/A","17.02","17.02","N/A","17.02","17.02","17.02","17.02","17.02","17.02","17.02","17.02","17.02","17.02"
"5","N/A","NEEDLE BIOPSY CHIBA 22GX15CM","N/A","N/A","0272","N/A","N/A","30.76","30.76","30.76","N/A","N/A","N/A","30.76","30.76","N/A","30.76","30.76","30.76","30.76","30.76","30.76","30.76","30.76","30.76","30.76"
"5","N/A","NEEDLE BIOPSY CHIBA 22GX20CM","N/A","N/A","0272","N/A","N/A","30.76","30.76","30.76","N/A","N/A","N/A","30.76","30.76","N/A","30.76","30.76","30.76","30.76","30.76","30.76","30.76","30.76","30.76","30.76"
"5","N/A","NEEDLE BIOPSY CHIBA 22GX8"","N/A","N/A","0272","N/A","N/A","41.02","41.02","41.02","N/A","N/A","N/A","41.02","41.02","N/A","41.02","41.02","41.02","41.02","41.02","41.02","41.02","41.02","41.02","41.02"
"5","N/A","NEEDLE BIOPSY CHIBA ECHOTIP 22GX20CM","N/A","N/A","0272","N/A","N/A","39.27","39.27","39.27","N/A","N/A","N/A","39.27","39.27","N/A","39.27","39.27","39.27","39.27","39.27","39.27","39.27","39.27","39.27","39.27"
"5","N/A","NEEDLE BIOPSY CHIBA FNA 22GX10CM","N/A","N/A","0272","N/A","N/A","20.87","20.87","20.87","N/A","N/A","N/A","20.87","20.87","N/A","20.87","20.87","20.87","20.87","20.87","20.87","20.87","20.87","20.87","20.87"
"5","N/A","NEEDLE BIOPSY CHIBA FNA 22GX15CM","N/A","N/A","0272","N/A","N/A","20.87","20.87","20.87","N/A","N/A","N/A","20.87","20.87","N/A","20.87","20.87","20.87","20.87","20.87","20.87","20.87","20.87","20.87","20.87"
"5","N/A","NEEDLE BIOPSY CHIBA FNA 22GX20CM","N/A","N/A","0272","N/A","N/A","27.81","27.81","27.81","N/A","N/A","N/A","27.81","27.81","N/A","27.81","27.81","27.81","27.81","27.81","27.81","27.81","27.81","27.81","27.81"
"5","N/A","NEEDLE BIOPSY COAX TRGD 11GX7CM","N/A","N/A","0272","N/A","N/A","37.49","37.49","37.49","N/A","N/A","N/A","37.49","37.49","N/A","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49"
"5","N/A","NEEDLE BIOPSY COAX TRGD 13GX7CM","N/A","N/A","0272","N/A","N/A","37.49","37.49","37.49","N/A","N/A","N/A","37.49","37.49","N/A","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49"
"5","N/A","NEEDLE BIOPSY COAX TRGD 15GX7CM","N/A","N/A","0272","N/A","N/A","37.49","37.49","37.49","N/A","N/A","N/A","37.49","37.49","N/A","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49","37.49"
"5","N/A","NEEDLE BIOPSY COAX TRGD 17GX13.8CM","N/A","N/A","0272","N/A","N/A","32.48","32.48","32.48","N/A","N/A","N/A","32.48","32.48","N/A","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48"
"5","N/A","NEEDLE BIOPSY COAX TRGD 19GX13.8CM","N/A","N/A","0272","N/A","N/A","32.48","32.48","32.48","N/A","N/A","N/A","32.48","32.48","N/A","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48"
"5","N/A","NEEDLE BIOPSY COAX TRGD 19GX17CM","N/A","N/A","0272","N/A","N/A","32.48","32.48","32.48","N/A","N/A","N/A","32.48","32.48","N/A","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48"
"5","N/A","NEEDLE BIOPSY COAX TRGD 19GX7.8CM","N/A","N/A","0272","N/A","N/A","32.48","32.48","32.48","N/A","N/A","N/A","32.48","32.48","N/A","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48","32.48"
"5","N/A","NEEDLE BIOPSY ECHOTIP PROCORE HD 22GA","N/A","N/A","0272","N/A","N/A","1349.70","1349.70","1349.70","N/A","N/A","N/A","1349.70","1349.70","N/A","1349.70","1349.70","1349.70","1349.70","1349.70","1349.70","1349.70","1349.70","1349.70","1349.70"
"5","N/A","NEEDLE BIOPSY MAXCORE 14GAX10CM","N/A","N/A","0272","N/A","N/A","99.96","99.96","99.96","N/A","N/A","N/A","99.96","99.96","N/A","99.96","99.96","99.96","99.96","99.96","99.96","99.96","99.96","99.96","99.96"
"5","N/A","NEEDLE BIOPSY MONOPTY 18GX15CM","N/A","N/A","0272","N/A","N/A","75.60","75.60","75.60","N/A","N/A","N/A","75.60","75.60","N/A","75.60","75.60","75.60","75.60","75.60","75.60","75.60","75.60","75.60","75.60"
"5","N/A","NEEDLE BIOPSY MONOPTY 18GX16CM","N/A","N/A","0272","N/A","N/A","75.60","75.60","75.60","N/A","N/A","N/A","75.60","75.60","N/A","75.60","75.60","75.60","75.60","75.60","75.60","75.60","75.60","75.60","75.60"
"5","N/A","NEEDLE CATHETER CENTESIS YUEH STR 19G 5F 7CM","N/A","N/A","0272","N/A","N/A","52.40","52.40","52.40","N/A","N/A","N/A","52.40","52.40","N/A","52.40","52.40","52.40","52.40","52.40","52.40","52.40","52.40","52.40","52.40"
"5","N/A","NEEDLE CRYO ICEFORCE 2.1 CX 90 DEG","N/A","N/A","0272","N/A","N/A","4620.00","4620.00","4620.00","N/A","N/A","N/A","4620.00","4620.00","N/A","4620.00","4620.00","4620.00","4620.00","4620.00","4620.00","4620.00","4620.00","4620.00","4620.00"
"5","N/A","NEEDLE DELIVERY CRV STER 12GAX10CM","N/A","N/A","0272","N/A","N/A","142.43","142.43","142.43","N/A","N/A","N/A","142.43","142.43","N/A","142.43","142.43","142.43","142.43","142.43","142.43","142.43","142.43","142.43","142.43"
"5","N/A","NEEDLE DELIVERY STER 12GAX7.5CM","N/A","N/A","0272","N/A","N/A","151.01","151.01","151.01","N/A","N/A","N/A","151.01","151.01","N/A","151.01","151.01","151.01","151.01","151.01","151.01","151.01","151.01","151.01","151.01"
"5","N/A","NEEDLE DEVICE BIOPSY FINE 22G","N/A","N/A","0272","N/A","N/A","1303.50","1303.50","1303.50","N/A","N/A","N/A","1303.50","1303.50","N/A","1303.50","1303.50","1303.50","1303.50","1303.50","1303.50","1303.50","1303.50","1303.50","1303.50"
"5","N/A","NEEDLE DIAGNOSTIC STYLET ACCUSTICK II 21","N/A","N/A","0272","N/A","N/A","32.37","32.37","32.37","N/A","N/A","N/A","32.37","32.37","N/A","32.37","32.37","32.37","32.37","32.37","32.37","32.37","32.37","32.37","32.37"
"5","N/A","NEEDLE DISSECTION MICRO 45 DEG 20MM","N/A","N/A","0272","N/A","N/A","179.92","179.92","179.92","N/A","N/A","N/A","179.92","179.92","N/A","179.92","179.92","179.92","179.92","179.92","179.92","179.92","179.92","179.92","179.92"
"5","N/A","NEEDLE DISSECTION MICRO N SERIES 40MM","N/A","N/A","0272","N/A","N/A","185.33","185.33","185.33","N/A","N/A","N/A","185.33","185.33","N/A","185.33","185.33","185.33","185.33","185.33","185.33","185.33","185.33","185.33","185.33"
"5","N/A","NEEDLE DISSECTION STR COLORADO 45 DEG","N/A","N/A","0272","N/A","N/A","55.01","55.01","55.01","N/A","N/A","N/A","55.01","55.01","N/A","55.01","55.01","55.01","55.01","55.01","55.01","55.01","55.01","55.01","55.01"
"5","N/A","NEEDLE ELECTRODE NEPTUNE 70MM","N/A","N/A","0272","N/A","N/A","43.88","43.88","43.88","N/A","N/A","N/A","43.88","43.88","N/A","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88","43.88"
"5","N/A","NEEDLE ENTRY PERC 1 PART 19GAX7CM","N/A","N/A","0272","N/A","N/A","14.85","14.85","14.85","N/A","N/A","N/A","14.85","14.85","N/A","14.85","14.85","14.85","14.85","14.85","14.85","14.85","14.85","14.85","14.85"
"5","N/A","NEEDLE ENTRY PERC TW 18GAX7CM","N/A","N/A","0272","N/A","N/A","8.91","8.91","8.91","N/A","N/A","N/A","8.91","8.91","N/A","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91"
"5","N/A","NEEDLE ENTRY PERC TW 21GX4CM","N/A","N/A","0272","N/A","N/A","8.91","8.91","8.91","N/A","N/A","N/A","8.91","8.91","N/A","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91"
"5","N/A","NEEDLE EPIDURAL NON-THREADED 14GX4"","N/A","N/A","0272","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","NEEDLE EPIDURAL PERIFIX TUOHY 17GX4.5"","N/A","N/A","0272","N/A","N/A","25.52","25.52","25.52","N/A","N/A","N/A","25.52","25.52","N/A","25.52","25.52","25.52","25.52","25.52","25.52","25.52","25.52","25.52","25.52"
"5","N/A","NEEDLE EPIDURAL TUOHY 17GX6"","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","NEEDLE EPIDURAL TUOHY 18GAX5","N/A","N/A","0272","N/A","N/A","23.26","23.26","23.26","N/A","N/A","N/A","23.26","23.26","N/A","23.26","23.26","23.26","23.26","23.26","23.26","23.26","23.26","23.26","23.26"
"5","N/A","NEEDLE FORMEN INTERSTIM 18GX5"","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","NEEDLE INJECTION CARR LOCKE 23X230CM","N/A","N/A","0272","N/A","N/A","250.80","250.80","250.80","N/A","N/A","N/A","250.80","250.80","N/A","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80"
"5","N/A","NEEDLE INJECTION CARR LOCKE 25GX230CM","N/A","N/A","0272","N/A","N/A","108.90","108.90","108.90","N/A","N/A","N/A","108.90","108.90","N/A","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90"
"5","N/A","NEEDLE INJECTION WILLIAM 5FR 23GAX35CM","N/A","N/A","0272","N/A","N/A","70.26","70.26","70.26","N/A","N/A","N/A","70.26","70.26","N/A","70.26","70.26","70.26","70.26","70.26","70.26","70.26","70.26","70.26","70.26"
"5","N/A","NEEDLE INTRODUCER 18GX7CM","N/A","N/A","0272","N/A","N/A","11.04","11.04","11.04","N/A","N/A","N/A","11.04","11.04","N/A","11.04","11.04","11.04","11.04","11.04","11.04","11.04","11.04","11.04","11.04"
"5","N/A","NEEDLE LOCALIZATION KOPANS 21GAX15CM","N/A","N/A","0272","N/A","N/A","81.51","81.51","81.51","N/A","N/A","N/A","81.51","81.51","N/A","81.51","81.51","81.51","81.51","81.51","81.51","81.51","81.51","81.51","81.51"
"5","N/A","NEEDLE MICRO 3CM 45DEG","N/A","N/A","0272","N/A","N/A","55.01","55.01","55.01","N/A","N/A","N/A","55.01","55.01","N/A","55.01","55.01","55.01","55.01","55.01","55.01","55.01","55.01","55.01","55.01"
"5","N/A","NEEDLE RELINE-O FENESTRATED","N/A","N/A","0272","N/A","N/A","821.70","821.70","821.70","N/A","N/A","N/A","821.70","821.70","N/A","821.70","821.70","821.70","821.70","821.70","821.70","821.70","821.70","821.70","821.70"
"5","N/A","NEEDLE SCLEROTHERAPY 25GAX4MM","N/A","N/A","0272","N/A","N/A","100.98","100.98","100.98","N/A","N/A","N/A","100.98","100.98","N/A","100.98","100.98","100.98","100.98","100.98","100.98","100.98","100.98","100.98","100.98"
"5","N/A","NEEDLE SCLEROTHERAPY INTERJECT 23G","N/A","N/A","0272","N/A","N/A","100.98","100.98","100.98","N/A","N/A","N/A","100.98","100.98","N/A","100.98","100.98","100.98","100.98","100.98","100.98","100.98","100.98","100.98","100.98"
"5","N/A","NEEDLE SCORPION KNEE","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","NEEDLE SKINNY CHIBA 22GAX20CM","N/A","N/A","0272","N/A","N/A","48.81","48.81","48.81","N/A","N/A","N/A","48.81","48.81","N/A","48.81","48.81","48.81","48.81","48.81","48.81","48.81","48.81","48.81","48.81"
"5","N/A","NEEDLE SMART PROBE BARE TIP 18G","N/A","N/A","0272","N/A","N/A","419.10","419.10","419.10","N/A","N/A","N/A","419.10","419.10","N/A","419.10","419.10","419.10","419.10","419.10","419.10","419.10","419.10","419.10","419.10"
"5","N/A","NEEDLE SPINAL 17GX7" LNG","N/A","N/A","0272","N/A","N/A","161.70","161.70","161.70","N/A","N/A","N/A","161.70","161.70","N/A","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70"
"5","N/A","NEEDLE SPINAL BEVELED I-PAS 3","N/A","N/A","0272","N/A","N/A","1115.40","1115.40","1115.40","N/A","N/A","N/A","1115.40","1115.40","N/A","1115.40","1115.40","1115.40","1115.40","1115.40","1115.40","1115.40","1115.40","1115.40","1115.40"
"5","N/A","NEEDLE SPINAL HINCK 18GX13CM","N/A","N/A","0272","N/A","N/A","122.10","122.10","122.10","N/A","N/A","N/A","122.10","122.10","N/A","122.10","122.10","122.10","122.10","122.10","122.10","122.10","122.10","122.10","122.10"
"5","N/A","NEEDLE SPINAL QUINCKE 18GAX3.5"","N/A","N/A","0272","N/A","N/A","4.75","4.75","4.75","N/A","N/A","N/A","4.75","4.75","N/A","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75"
"5","N/A","NEEDLE SPINAL QUINCKE 20GAX3.5"","N/A","N/A","0272","N/A","N/A","4.75","4.75","4.75","N/A","N/A","N/A","4.75","4.75","N/A","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75"
"5","N/A","NEEDLE SPINAL QUINCKE 20GAX6"","N/A","N/A","0272","N/A","N/A","11.53","11.53","11.53","N/A","N/A","N/A","11.53","11.53","N/A","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53"
"5","N/A","NEEDLE SPINAL QUINCKE 22GAX3.5"","N/A","N/A","0272","N/A","N/A","4.75","4.75","4.75","N/A","N/A","N/A","4.75","4.75","N/A","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75","4.75"
"5","N/A","NEEDLE SPINAL QUINCKE 22GAX5"","N/A","N/A","0272","N/A","N/A","11.53","11.53","11.53","N/A","N/A","N/A","11.53","11.53","N/A","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53"
"5","N/A","NEEDLE SPINAL QUINCKE 22GAX7"","N/A","N/A","0272","N/A","N/A","100.16","100.16","100.16","N/A","N/A","N/A","100.16","100.16","N/A","100.16","100.16","100.16","100.16","100.16","100.16","100.16","100.16","100.16","100.16"
"5","N/A","NEEDLE SUTURE 1/2 FERGUSON TPR 10","N/A","N/A","0272","N/A","N/A","1.48","1.48","1.48","N/A","N/A","N/A","1.48","1.48","N/A","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48"
"5","N/A","NEEDLE SUTURE 1/2 FERGUSON TPR 12","N/A","N/A","0272","N/A","N/A","8.43","8.43","8.43","N/A","N/A","N/A","8.43","8.43","N/A","8.43","8.43","8.43","8.43","8.43","8.43","8.43","8.43","8.43","8.43"
"5","N/A","NEEDLE SUTURE 1/2 MAYO CATGUT TPR 4","N/A","N/A","0272","N/A","N/A","19.37","19.37","19.37","N/A","N/A","N/A","19.37","19.37","N/A","19.37","19.37","19.37","19.37","19.37","19.37","19.37","19.37","19.37","19.37"
"5","N/A","NEEDLE SUTURE 1/2 MAYO CATGUT TPR 6","N/A","N/A","0272","N/A","N/A","8.63","8.63","8.63","N/A","N/A","N/A","8.63","8.63","N/A","8.63","8.63","8.63","8.63","8.63","8.63","8.63","8.63","8.63","8.63"
"5","N/A","NEEDLE SUTURE 1/2 REVR FISTULA SZ 7D 2/PK","N/A","N/A","0272","N/A","N/A","12.42","12.42","12.42","N/A","N/A","N/A","12.42","12.42","N/A","12.42","12.42","12.42","12.42","12.42","12.42","12.42","12.42","12.42","12.42"
"5","N/A","NEEDLE SUTURE 1/2 SPRING EYE TPR 2","N/A","N/A","0272","N/A","N/A","8.51","8.51","8.51","N/A","N/A","N/A","8.51","8.51","N/A","8.51","8.51","8.51","8.51","8.51","8.51","8.51","8.51","8.51","8.51"
"5","N/A","NEEDLE SUTURE 1/2 SPRING EYE TPR 3","N/A","N/A","0272","N/A","N/A","6.99","6.99","6.99","N/A","N/A","N/A","6.99","6.99","N/A","6.99","6.99","6.99","6.99","6.99","6.99","6.99","6.99","6.99","6.99"
"5","N/A","NEEDLE SUTURE 3/8 CIRCLE REVR CUT 14D","N/A","N/A","0272","N/A","N/A","15.64","15.64","15.64","N/A","N/A","N/A","15.64","15.64","N/A","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64"
"5","N/A","NEEDLE SUTURE MF SCORPION","N/A","N/A","0272","N/A","N/A","561.00","561.00","561.00","N/A","N/A","N/A","561.00","561.00","N/A","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00"
"5","N/A","NEEDLE SUTURE PASSING CERCLAGE MEDIUM","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","NEEDLE SUTURE SUREFIRE SCORPION","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","NEEDLE TFE-SHEATHED 19G 19CM","N/A","N/A","0272","N/A","N/A","142.13","142.13","142.13","N/A","N/A","N/A","142.13","142.13","N/A","142.13","142.13","142.13","142.13","142.13","142.13","142.13","142.13","142.13","142.13"
"5","N/A","NEEDLE TRANSSEPTAL NRG-E-HF-98CM CURVE C1","N/A","N/A","0272","N/A","N/A","1633.50","1633.50","1633.50","N/A","N/A","N/A","1633.50","1633.50","N/A","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50"
"5","N/A","NEEDLE TRANSSEPTAL RF NRG 71CM CURVE C0","N/A","N/A","0272","N/A","N/A","1633.50","1633.50","1633.50","N/A","N/A","N/A","1633.50","1633.50","N/A","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50"
"5","N/A","NEEDLE TRANSSEPTAL RF NRG 71CM CURVE C1","N/A","N/A","0272","N/A","N/A","1633.50","1633.50","1633.50","N/A","N/A","N/A","1633.50","1633.50","N/A","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50"
"5","N/A","NEEDLE TROCAR 2 PART 18GAX20CM","N/A","N/A","0272","N/A","N/A","53.10","53.10","53.10","N/A","N/A","N/A","53.10","53.10","N/A","53.10","53.10","53.10","53.10","53.10","53.10","53.10","53.10","53.10","53.10"
"5","N/A","NEEDLE TROCAR ECHOTIP 18GAX15CM","N/A","N/A","0272","N/A","N/A","53.10","53.10","53.10","N/A","N/A","N/A","53.10","53.10","N/A","53.10","53.10","53.10","53.10","53.10","53.10","53.10","53.10","53.10","53.10"
"5","N/A","NET RETREIVAL 2.5MM 230CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","NET SPECIMEN RETRV ROTH NET 3X6CM","N/A","N/A","0272","N/A","N/A","310.20","310.20","310.20","N/A","N/A","N/A","310.20","310.20","N/A","310.20","310.20","310.20","310.20","310.20","310.20","310.20","310.20","310.20","310.20"
"5","N/A","NEUROSTIMULATOR EXTERNAL WIRELESS","N/A","N/A","0272","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","NOZZLE CEMENT BONE","N/A","N/A","0272","N/A","N/A","79.20","79.20","79.20","N/A","N/A","N/A","79.20","79.20","N/A","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20"
"5","N/A","NUT HEX HEAD TRUELOCK SS 10MM","N/A","N/A","0272","N/A","N/A","5.94","5.94","5.94","N/A","N/A","N/A","5.94","5.94","N/A","5.94","5.94","5.94","5.94","5.94","5.94","5.94","5.94","5.94","5.94"
"5","N/A","NUT TL STAINLESS STEEL 10MM","N/A","N/A","0272","N/A","N/A","16.83","16.83","16.83","N/A","N/A","N/A","16.83","16.83","N/A","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83"
"5","N/A","OBTURATOR LAPAROSCOPIC WECK VISTA 8MM","N/A","N/A","0272","N/A","N/A","99.00","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","OBTURATOR LONG DA VINCI OPTICAL XI 8MM","N/A","N/A","0272","N/A","N/A","99.00","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","OBTURATOR NEUROSURGICAL 190MM 20G","N/A","N/A","0272","N/A","N/A","960.30","960.30","960.30","N/A","N/A","N/A","960.30","960.30","N/A","960.30","960.30","960.30","960.30","960.30","960.30","960.30","960.30","960.30","960.30"
"5","N/A","OBTURATOR SHEATH RADIFOCUS 5F 1.7MM 10CM","N/A","N/A","0272","N/A","N/A","13.66","13.66","13.66","N/A","N/A","N/A","13.66","13.66","N/A","13.66","13.66","13.66","13.66","13.66","13.66","13.66","13.66","13.66","13.66"
"5","N/A","OBTURATOR VALVE HEMOS SHT 8F 105"","N/A","N/A","0272","N/A","N/A","7.32","7.32","7.32","N/A","N/A","N/A","7.32","7.32","N/A","7.32","7.32","7.32","7.32","7.32","7.32","7.32","7.32","7.32","7.32"
"5","N/A","OCCLUDER UTERINE BLLN STD","N/A","N/A","0272","N/A","N/A","365.97","365.97","365.97","N/A","N/A","N/A","365.97","365.97","N/A","365.97","365.97","365.97","365.97","365.97","365.97","365.97","365.97","365.97","365.97"
"5","N/A","OIL SILICONE RETINAL SIL-OL 1000","N/A","N/A","0272","N/A","N/A","1221.00","1221.00","1221.00","N/A","N/A","N/A","1221.00","1221.00","N/A","1221.00","1221.00","1221.00","1221.00","1221.00","1221.00","1221.00","1221.00","1221.00","1221.00"
"5","N/A","OSTEOTOME FLAT 6MM SINGLE USE","N/A","N/A","0272","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","OVERTUBE ENDOSCOPIC 10-11.7MM 50CM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","OVERTUBE ENDOSCOPIC LTX 1450MM","N/A","N/A","0272","N/A","N/A","748.20","748.20","748.20","N/A","N/A","N/A","748.20","748.20","N/A","748.20","748.20","748.20","748.20","748.20","748.20","748.20","748.20","748.20","748.20"
"5","N/A","OVERTUBE ESOPHAGEAL 8.6-10MMX25CM","N/A","N/A","0272","N/A","N/A","613.80","613.80","613.80","N/A","N/A","N/A","613.80","613.80","N/A","613.80","613.80","613.80","613.80","613.80","613.80","613.80","613.80","613.80","613.80"
"5","N/A","PACK AUTOTRANSFUSION CATSMART 140X70CM","N/A","N/A","0272","N/A","N/A","197.60","197.60","197.60","N/A","N/A","N/A","197.60","197.60","N/A","197.60","197.60","197.60","197.60","197.60","197.60","197.60","197.60","197.60","197.60"
"5","N/A","PACK BATTERY F/MAXDRIVER","N/A","N/A","0272","N/A","N/A","656.70","656.70","656.70","N/A","N/A","N/A","656.70","656.70","N/A","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70"
"5","N/A","PACK HIP TOTAL","N/A","N/A","0272","N/A","N/A","1704.62","1704.62","1704.62","N/A","N/A","N/A","1704.62","1704.62","N/A","1704.62","1704.62","1704.62","1704.62","1704.62","1704.62","1704.62","1704.62","1704.62","1704.62"
"5","N/A","PACK PERFUSION OPEN HEART ADULT LARGE","N/A","N/A","0272","N/A","N/A","1943.70","1943.70","1943.70","N/A","N/A","N/A","1943.70","1943.70","N/A","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70"
"5","N/A","PACK PERFUSION OPEN HEART ADULT SMALL","N/A","N/A","0272","N/A","N/A","1943.70","1943.70","1943.70","N/A","N/A","N/A","1943.70","1943.70","N/A","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70","1943.70"
"5","N/A","PACK PHACO INTREPID 9MM 30 DEG","N/A","N/A","0272","N/A","N/A","1088.01","1088.01","1088.01","N/A","N/A","N/A","1088.01","1088.01","N/A","1088.01","1088.01","1088.01","1088.01","1088.01","1088.01","1088.01","1088.01","1088.01","1088.01"
"5","N/A","PACK ROBOTIC URO","N/A","N/A","0272","N/A","N/A","1257.27","1257.27","1257.27","N/A","N/A","N/A","1257.27","1257.27","N/A","1257.27","1257.27","1257.27","1257.27","1257.27","1257.27","1257.27","1257.27","1257.27","1257.27"
"5","N/A","PACK SURGICAL ANGIO LF","N/A","N/A","0272","N/A","N/A","197.41","197.41","197.41","N/A","N/A","N/A","197.41","197.41","N/A","197.41","197.41","197.41","197.41","197.41","197.41","197.41","197.41","197.41","197.41"
"5","N/A","PACK SURGICAL ANTERIOR HIP","N/A","N/A","0272","N/A","N/A","2731.54","2731.54","2731.54","N/A","N/A","N/A","2731.54","2731.54","N/A","2731.54","2731.54","2731.54","2731.54","2731.54","2731.54","2731.54","2731.54","2731.54","2731.54"
"5","N/A","PACK SURGICAL LAP BARIATRIC","N/A","N/A","0272","N/A","N/A","6296.76","6296.76","6296.76","N/A","N/A","N/A","6296.76","6296.76","N/A","6296.76","6296.76","6296.76","6296.76","6296.76","6296.76","6296.76","6296.76","6296.76","6296.76"
"5","N/A","PACK SURGICAL NECK","N/A","N/A","0272","N/A","N/A","1298.65","1298.65","1298.65","N/A","N/A","N/A","1298.65","1298.65","N/A","1298.65","1298.65","1298.65","1298.65","1298.65","1298.65","1298.65","1298.65","1298.65","1298.65"
"5","N/A","PACK SURGICAL SOFT TISSUE FIXATION ACL","N/A","N/A","0272","N/A","N/A","1415.34","1415.34","1415.34","N/A","N/A","N/A","1415.34","1415.34","N/A","1415.34","1415.34","1415.34","1415.34","1415.34","1415.34","1415.34","1415.34","1415.34","1415.34"
"5","N/A","PACK THYROID","N/A","N/A","0272","N/A","N/A","1104.51","1104.51","1104.51","N/A","N/A","N/A","1104.51","1104.51","N/A","1104.51","1104.51","1104.51","1104.51","1104.51","1104.51","1104.51","1104.51","1104.51","1104.51"
"5","N/A","PACKING NASAL NASOPORE 8CM","N/A","N/A","0272","N/A","N/A","687.84","687.84","687.84","N/A","N/A","N/A","687.84","687.84","N/A","687.84","687.84","687.84","687.84","687.84","687.84","687.84","687.84","687.84","687.84"
"5","N/A","PACKING NASAL HEMOPORE 8CM","N/A","N/A","0272","N/A","N/A","690.33","690.33","690.33","N/A","N/A","N/A","690.33","690.33","N/A","690.33","690.33","690.33","690.33","690.33","690.33","690.33","690.33","690.33","690.33"
"5","N/A","PACKING NASAL RAPID RHINO EPISTAXIS 9CM","N/A","N/A","0272","N/A","N/A","247.83","247.83","247.83","N/A","N/A","N/A","247.83","247.83","N/A","247.83","247.83","247.83","247.83","247.83","247.83","247.83","247.83","247.83","247.83"
"5","N/A","PAD BACK PANEL VISTA ICU","N/A","N/A","0272","N/A","N/A","90.09","90.09","90.09","N/A","N/A","N/A","90.09","90.09","N/A","90.09","90.09","90.09","90.09","90.09","90.09","90.09","90.09","90.09","90.09"
"5","N/A","PAD COLDER CONN 18X26"","N/A","N/A","0272","N/A","N/A","18.61","18.61","18.61","N/A","N/A","N/A","18.61","18.61","N/A","18.61","18.61","18.61","18.61","18.61","18.61","18.61","18.61","18.61","18.61"
"5","N/A","PAD ELECTRODE RESUSCITATION ONESTEP PEDIATRIC","N/A","N/A","0272","N/A","N/A","219.59","219.59","219.59","N/A","N/A","N/A","219.59","219.59","N/A","219.59","219.59","219.59","219.59","219.59","219.59","219.59","219.59","219.59","219.59"
"5","N/A","PAD HEMOSTATIC NUSTAT HEMAFIBER 2X36"","N/A","N/A","0272","N/A","N/A","110.30","110.30","110.30","N/A","N/A","N/A","110.30","110.30","N/A","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30"
"5","N/A","PAD HEMOSTATIC QUIKCLOT INTERVENTIONAL","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","PAD POSITIONER PIVOTPOST LIMB","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","PAD PROTECTOR DISRACTOR DE MAYO","N/A","N/A","0272","N/A","N/A","197.34","197.34","197.34","N/A","N/A","N/A","197.34","197.34","N/A","197.34","197.34","197.34","197.34","197.34","197.34","197.34","197.34","197.34","197.34"
"5","N/A","PAD REPLACEMENT FOR VISTA TX COLLAR","N/A","N/A","0272","N/A","N/A","48.51","48.51","48.51","N/A","N/A","N/A","48.51","48.51","N/A","48.51","48.51","48.51","48.51","48.51","48.51","48.51","48.51","48.51","48.51"
"5","N/A","PAD SENSOR BED 90 DAY","N/A","N/A","0272","N/A","N/A","204.60","204.60","204.60","N/A","N/A","N/A","204.60","204.60","N/A","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60"
"5","N/A","PAD THERAPEUTIC FABRIC 13X18"","N/A","N/A","0272","N/A","N/A","14.92","14.92","14.92","N/A","N/A","N/A","14.92","14.92","N/A","14.92","14.92","14.92","14.92","14.92","14.92","14.92","14.92","14.92","14.92"
"5","N/A","PAQ PHI SPY","N/A","N/A","0272","N/A","N/A","1492.87","1492.87","1492.87","N/A","N/A","N/A","1492.87","1492.87","N/A","1492.87","1492.87","1492.87","1492.87","1492.87","1492.87","1492.87","1492.87","1492.87","1492.87"
"5","N/A","PARTICLE ABSORBABLE ARISTA AH 3G","N/A","N/A","0272","N/A","N/A","621.68","621.68","621.68","N/A","N/A","N/A","621.68","621.68","N/A","621.68","621.68","621.68","621.68","621.68","621.68","621.68","621.68","621.68","621.68"
"5","N/A","PASSER SUTURE 25 DEG LT CRV 1.8MM","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","PASSER SUTURE 25 DEG RT CRV 1.8MM","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","PASSER SUTURE 45 DEG LT CRV 1.8MM","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","PASSER SUTURE 90 DEG STR 1.8MM","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","PASSER SUTURE 90 DEG STR HIP","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","PASSER SUTURE REACH NANOPASS","N/A","N/A","0272","N/A","N/A","716.10","716.10","716.10","N/A","N/A","N/A","716.10","716.10","N/A","716.10","716.10","716.10","716.10","716.10","716.10","716.10","716.10","716.10","716.10"
"5","N/A","PASSER SUTURE SUTURELASSO SD SM","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","PASSER SUTURE SWIFTSTITCH CRESCENT HIP LENGTH","N/A","N/A","0272","N/A","N/A","792.00","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","PASSER SUTURE XL CRESCENT ACCU-PASS","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","PATCH EYE ELAS BAND BLK","N/A","N/A","0272","N/A","N/A","6.46","6.46","6.46","N/A","N/A","N/A","6.46","6.46","N/A","6.46","6.46","6.46","6.46","6.46","6.46","6.46","6.46","6.46","6.46"
"5","N/A","PATCH REFERENCE ABL MAPPING CARTO 3","N/A","N/A","0272","N/A","N/A","1494.50","1494.50","1494.50","N/A","N/A","N/A","1494.50","1494.50","N/A","1494.50","1494.50","1494.50","1494.50","1494.50","1494.50","1494.50","1494.50","1494.50","1494.50"
"5","N/A","PEN MARKING X-FNE TRPHN VIO","N/A","N/A","0272","N/A","N/A","13.53","13.53","13.53","N/A","N/A","N/A","13.53","13.53","N/A","13.53","13.53","13.53","13.53","13.53","13.53","13.53","13.53","13.53","13.53"
"5","N/A","PENCIL CAUTERY BI STR 25GA","N/A","N/A","0272","N/A","N/A","130.68","130.68","130.68","N/A","N/A","N/A","130.68","130.68","N/A","130.68","130.68","130.68","130.68","130.68","130.68","130.68","130.68","130.68","130.68"
"5","N/A","PENCIL HEMOSTATIC ERASER 20/23","N/A","N/A","0272","N/A","N/A","103.95","103.95","103.95","N/A","N/A","N/A","103.95","103.95","N/A","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95","103.95"
"5","N/A","PENCIL SMOKE EVACUATOR PUSH BUTTON","N/A","N/A","0272","N/A","N/A","99.00","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","PENCIL SMOKE EVACUATOR ROCKER SWITCH","N/A","N/A","0272","N/A","N/A","99.00","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","PENCIL TELESCOPING SMOKE","N/A","N/A","0272","N/A","N/A","101.74","101.74","101.74","N/A","N/A","N/A","101.74","101.74","N/A","101.74","101.74","101.74","101.74","101.74","101.74","101.74","101.74","101.74","101.74"
"5","N/A","PERFORATOR CRANIAL ACRA-CUT 14/11MM","N/A","N/A","0272","N/A","N/A","567.60","567.60","567.60","N/A","N/A","N/A","567.60","567.60","N/A","567.60","567.60","567.60","567.60","567.60","567.60","567.60","567.60","567.60","567.60"
"5","N/A","PERFORATOR CRANIAL DISP 14MM/11MM","N/A","N/A","0272","N/A","N/A","600.60","600.60","600.60","N/A","N/A","N/A","600.60","600.60","N/A","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60","600.60"
"5","N/A","PERFORATOR CRANIAL SKL DGR-II 11/7MM","N/A","N/A","0272","N/A","N/A","759.00","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","PICK SURGICAL 45 DEG POWERPICK XL","N/A","N/A","0272","N/A","N/A","333.30","333.30","333.30","N/A","N/A","N/A","333.30","333.30","N/A","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30","333.30"
"5","N/A","PIN ADAPTER UNIV CONVERTIBLE 3"","N/A","N/A","0272","N/A","N/A","5.45","5.45","5.45","N/A","N/A","N/A","5.45","5.45","N/A","5.45","5.45","5.45","5.45","5.45","5.45","5.45","5.45","5.45","5.45"
"5","N/A","PIN BONE SHOULDERED LONG","N/A","N/A","0272","N/A","N/A","186.62","186.62","186.62","N/A","N/A","N/A","186.62","186.62","N/A","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62"
"5","N/A","PIN BONE SHOULDERED SHORT","N/A","N/A","0272","N/A","N/A","186.62","186.62","186.62","N/A","N/A","N/A","186.62","186.62","N/A","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62"
"5","N/A","PIN BONE STRAIGHT W/DRILL TIP","N/A","N/A","0272","N/A","N/A","186.62","186.62","186.62","N/A","N/A","N/A","186.62","186.62","N/A","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62","186.62"
"5","N/A","PIN BONE STRAIGHT W/TROCAR TIP","N/A","N/A","0272","N/A","N/A","150.15","150.15","150.15","N/A","N/A","N/A","150.15","150.15","N/A","150.15","150.15","150.15","150.15","150.15","150.15","150.15","150.15","150.15","150.15"
"5","N/A","PIN DISTRACTION 14MM","N/A","N/A","0272","N/A","N/A","739.20","739.20","739.20","N/A","N/A","N/A","739.20","739.20","N/A","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20"
"5","N/A","PIN DISTRACTION CASPAR S-D 12MM","N/A","N/A","0272","N/A","N/A","297.99","297.99","297.99","N/A","N/A","N/A","297.99","297.99","N/A","297.99","297.99","297.99","297.99","297.99","297.99","297.99","297.99","297.99","297.99"
"5","N/A","PIN DISTRACTION CERV STER 14MM","N/A","N/A","0272","N/A","N/A","319.17","319.17","319.17","N/A","N/A","N/A","319.17","319.17","N/A","319.17","319.17","319.17","319.17","319.17","319.17","319.17","319.17","319.17","319.17"
"5","N/A","PIN DISTRACTOR INTERBODY SS 14MM","N/A","N/A","0272","N/A","N/A","291.33","291.33","291.33","N/A","N/A","N/A","291.33","291.33","N/A","291.33","291.33","291.33","291.33","291.33","291.33","291.33","291.33","291.33","291.33"
"5","N/A","PIN DRILL TROCAR 75MM (ZIMMER)","N/A","N/A","0272","N/A","N/A","1071.84","1071.84","1071.84","N/A","N/A","N/A","1071.84","1071.84","N/A","1071.84","1071.84","1071.84","1071.84","1071.84","1071.84","1071.84","1071.84","1071.84","1071.84"
"5","N/A","PIN END TEMPORARY (SPINEART)","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","PIN FIXATION ARTHREX SET MODULAR GLENOID SYSTEM","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","PIN FIXATION BB-TAK MTP THREADED","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","PIN FIXATION EVOS PROVISIONAL 2.5X14MM","N/A","N/A","0272","N/A","N/A","1049.40","1049.40","1049.40","N/A","N/A","N/A","1049.40","1049.40","N/A","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40"
"5","N/A","PIN FIXATION KNEE SPEED RIMMED 30MM","N/A","N/A","0272","N/A","N/A","3960.00","3960.00","3960.00","N/A","N/A","N/A","3960.00","3960.00","N/A","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00"
"5","N/A","PIN FIXATION MEDIUM SHOULDER","N/A","N/A","0272","N/A","N/A","180.18","180.18","180.18","N/A","N/A","N/A","180.18","180.18","N/A","180.18","180.18","180.18","180.18","180.18","180.18","180.18","180.18","180.18","180.18"
"5","N/A","PIN FIXATION STER GRY 0.093"","N/A","N/A","0272","N/A","N/A","2.81","2.81","2.81","N/A","N/A","N/A","2.81","2.81","N/A","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81"
"5","N/A","PIN FIXATION TEMP","N/A","N/A","0272","N/A","N/A","653.40","653.40","653.40","N/A","N/A","N/A","653.40","653.40","N/A","653.40","653.40","653.40","653.40","653.40","653.40","653.40","653.40","653.40","653.40"
"5","N/A","PIN FIXATION TEMPORARY ACP","N/A","N/A","0272","N/A","N/A","1534.50","1534.50","1534.50","N/A","N/A","N/A","1534.50","1534.50","N/A","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50","1534.50"
"5","N/A","PIN FIXATION TEMPORARY F/USE W/SCRDRVR","N/A","N/A","0272","N/A","N/A","360.49","360.49","360.49","N/A","N/A","N/A","360.49","360.49","N/A","360.49","360.49","360.49","360.49","360.49","360.49","360.49","360.49","360.49","360.49"
"5","N/A","PIN FIXATION THREAD 2.0MM","N/A","N/A","0272","N/A","N/A","334.13","334.13","334.13","N/A","N/A","N/A","334.13","334.13","N/A","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13"
"5","N/A","PIN FIXATION THREAD 3.0MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","PIN FIXATION THREADED 3X305MM","N/A","N/A","0272","N/A","N/A","364.65","364.65","364.65","N/A","N/A","N/A","364.65","364.65","N/A","364.65","364.65","364.65","364.65","364.65","364.65","364.65","364.65","364.65","364.65"
"5","N/A","PIN GUIDE BAYONET POINT 1.3X140MM","N/A","N/A","0272","N/A","N/A","107.25","107.25","107.25","N/A","N/A","N/A","107.25","107.25","N/A","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25"
"5","N/A","PIN GUIDE DEPTH RETROBUTTON","N/A","N/A","0272","N/A","N/A","379.50","379.50","379.50","N/A","N/A","N/A","379.50","379.50","N/A","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50"
"5","N/A","PIN GUIDE ORTHO 3.2X330MM","N/A","N/A","0272","N/A","N/A","377.52","377.52","377.52","N/A","N/A","N/A","377.52","377.52","N/A","377.52","377.52","377.52","377.52","377.52","377.52","377.52","377.52","377.52","377.52"
"5","N/A","PIN GUIDE ORTHO TAN 3.2X343MM","N/A","N/A","0272","N/A","N/A","454.54","454.54","454.54","N/A","N/A","N/A","454.54","454.54","N/A","454.54","454.54","454.54","454.54","454.54","454.54","454.54","454.54","454.54","454.54"
"5","N/A","PIN HALF APEX S-D S-T SS 5X150MM","N/A","N/A","0272","N/A","N/A","2577.96","2577.96","2577.96","N/A","N/A","N/A","2577.96","2577.96","N/A","2577.96","2577.96","2577.96","2577.96","2577.96","2577.96","2577.96","2577.96","2577.96","2577.96"
"5","N/A","PIN MICRO NON-VENTED SGL USE DISPENSING PIN","N/A","N/A","0272","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","PIN SAFETY W/ CAP NI PLTD LG 2"","N/A","N/A","0272","N/A","N/A","0.07","0.07","0.07","N/A","N/A","N/A","0.07","0.07","N/A","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07"
"5","N/A","PIN SKULL DORO ADULT STERILE BLUE","N/A","N/A","0272","N/A","N/A","92.55","92.55","92.55","N/A","N/A","N/A","92.55","92.55","N/A","92.55","92.55","92.55","92.55","92.55","92.55","92.55","92.55","92.55","92.55"
"5","N/A","PIN SKULL DORO ADULT TURQUOISE TI","N/A","N/A","0272","N/A","N/A","109.45","109.45","109.45","N/A","N/A","N/A","109.45","109.45","N/A","109.45","109.45","109.45","109.45","109.45","109.45","109.45","109.45","109.45","109.45"
"5","N/A","PIN SKULL DORO LUCENT TI ADULT","N/A","N/A","0272","N/A","N/A","1799.68","1799.68","1799.68","N/A","N/A","N/A","1799.68","1799.68","N/A","1799.68","1799.68","1799.68","1799.68","1799.68","1799.68","1799.68","1799.68","1799.68","1799.68"
"5","N/A","PIN SKULL MAYFIELD ADLT 13MM","N/A","N/A","0272","N/A","N/A","53.24","53.24","53.24","N/A","N/A","N/A","53.24","53.24","N/A","53.24","53.24","53.24","53.24","53.24","53.24","53.24","53.24","53.24","53.24"
"5","N/A","PIN SPEED NON-RIMMED 65MM STL","N/A","N/A","0272","N/A","N/A","83.16","83.16","83.16","N/A","N/A","N/A","83.16","83.16","N/A","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16"
"5","N/A","PIN SPEED RIM 45MM STL","N/A","N/A","0272","N/A","N/A","83.16","83.16","83.16","N/A","N/A","N/A","83.16","83.16","N/A","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16"
"5","N/A","PIN SPEED RIM 65MM STL","N/A","N/A","0272","N/A","N/A","83.16","83.16","83.16","N/A","N/A","N/A","83.16","83.16","N/A","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16","83.16"
"5","N/A","PIN STEINMAN THREAD SS 1.25X2.5"","N/A","N/A","0272","N/A","N/A","3960.00","3960.00","3960.00","N/A","N/A","N/A","3960.00","3960.00","N/A","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00"
"5","N/A","PIN STEINMANN SHLDR REVR 3.2MMX9"","N/A","N/A","0272","N/A","N/A","455.40","455.40","455.40","N/A","N/A","N/A","455.40","455.40","N/A","455.40","455.40","455.40","455.40","455.40","455.40","455.40","455.40","455.40","455.40"
"5","N/A","PIN STERILE PK VERSITOMIC","N/A","N/A","0272","N/A","N/A","981.52","981.52","981.52","N/A","N/A","N/A","981.52","981.52","N/A","981.52","981.52","981.52","981.52","981.52","981.52","981.52","981.52","981.52","981.52"
"5","N/A","PLATE FOOT TRUELOK FIXATION SYSTEM 160MM","N/A","N/A","0272","N/A","N/A","7110.74","7110.74","7110.74","N/A","N/A","N/A","7110.74","7110.74","N/A","7110.74","7110.74","7110.74","7110.74","7110.74","7110.74","7110.74","7110.74","7110.74","7110.74"
"5","N/A","PLATFORM ACCESS ADVANCED 5X55MM","N/A","N/A","0272","N/A","N/A","1732.50","1732.50","1732.50","N/A","N/A","N/A","1732.50","1732.50","N/A","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50","1732.50"
"5","N/A","PLATFORM ACCESS TRANSANAL 5.5CM","N/A","N/A","0272","N/A","N/A","2887.50","2887.50","2887.50","N/A","N/A","N/A","2887.50","2887.50","N/A","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50"
"5","N/A","PLATFORM ACCESS TRANSANAL 9CM","N/A","N/A","0272","N/A","N/A","2887.50","2887.50","2887.50","N/A","N/A","N/A","2887.50","2887.50","N/A","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50","2887.50"
"5","N/A","PLEDGET CARDIOVASCULAR PTFE 0.25X1/8X1/16"","N/A","N/A","0272","N/A","N/A","19.92","19.92","19.92","N/A","N/A","N/A","19.92","19.92","N/A","19.92","19.92","19.92","19.92","19.92","19.92","19.92","19.92","19.92","19.92"
"5","N/A","PLEDGET CARDIOVASCULAR PTFE 3/16X3/8X1/16","N/A","N/A","0272","N/A","N/A","38.07","38.07","38.07","N/A","N/A","N/A","38.07","38.07","N/A","38.07","38.07","38.07","38.07","38.07","38.07","38.07","38.07","38.07","38.07"
"5","N/A","PLUG 25G","N/A","N/A","0272","N/A","N/A","185.59","185.59","185.59","N/A","N/A","N/A","185.59","185.59","N/A","185.59","185.59","185.59","185.59","185.59","185.59","185.59","185.59","185.59","185.59"
"5","N/A","PLUG ADAPTER CLAVE MALE","N/A","N/A","0272","N/A","N/A","3.00","3.00","3.00","N/A","N/A","N/A","3.00","3.00","N/A","3.00","3.00","3.00","3.00","3.00","3.00","3.00","3.00","3.00","3.00"
"5","N/A","PLUG PORT GENESIS GENERATOR CARDIAC PULSE","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","PLUG TROCAR AY PK 25GA","N/A","N/A","0272","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","PORT ACCESS AIRSEAL 12X100MM","N/A","N/A","0272","N/A","N/A","271.58","271.58","271.58","N/A","N/A","N/A","271.58","271.58","N/A","271.58","271.58","271.58","271.58","271.58","271.58","271.58","271.58","271.58","271.58"
"5","N/A","PORT ACCESS AIRSEAL 12X120MM","N/A","N/A","0272","N/A","N/A","281.27","281.27","281.27","N/A","N/A","N/A","281.27","281.27","N/A","281.27","281.27","281.27","281.27","281.27","281.27","281.27","281.27","281.27","281.27"
"5","N/A","PORT ACCESS AIRSEAL 5X120MM","N/A","N/A","0272","N/A","N/A","268.52","268.52","268.52","N/A","N/A","N/A","268.52","268.52","N/A","268.52","268.52","268.52","268.52","268.52","268.52","268.52","268.52","268.52","268.52"
"5","N/A","PORT ACCESS AIRSEAL 5X75MM","N/A","N/A","0272","N/A","N/A","256.32","256.32","256.32","N/A","N/A","N/A","256.32","256.32","N/A","256.32","256.32","256.32","256.32","256.32","256.32","256.32","256.32","256.32","256.32"
"5","N/A","PORT ACCESS AIRSEAL 8X120MM","N/A","N/A","0272","N/A","N/A","270.22","270.22","270.22","N/A","N/A","N/A","270.22","270.22","N/A","270.22","270.22","270.22","270.22","270.22","270.22","270.22","270.22","270.22","270.22"
"5","N/A","POSITIONER IMPLANT GLIDE RND 5X35MM","N/A","N/A","0272","N/A","N/A","4.54","4.54","4.54","N/A","N/A","N/A","4.54","4.54","N/A","4.54","4.54","4.54","4.54","4.54","4.54","4.54","4.54","4.54","4.54"
"5","N/A","POST 4 HOLE","N/A","N/A","0272","N/A","N/A","891.00","891.00","891.00","N/A","N/A","N/A","891.00","891.00","N/A","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00"
"5","N/A","POST EXTERNAL FIXATION 30 DEG 11MM","N/A","N/A","0272","N/A","N/A","419.07","419.07","419.07","N/A","N/A","N/A","419.07","419.07","N/A","419.07","419.07","419.07","419.07","419.07","419.07","419.07","419.07","419.07","419.07"
"5","N/A","POST EXTERNAL FIXATION HOFFMANN 30 DEG 11 MM","N/A","N/A","0272","N/A","N/A","988.68","988.68","988.68","N/A","N/A","N/A","988.68","988.68","N/A","988.68","988.68","988.68","988.68","988.68","988.68","988.68","988.68","988.68","988.68"
"5","N/A","POST FIXATOR EXTERNAL 2 HOLE","N/A","N/A","0272","N/A","N/A","712.47","712.47","712.47","N/A","N/A","N/A","712.47","712.47","N/A","712.47","712.47","712.47","712.47","712.47","712.47","712.47","712.47","712.47","712.47"
"5","N/A","POST FIXATOR EXTERNAL 3 HOLE","N/A","N/A","0272","N/A","N/A","874.50","874.50","874.50","N/A","N/A","N/A","874.50","874.50","N/A","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50","874.50"
"5","N/A","POUCH OSTOMY DRAINABLE 2 PC HIGH OUTPUT 2.25"","N/A","N/A","0272","N/A","N/A","5.08","5.08","5.08","N/A","N/A","N/A","5.08","5.08","N/A","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08"
"5","N/A","POUCH OSTOMY DRAINABLE 2 PC HIGH OUTPUT 2.75"","N/A","N/A","0272","N/A","N/A","5.08","5.08","5.08","N/A","N/A","N/A","5.08","5.08","N/A","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08"
"5","N/A","POUCH TISSUE LAPSAC 750ML 5X8","N/A","N/A","0272","N/A","N/A","257.79","257.79","257.79","N/A","N/A","N/A","257.79","257.79","N/A","257.79","257.79","257.79","257.79","257.79","257.79","257.79","257.79","257.79","257.79"
"5","N/A","POUCH UROSTOMY NEW IMAGE 2.75X9" 2 PC BLU ULT CLR","N/A","N/A","0272","N/A","N/A","2.37","2.37","2.37","N/A","N/A","N/A","2.37","2.37","N/A","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37"
"5","N/A","POWDER HEMOSTAT GELFOAM","N/A","N/A","0272","N/A","N/A","254.46","254.46","254.46","N/A","N/A","N/A","254.46","254.46","N/A","254.46","254.46","254.46","254.46","254.46","254.46","254.46","254.46","254.46","254.46"
"5","N/A","POWDER HEMOSTATIC HEMOBLAST 1.65G","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","POWDER MICROPOROUS ARISTA AH 5G","N/A","N/A","0272","N/A","N/A","846.69","846.69","846.69","N/A","N/A","N/A","846.69","846.69","N/A","846.69","846.69","846.69","846.69","846.69","846.69","846.69","846.69","846.69","846.69"
"5","N/A","PROBE ABLATION FIAPC 2.3MMX220CM","N/A","N/A","0272","N/A","N/A","722.54","722.54","722.54","N/A","N/A","N/A","722.54","722.54","N/A","722.54","722.54","722.54","722.54","722.54","722.54","722.54","722.54","722.54","722.54"
"5","N/A","PROBE ABLATION NEUWAVE CERTUS PR 17G 15CM","N/A","N/A","0272","N/A","N/A","7349.10","7349.10","7349.10","N/A","N/A","N/A","7349.10","7349.10","N/A","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10"
"5","N/A","PROBE ABLATION NEUWAVE CERTUS PR 17G 20CM","N/A","N/A","0272","N/A","N/A","7349.10","7349.10","7349.10","N/A","N/A","N/A","7349.10","7349.10","N/A","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10"
"5","N/A","PROBE ABLATION NEUWAVE CERTUS PR XT 15G 15CM","N/A","N/A","0272","N/A","N/A","7349.10","7349.10","7349.10","N/A","N/A","N/A","7349.10","7349.10","N/A","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10"
"5","N/A","PROBE ABLATION NEUWAVE CERTUS XT 15G 20CM","N/A","N/A","0272","N/A","N/A","7349.10","7349.10","7349.10","N/A","N/A","N/A","7349.10","7349.10","N/A","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10","7349.10"
"5","N/A","PROBE ABLATOR APOLLO RF 90 DEG","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","PROBE APPLICATOR SOLERO 29CM","N/A","N/A","0272","N/A","N/A","9900.00","9900.00","9900.00","N/A","N/A","N/A","9900.00","9900.00","N/A","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00"
"5","N/A","PROBE ARTHROSCOPIC APOLLO MP50","N/A","N/A","0272","N/A","N/A","656.70","656.70","656.70","N/A","N/A","N/A","656.70","656.70","N/A","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70"
"5","N/A","PROBE ARTHROSCOPIC APOLLO RF 50 DEG HOOK","N/A","N/A","0272","N/A","N/A","858.00","858.00","858.00","N/A","N/A","N/A","858.00","858.00","N/A","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00"
"5","N/A","PROBE ARTHROSCOPIC APOLLORF 90 DEG HOOK","N/A","N/A","0272","N/A","N/A","610.50","610.50","610.50","N/A","N/A","N/A","610.50","610.50","N/A","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50","610.50"
"5","N/A","PROBE BILIARY EHL 1.9F 375CM","N/A","N/A","0272","N/A","N/A","1415.70","1415.70","1415.70","N/A","N/A","N/A","1415.70","1415.70","N/A","1415.70","1415.70","1415.70","1415.70","1415.70","1415.70","1415.70","1415.70","1415.70","1415.70"
"5","N/A","PROBE CABLE EFLEX TAC-S BLU","N/A","N/A","0272","N/A","N/A","1887.73","1887.73","1887.73","N/A","N/A","N/A","1887.73","1887.73","N/A","1887.73","1887.73","1887.73","1887.73","1887.73","1887.73","1887.73","1887.73","1887.73","1887.73"
"5","N/A","PROBE CIRCUMFERENTIAL 2.3X220","N/A","N/A","0272","N/A","N/A","725.84","725.84","725.84","N/A","N/A","N/A","725.84","725.84","N/A","725.84","725.84","725.84","725.84","725.84","725.84","725.84","725.84","725.84","725.84"
"5","N/A","PROBE CRYOABLATION CRYOICE 10","N/A","N/A","0272","N/A","N/A","7590.00","7590.00","7590.00","N/A","N/A","N/A","7590.00","7590.00","N/A","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00"
"5","N/A","PROBE ELECTROSURGICAL SERFAS 50-S XL 3.5X180MM","N/A","N/A","0272","N/A","N/A","1877.04","1877.04","1877.04","N/A","N/A","N/A","1877.04","1877.04","N/A","1877.04","1877.04","1877.04","1877.04","1877.04","1877.04","1877.04","1877.04","1877.04","1877.04"
"5","N/A","PROBE FIAPC FLEX 1.5MMX150CM","N/A","N/A","0272","N/A","N/A","722.54","722.54","722.54","N/A","N/A","N/A","722.54","722.54","N/A","722.54","722.54","722.54","722.54","722.54","722.54","722.54","722.54","722.54","722.54"
"5","N/A","PROBE LACRIMAL ST DCR 23GAX7"","N/A","N/A","0272","N/A","N/A","236.36","236.36","236.36","N/A","N/A","N/A","236.36","236.36","N/A","236.36","236.36","236.36","236.36","236.36","236.36","236.36","236.36","236.36","236.36"
"5","N/A","PROBE LASER FLEX 40 PUREPOINT 25","N/A","N/A","0272","N/A","N/A","580.80","580.80","580.80","N/A","N/A","N/A","580.80","580.80","N/A","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80"
"5","N/A","PROBE LASER ILUM CRV 25GA","N/A","N/A","0272","N/A","N/A","734.35","734.35","734.35","N/A","N/A","N/A","734.35","734.35","N/A","734.35","734.35","734.35","734.35","734.35","734.35","734.35","734.35","734.35","734.35"
"5","N/A","PROBE LASER NEUROBLATE FULLFIRE 00 3.3MM TIP","N/A","N/A","0272","N/A","N/A","29577.90","29577.90","29577.90","N/A","N/A","N/A","29577.90","29577.90","N/A","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90"
"5","N/A","PROBE LASER NEUROBLATE FULLFIRE 1 00 3.3MM TIP","N/A","N/A","0272","N/A","N/A","29577.90","29577.90","29577.90","N/A","N/A","N/A","29577.90","29577.90","N/A","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90"
"5","N/A","PROBE LASER PIK ILLUMINATE 25G","N/A","N/A","0272","N/A","N/A","424.81","424.81","424.81","N/A","N/A","N/A","424.81","424.81","N/A","424.81","424.81","424.81","424.81","424.81","424.81","424.81","424.81","424.81","424.81"
"5","N/A","PROBE LASER SIDEFIRE NEUROBLATE 001 3.3MM TIP","N/A","N/A","0272","N/A","N/A","29577.90","29577.90","29577.90","N/A","N/A","N/A","29577.90","29577.90","N/A","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90","29577.90"
"5","N/A","PROBE LASER STR PUREPOINT 25GA","N/A","N/A","0272","N/A","N/A","546.15","546.15","546.15","N/A","N/A","N/A","546.15","546.15","N/A","546.15","546.15","546.15","546.15","546.15","546.15","546.15","546.15","546.15","546.15"
"5","N/A","PROBE LITHOTRIPSY SHOCK + SLVR","N/A","N/A","0272","N/A","N/A","2827.76","2827.76","2827.76","N/A","N/A","N/A","2827.76","2827.76","N/A","2827.76","2827.76","2827.76","2827.76","2827.76","2827.76","2827.76","2827.76","2827.76","2827.76"
"5","N/A","PROBE LSR 2IN 25GA PUREPOINT 78D NIT PLST GLS ILLUMINATE CRV","N/A","N/A","0272","N/A","N/A","785.57","785.57","785.57","N/A","N/A","N/A","785.57","785.57","N/A","785.57","785.57","785.57","785.57","785.57","785.57","785.57","785.57","785.57","785.57"
"5","N/A","PROBE PRASS PROT LEAD 18MM","N/A","N/A","0272","N/A","N/A","427.02","427.02","427.02","N/A","N/A","N/A","427.02","427.02","N/A","427.02","427.02","427.02","427.02","427.02","427.02","427.02","427.02","427.02","427.02"
"5","N/A","PROBE SCRAPER SLIM 6MM","N/A","N/A","0272","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","PROBE STIMULATOR NIM X-PAK 3.4X254.5","N/A","N/A","0272","N/A","N/A","866.25","866.25","866.25","N/A","N/A","N/A","866.25","866.25","N/A","866.25","866.25","866.25","866.25","866.25","866.25","866.25","866.25","866.25","866.25"
"5","N/A","PROBE STIMULATOR PRASS FLUSH TIP","N/A","N/A","0272","N/A","N/A","382.80","382.80","382.80","N/A","N/A","N/A","382.80","382.80","N/A","382.80","382.80","382.80","382.80","382.80","382.80","382.80","382.80","382.80","382.80"
"5","N/A","PROBE STIMULATOR PRASS FLUSH TIP STD","N/A","N/A","0272","N/A","N/A","459.62","459.62","459.62","N/A","N/A","N/A","459.62","459.62","N/A","459.62","459.62","459.62","459.62","459.62","459.62","459.62","459.62","459.62","459.62"
"5","N/A","PROBE SURGICAL OSCAR 3 PIERCER 10MM","N/A","N/A","0272","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","PROBE TEMPERATURE SKIN GIRAFFE","N/A","N/A","0272","N/A","N/A","24.19","24.19","24.19","N/A","N/A","N/A","24.19","24.19","N/A","24.19","24.19","24.19","24.19","24.19","24.19","24.19","24.19","24.19","24.19"
"5","N/A","PROBE ULTRASOUND DOPPLER 20MHZ","N/A","N/A","0272","N/A","N/A","1653.17","1653.17","1653.17","N/A","N/A","N/A","1653.17","1653.17","N/A","1653.17","1653.17","1653.17","1653.17","1653.17","1653.17","1653.17","1653.17","1653.17","1653.17"
"5","N/A","PROBE VITRECTOMY ANT","N/A","N/A","0272","N/A","N/A","775.50","775.50","775.50","N/A","N/A","N/A","775.50","775.50","N/A","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50"
"5","N/A","PROBELASEROCULARENOD25G","N/A","N/A","0272","N/A","N/A","537.08","537.08","537.08","N/A","N/A","N/A","537.08","537.08","N/A","537.08","537.08","537.08","537.08","537.08","537.08","537.08","537.08","537.08","537.08"
"5","N/A","PROGRAMMER INTERSTIM RECHARGER PATIENT","N/A","N/A","0272","N/A","N/A","6435.00","6435.00","6435.00","N/A","N/A","N/A","6435.00","6435.00","N/A","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00"
"5","N/A","PROGRAMMER NEURSTIM PT DBS","N/A","N/A","0272","N/A","N/A","5161.20","5161.20","5161.20","N/A","N/A","N/A","5161.20","5161.20","N/A","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20"
"5","N/A","PROGRAMMER PATIENT DBS PERCEPT","N/A","N/A","0272","N/A","N/A","5161.20","5161.20","5161.20","N/A","N/A","N/A","5161.20","5161.20","N/A","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20","5161.20"
"5","N/A","PROTECTOR CROUCH CORNEAL DISP","N/A","N/A","0272","N/A","N/A","22.15","22.15","22.15","N/A","N/A","N/A","22.15","22.15","N/A","22.15","22.15","22.15","22.15","22.15","22.15","22.15","22.15","22.15","22.15"
"5","N/A","PROTECTOR HEEL PREVALON W/ WEDGE PETITE 6-10"","N/A","N/A","0272","N/A","N/A","175.68","175.68","175.68","N/A","N/A","N/A","175.68","175.68","N/A","175.68","175.68","175.68","175.68","175.68","175.68","175.68","175.68","175.68","175.68"
"5","N/A","PROTECTOR HEEL PREVALON W/ WEDGE STD 10-18"","N/A","N/A","0272","N/A","N/A","176.65","176.65","176.65","N/A","N/A","N/A","176.65","176.65","N/A","176.65","176.65","176.65","176.65","176.65","176.65","176.65","176.65","176.65","176.65"
"5","N/A","PROTECTOR HEEL PREVALON W/ WEDGE XL 18-24"","N/A","N/A","0272","N/A","N/A","301.79","301.79","301.79","N/A","N/A","N/A","301.79","301.79","N/A","301.79","301.79","301.79","301.79","301.79","301.79","301.79","301.79","301.79","301.79"
"5","N/A","PUMP PAIN AUTOFUSER 5 ML/HR 60 MIN 550 ML 2 ML RESERVOIR","N/A","N/A","0272","N/A","N/A","726.00","726.00","726.00","N/A","N/A","N/A","726.00","726.00","N/A","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00","726.00"
"5","N/A","PUNCH AORTIC BULLET 4.5MMX8"","N/A","N/A","0272","N/A","N/A","71.38","71.38","71.38","N/A","N/A","N/A","71.38","71.38","N/A","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38"
"5","N/A","PUNCH AORTIC LG 5MMX5 7/8"","N/A","N/A","0272","N/A","N/A","71.38","71.38","71.38","N/A","N/A","N/A","71.38","71.38","N/A","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38"
"5","N/A","PUNCH BIOPSY SKIN ACUPUNCH 4MM","N/A","N/A","0272","N/A","N/A","7.52","7.52","7.52","N/A","N/A","N/A","7.52","7.52","N/A","7.52","7.52","7.52","7.52","7.52","7.52","7.52","7.52","7.52","7.52"
"5","N/A","PUNCH BIOPSY TRU-PUNCH 5MM","N/A","N/A","0272","N/A","N/A","4.03","4.03","4.03","N/A","N/A","N/A","4.03","4.03","N/A","4.03","4.03","4.03","4.03","4.03","4.03","4.03","4.03","4.03","4.03"
"5","N/A","PUNCH CORNEAL NON VAC BRRN 7MM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","PUNCH VACUUM BRRN DISP 7.25MM","N/A","N/A","0272","N/A","N/A","250.80","250.80","250.80","N/A","N/A","N/A","250.80","250.80","N/A","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80"
"5","N/A","PUNCH VACUUM BRRN DISP 8.5MM","N/A","N/A","0272","N/A","N/A","250.80","250.80","250.80","N/A","N/A","N/A","250.80","250.80","N/A","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80"
"5","N/A","PUNCH VACUUM BRRN DISP 8MM","N/A","N/A","0272","N/A","N/A","250.80","250.80","250.80","N/A","N/A","N/A","250.80","250.80","N/A","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80"
"5","N/A","PUSHER COIL 0.016"X177CM","N/A","N/A","0272","N/A","N/A","511.01","511.01","511.01","N/A","N/A","N/A","511.01","511.01","N/A","511.01","511.01","511.01","511.01","511.01","511.01","511.01","511.01","511.01","511.01"
"5","N/A","RASP CUTTING TPS MED 3.2X18.3MM","N/A","N/A","0272","N/A","N/A","390.89","390.89","390.89","N/A","N/A","N/A","390.89","390.89","N/A","390.89","390.89","390.89","390.89","390.89","390.89","390.89","390.89","390.89","390.89"
"5","N/A","RASP MICRO SM TEAR 5X11MM","N/A","N/A","0272","N/A","N/A","359.21","359.21","359.21","N/A","N/A","N/A","359.21","359.21","N/A","359.21","359.21","359.21","359.21","359.21","359.21","359.21","359.21","359.21","359.21"
"5","N/A","RASP SMALL TEAR CROSS CUT 5X11MM","N/A","N/A","0272","N/A","N/A","359.21","359.21","359.21","N/A","N/A","N/A","359.21","359.21","N/A","359.21","359.21","359.21","359.21","359.21","359.21","359.21","359.21","359.21","359.21"
"5","N/A","REAMER ANGLE UNIVERS REVERS SMALL","N/A","N/A","0272","N/A","N/A","681.45","681.45","681.45","N/A","N/A","N/A","681.45","681.45","N/A","681.45","681.45","681.45","681.45","681.45","681.45","681.45","681.45","681.45","681.45"
"5","N/A","REAMER CANNULATED 2 IN 1 2.2X28MM","N/A","N/A","0272","N/A","N/A","750.75","750.75","750.75","N/A","N/A","N/A","750.75","750.75","N/A","750.75","750.75","750.75","750.75","750.75","750.75","750.75","750.75","750.75","750.75"
"5","N/A","REAMER CANNULATED ENTRY 16.5MM (ORTHOS)","N/A","N/A","0272","N/A","N/A","1254.83","1254.83","1254.83","N/A","N/A","N/A","1254.83","1254.83","N/A","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83"
"5","N/A","REAMER CANNULATED HUDSON LRG 13.5MM","N/A","N/A","0272","N/A","N/A","1254.83","1254.83","1254.83","N/A","N/A","N/A","1254.83","1254.83","N/A","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83","1254.83"
"5","N/A","REAMER CIRCULAR MTP 16MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER CIRCULAR MTP 18MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER CORING CANNULATED 7MM","N/A","N/A","0272","N/A","N/A","676.50","676.50","676.50","N/A","N/A","N/A","676.50","676.50","N/A","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50"
"5","N/A","REAMER CORNING CANNULATED COLLARED PIN 10MM","N/A","N/A","0272","N/A","N/A","676.50","676.50","676.50","N/A","N/A","N/A","676.50","676.50","N/A","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50"
"5","N/A","REAMER FEMORAL CANN LP 9.5MM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","REAMER FEMORAL CANN LP 9MM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","REAMER FEMORAL CANNULATED LOW PROFILE 10MM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","REAMER METATARSAL 16MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER METATARSAL 18MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER METATARSAL 20MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER PHALANGEAL 14MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER PHALANGEAL 16MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER PHALANGEAL 18MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER PHALANGEAL 20MM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","REAMER SCREW CANNULATED 2.7MM F/4MM","N/A","N/A","0272","N/A","N/A","2091.38","2091.38","2091.38","N/A","N/A","N/A","2091.38","2091.38","N/A","2091.38","2091.38","2091.38","2091.38","2091.38","2091.38","2091.38","2091.38","2091.38","2091.38"
"5","N/A","REAMER SURGICAL 1 STEP 11.5MM","N/A","N/A","0272","N/A","N/A","2336.40","2336.40","2336.40","N/A","N/A","N/A","2336.40","2336.40","N/A","2336.40","2336.40","2336.40","2336.40","2336.40","2336.40","2336.40","2336.40","2336.40","2336.40"
"5","N/A","REAMER TALAR CADENCE","N/A","N/A","0272","N/A","N/A","553.41","553.41","553.41","N/A","N/A","N/A","553.41","553.41","N/A","553.41","553.41","553.41","553.41","553.41","553.41","553.41","553.41","553.41","553.41"
"5","N/A","REINFORCEMENT STAPLE LINE SEAMGUARD BLUE TRI60","N/A","N/A","0272","N/A","N/A","578.33","578.33","578.33","N/A","N/A","N/A","578.33","578.33","N/A","578.33","578.33","578.33","578.33","578.33","578.33","578.33","578.33","578.33","578.33"
"5","N/A","REINFORCEMENT STAPLE LINE SEAMGUARD PURPLE TRI60","N/A","N/A","0272","N/A","N/A","578.33","578.33","578.33","N/A","N/A","N/A","578.33","578.33","N/A","578.33","578.33","578.33","578.33","578.33","578.33","578.33","578.33","578.33","578.33"
"5","N/A","RELOAD ABSORBABLE VLOC 180 10MM","N/A","N/A","0272","N/A","N/A","143.42","143.42","143.42","N/A","N/A","N/A","143.42","143.42","N/A","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42"
"5","N/A","RELOAD ABSORBABLE VLOC 180 2-0 15CM","N/A","N/A","0272","N/A","N/A","126.48","126.48","126.48","N/A","N/A","N/A","126.48","126.48","N/A","126.48","126.48","126.48","126.48","126.48","126.48","126.48","126.48","126.48","126.48"
"5","N/A","RELOAD STAPLE BLACK 45 XTHICK","N/A","N/A","0272","N/A","N/A","703.40","703.40","703.40","N/A","N/A","N/A","703.40","703.40","N/A","703.40","703.40","703.40","703.40","703.40","703.40","703.40","703.40","703.40","703.40"
"5","N/A","RELOAD STAPLE SUREFORM 45 GRAY","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","RELOAD STAPLER 2.0 REINFORCED TRI-STAPLE","N/A","N/A","0272","N/A","N/A","1348.74","1348.74","1348.74","N/A","N/A","N/A","1348.74","1348.74","N/A","1348.74","1348.74","1348.74","1348.74","1348.74","1348.74","1348.74","1348.74","1348.74","1348.74"
"5","N/A","RELOAD STAPLER CRV PUR MD 45MM","N/A","N/A","0272","N/A","N/A","753.43","753.43","753.43","N/A","N/A","N/A","753.43","753.43","N/A","753.43","753.43","753.43","753.43","753.43","753.43","753.43","753.43","753.43","753.43"
"5","N/A","RELOAD STAPLER CRV PUR MD 60MM","N/A","N/A","0272","N/A","N/A","1019.85","1019.85","1019.85","N/A","N/A","N/A","1019.85","1019.85","N/A","1019.85","1019.85","1019.85","1019.85","1019.85","1019.85","1019.85","1019.85","1019.85","1019.85"
"5","N/A","RELOAD STAPLER CRV TAN MD 45MM","N/A","N/A","0272","N/A","N/A","716.46","716.46","716.46","N/A","N/A","N/A","716.46","716.46","N/A","716.46","716.46","716.46","716.46","716.46","716.46","716.46","716.46","716.46","716.46"
"5","N/A","RELOAD STAPLER DST TA 3.5X30MM","N/A","N/A","0272","N/A","N/A","126.14","126.14","126.14","N/A","N/A","N/A","126.14","126.14","N/A","126.14","126.14","126.14","126.14","126.14","126.14","126.14","126.14","126.14","126.14"
"5","N/A","RELOAD STAPLER DST TA 3.5X60MM","N/A","N/A","0272","N/A","N/A","141.19","141.19","141.19","N/A","N/A","N/A","141.19","141.19","N/A","141.19","141.19","141.19","141.19","141.19","141.19","141.19","141.19","141.19","141.19"
"5","N/A","RELOAD STAPLER ENDOWRIST WHT","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","RELOAD STAPLER GIA BLK X-THK","N/A","N/A","0272","N/A","N/A","1440.68","1440.68","1440.68","N/A","N/A","N/A","1440.68","1440.68","N/A","1440.68","1440.68","1440.68","1440.68","1440.68","1440.68","1440.68","1440.68","1440.68","1440.68"
"5","N/A","RELOAD STAPLER GIA PUR MD THK 2.0","N/A","N/A","0272","N/A","N/A","1252.78","1252.78","1252.78","N/A","N/A","N/A","1252.78","1252.78","N/A","1252.78","1252.78","1252.78","1252.78","1252.78","1252.78","1252.78","1252.78","1252.78","1252.78"
"5","N/A","RELOAD STAPLER GRY THIN 2X45","N/A","N/A","0272","N/A","N/A","708.67","708.67","708.67","N/A","N/A","N/A","708.67","708.67","N/A","708.67","708.67","708.67","708.67","708.67","708.67","708.67","708.67","708.67","708.67"
"5","N/A","RELOAD STAPLER PUR MD 45MM","N/A","N/A","0272","N/A","N/A","615.19","615.19","615.19","N/A","N/A","N/A","615.19","615.19","N/A","615.19","615.19","615.19","615.19","615.19","615.19","615.19","615.19","615.19","615.19"
"5","N/A","RELOAD STAPLER PUR MD 60MM","N/A","N/A","0272","N/A","N/A","809.41","809.41","809.41","N/A","N/A","N/A","809.41","809.41","N/A","809.41","809.41","809.41","809.41","809.41","809.41","809.41","809.41","809.41","809.41"
"5","N/A","RELOAD STAPLER SUREFORM 45 BLACK","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","RELOAD STAPLER SUREFORM 45 BLUE","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","RELOAD STAPLER SUREFORM 45 GREEN","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","RELOAD STAPLER SUREFORM 45 WHITE","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","RELOAD STAPLER SUREFORM 60 4.3 GREEN","N/A","N/A","0272","N/A","N/A","759.00","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","RELOAD STAPLER SUREFORM 60 BLUE","N/A","N/A","0272","N/A","N/A","759.00","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","RELOAD STAPLER SUREFORM 60 WHITE","N/A","N/A","0272","N/A","N/A","759.00","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","RELOAD STAPLER TAN MD 30MM","N/A","N/A","0272","N/A","N/A","518.51","518.51","518.51","N/A","N/A","N/A","518.51","518.51","N/A","518.51","518.51","518.51","518.51","518.51","518.51","518.51","518.51","518.51","518.51"
"5","N/A","RELOAD STAPLER TAN MD 45MM","N/A","N/A","0272","N/A","N/A","592.53","592.53","592.53","N/A","N/A","N/A","592.53","592.53","N/A","592.53","592.53","592.53","592.53","592.53","592.53","592.53","592.53","592.53","592.53"
"5","N/A","RELOAD STAPLER TAN MD 60MM","N/A","N/A","0272","N/A","N/A","774.99","774.99","774.99","N/A","N/A","N/A","774.99","774.99","N/A","774.99","774.99","774.99","774.99","774.99","774.99","774.99","774.99","774.99","774.99"
"5","N/A","RELOAD STAPLER TI 3.5X45MM","N/A","N/A","0272","N/A","N/A","169.65","169.65","169.65","N/A","N/A","N/A","169.65","169.65","N/A","169.65","169.65","169.65","169.65","169.65","169.65","169.65","169.65","169.65","169.65"
"5","N/A","RELOAD STAPLER TI 4.8X60MM","N/A","N/A","0272","N/A","N/A","142.91","142.91","142.91","N/A","N/A","N/A","142.91","142.91","N/A","142.91","142.91","142.91","142.91","142.91","142.91","142.91","142.91","142.91","142.91"
"5","N/A","RELOAD STAPLER TI EPTH WHT 45","N/A","N/A","0272","N/A","N/A","1568.78","1568.78","1568.78","N/A","N/A","N/A","1568.78","1568.78","N/A","1568.78","1568.78","1568.78","1568.78","1568.78","1568.78","1568.78","1568.78","1568.78","1568.78"
"5","N/A","RELOAD STAPLER TI GIA 3.8X60MM","N/A","N/A","0272","N/A","N/A","163.81","163.81","163.81","N/A","N/A","N/A","163.81","163.81","N/A","163.81","163.81","163.81","163.81","163.81","163.81","163.81","163.81","163.81","163.81"
"5","N/A","RELOAD STAPLER TI GIA 3.8X80MM","N/A","N/A","0272","N/A","N/A","239.49","239.49","239.49","N/A","N/A","N/A","239.49","239.49","N/A","239.49","239.49","239.49","239.49","239.49","239.49","239.49","239.49","239.49","239.49"
"5","N/A","RELOAD STAPLER TRI 2.0 ART VAS MED 30CT","N/A","N/A","0272","N/A","N/A","626.95","626.95","626.95","N/A","N/A","N/A","626.95","626.95","N/A","626.95","626.95","626.95","626.95","626.95","626.95","626.95","626.95","626.95","626.95"
"5","N/A","RELOAD STAPLER TRI-STAPLE 2.0 MED/THICK 30MM","N/A","N/A","0272","N/A","N/A","522.89","522.89","522.89","N/A","N/A","N/A","522.89","522.89","N/A","522.89","522.89","522.89","522.89","522.89","522.89","522.89","522.89","522.89","522.89"
"5","N/A","RELOAD STAPLER XI 45 BLUE 3.5MM","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","RELOAD TRI 2.0 SUL 60 ART XTRA THK","N/A","N/A","0272","N/A","N/A","1018.21","1018.21","1018.21","N/A","N/A","N/A","1018.21","1018.21","N/A","1018.21","1018.21","1018.21","1018.21","1018.21","1018.21","1018.21","1018.21","1018.21","1018.21"
"5","N/A","RELOAD TRI-STAPLE REINFORCED STRIP BLACK 60MM","N/A","N/A","0272","N/A","N/A","1551.96","1551.96","1551.96","N/A","N/A","N/A","1551.96","1551.96","N/A","1551.96","1551.96","1551.96","1551.96","1551.96","1551.96","1551.96","1551.96","1551.96","1551.96"
"5","N/A","RELOADVASCULAR30-V3","N/A","N/A","0272","N/A","N/A","137.74","137.74","137.74","N/A","N/A","N/A","137.74","137.74","N/A","137.74","137.74","137.74","137.74","137.74","137.74","137.74","137.74","137.74","137.74"
"5","N/A","REMOVER STAPLE MF PREM","N/A","N/A","0272","N/A","N/A","6.78","6.78","6.78","N/A","N/A","N/A","6.78","6.78","N/A","6.78","6.78","6.78","6.78","6.78","6.78","6.78","6.78","6.78","6.78"
"5","N/A","RESERVOIR AUTOTRANSFUSION 120 COLLECTION 120UM 3L","N/A","N/A","0272","N/A","N/A","144.31","144.31","144.31","N/A","N/A","N/A","144.31","144.31","N/A","144.31","144.31","144.31","144.31","144.31","144.31","144.31","144.31","144.31","144.31"
"5","N/A","RESERVOIR FLUID SWVL LUER CONN LG 3L","N/A","N/A","0272","N/A","N/A","430.65","430.65","430.65","N/A","N/A","N/A","430.65","430.65","N/A","430.65","430.65","430.65","430.65","430.65","430.65","430.65","430.65","430.65","430.65"
"5","N/A","RETAINER VISCERA FISH BLU SM","N/A","N/A","0272","N/A","N/A","89.76","89.76","89.76","N/A","N/A","N/A","89.76","89.76","N/A","89.76","89.76","89.76","89.76","89.76","89.76","89.76","89.76","89.76","89.76"
"5","N/A","RETRACTOR ALEXIS XS","N/A","N/A","0272","N/A","N/A","118.80","118.80","118.80","N/A","N/A","N/A","118.80","118.80","N/A","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80"
"5","N/A","RETRACTOR CAESAREAN ALEXIS O LG","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","RETRACTOR CAESAREAN ALEXIS O XL","N/A","N/A","0272","N/A","N/A","227.70","227.70","227.70","N/A","N/A","N/A","227.70","227.70","N/A","227.70","227.70","227.70","227.70","227.70","227.70","227.70","227.70","227.70","227.70"
"5","N/A","RETRACTOR ENDO RETRACT II 32CM","N/A","N/A","0272","N/A","N/A","327.62","327.62","327.62","N/A","N/A","N/A","327.62","327.62","N/A","327.62","327.62","327.62","327.62","327.62","327.62","327.62","327.62","327.62","327.62"
"5","N/A","RETRACTOR IRIS FLEX GRSHBR 611.74","N/A","N/A","0272","N/A","N/A","344.85","344.85","344.85","N/A","N/A","N/A","344.85","344.85","N/A","344.85","344.85","344.85","344.85","344.85","344.85","344.85","344.85","344.85","344.85"
"5","N/A","RETRACTOR IRIS FLEX GRSHBR 611.75","N/A","N/A","0272","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","RETRACTOR PANNICULUS TRAXI C-SECTION","N/A","N/A","0272","N/A","N/A","210.70","210.70","210.70","N/A","N/A","N/A","210.70","210.70","N/A","210.70","210.70","210.70","210.70","210.70","210.70","210.70","210.70","210.70","210.70"
"5","N/A","RETRACTOR PENILE SCROTAL","N/A","N/A","0272","N/A","N/A","1468.50","1468.50","1468.50","N/A","N/A","N/A","1468.50","1468.50","N/A","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50"
"5","N/A","RETRACTOR SURGICAL VIEWSITE VBAS 28X20MMX5CM","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","RETRACTOR TROCAR V-PATH GELPOINT 7CM","N/A","N/A","0272","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","RETRACTOR TROCAR V-PATH GELPOINT 9.5CM","N/A","N/A","0272","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","RETRACTOR VAGINAL CERV CUP VCARE LG","N/A","N/A","0272","N/A","N/A","258.79","258.79","258.79","N/A","N/A","N/A","258.79","258.79","N/A","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79"
"5","N/A","RETRACTOR VAGINAL CERV CUP VCARE MD","N/A","N/A","0272","N/A","N/A","258.79","258.79","258.79","N/A","N/A","N/A","258.79","258.79","N/A","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79"
"5","N/A","RETRACTOR VAGINAL CERV CUP VCARE SML","N/A","N/A","0272","N/A","N/A","258.79","258.79","258.79","N/A","N/A","N/A","258.79","258.79","N/A","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79","258.79"
"5","N/A","RETRACTOR VYCOR 12MMX8CM","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","RETRACTOR WOUND ALEXIS O LG 9-14CM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","RETRACTOR WOUND ALEXIS O MD 5-9CM","N/A","N/A","0272","N/A","N/A","118.80","118.80","118.80","N/A","N/A","N/A","118.80","118.80","N/A","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80"
"5","N/A","RETRACTOR WOUND ALEXIS O SM 2.5-6CM","N/A","N/A","0272","N/A","N/A","118.80","118.80","118.80","N/A","N/A","N/A","118.80","118.80","N/A","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80","118.80"
"5","N/A","RETRACTOR WOUND ALEXIS XL 34CM","N/A","N/A","0272","N/A","N/A","1138.50","1138.50","1138.50","N/A","N/A","N/A","1138.50","1138.50","N/A","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50"
"5","N/A","RETRIEVER ROTH NET 1.88MMX160CM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","RETRIEVER SUTURE CANN ISOTAC 1.5MM","N/A","N/A","0272","N/A","N/A","135.41","135.41","135.41","N/A","N/A","N/A","135.41","135.41","N/A","135.41","135.41","135.41","135.41","135.41","135.41","135.41","135.41","135.41","135.41"
"5","N/A","RETRIEVER SUTURE HEWSON 10.1"","N/A","N/A","0272","N/A","N/A","212.62","212.62","212.62","N/A","N/A","N/A","212.62","212.62","N/A","212.62","212.62","212.62","212.62","212.62","212.62","212.62","212.62","212.62","212.62"
"5","N/A","RING MALYUGIN PHACO 7MM","N/A","N/A","0272","N/A","N/A","439.45","439.45","439.45","N/A","N/A","N/A","439.45","439.45","N/A","439.45","439.45","439.45","439.45","439.45","439.45","439.45","439.45","439.45","439.45"
"5","N/A","RING MODULAR 5/8 160MM","N/A","N/A","0272","N/A","N/A","2772.00","2772.00","2772.00","N/A","N/A","N/A","2772.00","2772.00","N/A","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00"
"5","N/A","RING RETRACTOR NORYL 18.3X32.5CM","N/A","N/A","0272","N/A","N/A","275.72","275.72","275.72","N/A","N/A","N/A","275.72","275.72","N/A","275.72","275.72","275.72","275.72","275.72","275.72","275.72","275.72","275.72","275.72"
"5","N/A","RING SILICONE RUB TOURNI-COT LF XL","N/A","N/A","0272","N/A","N/A","10.39","10.39","10.39","N/A","N/A","N/A","10.39","10.39","N/A","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39"
"5","N/A","ROD COMPRESSION PANTA 5MM","N/A","N/A","0272","N/A","N/A","3687.26","3687.26","3687.26","N/A","N/A","N/A","3687.26","3687.26","N/A","3687.26","3687.26","3687.26","3687.26","3687.26","3687.26","3687.26","3687.26","3687.26","3687.26"
"5","N/A","ROD CONNECTING HOFFMANN II COMPACT EXFIX CARBON 5X150MM","N/A","N/A","0272","N/A","N/A","355.74","355.74","355.74","N/A","N/A","N/A","355.74","355.74","N/A","355.74","355.74","355.74","355.74","355.74","355.74","355.74","355.74","355.74","355.74"
"5","N/A","ROD EXTERNAL FIXATION TRUELOK TRD 60MM","N/A","N/A","0272","N/A","N/A","133.65","133.65","133.65","N/A","N/A","N/A","133.65","133.65","N/A","133.65","133.65","133.65","133.65","133.65","133.65","133.65","133.65","133.65","133.65"
"5","N/A","ROD EXTERNAL FXTN CFBR 11X550MM","N/A","N/A","0272","N/A","N/A","980.56","980.56","980.56","N/A","N/A","N/A","980.56","980.56","N/A","980.56","980.56","980.56","980.56","980.56","980.56","980.56","980.56","980.56","980.56"
"5","N/A","ROD EXTERNAL FXTN CFBR N/S 8X160MM","N/A","N/A","0272","N/A","N/A","520.41","520.41","520.41","N/A","N/A","N/A","520.41","520.41","N/A","520.41","520.41","520.41","520.41","520.41","520.41","520.41","520.41","520.41","520.41"
"5","N/A","ROD EXTERNAL FXTN CFBR N/S 8X200MM","N/A","N/A","0272","N/A","N/A","517.67","517.67","517.67","N/A","N/A","N/A","517.67","517.67","N/A","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67"
"5","N/A","ROD EXTERNAL FXTN CFBR N/S 8X240MM","N/A","N/A","0272","N/A","N/A","517.67","517.67","517.67","N/A","N/A","N/A","517.67","517.67","N/A","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67"
"5","N/A","ROD EXTERNAL FXTN CFBR N/S 8X280MM","N/A","N/A","0272","N/A","N/A","520.41","520.41","520.41","N/A","N/A","N/A","520.41","520.41","N/A","520.41","520.41","520.41","520.41","520.41","520.41","520.41","520.41","520.41","520.41"
"5","N/A","ROD EXTERNAL FXTN HOFFMANN 3 CONN CARBON 11X300MM","N/A","N/A","0272","N/A","N/A","1427.58","1427.58","1427.58","N/A","N/A","N/A","1427.58","1427.58","N/A","1427.58","1427.58","1427.58","1427.58","1427.58","1427.58","1427.58","1427.58","1427.58","1427.58"
"5","N/A","ROD EXTERNAL FXTN N/S 4MM X120MM","N/A","N/A","0272","N/A","N/A","97.22","97.22","97.22","N/A","N/A","N/A","97.22","97.22","N/A","97.22","97.22","97.22","97.22","97.22","97.22","97.22","97.22","97.22","97.22"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X100MM","N/A","N/A","0272","N/A","N/A","769.66","769.66","769.66","N/A","N/A","N/A","769.66","769.66","N/A","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X150MM","N/A","N/A","0272","N/A","N/A","769.66","769.66","769.66","N/A","N/A","N/A","769.66","769.66","N/A","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X200MM","N/A","N/A","0272","N/A","N/A","769.66","769.66","769.66","N/A","N/A","N/A","769.66","769.66","N/A","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66","769.66"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X450MM","N/A","N/A","0272","N/A","N/A","906.61","906.61","906.61","N/A","N/A","N/A","906.61","906.61","N/A","906.61","906.61","906.61","906.61","906.61","906.61","906.61","906.61","906.61","906.61"
"5","N/A","ROD FEMORAL REAMING BALL 2.5X950MM","N/A","N/A","0272","N/A","N/A","358.81","358.81","358.81","N/A","N/A","N/A","358.81","358.81","N/A","358.81","358.81","358.81","358.81","358.81","358.81","358.81","358.81","358.81","358.81"
"5","N/A","ROD FEMORAL REAMING BALL 3X950MM","N/A","N/A","0272","N/A","N/A","525.89","525.89","525.89","N/A","N/A","N/A","525.89","525.89","N/A","525.89","525.89","525.89","525.89","525.89","525.89","525.89","525.89","525.89","525.89"
"5","N/A","ROD FIBER CARBON 9.5X200MM","N/A","N/A","0272","N/A","N/A","918.06","918.06","918.06","N/A","N/A","N/A","918.06","918.06","N/A","918.06","918.06","918.06","918.06","918.06","918.06","918.06","918.06","918.06","918.06"
"5","N/A","ROD GUIDE BALL TRIGEN 3X1000MM","N/A","N/A","0272","N/A","N/A","628.66","628.66","628.66","N/A","N/A","N/A","628.66","628.66","N/A","628.66","628.66","628.66","628.66","628.66","628.66","628.66","628.66","628.66","628.66"
"5","N/A","ROD GUIDE STOP TROCAR 2.5X280MM","N/A","N/A","0272","N/A","N/A","68.48","68.48","68.48","N/A","N/A","N/A","68.48","68.48","N/A","68.48","68.48","68.48","68.48","68.48","68.48","68.48","68.48","68.48","68.48"
"5","N/A","ROD SPINAL RELINE-C STR TI 3.5X250MM","N/A","N/A","0272","N/A","N/A","4537.50","4537.50","4537.50","N/A","N/A","N/A","4537.50","4537.50","N/A","4537.50","4537.50","4537.50","4537.50","4537.50","4537.50","4537.50","4537.50","4537.50","4537.50"
"5","N/A","ROD THREADED TRUELOK 115MM","N/A","N/A","0272","N/A","N/A","273.90","273.90","273.90","N/A","N/A","N/A","273.90","273.90","N/A","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90","273.90"
"5","N/A","ROD THREADED TRUELOK 85MM","N/A","N/A","0272","N/A","N/A","133.65","133.65","133.65","N/A","N/A","N/A","133.65","133.65","N/A","133.65","133.65","133.65","133.65","133.65","133.65","133.65","133.65","133.65","133.65"
"5","N/A","ROUTER STRAIGHT TPR ELITE 1.1MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","ROUTER TAPERED 2.3MM","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","ROUTER TAPERED 3.0MM","N/A","N/A","0272","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","RUBBERBANDS STERILE","N/A","N/A","0272","N/A","N/A","9.47","9.47","9.47","N/A","N/A","N/A","9.47","9.47","N/A","9.47","9.47","9.47","9.47","9.47","9.47","9.47","9.47","9.47","9.47"
"5","N/A","SABER WAVEGUIDE YANK TPR TIP","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","SCALPEL SURGICAL SS N/S SZ 11","N/A","N/A","0272","N/A","N/A","20.23","20.23","20.23","N/A","N/A","N/A","20.23","20.23","N/A","20.23","20.23","20.23","20.23","20.23","20.23","20.23","20.23","20.23","20.23"
"5","N/A","SCISSOR DISPOSABLE AEM 35CM","N/A","N/A","0272","N/A","N/A","308.55","308.55","308.55","N/A","N/A","N/A","308.55","308.55","N/A","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55"
"5","N/A","SCISSOR DISPOSABLE AEM 45CM","N/A","N/A","0272","N/A","N/A","308.55","308.55","308.55","N/A","N/A","N/A","308.55","308.55","N/A","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55"
"5","N/A","SCISSOR HOOK DISPOSABLE 35CM","N/A","N/A","0272","N/A","N/A","308.55","308.55","308.55","N/A","N/A","N/A","308.55","308.55","N/A","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55"
"5","N/A","SCREENER EXTERNAL INTERSTIM EMAN","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","SCREW BONE PERSONA 3.5X27MM","N/A","N/A","0272","N/A","N/A","396.00","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","SCREW DISTRACTION 12MM","N/A","N/A","0272","N/A","N/A","330.00","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","SCREW DISTRACTION 14MM","N/A","N/A","0272","N/A","N/A","511.50","511.50","511.50","N/A","N/A","N/A","511.50","511.50","N/A","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50"
"5","N/A","SCREW HEADED QUAD-SPARING 33MM","N/A","N/A","0272","N/A","N/A","316.80","316.80","316.80","N/A","N/A","N/A","316.80","316.80","N/A","316.80","316.80","316.80","316.80","316.80","316.80","316.80","316.80","316.80","316.80"
"5","N/A","SCREW HEADED QUAD-SPARING 48MM","N/A","N/A","0272","N/A","N/A","316.80","316.80","316.80","N/A","N/A","N/A","316.80","316.80","N/A","316.80","316.80","316.80","316.80","316.80","316.80","316.80","316.80","316.80","316.80"
"5","N/A","SCREW RETAINER 3.5X12MM","N/A","N/A","0272","N/A","N/A","779.79","779.79","779.79","N/A","N/A","N/A","779.79","779.79","N/A","779.79","779.79","779.79","779.79","779.79","779.79","779.79","779.79","779.79","779.79"
"5","N/A","SCREW RETAINER PRODISC-C 3.5X14MM","N/A","N/A","0272","N/A","N/A","600.83","600.83","600.83","N/A","N/A","N/A","600.83","600.83","N/A","600.83","600.83","600.83","600.83","600.83","600.83","600.83","600.83","600.83","600.83"
"5","N/A","SCREWDRIVER HEXAGON HUDSON 2.5MM","N/A","N/A","0272","N/A","N/A","1468.50","1468.50","1468.50","N/A","N/A","N/A","1468.50","1468.50","N/A","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50","1468.50"
"5","N/A","SCREWDRIVER HEXAGONAL 2.7MM SM SCRW","N/A","N/A","0272","N/A","N/A","1126.75","1126.75","1126.75","N/A","N/A","N/A","1126.75","1126.75","N/A","1126.75","1126.75","1126.75","1126.75","1126.75","1126.75","1126.75","1126.75","1126.75","1126.75"
"5","N/A","SCREWDRIVER SURGICAL HEXAGON 2.5MM","N/A","N/A","0272","N/A","N/A","2088.90","2088.90","2088.90","N/A","N/A","N/A","2088.90","2088.90","N/A","2088.90","2088.90","2088.90","2088.90","2088.90","2088.90","2088.90","2088.90","2088.90","2088.90"
"5","N/A","SEAL CANNULA DA VINCI XI 5-8MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","SEAL CERVICAL OMNI LOK","N/A","N/A","0272","N/A","N/A","396.00","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","SEAL HEARTSTRING III 3.8MM","N/A","N/A","0272","N/A","N/A","1778.17","1778.17","1778.17","N/A","N/A","N/A","1778.17","1778.17","N/A","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17"
"5","N/A","SEAL HEARTSTRING III 4.3MM","N/A","N/A","0272","N/A","N/A","1778.17","1778.17","1778.17","N/A","N/A","N/A","1778.17","1778.17","N/A","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17","1778.17"
"5","N/A","PRIVATE","N/A","N/A","0110","N/A","N/A","3944.00","3944.00","3944.00","N/A","N/A","N/A","3944.00","3944.00","N/A","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00"
"5","N/A","L&D PRIVATE","N/A","N/A","0112","N/A","N/A","3667.00","3667.00","3667.00","N/A","N/A","N/A","3667.00","3667.00","N/A","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00"
"5","N/A","OB/GYN","N/A","N/A","0112","N/A","N/A","3667.00","3667.00","3667.00","N/A","N/A","N/A","3667.00","3667.00","N/A","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00","3667.00"
"5","N/A","FTC PRIVATE","N/A","N/A","0114","N/A","N/A","5003.00","5003.00","5003.00","N/A","N/A","N/A","5003.00","5003.00","N/A","5003.00","5003.00","5003.00","5003.00","5003.00","5003.00","5003.00","5003.00","5003.00","5003.00"
"5","N/A","LOCKED PRIVATE","N/A","N/A","0114","N/A","N/A","4949.00","4949.00","4949.00","N/A","N/A","N/A","4949.00","4949.00","N/A","4949.00","4949.00","4949.00","4949.00","4949.00","4949.00","4949.00","4949.00","4949.00","4949.00"
"5","N/A","HOSPICE PRIVATE","N/A","N/A","0115","N/A","N/A","3656.00","3656.00","3656.00","N/A","N/A","N/A","3656.00","3656.00","N/A","3656.00","3656.00","3656.00","3656.00","3656.00","3656.00","3656.00","3656.00","3656.00","3656.00"
"5","N/A","DETOX PRIVATE","N/A","N/A","0116","N/A","N/A","4403.00","4403.00","4403.00","N/A","N/A","N/A","4403.00","4403.00","N/A","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00"
"5","N/A","PRIVATE - ONCOLOGY","N/A","N/A","0117","N/A","N/A","3944.00","3944.00","3944.00","N/A","N/A","N/A","3944.00","3944.00","N/A","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00"
"5","N/A","SEMI PRIVATE","N/A","N/A","0120","N/A","N/A","3944.00","3944.00","3944.00","N/A","N/A","N/A","3944.00","3944.00","N/A","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00"
"5","N/A","FTC SEMI PRIVATE","N/A","N/A","0124","N/A","N/A","3930.00","3930.00","3930.00","N/A","N/A","N/A","3930.00","3930.00","N/A","3930.00","3930.00","3930.00","3930.00","3930.00","3930.00","3930.00","3930.00","3930.00","3930.00"
"5","N/A","LOCKED SEMI PRIVATE","N/A","N/A","0124","N/A","N/A","4757.00","4757.00","4757.00","N/A","N/A","N/A","4757.00","4757.00","N/A","4757.00","4757.00","4757.00","4757.00","4757.00","4757.00","4757.00","4757.00","4757.00","4757.00"
"5","N/A","DETOX SEMI PRIVATE","N/A","N/A","0126","N/A","N/A","4403.00","4403.00","4403.00","N/A","N/A","N/A","4403.00","4403.00","N/A","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00","4403.00"
"5","N/A","ISOLATION","N/A","N/A","0164","N/A","N/A","5387.00","5387.00","5387.00","N/A","N/A","N/A","5387.00","5387.00","N/A","5387.00","5387.00","5387.00","5387.00","5387.00","5387.00","5387.00","5387.00","5387.00","5387.00"
"5","N/A","NURSERY BOARDER","N/A","N/A","0171","N/A","N/A","2243.00","2243.00","2243.00","N/A","N/A","N/A","2243.00","2243.00","N/A","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00"
"5","N/A","NURSERY NNB","N/A","N/A","0171","N/A","N/A","2400.00","2400.00","2400.00","N/A","N/A","N/A","2400.00","2400.00","N/A","2400.00","2400.00","2400.00","2400.00","2400.00","2400.00","2400.00","2400.00","2400.00","2400.00"
"5","N/A","NURSERY BOARDER CONTINUOUS CARE","N/A","N/A","0172","N/A","N/A","3400.00","3400.00","3400.00","N/A","N/A","N/A","3400.00","3400.00","N/A","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00"
"5","N/A","NURSERY CONTINUOUS CARE","N/A","N/A","0172","N/A","N/A","3638.00","3638.00","3638.00","N/A","N/A","N/A","3638.00","3638.00","N/A","3638.00","3638.00","3638.00","3638.00","3638.00","3638.00","3638.00","3638.00","3638.00","3638.00"
"5","N/A","NURSERY BOARDER INTERMEDIATE","N/A","N/A","0173","N/A","N/A","3702.00","3702.00","3702.00","N/A","N/A","N/A","3702.00","3702.00","N/A","3702.00","3702.00","3702.00","3702.00","3702.00","3702.00","3702.00","3702.00","3702.00","3702.00"
"5","N/A","NURSERY INTERMEDIATE","N/A","N/A","0173","N/A","N/A","3961.00","3961.00","3961.00","N/A","N/A","N/A","3961.00","3961.00","N/A","3961.00","3961.00","3961.00","3961.00","3961.00","3961.00","3961.00","3961.00","3961.00","3961.00"
"5","N/A","SUBACUTE PRIVATE","N/A","N/A","0190","N/A","N/A","2685.00","2685.00","2685.00","N/A","N/A","N/A","2685.00","2685.00","N/A","2685.00","2685.00","2685.00","2685.00","2685.00","2685.00","2685.00","2685.00","2685.00","2685.00"
"5","N/A","ICU","N/A","N/A","0200","N/A","N/A","10779.00","10779.00","10779.00","N/A","N/A","N/A","10779.00","10779.00","N/A","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00"
"5","N/A","SURGICAL ICU","N/A","N/A","0201","N/A","N/A","11533.00","11533.00","11533.00","N/A","N/A","N/A","11533.00","11533.00","N/A","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00"
"5","N/A","MEDICAL ICU","N/A","N/A","0202","N/A","N/A","11533.00","11533.00","11533.00","N/A","N/A","N/A","11533.00","11533.00","N/A","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00","11533.00"
"5","N/A","PSYCH CRISIS","N/A","N/A","0204","N/A","N/A","2432.00","2432.00","2432.00","N/A","N/A","N/A","2432.00","2432.00","N/A","2432.00","2432.00","2432.00","2432.00","2432.00","2432.00","2432.00","2432.00","2432.00","2432.00"
"5","N/A","TRAUMA ICU","N/A","N/A","0208","N/A","N/A","16996.00","16996.00","16996.00","N/A","N/A","N/A","16996.00","16996.00","N/A","16996.00","16996.00","16996.00","16996.00","16996.00","16996.00","16996.00","16996.00","16996.00","16996.00"
"5","N/A","CORONARY CARE ICU","N/A","N/A","0210","N/A","N/A","10779.00","10779.00","10779.00","N/A","N/A","N/A","10779.00","10779.00","N/A","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00","10779.00"
"5","N/A","TELEMETRY","N/A","N/A","0214","N/A","N/A","6457.00","6457.00","6457.00","N/A","N/A","N/A","6457.00","6457.00","N/A","6457.00","6457.00","6457.00","6457.00","6457.00","6457.00","6457.00","6457.00","6457.00","6457.00"
"5","N/A","1/2NS KCL 20 MEQ/L SOLP","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","ABATACEPT 250 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","67.15","67.15","67.15","N/A","N/A","N/A","67.15","67.15","N/A","67.15","67.15","67.15","67.15","67.15","67.15","67.15","67.15","67.15","67.15"
"5","N/A","ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) IVPB","N/A","N/A","0250","N/A","N/A","0.58","0.58","0.58","N/A","N/A","N/A","0.58","0.58","N/A","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58"
"5","N/A","ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","1.11","1.11","1.11","N/A","N/A","N/A","1.11","1.11","N/A","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11"
"5","N/A","ACETAMINOPHEN 1,000 MG/100 ML (10 MG/ML) SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","1.14","1.14","1.14","N/A","N/A","N/A","1.14","1.14","N/A","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14"
"5","N/A","ACETAMINOPHEN 10 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","1.10","1.10","1.10","N/A","N/A","N/A","1.10","1.10","N/A","1.10","1.10","1.10","1.10","1.10","1.10","1.10","1.10","1.10","1.10"
"5","N/A","ACETAMINOPHEN 10 MG/ML SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","1.14","1.14","1.14","N/A","N/A","N/A","1.14","1.14","N/A","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14"
"5","N/A","ACETAZOLAMIDE 500 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","101.85","101.85","101.85","N/A","N/A","N/A","101.85","101.85","N/A","101.85","101.85","101.85","101.85","101.85","101.85","101.85","101.85","101.85","101.85"
"5","N/A","ACETAZOLAMIDE 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","95.55","95.55","95.55","N/A","N/A","N/A","95.55","95.55","N/A","95.55","95.55","95.55","95.55","95.55","95.55","95.55","95.55","95.55","95.55"
"5","N/A","ACETYLCHOLINE CHLORIDE 1:100 (20 MG/2 ML) KIT","N/A","N/A","0250","N/A","N/A","256.18","256.18","256.18","N/A","N/A","N/A","256.18","256.18","N/A","256.18","256.18","256.18","256.18","256.18","256.18","256.18","256.18","256.18","256.18"
"5","N/A","ACETYLCYSTEINE 20 % (6000 MG/30 ML) SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","6.00","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","ACYCLOVIR SODIUM 50 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","0.36","0.36","0.36","N/A","N/A","N/A","0.36","0.36","N/A","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36"
"5","N/A","ADENOSINE (DIAGNOSTIC) 3 MG/ML SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","5.23","5.23","5.23","N/A","N/A","N/A","5.23","5.23","N/A","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23"
"5","N/A","ADENOSINE 3 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","2.97","2.97","2.97","N/A","N/A","N/A","2.97","2.97","N/A","2.97","2.97","2.97","2.97","2.97","2.97","2.97","2.97","2.97","2.97"
"5","N/A","ADO-TRASTUZUMAB EMTANSINE 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","45.24","45.24","45.24","N/A","N/A","N/A","45.24","45.24","N/A","45.24","45.24","45.24","45.24","45.24","45.24","45.24","45.24","45.24","45.24"
"5","N/A","ADO-TRASTUZUMAB EMTANSINE 160 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","46.08","46.08","46.08","N/A","N/A","N/A","46.08","46.08","N/A","46.08","46.08","46.08","46.08","46.08","46.08","46.08","46.08","46.08","46.08"
"5","N/A","ADO-TRASTUZUMAB EMTANSINE 160 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","46.15","46.15","46.15","N/A","N/A","N/A","46.15","46.15","N/A","46.15","46.15","46.15","46.15","46.15","46.15","46.15","46.15","46.15","46.15"
"5","N/A","AGALSIDASE BETA 35 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","95.39","95.39","95.39","N/A","N/A","N/A","95.39","95.39","N/A","95.39","95.39","95.39","95.39","95.39","95.39","95.39","95.39","95.39","95.39"
"5","N/A","AGALSIDASE BETA 5 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","151.90","151.90","151.90","N/A","N/A","N/A","151.90","151.90","N/A","151.90","151.90","151.90","151.90","151.90","151.90","151.90","151.90","151.90","151.90"
"5","N/A","ALBUMIN HUMAN 25 % SOLP","N/A","N/A","0250","N/A","N/A","216.00","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","ALBUMIN HUMAN 5 % SOLP","N/A","N/A","0250","N/A","N/A","216.00","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","ALBUTEROL SULFATE 1.25 MG/3 ML (0.042 %) NEBU","N/A","N/A","0250","N/A","N/A","3.19","3.19","3.19","N/A","N/A","N/A","3.19","3.19","N/A","3.19","3.19","3.19","3.19","3.19","3.19","3.19","3.19","3.19","3.19"
"5","N/A","ALBUTEROL SULFATE 2.5 MG /3 ML (0.083 %) NEBU","N/A","N/A","0250","N/A","N/A","0.98","0.98","0.98","N/A","N/A","N/A","0.98","0.98","N/A","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98"
"5","N/A","ALBUTEROL SULFATE 2.5 MG/0.5 ML NEBU","N/A","N/A","0250","N/A","N/A","0.90","0.90","0.90","N/A","N/A","N/A","0.90","0.90","N/A","0.90","0.90","0.90","0.90","0.90","0.90","0.90","0.90","0.90","0.90"
"5","N/A","ALTEPLASE 1 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","123.66","123.66","123.66","N/A","N/A","N/A","123.66","123.66","N/A","123.66","123.66","123.66","123.66","123.66","123.66","123.66","123.66","123.66","123.66"
"5","N/A","ALTEPLASE 1 MG RECON.SOLN. 0.02 EACH SYRINGE","N/A","N/A","0250","N/A","N/A","123.21","123.21","123.21","N/A","N/A","N/A","123.21","123.21","N/A","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21"
"5","N/A","ALTEPLASE 100 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","123.21","123.21","123.21","N/A","N/A","N/A","123.21","123.21","N/A","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21"
"5","N/A","ALTEPLASE 2 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","183.68","183.68","183.68","N/A","N/A","N/A","183.68","183.68","N/A","183.68","183.68","183.68","183.68","183.68","183.68","183.68","183.68","183.68","183.68"
"5","N/A","ALTEPLASE 2 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","183.67","183.67","183.67","N/A","N/A","N/A","183.67","183.67","N/A","183.67","183.67","183.67","183.67","183.67","183.67","183.67","183.67","183.67","183.67"
"5","N/A","ALTEPLASE 50 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","123.21","123.21","123.21","N/A","N/A","N/A","123.21","123.21","N/A","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21"
"5","N/A","ALTEPLASE 50 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","123.21","123.21","123.21","N/A","N/A","N/A","123.21","123.21","N/A","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21","123.21"
"5","N/A","AMIKACIN 1,000 MG/4 ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","1.76","1.76","1.76","N/A","N/A","N/A","1.76","1.76","N/A","1.76","1.76","1.76","1.76","1.76","1.76","1.76","1.76","1.76","1.76"
"5","N/A","AMIKACIN 500 MG/2 ML 2 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","AMIKACIN 500 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","3.84","3.84","3.84","N/A","N/A","N/A","3.84","3.84","N/A","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84"
"5","N/A","AMIKACIN 500 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","5.83","5.83","5.83","N/A","N/A","N/A","5.83","5.83","N/A","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83"
"5","N/A","AMINOPHYLLINE 250 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","30.00","30.00","30.00","N/A","N/A","N/A","30.00","30.00","N/A","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00"
"5","N/A","AMINOPHYLLINE 250 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","30.00","30.00","30.00","N/A","N/A","N/A","30.00","30.00","N/A","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00"
"5","N/A","AMIODARONE 150 MG/3 ML SOLN","N/A","N/A","0250","N/A","N/A","1.58","1.58","1.58","N/A","N/A","N/A","1.58","1.58","N/A","1.58","1.58","1.58","1.58","1.58","1.58","1.58","1.58","1.58","1.58"
"5","N/A","AMIODARONE 150 MG/3 ML SOLN 3 ML VIAL","N/A","N/A","0250","N/A","N/A","1.61","1.61","1.61","N/A","N/A","N/A","1.61","1.61","N/A","1.61","1.61","1.61","1.61","1.61","1.61","1.61","1.61","1.61","1.61"
"5","N/A","AMIODARONE IN DEXTROSE,ISO-OSM 360 MG/200 ML (1.8 MG/ML) SOLN 200 ML BAG","N/A","N/A","0250","N/A","N/A","9.24","9.24","9.24","N/A","N/A","N/A","9.24","9.24","N/A","9.24","9.24","9.24","9.24","9.24","9.24","9.24","9.24","9.24","9.24"
"5","N/A","AMPHOTERICIN B 50 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","104.88","104.88","104.88","N/A","N/A","N/A","104.88","104.88","N/A","104.88","104.88","104.88","104.88","104.88","104.88","104.88","104.88","104.88","104.88"
"5","N/A","AMPHOTERICIN B LIPOSOME 50 MG SUSR 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","124.56","124.56","124.56","N/A","N/A","N/A","124.56","124.56","N/A","124.56","124.56","124.56","124.56","124.56","124.56","124.56","124.56","124.56","124.56"
"5","N/A","AMPICILLIN (100 MG/ML) NEONATAL","N/A","N/A","0250","N/A","N/A","8.46","8.46","8.46","N/A","N/A","N/A","8.46","8.46","N/A","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46"
"5","N/A","AMPICILLIN (100 MG/ML) NEONATAL 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","8.46","8.46","8.46","N/A","N/A","N/A","8.46","8.46","N/A","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46"
"5","N/A","AMPICILLIN 1 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","7.15","7.15","7.15","N/A","N/A","N/A","7.15","7.15","N/A","7.15","7.15","7.15","7.15","7.15","7.15","7.15","7.15","7.15","7.15"
"5","N/A","AMPICILLIN 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","6.00","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","AMPICILLIN 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","8.29","8.29","8.29","N/A","N/A","N/A","8.29","8.29","N/A","8.29","8.29","8.29","8.29","8.29","8.29","8.29","8.29","8.29","8.29"
"5","N/A","AMPICILLIN 2 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","8.04","8.04","8.04","N/A","N/A","N/A","8.04","8.04","N/A","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04"
"5","N/A","AMPICILLIN 2 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","8.04","8.04","8.04","N/A","N/A","N/A","8.04","8.04","N/A","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04"
"5","N/A","AMPICILLIN 2 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","8.04","8.04","8.04","N/A","N/A","N/A","8.04","8.04","N/A","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04","8.04"
"5","N/A","AMPICILLIN 500 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","8.46","8.46","8.46","N/A","N/A","N/A","8.46","8.46","N/A","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46"
"5","N/A","AMPICILLIN 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","8.46","8.46","8.46","N/A","N/A","N/A","8.46","8.46","N/A","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46"
"5","N/A","AMPICILLIN-SULBACTAM 1.5 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","12.56","12.56","12.56","N/A","N/A","N/A","12.56","12.56","N/A","12.56","12.56","12.56","12.56","12.56","12.56","12.56","12.56","12.56","12.56"
"5","N/A","AMPICILLIN-SULBACTAM 1.5 G RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","13.77","13.77","13.77","N/A","N/A","N/A","13.77","13.77","N/A","13.77","13.77","13.77","13.77","13.77","13.77","13.77","13.77","13.77","13.77"
"5","N/A","AMPICILLIN-SULBACTAM 3 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","17.30","17.30","17.30","N/A","N/A","N/A","17.30","17.30","N/A","17.30","17.30","17.30","17.30","17.30","17.30","17.30","17.30","17.30","17.30"
"5","N/A","AMPICILLIN-SULBACTAM 3 G RECON.SOLN.","N/A","N/A","0250","N/A","N/A","17.30","17.30","17.30","N/A","N/A","N/A","17.30","17.30","N/A","17.30","17.30","17.30","17.30","17.30","17.30","17.30","17.30","17.30","17.30"
"5","N/A","AMPICILLIN-SULBACTAM 3 G RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","17.31","17.31","17.31","N/A","N/A","N/A","17.31","17.31","N/A","17.31","17.31","17.31","17.31","17.31","17.31","17.31","17.31","17.31","17.31"
"5","N/A","ANDEXANET ALFA (FACTOR XA, INACTIVATED-ZHZO) 200 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","385.00","385.00","385.00","N/A","N/A","N/A","385.00","385.00","N/A","385.00","385.00","385.00","385.00","385.00","385.00","385.00","385.00","385.00","385.00"
"5","N/A","ANIDULAFUNGIN 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","4.54","4.54","4.54","N/A","N/A","N/A","4.54","4.54","N/A","4.54","4.54","4.54","4.54","4.54","4.54","4.54","4.54","4.54","4.54"
"5","N/A","ANTI-INHIBITOR COAGULANT CMPLX 1,750-3,250 UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","5.74","5.74","5.74","N/A","N/A","N/A","5.74","5.74","N/A","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74"
"5","N/A","ANTI-THYMOCYTE GLOBULIN (RABBIT) 25 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","1250.11","1250.11","1250.11","N/A","N/A","N/A","1250.11","1250.11","N/A","1250.11","1250.11","1250.11","1250.11","1250.11","1250.11","1250.11","1250.11","1250.11","1250.11"
"5","N/A","ANTITHROMBIN III HUMAN 500 (+/-) UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","9.31","9.31","9.31","N/A","N/A","N/A","9.31","9.31","N/A","9.31","9.31","9.31","9.31","9.31","9.31","9.31","9.31","9.31","9.31"
"5","N/A","APRACLONIDINE 0.5 % DROP 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","154.20","154.20","154.20","N/A","N/A","N/A","154.20","154.20","N/A","154.20","154.20","154.20","154.20","154.20","154.20","154.20","154.20","154.20","154.20"
"5","N/A","APRACLONIDINE 1 % DROPPERETTE","N/A","N/A","0250","N/A","N/A","66.55","66.55","66.55","N/A","N/A","N/A","66.55","66.55","N/A","66.55","66.55","66.55","66.55","66.55","66.55","66.55","66.55","66.55","66.55"
"5","N/A","APREPITANT 80 MG CAP","N/A","N/A","0250","N/A","N/A","24.45","24.45","24.45","N/A","N/A","N/A","24.45","24.45","N/A","24.45","24.45","24.45","24.45","24.45","24.45","24.45","24.45","24.45","24.45"
"5","N/A","ARGATROBAN 250 MG/2.5 ML SOLN 2.5 ML VIAL","N/A","N/A","0250","N/A","N/A","4.47","4.47","4.47","N/A","N/A","N/A","4.47","4.47","N/A","4.47","4.47","4.47","4.47","4.47","4.47","4.47","4.47","4.47","4.47"
"5","N/A","ARGININE HCL 10 % SOLP","N/A","N/A","0250","N/A","N/A","92.16","92.16","92.16","N/A","N/A","N/A","92.16","92.16","N/A","92.16","92.16","92.16","92.16","92.16","92.16","92.16","92.16","92.16","92.16"
"5","N/A","ARGININE-LYSINE 25-25 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","708.00","708.00","708.00","N/A","N/A","N/A","708.00","708.00","N/A","708.00","708.00","708.00","708.00","708.00","708.00","708.00","708.00","708.00","708.00"
"5","N/A","ARGININE/LYSINE IN 0.9 % SODIUM CHLORIDE 25-25 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","288.00","288.00","288.00","N/A","N/A","N/A","288.00","288.00","N/A","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00"
"5","N/A","ARIPIPRAZOLE 400 MG SSRR","N/A","N/A","0250","N/A","N/A","8.16","8.16","8.16","N/A","N/A","N/A","8.16","8.16","N/A","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16"
"5","N/A","ARSENIC TRIOXIDE 10 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","142.56","142.56","142.56","N/A","N/A","N/A","142.56","142.56","N/A","142.56","142.56","142.56","142.56","142.56","142.56","142.56","142.56","142.56","142.56"
"5","N/A","ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","139.84","139.84","139.84","N/A","N/A","N/A","139.84","139.84","N/A","139.84","139.84","139.84","139.84","139.84","139.84","139.84","139.84","139.84","139.84"
"5","N/A","ATEZOLIZUMAB 1,200 MG/20 ML (60 MG/ML) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","139.90","139.90","139.90","N/A","N/A","N/A","139.90","139.90","N/A","139.90","139.90","139.90","139.90","139.90","139.90","139.90","139.90","139.90","139.90"
"5","N/A","ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","139.57","139.57","139.57","N/A","N/A","N/A","139.57","139.57","N/A","139.57","139.57","139.57","139.57","139.57","139.57","139.57","139.57","139.57","139.57"
"5","N/A","ATEZOLIZUMAB 840 MG/14 ML (60 MG/ML) SOLN 14 ML VIAL","N/A","N/A","0250","N/A","N/A","137.91","137.91","137.91","N/A","N/A","N/A","137.91","137.91","N/A","137.91","137.91","137.91","137.91","137.91","137.91","137.91","137.91","137.91","137.91"
"5","N/A","ATROPINE 0.1 MG/ML SYR","N/A","N/A","0250","N/A","N/A","0.81","0.81","0.81","N/A","N/A","N/A","0.81","0.81","N/A","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81"
"5","N/A","ATROPINE 0.4 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","0.48","0.48","0.48","N/A","N/A","N/A","0.48","0.48","N/A","0.48","0.48","0.48","0.48","0.48","0.48","0.48","0.48","0.48","0.48"
"5","N/A","ATROPINE 1 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","23.21","23.21","23.21","N/A","N/A","N/A","23.21","23.21","N/A","23.21","23.21","23.21","23.21","23.21","23.21","23.21","23.21","23.21","23.21"
"5","N/A","ATROPINE 1 % DROP 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","116.02","116.02","116.02","N/A","N/A","N/A","116.02","116.02","N/A","116.02","116.02","116.02","116.02","116.02","116.02","116.02","116.02","116.02","116.02"
"5","N/A","ATROPINE 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","1.04","1.04","1.04","N/A","N/A","N/A","1.04","1.04","N/A","1.04","1.04","1.04","1.04","1.04","1.04","1.04","1.04","1.04","1.04"
"5","N/A","AZACITIDINE 100 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","13.55","13.55","13.55","N/A","N/A","N/A","13.55","13.55","N/A","13.55","13.55","13.55","13.55","13.55","13.55","13.55","13.55","13.55","13.55"
"5","N/A","AZACITIDINE 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","13.58","13.58","13.58","N/A","N/A","N/A","13.58","13.58","N/A","13.58","13.58","13.58","13.58","13.58","13.58","13.58","13.58","13.58","13.58"
"5","N/A","AZATHIOPRINE 50 MG TABLET","N/A","N/A","0250","N/A","N/A","1.26","1.26","1.26","N/A","N/A","N/A","1.26","1.26","N/A","1.26","1.26","1.26","1.26","1.26","1.26","1.26","1.26","1.26","1.26"
"5","N/A","AZATHIOPRINE 50 MG TABLET 1 EACH BLIST PACK","N/A","N/A","0250","N/A","N/A","1.32","1.32","1.32","N/A","N/A","N/A","1.32","1.32","N/A","1.32","1.32","1.32","1.32","1.32","1.32","1.32","1.32","1.32","1.32"
"5","N/A","AZITHROMYCIN 500 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","12.00","12.00","12.00","N/A","N/A","N/A","12.00","12.00","N/A","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00"
"5","N/A","AZITHROMYCIN 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","12.21","12.21","12.21","N/A","N/A","N/A","12.21","12.21","N/A","12.21","12.21","12.21","12.21","12.21","12.21","12.21","12.21","12.21","12.21"
"5","N/A","AZITHROMYCIN 500 MG/NS 250 ML 500 MG/250 ML NS IVPB","N/A","N/A","0250","N/A","N/A","26.62","26.62","26.62","N/A","N/A","N/A","26.62","26.62","N/A","26.62","26.62","26.62","26.62","26.62","26.62","26.62","26.62","26.62","26.62"
"5","N/A","AZTREONAM 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","82.02","82.02","82.02","N/A","N/A","N/A","82.02","82.02","N/A","82.02","82.02","82.02","82.02","82.02","82.02","82.02","82.02","82.02","82.02"
"5","N/A","BACITRACIN 50,000 UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","23.96","23.96","23.96","N/A","N/A","N/A","23.96","23.96","N/A","23.96","23.96","23.96","23.96","23.96","23.96","23.96","23.96","23.96","23.96"
"5","N/A","BACLOFEN 2,000 MCG/ML SOLN 20 ML AMPUL","N/A","N/A","0250","N/A","N/A","567.09","567.09","567.09","N/A","N/A","N/A","567.09","567.09","N/A","567.09","567.09","567.09","567.09","567.09","567.09","567.09","567.09","567.09","567.09"
"5","N/A","BACLOFEN 2000 MCG/ML 2,000 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","567.09","567.09","567.09","N/A","N/A","N/A","567.09","567.09","N/A","567.09","567.09","567.09","567.09","567.09","567.09","567.09","567.09","567.09","567.09"
"5","N/A","BALANCED SALT SOLN NO.2 IRRIG. SOLN 15 ML BOTTLE","N/A","N/A","0250","N/A","N/A","24.31","24.31","24.31","N/A","N/A","N/A","24.31","24.31","N/A","24.31","24.31","24.31","24.31","24.31","24.31","24.31","24.31","24.31","24.31"
"5","N/A","BALANCED SALT SOLUTION (NON-SURGICAL USE) SOLN 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","8.27","8.27","8.27","N/A","N/A","N/A","8.27","8.27","N/A","8.27","8.27","8.27","8.27","8.27","8.27","8.27","8.27","8.27","8.27"
"5","N/A","BASILIXIMAB 20 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","5505.84","5505.84","5505.84","N/A","N/A","N/A","5505.84","5505.84","N/A","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84"
"5","N/A","BASILIXIMAB 20 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","5505.84","5505.84","5505.84","N/A","N/A","N/A","5505.84","5505.84","N/A","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84","5505.84"
"5","N/A","BCG VACCINE 50 MG SUSR 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","7.54","7.54","7.54","N/A","N/A","N/A","7.54","7.54","N/A","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54"
"5","N/A","BELATACEPT 250 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","5.30","5.30","5.30","N/A","N/A","N/A","5.30","5.30","N/A","5.30","5.30","5.30","5.30","5.30","5.30","5.30","5.30","5.30","5.30"
"5","N/A","BELIMUMAB 120 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","109.95","109.95","109.95","N/A","N/A","N/A","109.95","109.95","N/A","109.95","109.95","109.95","109.95","109.95","109.95","109.95","109.95","109.95","109.95"
"5","N/A","BELIMUMAB 120 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","109.39","109.39","109.39","N/A","N/A","N/A","109.39","109.39","N/A","109.39","109.39","109.39","109.39","109.39","109.39","109.39","109.39","109.39","109.39"
"5","N/A","BELIMUMAB 400 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","63.62","63.62","63.62","N/A","N/A","N/A","63.62","63.62","N/A","63.62","63.62","63.62","63.62","63.62","63.62","63.62","63.62","63.62","63.62"
"5","N/A","BELINOSTAT 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","56.87","56.87","56.87","N/A","N/A","N/A","56.87","56.87","N/A","56.87","56.87","56.87","56.87","56.87","56.87","56.87","56.87","56.87","56.87"
"5","N/A","BENDAMUSTINE 25 MG/ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","59.37","59.37","59.37","N/A","N/A","N/A","59.37","59.37","N/A","59.37","59.37","59.37","59.37","59.37","59.37","59.37","59.37","59.37","59.37"
"5","N/A","BENRALIZUMAB 30 MG/ML SYR","N/A","N/A","0250","N/A","N/A","239.23","239.23","239.23","N/A","N/A","N/A","239.23","239.23","N/A","239.23","239.23","239.23","239.23","239.23","239.23","239.23","239.23","239.23","239.23"
"5","N/A","BENZTROPINE 2 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","BETAMETHASONE ACE & SODIUM PHOS 3 MG/0.5ML (OMNICELL) 3 MG/0.5 ML INJ","N/A","N/A","0250","N/A","N/A","11.87","11.87","11.87","N/A","N/A","N/A","11.87","11.87","N/A","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87"
"5","N/A","BETAMETHASONE ACET,SOD PHOS 6 MG/ML SUSP","N/A","N/A","0250","N/A","N/A","11.87","11.87","11.87","N/A","N/A","N/A","11.87","11.87","N/A","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87"
"5","N/A","BETAMETHASONE ACET,SOD PHOS 6 MG/ML SUSP 5 ML VIAL","N/A","N/A","0250","N/A","N/A","11.87","11.87","11.87","N/A","N/A","N/A","11.87","11.87","N/A","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87"
"5","N/A","BEVACIZUMAB 100 MG/4 ML SOLN 16 ML VIAL","N/A","N/A","0250","N/A","N/A","191.27","191.27","191.27","N/A","N/A","N/A","191.27","191.27","N/A","191.27","191.27","191.27","191.27","191.27","191.27","191.27","191.27","191.27","191.27"
"5","N/A","BEVACIZUMAB 100 MG/4 ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","191.27","191.27","191.27","N/A","N/A","N/A","191.27","191.27","N/A","191.27","191.27","191.27","191.27","191.27","191.27","191.27","191.27","191.27","191.27"
"5","N/A","BEVACIZUMAB-AWWB 25 MG/ML SOLN 16 ML VIAL","N/A","N/A","0250","N/A","N/A","162.58","162.58","162.58","N/A","N/A","N/A","162.58","162.58","N/A","162.58","162.58","162.58","162.58","162.58","162.58","162.58","162.58","162.58","162.58"
"5","N/A","BEVACIZUMAB-AWWB 25 MG/ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","162.58","162.58","162.58","N/A","N/A","N/A","162.58","162.58","N/A","162.58","162.58","162.58","162.58","162.58","162.58","162.58","162.58","162.58","162.58"
"5","N/A","BIVALIRUDIN 250 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","5.28","5.28","5.28","N/A","N/A","N/A","5.28","5.28","N/A","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28"
"5","N/A","BLEOMYCIN 15 UNIT RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","119.91","119.91","119.91","N/A","N/A","N/A","119.91","119.91","N/A","119.91","119.91","119.91","119.91","119.91","119.91","119.91","119.91","119.91","119.91"
"5","N/A","BORTEZOMIB 3.5 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","68.72","68.72","68.72","N/A","N/A","N/A","68.72","68.72","N/A","68.72","68.72","68.72","68.72","68.72","68.72","68.72","68.72","68.72","68.72"
"5","N/A","BORTEZOMIB 3.5 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","64.00","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","BOTULINUM TOXIN TYPE A 50 UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","15.89","15.89","15.89","N/A","N/A","N/A","15.89","15.89","N/A","15.89","15.89","15.89","15.89","15.89","15.89","15.89","15.89","15.89","15.89"
"5","N/A","BRENTUXIMAB VEDOTIN 50 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","245.27","245.27","245.27","N/A","N/A","N/A","245.27","245.27","N/A","245.27","245.27","245.27","245.27","245.27","245.27","245.27","245.27","245.27","245.27"
"5","N/A","BRIMONIDINE TARTRATE 0.15 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","87.45","87.45","87.45","N/A","N/A","N/A","87.45","87.45","N/A","87.45","87.45","87.45","87.45","87.45","87.45","87.45","87.45","87.45","87.45"
"5","N/A","BRIMONIDINE TARTRATE 0.15 % DROP 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","418.30","418.30","418.30","N/A","N/A","N/A","418.30","418.30","N/A","418.30","418.30","418.30","418.30","418.30","418.30","418.30","418.30","418.30","418.30"
"5","N/A","BRIVARACETAM 50 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","121.31","121.31","121.31","N/A","N/A","N/A","121.31","121.31","N/A","121.31","121.31","121.31","121.31","121.31","121.31","121.31","121.31","121.31","121.31"
"5","N/A","BUDESONIDE 0.5 MG/2 ML NBSP","N/A","N/A","0250","N/A","N/A","21.94","21.94","21.94","N/A","N/A","N/A","21.94","21.94","N/A","21.94","21.94","21.94","21.94","21.94","21.94","21.94","21.94","21.94","21.94"
"5","N/A","BUDESONIDE 0.5 MG/2 ML NBSP 2 ML AMPUL","N/A","N/A","0250","N/A","N/A","12.99","12.99","12.99","N/A","N/A","N/A","12.99","12.99","N/A","12.99","12.99","12.99","12.99","12.99","12.99","12.99","12.99","12.99","12.99"
"5","N/A","BUDESONIDE 0.5 MG/2 ML NBSP 2 ML VIAL","N/A","N/A","0250","N/A","N/A","21.28","21.28","21.28","N/A","N/A","N/A","21.28","21.28","N/A","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28"
"5","N/A","BUMETANIDE 0.5 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","6.98","6.98","6.98","N/A","N/A","N/A","6.98","6.98","N/A","6.98","6.98","6.98","6.98","6.98","6.98","6.98","6.98","6.98","6.98"
"5","N/A","BUMETANIDE 0.5 MG/2 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","19.04","19.04","19.04","N/A","N/A","N/A","19.04","19.04","N/A","19.04","19.04","19.04","19.04","19.04","19.04","19.04","19.04","19.04","19.04"
"5","N/A","BUMETANIDE 0.5 MG/2 ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","6.71","6.71","6.71","N/A","N/A","N/A","6.71","6.71","N/A","6.71","6.71","6.71","6.71","6.71","6.71","6.71","6.71","6.71","6.71"
"5","N/A","BUMETANIDE 1 MG/4 ML SOLN","N/A","N/A","0250","N/A","N/A","6.72","6.72","6.72","N/A","N/A","N/A","6.72","6.72","N/A","6.72","6.72","6.72","6.72","6.72","6.72","6.72","6.72","6.72","6.72"
"5","N/A","BUMETANIDE 2.5MG/10ML SOLN","N/A","N/A","0250","N/A","N/A","6.60","6.60","6.60","N/A","N/A","N/A","6.60","6.60","N/A","6.60","6.60","6.60","6.60","6.60","6.60","6.60","6.60","6.60","6.60"
"5","N/A","BUMETANIDE 2.5MG/10ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","7.83","7.83","7.83","N/A","N/A","N/A","7.83","7.83","N/A","7.83","7.83","7.83","7.83","7.83","7.83","7.83","7.83","7.83","7.83"
"5","N/A","BUPIVACAINE (PF) 0.25 % (2.5 MG/ML) SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","3.96","3.96","3.96","N/A","N/A","N/A","3.96","3.96","N/A","3.96","3.96","3.96","3.96","3.96","3.96","3.96","3.96","3.96","3.96"
"5","N/A","BUPIVACAINE (PF) 0.25 % 75 MG/30 ML SOLN","N/A","N/A","0250","N/A","N/A","7.62","7.62","7.62","N/A","N/A","N/A","7.62","7.62","N/A","7.62","7.62","7.62","7.62","7.62","7.62","7.62","7.62","7.62","7.62"
"5","N/A","BUPIVACAINE (PF) 0.25 % 75 MG/30 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","BUPIVACAINE (PF) 75 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","7.97","7.97","7.97","N/A","N/A","N/A","7.97","7.97","N/A","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97"
"5","N/A","BUPIVACAINE (PF) 75 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","5.82","5.82","5.82","N/A","N/A","N/A","5.82","5.82","N/A","5.82","5.82","5.82","5.82","5.82","5.82","5.82","5.82","5.82","5.82"
"5","N/A","BUPIVACAINE 0.25% 0.25 % (2.5 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","BUPIVACAINE 0.5 % 150 MG/30 ML SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","BUPIVACAINE HCL (PRESERV FREE) 0.5 % 0.5 % (5 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","8.02","8.02","8.02","N/A","N/A","N/A","8.02","8.02","N/A","8.02","8.02","8.02","8.02","8.02","8.02","8.02","8.02","8.02","8.02"
"5","N/A","BUPIVACAINE HCL (PRESERV FREE) 0.5 % 0.5 % (5 MG/ML) SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","BUPIVACAINE LIPOSOME (PF) 1.3% 1.3 % (13.3 MG/ML) SUSP","N/A","N/A","0250","N/A","N/A","3.10","3.10","3.10","N/A","N/A","N/A","3.10","3.10","N/A","3.10","3.10","3.10","3.10","3.10","3.10","3.10","3.10","3.10","3.10"
"5","N/A","BUPIVACAINE-DEXTROSE-WATER-PF 1.5 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","10.72","10.72","10.72","N/A","N/A","N/A","10.72","10.72","N/A","10.72","10.72","10.72","10.72","10.72","10.72","10.72","10.72","10.72","10.72"
"5","N/A","BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 SOLN","N/A","N/A","0250","N/A","N/A","21.65","21.65","21.65","N/A","N/A","N/A","21.65","21.65","N/A","21.65","21.65","21.65","21.65","21.65","21.65","21.65","21.65","21.65","21.65"
"5","N/A","BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","21.68","21.68","21.68","N/A","N/A","N/A","21.68","21.68","N/A","21.68","21.68","21.68","21.68","21.68","21.68","21.68","21.68","21.68","21.68"
"5","N/A","BUPIVACAINE-EPINEPHRINE -PF 0.5 %-1:200,000 CRTG","N/A","N/A","0250","N/A","N/A","5.33","5.33","5.33","N/A","N/A","N/A","5.33","5.33","N/A","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33"
"5","N/A","BUPIVACAINE-EPINEPHRINE 0.25 %-1:200,000 SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","32.28","32.28","32.28","N/A","N/A","N/A","32.28","32.28","N/A","32.28","32.28","32.28","32.28","32.28","32.28","32.28","32.28","32.28","32.28"
"5","N/A","BUPIVACAINE-EPINEPHRINE-PF 0.5 %-1:200,000 SOLN","N/A","N/A","0250","N/A","N/A","13.06","13.06","13.06","N/A","N/A","N/A","13.06","13.06","N/A","13.06","13.06","13.06","13.06","13.06","13.06","13.06","13.06","13.06","13.06"
"5","N/A","C.I. ACID BLUE 90 0.025 % SYR","N/A","N/A","0250","N/A","N/A","336.00","336.00","336.00","N/A","N/A","N/A","336.00","336.00","N/A","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00"
"5","N/A","CABAZITAXEL 10 MG/ML SOLN 6 ML VIAL","N/A","N/A","0250","N/A","N/A","275.87","275.87","275.87","N/A","N/A","N/A","275.87","275.87","N/A","275.87","275.87","275.87","275.87","275.87","275.87","275.87","275.87","275.87","275.87"
"5","N/A","CABERGOLINE 0.5 MG TABLET","N/A","N/A","0250","N/A","N/A","7.02","7.02","7.02","N/A","N/A","N/A","7.02","7.02","N/A","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02"
"5","N/A","CAFFEINE CITRATE 60 MG/3 ML SOLN 3 ML VIAL","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","CALCITONIN (SALMON) 400 UNIT/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","4150.73","4150.73","4150.73","N/A","N/A","N/A","4150.73","4150.73","N/A","4150.73","4150.73","4150.73","4150.73","4150.73","4150.73","4150.73","4150.73","4150.73","4150.73"
"5","N/A","CALCIUM CHLORIDE 100 MG/ML (10 %) SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","48.53","48.53","48.53","N/A","N/A","N/A","48.53","48.53","N/A","48.53","48.53","48.53","48.53","48.53","48.53","48.53","48.53","48.53","48.53"
"5","N/A","CALCIUM CHLORIDE 1000 MG/10 ML SYR","N/A","N/A","0250","N/A","N/A","20.26","20.26","20.26","N/A","N/A","N/A","20.26","20.26","N/A","20.26","20.26","20.26","20.26","20.26","20.26","20.26","20.26","20.26","20.26"
"5","N/A","CALCIUM GLUC IN NACL, ISO-OSM 1 GRAM/50 ML SOLN","N/A","N/A","0250","N/A","N/A","9.48","9.48","9.48","N/A","N/A","N/A","9.48","9.48","N/A","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48"
"5","N/A","CALCIUM GLUC IN NACL, ISO-OSM 1 GRAM/50 ML SOLN 50 ML BAG","N/A","N/A","0250","N/A","N/A","9.48","9.48","9.48","N/A","N/A","N/A","9.48","9.48","N/A","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48"
"5","N/A","CALCIUM GLUCONATE 1 GRAM/50 ML SOLN","N/A","N/A","0250","N/A","N/A","9.48","9.48","9.48","N/A","N/A","N/A","9.48","9.48","N/A","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48","9.48"
"5","N/A","CALCIUM GLUCONATE 1000 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","22.93","22.93","22.93","N/A","N/A","N/A","22.93","22.93","N/A","22.93","22.93","22.93","22.93","22.93","22.93","22.93","22.93","22.93","22.93"
"5","N/A","CALCIUM GLUCONATE 1000 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","22.84","22.84","22.84","N/A","N/A","N/A","22.84","22.84","N/A","22.84","22.84","22.84","22.84","22.84","22.84","22.84","22.84","22.84","22.84"
"5","N/A","CALCIUM GLUCONATE 1000 MG/10 ML SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","10.80","10.80","10.80","N/A","N/A","N/A","10.80","10.80","N/A","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80"
"5","N/A","CANGRELOR 50 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","38.11","38.11","38.11","N/A","N/A","N/A","38.11","38.11","N/A","38.11","38.11","38.11","38.11","38.11","38.11","38.11","38.11","38.11","38.11"
"5","N/A","CANGRELOR 50 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","36.48","36.48","36.48","N/A","N/A","N/A","36.48","36.48","N/A","36.48","36.48","36.48","36.48","36.48","36.48","36.48","36.48","36.48","36.48"
"5","N/A","CARBACHOL 0.01 % SOLN 1.5 ML VIAL","N/A","N/A","0250","N/A","N/A","88.82","88.82","88.82","N/A","N/A","N/A","88.82","88.82","N/A","88.82","88.82","88.82","88.82","88.82","88.82","88.82","88.82","88.82","88.82"
"5","N/A","CARBOPLATIN 450 MG/45 ML SOLN 45 ML VIAL","N/A","N/A","0250","N/A","N/A","17.33","17.33","17.33","N/A","N/A","N/A","17.33","17.33","N/A","17.33","17.33","17.33","17.33","17.33","17.33","17.33","17.33","17.33","17.33"
"5","N/A","CARBOPROST 250 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","854.90","854.90","854.90","N/A","N/A","N/A","854.90","854.90","N/A","854.90","854.90","854.90","854.90","854.90","854.90","854.90","854.90","854.90","854.90"
"5","N/A","CARFILZOMIB 10 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","99.72","99.72","99.72","N/A","N/A","N/A","99.72","99.72","N/A","99.72","99.72","99.72","99.72","99.72","99.72","99.72","99.72","99.72","99.72"
"5","N/A","CARFILZOMIB 30 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","59.09","59.09","59.09","N/A","N/A","N/A","59.09","59.09","N/A","59.09","59.09","59.09","59.09","59.09","59.09","59.09","59.09","59.09","59.09"
"5","N/A","CARFILZOMIB 60 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","60.39","60.39","60.39","N/A","N/A","N/A","60.39","60.39","N/A","60.39","60.39","60.39","60.39","60.39","60.39","60.39","60.39","60.39","60.39"
"5","N/A","CARFILZOMIB 60 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","60.03","60.03","60.03","N/A","N/A","N/A","60.03","60.03","N/A","60.03","60.03","60.03","60.03","60.03","60.03","60.03","60.03","60.03","60.03"
"5","N/A","CASPOFUNGIN 70 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","16.97","16.97","16.97","N/A","N/A","N/A","16.97","16.97","N/A","16.97","16.97","16.97","16.97","16.97","16.97","16.97","16.97","16.97","16.97"
"5","N/A","CEFAZOLIN","N/A","N/A","0250","N/A","N/A","7.86","7.86","7.86","N/A","N/A","N/A","7.86","7.86","N/A","7.86","7.86","7.86","7.86","7.86","7.86","7.86","7.86","7.86","7.86"
"5","N/A","CEFAZOLIN 0.5 G/5 ML SYR","N/A","N/A","0250","N/A","N/A","2.10","2.10","2.10","N/A","N/A","N/A","2.10","2.10","N/A","2.10","2.10","2.10","2.10","2.10","2.10","2.10","2.10","2.10","2.10"
"5","N/A","CEFAZOLIN 1 G/10 ML SOLN","N/A","N/A","0250","N/A","N/A","3.28","3.28","3.28","N/A","N/A","N/A","3.28","3.28","N/A","3.28","3.28","3.28","3.28","3.28","3.28","3.28","3.28","3.28","3.28"
"5","N/A","CEFAZOLIN 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","2.68","2.68","2.68","N/A","N/A","N/A","2.68","2.68","N/A","2.68","2.68","2.68","2.68","2.68","2.68","2.68","2.68","2.68","2.68"
"5","N/A","CEFAZOLIN 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","3.21","3.21","3.21","N/A","N/A","N/A","3.21","3.21","N/A","3.21","3.21","3.21","3.21","3.21","3.21","3.21","3.21","3.21","3.21"
"5","N/A","CEFAZOLIN 10 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.00","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","CEFAZOLIN 10 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","2.07","2.07","2.07","N/A","N/A","N/A","2.07","2.07","N/A","2.07","2.07","2.07","2.07","2.07","2.07","2.07","2.07","2.07","2.07"
"5","N/A","CEFAZOLIN 100 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","2.37","2.37","2.37","N/A","N/A","N/A","2.37","2.37","N/A","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37"
"5","N/A","CEFAZOLIN 2 G/20 ML SOLN","N/A","N/A","0250","N/A","N/A","1.99","1.99","1.99","N/A","N/A","N/A","1.99","1.99","N/A","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99"
"5","N/A","CEFAZOLIN 2 GRAM/20 ML SYR","N/A","N/A","0250","N/A","N/A","18.24","18.24","18.24","N/A","N/A","N/A","18.24","18.24","N/A","18.24","18.24","18.24","18.24","18.24","18.24","18.24","18.24","18.24","18.24"
"5","N/A","CEFAZOLIN 300 G RECON.SOLN. 1 EACH FLEX CONT","N/A","N/A","0250","N/A","N/A","1.33","1.33","1.33","N/A","N/A","N/A","1.33","1.33","N/A","1.33","1.33","1.33","1.33","1.33","1.33","1.33","1.33","1.33","1.33"
"5","N/A","CEFAZOLIN IN 50 ML NS 2 G/50 ML IVPB","N/A","N/A","0250","N/A","N/A","4.96","4.96","4.96","N/A","N/A","N/A","4.96","4.96","N/A","4.96","4.96","4.96","4.96","4.96","4.96","4.96","4.96","4.96","4.96"
"5","N/A","CEFEPIME 1 G/NS 50 ML 1 G/50 ML IVPB","N/A","N/A","0250","N/A","N/A","15.10","15.10","15.10","N/A","N/A","N/A","15.10","15.10","N/A","15.10","15.10","15.10","15.10","15.10","15.10","15.10","15.10","15.10","15.10"
"5","N/A","CEFEPIME 1 G/NS 60 ML 1 G/60 ML IVPB","N/A","N/A","0250","N/A","N/A","11.40","11.40","11.40","N/A","N/A","N/A","11.40","11.40","N/A","11.40","11.40","11.40","11.40","11.40","11.40","11.40","11.40","11.40","11.40"
"5","N/A","CEFEPIME 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","7.20","7.20","7.20","N/A","N/A","N/A","7.20","7.20","N/A","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20"
"5","N/A","CEFEPIME 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","7.53","7.53","7.53","N/A","N/A","N/A","7.53","7.53","N/A","7.53","7.53","7.53","7.53","7.53","7.53","7.53","7.53","7.53","7.53"
"5","N/A","CEFEPIME 100 GRAM RECON.SOLN. 1 EACH BAG","N/A","N/A","0250","N/A","N/A","5.40","5.40","5.40","N/A","N/A","N/A","5.40","5.40","N/A","5.40","5.40","5.40","5.40","5.40","5.40","5.40","5.40","5.40","5.40"
"5","N/A","CEFEPIME 2 G/NS 50 ML 2 G/50 ML IVPB","N/A","N/A","0250","N/A","N/A","10.98","10.98","10.98","N/A","N/A","N/A","10.98","10.98","N/A","10.98","10.98","10.98","10.98","10.98","10.98","10.98","10.98","10.98","10.98"
"5","N/A","CEFEPIME 2 G/NS 70 ML 2 G/70 ML IVPB","N/A","N/A","0250","N/A","N/A","8.36","8.36","8.36","N/A","N/A","N/A","8.36","8.36","N/A","8.36","8.36","8.36","8.36","8.36","8.36","8.36","8.36","8.36","8.36"
"5","N/A","CEFEPIME 2 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","8.48","8.48","8.48","N/A","N/A","N/A","8.48","8.48","N/A","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48"
"5","N/A","CEFEPIME 2 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","8.48","8.48","8.48","N/A","N/A","N/A","8.48","8.48","N/A","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48"
"5","N/A","CEFOXITIN 1 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","23.88","23.88","23.88","N/A","N/A","N/A","23.88","23.88","N/A","23.88","23.88","23.88","23.88","23.88","23.88","23.88","23.88","23.88","23.88"
"5","N/A","CEFOXITIN 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","23.88","23.88","23.88","N/A","N/A","N/A","23.88","23.88","N/A","23.88","23.88","23.88","23.88","23.88","23.88","23.88","23.88","23.88","23.88"
"5","N/A","CEFOXITIN 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","22.73","22.73","22.73","N/A","N/A","N/A","22.73","22.73","N/A","22.73","22.73","22.73","22.73","22.73","22.73","22.73","22.73","22.73","22.73"
"5","N/A","CEFOXITIN 2 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","12.12","12.12","12.12","N/A","N/A","N/A","12.12","12.12","N/A","12.12","12.12","12.12","12.12","12.12","12.12","12.12","12.12","12.12","12.12"
"5","N/A","CEFOXITIN 2 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","14.10","14.10","14.10","N/A","N/A","N/A","14.10","14.10","N/A","14.10","14.10","14.10","14.10","14.10","14.10","14.10","14.10","14.10","14.10"
"5","N/A","CEFOXITIN 2 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","12.66","12.66","12.66","N/A","N/A","N/A","12.66","12.66","N/A","12.66","12.66","12.66","12.66","12.66","12.66","12.66","12.66","12.66","12.66"
"5","N/A","CEFTAROLINE FOSAMIL 400 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","12.71","12.71","12.71","N/A","N/A","N/A","12.71","12.71","N/A","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71"
"5","N/A","CEFTAROLINE FOSAMIL 400 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","12.46","12.46","12.46","N/A","N/A","N/A","12.46","12.46","N/A","12.46","12.46","12.46","12.46","12.46","12.46","12.46","12.46","12.46","12.46"
"5","N/A","CEFTAROLINE FOSAMIL 600 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","8.07","8.07","8.07","N/A","N/A","N/A","8.07","8.07","N/A","8.07","8.07","8.07","8.07","8.07","8.07","8.07","8.07","8.07","8.07"
"5","N/A","CEFTAROLINE FOSAMIL 600 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","8.16","8.16","8.16","N/A","N/A","N/A","8.16","8.16","N/A","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16"
"5","N/A","CEFTAZIDIME 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","17.80","17.80","17.80","N/A","N/A","N/A","17.80","17.80","N/A","17.80","17.80","17.80","17.80","17.80","17.80","17.80","17.80","17.80","17.80"
"5","N/A","CEFTAZIDIME 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","6.18","6.18","6.18","N/A","N/A","N/A","6.18","6.18","N/A","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18"
"5","N/A","CEFTAZIDIME 170 MG/ML RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","6.86","6.86","6.86","N/A","N/A","N/A","6.86","6.86","N/A","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86"
"5","N/A","CEFTAZIDIME 2 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","6.00","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","CEFTAZIDIME 2 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","6.03","6.03","6.03","N/A","N/A","N/A","6.03","6.03","N/A","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03"
"5","N/A","CEFTAZIDIME 50 MG/ML RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","0.80","0.80","0.80","N/A","N/A","N/A","0.80","0.80","N/A","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80"
"5","N/A","CEFTAZIDIME-AVIBACTAM 2.5 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","215.29","215.29","215.29","N/A","N/A","N/A","215.29","215.29","N/A","215.29","215.29","215.29","215.29","215.29","215.29","215.29","215.29","215.29","215.29"
"5","N/A","CEFTRIAXONE 1 G/10 ML SOLN","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","CEFTRIAXONE 1 G/50 ML IVPB","N/A","N/A","0250","N/A","N/A","4.95","4.95","4.95","N/A","N/A","N/A","4.95","4.95","N/A","4.95","4.95","4.95","4.95","4.95","4.95","4.95","4.95","4.95","4.95"
"5","N/A","CEFTRIAXONE 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","2.94","2.94","2.94","N/A","N/A","N/A","2.94","2.94","N/A","2.94","2.94","2.94","2.94","2.94","2.94","2.94","2.94","2.94","2.94"
"5","N/A","CEFTRIAXONE 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","2.31","2.31","2.31","N/A","N/A","N/A","2.31","2.31","N/A","2.31","2.31","2.31","2.31","2.31","2.31","2.31","2.31","2.31","2.31"
"5","N/A","CEFTRIAXONE 10 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","2.04","2.04","2.04","N/A","N/A","N/A","2.04","2.04","N/A","2.04","2.04","2.04","2.04","2.04","2.04","2.04","2.04","2.04","2.04"
"5","N/A","CEFTRIAXONE 2 G/20 ML SOLN","N/A","N/A","0250","N/A","N/A","1.34","1.34","1.34","N/A","N/A","N/A","1.34","1.34","N/A","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34"
"5","N/A","CEFTRIAXONE 2 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","1.00","1.00","1.00","N/A","N/A","N/A","1.00","1.00","N/A","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00"
"5","N/A","CEFTRIAXONE 250 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.73","4.73","4.73","N/A","N/A","N/A","4.73","4.73","N/A","4.73","4.73","4.73","4.73","4.73","4.73","4.73","4.73","4.73","4.73"
"5","N/A","CEFTRIAXONE 2G/50 ML NS IVPB","N/A","N/A","0250","N/A","N/A","2.51","2.51","2.51","N/A","N/A","N/A","2.51","2.51","N/A","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51"
"5","N/A","CEFTRIAXONE 350 MG/ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","3.39","3.39","3.39","N/A","N/A","N/A","3.39","3.39","N/A","3.39","3.39","3.39","3.39","3.39","3.39","3.39","3.39","3.39","3.39"
"5","N/A","CEFTRIAXONE 500 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.00","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","CEFTRIAXONE IN LIDOCAINE 1% PF 250 MG/ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","5.33","5.33","5.33","N/A","N/A","N/A","5.33","5.33","N/A","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33","5.33"
"5","N/A","CEFTRIAXONE IN LIDOCAINE 1% PF 350 MG/ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","3.83","3.83","3.83","N/A","N/A","N/A","3.83","3.83","N/A","3.83","3.83","3.83","3.83","3.83","3.83","3.83","3.83","3.83","3.83"
"5","N/A","CEFTRIAXONE SYR","N/A","N/A","0250","N/A","N/A","2.67","2.67","2.67","N/A","N/A","N/A","2.67","2.67","N/A","2.67","2.67","2.67","2.67","2.67","2.67","2.67","2.67","2.67","2.67"
"5","N/A","CEFUROXIME SODIUM 1.5 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","7.02","7.02","7.02","N/A","N/A","N/A","7.02","7.02","N/A","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02"
"5","N/A","CEFUROXIME SODIUM 1.5 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","7.02","7.02","7.02","N/A","N/A","N/A","7.02","7.02","N/A","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02"
"5","N/A","CEMIPLIMAB-RWLC 50 MG/ML SOLN 7 ML VIAL","N/A","N/A","0250","N/A","N/A","36.70","36.70","36.70","N/A","N/A","N/A","36.70","36.70","N/A","36.70","36.70","36.70","36.70","36.70","36.70","36.70","36.70","36.70","36.70"
"5","N/A","CENTRAL LINE CLINIMIX 5/15 FORMULA CYCLIC TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX 5/15 FORMULA TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX 5/20 FORMULA CYCLIC TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX 5/20 FORMULA TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX 8/14 CYCLIC TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX 8/14 FORMULA TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX E (W ELECTROLYTE) 5/20 CYCLIC TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX E (W ELECTROLYTE) 8/14 CYCLIC TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX E 5/15 FORMULA TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX E 5/20 FORMULA TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX E 5/20 FORMULA TPN (NHCH)","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CENTRAL LINE CLINIMIX E 8/14 FORMULA TPN","N/A","N/A","0250","N/A","N/A","285.00","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","CETUXIMAB 100 MG/50 ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","161.12","161.12","161.12","N/A","N/A","N/A","161.12","161.12","N/A","161.12","161.12","161.12","161.12","161.12","161.12","161.12","161.12","161.12","161.12"
"5","N/A","CETUXIMAB 200 MG/100 ML SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","161.67","161.67","161.67","N/A","N/A","N/A","161.67","161.67","N/A","161.67","161.67","161.67","161.67","161.67","161.67","161.67","161.67","161.67","161.67"
"5","N/A","CHLOROPROCAINE (PF) 20 MG/ML (2 %) SOLN","N/A","N/A","0250","N/A","N/A","51.17","51.17","51.17","N/A","N/A","N/A","51.17","51.17","N/A","51.17","51.17","51.17","51.17","51.17","51.17","51.17","51.17","51.17","51.17"
"5","N/A","CHLOROPROCAINE (PF) 30 MG/ML (3 %) SOLN","N/A","N/A","0250","N/A","N/A","66.61","66.61","66.61","N/A","N/A","N/A","66.61","66.61","N/A","66.61","66.61","66.61","66.61","66.61","66.61","66.61","66.61","66.61","66.61"
"5","N/A","SEAL HYSTEROSCOPE ST MYOSURE","N/A","N/A","0272","N/A","N/A","33.00","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","SEAL STAPLER CANN ENDOWRIST 12","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","SEALANT DRAINAGE PROGEL PLEURAL 4ML","N/A","N/A","0272","N/A","N/A","3036.91","3036.91","3036.91","N/A","N/A","N/A","3036.91","3036.91","N/A","3036.91","3036.91","3036.91","3036.91","3036.91","3036.91","3036.91","3036.91","3036.91","3036.91"
"5","N/A","SEALANT KIT SPINE DURASEAL 3ML","N/A","N/A","0272","N/A","N/A","4482.55","4482.55","4482.55","N/A","N/A","N/A","4482.55","4482.55","N/A","4482.55","4482.55","4482.55","4482.55","4482.55","4482.55","4482.55","4482.55","4482.55","4482.55"
"5","N/A","SEALANT SKIN CLSR DURASEAL 5ML","N/A","N/A","0272","N/A","N/A","4548.06","4548.06","4548.06","N/A","N/A","N/A","4548.06","4548.06","N/A","4548.06","4548.06","4548.06","4548.06","4548.06","4548.06","4548.06","4548.06","4548.06","4548.06"
"5","N/A","SEALANT TISSUE CLSR COSEAL 4ML","N/A","N/A","0272","N/A","N/A","1981.98","1981.98","1981.98","N/A","N/A","N/A","1981.98","1981.98","N/A","1981.98","1981.98","1981.98","1981.98","1981.98","1981.98","1981.98","1981.98","1981.98","1981.98"
"5","N/A","SEALANT TISSUE FIBRIN ARTISS 2ML","N/A","N/A","0272","N/A","N/A","608.19","608.19","608.19","N/A","N/A","N/A","608.19","608.19","N/A","608.19","608.19","608.19","608.19","608.19","608.19","608.19","608.19","608.19","608.19"
"5","N/A","SEALER BIPOLAR AQUAMANTYS 2.3MM","N/A","N/A","0272","N/A","N/A","1802.30","1802.30","1802.30","N/A","N/A","N/A","1802.30","1802.30","N/A","1802.30","1802.30","1802.30","1802.30","1802.30","1802.30","1802.30","1802.30","1802.30","1802.30"
"5","N/A","SEALER BIPOLAR AQUAMANTYS 6MM","N/A","N/A","0272","N/A","N/A","1802.63","1802.63","1802.63","N/A","N/A","N/A","1802.63","1802.63","N/A","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63"
"5","N/A","SEALER BIPOLAR AQUAMANTYS 9.5 XL","N/A","N/A","0272","N/A","N/A","2085.48","2085.48","2085.48","N/A","N/A","N/A","2085.48","2085.48","N/A","2085.48","2085.48","2085.48","2085.48","2085.48","2085.48","2085.48","2085.48","2085.48","2085.48"
"5","N/A","SEALER BIPOLAR AQUAMANTYS DBS 8.7","N/A","N/A","0272","N/A","N/A","2194.50","2194.50","2194.50","N/A","N/A","N/A","2194.50","2194.50","N/A","2194.50","2194.50","2194.50","2194.50","2194.50","2194.50","2194.50","2194.50","2194.50","2194.50"
"5","N/A","SEALER BIPOLAR AQUAMANTYS SBS 5.0","N/A","N/A","0272","N/A","N/A","2039.34","2039.34","2039.34","N/A","N/A","N/A","2039.34","2039.34","N/A","2039.34","2039.34","2039.34","2039.34","2039.34","2039.34","2039.34","2039.34","2039.34","2039.34"
"5","N/A","SEALER BIPOLAR LIGHT AQUAMANTYS 6","N/A","N/A","0272","N/A","N/A","1802.63","1802.63","1802.63","N/A","N/A","N/A","1802.63","1802.63","N/A","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63","1802.63"
"5","N/A","SEALER DIVIDER LIGASURE 18.8CM","N/A","N/A","0272","N/A","N/A","1461.48","1461.48","1461.48","N/A","N/A","N/A","1461.48","1461.48","N/A","1461.48","1461.48","1461.48","1461.48","1461.48","1461.48","1461.48","1461.48","1461.48","1461.48"
"5","N/A","SEALER ELECTROSURGICAL BLUNT 5MMX44CM","N/A","N/A","0272","N/A","N/A","1760.96","1760.96","1760.96","N/A","N/A","N/A","1760.96","1760.96","N/A","1760.96","1760.96","1760.96","1760.96","1760.96","1760.96","1760.96","1760.96","1760.96","1760.96"
"5","N/A","SEALER LIGASURE IMPACT OPEN 18CM","N/A","N/A","0272","N/A","N/A","2172.08","2172.08","2172.08","N/A","N/A","N/A","2172.08","2172.08","N/A","2172.08","2172.08","2172.08","2172.08","2172.08","2172.08","2172.08","2172.08","2172.08","2172.08"
"5","N/A","SEALER TISSUE ENSEAL TRIO 35CM","N/A","N/A","0272","N/A","N/A","1614.05","1614.05","1614.05","N/A","N/A","N/A","1614.05","1614.05","N/A","1614.05","1614.05","1614.05","1614.05","1614.05","1614.05","1614.05","1614.05","1614.05","1614.05"
"5","N/A","SEALER TISSUE RND ENSEAL 35CM","N/A","N/A","0272","N/A","N/A","1523.67","1523.67","1523.67","N/A","N/A","N/A","1523.67","1523.67","N/A","1523.67","1523.67","1523.67","1523.67","1523.67","1523.67","1523.67","1523.67","1523.67","1523.67"
"5","N/A","SEALER TISSUE RND ENSEAL 45CM","N/A","N/A","0272","N/A","N/A","1693.50","1693.50","1693.50","N/A","N/A","N/A","1693.50","1693.50","N/A","1693.50","1693.50","1693.50","1693.50","1693.50","1693.50","1693.50","1693.50","1693.50","1693.50"
"5","N/A","SEALER VESSEL XI EXTEND","N/A","N/A","0272","N/A","N/A","2062.50","2062.50","2062.50","N/A","N/A","N/A","2062.50","2062.50","N/A","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50"
"5","N/A","SEALER/DIVIDER LAPAROSCOPIC PASSPORT 12MM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","SELECTOR VEIN STD WORLEY 5F 75CM","N/A","N/A","0272","N/A","N/A","385.21","385.21","385.21","N/A","N/A","N/A","385.21","385.21","N/A","385.21","385.21","385.21","385.21","385.21","385.21","385.21","385.21","385.21","385.21"
"5","N/A","SENSOR BIS QUATRO PT 1.1X11"","N/A","N/A","0272","N/A","N/A","60.62","60.62","60.62","N/A","N/A","N/A","60.62","60.62","N/A","60.62","60.62","60.62","60.62","60.62","60.62","60.62","60.62","60.62","60.62"
"5","N/A","SENSOR OXIMETER FORE-SIGHT LARGE3/5/21 ELLIS. 3/8/21 NO OTH","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","SENSOR OXIMETER FORESIGHT ELITE LRG","N/A","N/A","0272","N/A","N/A","2183.89","2183.89","2183.89","N/A","N/A","N/A","2183.89","2183.89","N/A","2183.89","2183.89","2183.89","2183.89","2183.89","2183.89","2183.89","2183.89","2183.89","2183.89"
"5","N/A","SENSOR OXIMETER GRIP ADLT","N/A","N/A","0272","N/A","N/A","22.44","22.44","22.44","N/A","N/A","N/A","22.44","22.44","N/A","22.44","22.44","22.44","22.44","22.44","22.44","22.44","22.44","22.44","22.44"
"5","N/A","SENSOR OXIMETER RD RAINBOW SET -2 NEONATE","N/A","N/A","0272","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","SENSOR SHUNT CDI 1.2ML","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","SET ABLATION GENESYS HTA PROCERVA","N/A","N/A","0272","N/A","N/A","6118.20","6118.20","6118.20","N/A","N/A","N/A","6118.20","6118.20","N/A","6118.20","6118.20","6118.20","6118.20","6118.20","6118.20","6118.20","6118.20","6118.20","6118.20"
"5","N/A","SET ABLATION IRR TUBING F/OI CATHETER","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","SET ACCESS INTRAHEPATIC 16GX50.5","N/A","N/A","0272","N/A","N/A","1575.09","1575.09","1575.09","N/A","N/A","N/A","1575.09","1575.09","N/A","1575.09","1575.09","1575.09","1575.09","1575.09","1575.09","1575.09","1575.09","1575.09","1575.09"
"5","N/A","SET ACCESS INTRAHEPATIC RING TRANSJUGULAR 10F 16GX50.5CM","N/A","N/A","0272","N/A","N/A","1239.32","1239.32","1239.32","N/A","N/A","N/A","1239.32","1239.32","N/A","1239.32","1239.32","1239.32","1239.32","1239.32","1239.32","1239.32","1239.32","1239.32","1239.32"
"5","N/A","SET ACCESS MICROPUNCTURE STD 5F 7X10CM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","SET ACCESS PORTAL VEIN SCORPION 10F 17G 73CM","N/A","N/A","0272","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","SET ADMINISTRATION BLOWER/MISTER II 6X120","N/A","N/A","0272","N/A","N/A","137.02","137.02","137.02","N/A","N/A","N/A","137.02","137.02","N/A","137.02","137.02","137.02","137.02","137.02","137.02","137.02","137.02","137.02","137.02"
"5","N/A","SET ADMINISTRATION BURETTE SETCLAVE NON-DEHP 150ML 18"","N/A","N/A","0272","N/A","N/A","11.91","11.91","11.91","N/A","N/A","N/A","11.91","11.91","N/A","11.91","11.91","11.91","11.91","11.91","11.91","11.91","11.91","11.91","11.91"
"5","N/A","SET ADMINISTRATION HEAT EXCHG 120ML","N/A","N/A","0272","N/A","N/A","493.23","493.23","493.23","N/A","N/A","N/A","493.23","493.23","N/A","493.23","493.23","493.23","493.23","493.23","493.23","493.23","493.23","493.23","493.23"
"5","N/A","SET ADMINISTRATION PRIMARY IVPB 15GTT 100","N/A","N/A","0272","N/A","N/A","7.97","7.97","7.97","N/A","N/A","N/A","7.97","7.97","N/A","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97"
"5","N/A","SET ADMINISTRATION PRIMARY MALE LL 60 100","N/A","N/A","0272","N/A","N/A","11.65","11.65","11.65","N/A","N/A","N/A","11.65","11.65","N/A","11.65","11.65","11.65","11.65","11.65","11.65","11.65","11.65","11.65","11.65"
"5","N/A","SET ADMINISTRATION PRIMARY Y-TYPE BLOOD 200MIC 80"","N/A","N/A","0272","N/A","N/A","12.34","12.34","12.34","N/A","N/A","N/A","12.34","12.34","N/A","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34"
"5","N/A","SET ADMINISTRATION STD N/VENT 15MIC 60"","N/A","N/A","0272","N/A","N/A","4.77","4.77","4.77","N/A","N/A","N/A","4.77","4.77","N/A","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77"
"5","N/A","SET ANCHOR T-FASTENER","N/A","N/A","0272","N/A","N/A","373.23","373.23","373.23","N/A","N/A","N/A","373.23","373.23","N/A","373.23","373.23","373.23","373.23","373.23","373.23","373.23","373.23","373.23","373.23"
"5","N/A","SET AUTOTRANSFUSION AT3 BOWL & TUBING CATSMART","N/A","N/A","0272","N/A","N/A","306.34","306.34","306.34","N/A","N/A","N/A","306.34","306.34","N/A","306.34","306.34","306.34","306.34","306.34","306.34","306.34","306.34","306.34","306.34"
"5","N/A","SET BIOPSY TRANSJUGULAR 18GX60CM","N/A","N/A","0272","N/A","N/A","1393.19","1393.19","1393.19","N/A","N/A","N/A","1393.19","1393.19","N/A","1393.19","1393.19","1393.19","1393.19","1393.19","1393.19","1393.19","1393.19","1393.19","1393.19"
"5","N/A","SET BOWL LID STER 32 OZ","N/A","N/A","0272","N/A","N/A","8.45","8.45","8.45","N/A","N/A","N/A","8.45","8.45","N/A","8.45","8.45","8.45","8.45","8.45","8.45","8.45","8.45","8.45","8.45"
"5","N/A","SET BRUSH DEFLECTABLE 3.2FR 115","N/A","N/A","0272","N/A","N/A","280.67","280.67","280.67","N/A","N/A","N/A","280.67","280.67","N/A","280.67","280.67","280.67","280.67","280.67","280.67","280.67","280.67","280.67","280.67"
"5","N/A","SET DIALYSIS PERITONEAL AMIA AUTO W/ CASSETTE","N/A","N/A","0272","N/A","N/A","101.71","101.71","101.71","N/A","N/A","N/A","101.71","101.71","N/A","101.71","101.71","101.71","101.71","101.71","101.71","101.71","101.71","101.71","101.71"
"5","N/A","SET DILATOR RENAL AMPLATZ 6-30F 30X16CM","N/A","N/A","0272","N/A","N/A","727.02","727.02","727.02","N/A","N/A","N/A","727.02","727.02","N/A","727.02","727.02","727.02","727.02","727.02","727.02","727.02","727.02","727.02","727.02"
"5","N/A","SET DILATOR SHEATH TAPER 8/10F 35X70CM","N/A","N/A","0272","N/A","N/A","137.68","137.68","137.68","N/A","N/A","N/A","137.68","137.68","N/A","137.68","137.68","137.68","137.68","137.68","137.68","137.68","137.68","137.68","137.68"
"5","N/A","SET DISCONNECT ULTRA CAPD DISP","N/A","N/A","0272","N/A","N/A","26.45","26.45","26.45","N/A","N/A","N/A","26.45","26.45","N/A","26.45","26.45","26.45","26.45","26.45","26.45","26.45","26.45","26.45","26.45"
"5","N/A","SET ENDOSCOPIC DIAGNOSTIC FTRD","N/A","N/A","0272","N/A","N/A","3910.50","3910.50","3910.50","N/A","N/A","N/A","3910.50","3910.50","N/A","3910.50","3910.50","3910.50","3910.50","3910.50","3910.50","3910.50","3910.50","3910.50","3910.50"
"5","N/A","SET EPIDURAL PERIFIX W/17G TUOHY NEEDLE","N/A","N/A","0272","N/A","N/A","50.44","50.44","50.44","N/A","N/A","N/A","50.44","50.44","N/A","50.44","50.44","50.44","50.44","50.44","50.44","50.44","50.44","50.44","50.44"
"5","N/A","SET EXT BIFUSE 2 REMOV MICROCLAVE ROT LUER 6.5"","N/A","N/A","0272","N/A","N/A","6.54","6.54","6.54","N/A","N/A","N/A","6.54","6.54","N/A","6.54","6.54","6.54","6.54","6.54","6.54","6.54","6.54","6.54","6.54"
"5","N/A","SET EXTENDER SHEATH RADIAL ART 10CM","N/A","N/A","0272","N/A","N/A","504.90","504.90","504.90","N/A","N/A","N/A","504.90","504.90","N/A","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90","504.90"
"5","N/A","SET EXTENSION BOLUS MIC-KEY 24"","N/A","N/A","0272","N/A","N/A","27.56","27.56","27.56","N/A","N/A","N/A","27.56","27.56","N/A","27.56","27.56","27.56","27.56","27.56","27.56","27.56","27.56","27.56","27.56"
"5","N/A","SET EXTENSION MACROBORE 0.2MIC 17"","N/A","N/A","0272","N/A","N/A","8.38","8.38","8.38","N/A","N/A","N/A","8.38","8.38","N/A","8.38","8.38","8.38","8.38","8.38","8.38","8.38","8.38","8.38","8.38"
"5","N/A","SET EXTENSION MACROBORE 5.3ML 32"","N/A","N/A","0272","N/A","N/A","7.39","7.39","7.39","N/A","N/A","N/A","7.39","7.39","N/A","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39"
"5","N/A","SET EXTENSION MACROBORE LIFESHIELD","N/A","N/A","0272","N/A","N/A","12.89","12.89","12.89","N/A","N/A","N/A","12.89","12.89","N/A","12.89","12.89","12.89","12.89","12.89","12.89","12.89","12.89","12.89","12.89"
"5","N/A","SET EXTENSION MICROBORE CLAVE 7"","N/A","N/A","0272","N/A","N/A","6.58","6.58","6.58","N/A","N/A","N/A","6.58","6.58","N/A","6.58","6.58","6.58","6.58","6.58","6.58","6.58","6.58","6.58","6.58"
"5","N/A","SET EXTENSION MICROBORE CLAVE 8"","N/A","N/A","0272","N/A","N/A","6.27","6.27","6.27","N/A","N/A","N/A","6.27","6.27","N/A","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27"
"5","N/A","SET EXTENSION MICROCLAVE CLAMP ROTATING LUER 10"","N/A","N/A","0272","N/A","N/A","8.09","8.09","8.09","N/A","N/A","N/A","8.09","8.09","N/A","8.09","8.09","8.09","8.09","8.09","8.09","8.09","8.09","8.09","8.09"
"5","N/A","SET HEMODIALYSIS PRISMAFLEX 27X22X9CM","N/A","N/A","0272","N/A","N/A","946.08","946.08","946.08","N/A","N/A","N/A","946.08","946.08","N/A","946.08","946.08","946.08","946.08","946.08","946.08","946.08","946.08","946.08","946.08"
"5","N/A","SET HLS 7.0 ADVANCED BIOLINE","N/A","N/A","0272","N/A","N/A","37950.00","37950.00","37950.00","N/A","N/A","N/A","37950.00","37950.00","N/A","37950.00","37950.00","37950.00","37950.00","37950.00","37950.00","37950.00","37950.00","37950.00","37950.00"
"5","N/A","SET INFUSION W/O Y MINLOC 19GAX1"","N/A","N/A","0272","N/A","N/A","17.09","17.09","17.09","N/A","N/A","N/A","17.09","17.09","N/A","17.09","17.09","17.09","17.09","17.09","17.09","17.09","17.09","17.09","17.09"
"5","N/A","SET INFUSION W/O Y POWERLOC 20GAX1"","N/A","N/A","0272","N/A","N/A","20.32","20.32","20.32","N/A","N/A","N/A","20.32","20.32","N/A","20.32","20.32","20.32","20.32","20.32","20.32","20.32","20.32","20.32","20.32"
"5","N/A","SET INFUSION WNG MINILOC 19GAX0.75"","N/A","N/A","0272","N/A","N/A","17.00","17.00","17.00","N/A","N/A","N/A","17.00","17.00","N/A","17.00","17.00","17.00","17.00","17.00","17.00","17.00","17.00","17.00","17.00"
"5","N/A","SET INFUSION WNG MINILOC 20GAX0.75"","N/A","N/A","0272","N/A","N/A","16.51","16.51","16.51","N/A","N/A","N/A","16.51","16.51","N/A","16.51","16.51","16.51","16.51","16.51","16.51","16.51","16.51","16.51","16.51"
"5","N/A","SET INFUSION WNG MINILOC 20GAX1"","N/A","N/A","0272","N/A","N/A","17.03","17.03","17.03","N/A","N/A","N/A","17.03","17.03","N/A","17.03","17.03","17.03","17.03","17.03","17.03","17.03","17.03","17.03","17.03"
"5","N/A","SET INFUSION WNG MINILOC 20GAX1.5"","N/A","N/A","0272","N/A","N/A","17.16","17.16","17.16","N/A","N/A","N/A","17.16","17.16","N/A","17.16","17.16","17.16","17.16","17.16","17.16","17.16","17.16","17.16","17.16"
"5","N/A","SET INTRAVENOUS NORMOTHERMIC 65ML","N/A","N/A","0272","N/A","N/A","233.40","233.40","233.40","N/A","N/A","N/A","233.40","233.40","N/A","233.40","233.40","233.40","233.40","233.40","233.40","233.40","233.40","233.40","233.40"
"5","N/A","SET INTRAVENOUS SOL BASIC 125" CUST","N/A","N/A","0272","N/A","N/A","23.09","23.09","23.09","N/A","N/A","N/A","23.09","23.09","N/A","23.09","23.09","23.09","23.09","23.09","23.09","23.09","23.09","23.09","23.09"
"5","N/A","SET INTRODUCER CYSTIC DUCT 12F 15CM","N/A","N/A","0272","N/A","N/A","373.89","373.89","373.89","N/A","N/A","N/A","373.89","373.89","N/A","373.89","373.89","373.89","373.89","373.89","373.89","373.89","373.89","373.89","373.89"
"5","N/A","SET INTRODUCER DESILETS HOFFMAN 8FR","N/A","N/A","0272","N/A","N/A","145.93","145.93","145.93","N/A","N/A","N/A","145.93","145.93","N/A","145.93","145.93","145.93","145.93","145.93","145.93","145.93","145.93","145.93","145.93"
"5","N/A","SET INTRODUCER MICROPUNCTURE 4F 15CM","N/A","N/A","0272","N/A","N/A","194.70","194.70","194.70","N/A","N/A","N/A","194.70","194.70","N/A","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70"
"5","N/A","SET INTRODUCER MICROPUNCTURE 4F 7CM","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","SET INTRODUCER MICROPUNCTURE 5F 10CM","N/A","N/A","0272","N/A","N/A","135.30","135.30","135.30","N/A","N/A","N/A","135.30","135.30","N/A","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30"
"5","N/A","SET INTRODUCER MICROPUNCTURE 5F 7X10CM","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","SET INTRODUCER MICROPUNCTURE 5FR 10","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","SET INTRODUCER TRACHEOSTOMY BLUE RHINO MULT PERC G2","N/A","N/A","0272","N/A","N/A","953.70","953.70","953.70","N/A","N/A","N/A","953.70","953.70","N/A","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70"
"5","N/A","SET INTRODUCER VASCU-SHEATH 13FR","N/A","N/A","0272","N/A","N/A","102.30","102.30","102.30","N/A","N/A","N/A","102.30","102.30","N/A","102.30","102.30","102.30","102.30","102.30","102.30","102.30","102.30","102.30","102.30"
"5","N/A","SET LARYNGOSCOPE RUSCH TRULITE SECURE MAC 3 YELLOW","N/A","N/A","0272","N/A","N/A","31.51","31.51","31.51","N/A","N/A","N/A","31.51","31.51","N/A","31.51","31.51","31.51","31.51","31.51","31.51","31.51","31.51","31.51","31.51"
"5","N/A","SET LARYNGOSCOPE RUSCH TRULITE SECURE MAC 4 CORAL","N/A","N/A","0272","N/A","N/A","31.32","31.32","31.32","N/A","N/A","N/A","31.32","31.32","N/A","31.32","31.32","31.32","31.32","31.32","31.32","31.32","31.32","31.32","31.32"
"5","N/A","SET LARYNGOSCOPE RUSCH TRULITE SECURE MILLER 1 ORANGE","N/A","N/A","0272","N/A","N/A","29.67","29.67","29.67","N/A","N/A","N/A","29.67","29.67","N/A","29.67","29.67","29.67","29.67","29.67","29.67","29.67","29.67","29.67","29.67"
"5","N/A","SET LARYNGOSCOPE RUSCH TRULITE SECURE MILLER 2 GRAY","N/A","N/A","0272","N/A","N/A","31.06","31.06","31.06","N/A","N/A","N/A","31.06","31.06","N/A","31.06","31.06","31.06","31.06","31.06","31.06","31.06","31.06","31.06","31.06"
"5","N/A","SET LARYNGOSCOPE RUSCH TRULITE SECURE MILLER 3 GREEN","N/A","N/A","0272","N/A","N/A","31.40","31.40","31.40","N/A","N/A","N/A","31.40","31.40","N/A","31.40","31.40","31.40","31.40","31.40","31.40","31.40","31.40","31.40","31.40"
"5","N/A","SET NEEDLE BX OSTEO-SITE MURPHY M2 11GX10CM","N/A","N/A","0272","N/A","N/A","379.50","379.50","379.50","N/A","N/A","N/A","379.50","379.50","N/A","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50"
"5","N/A","SET NEEDLE INTRAOSSEOUS EZ-IO SS 15GX15MM","N/A","N/A","0272","N/A","N/A","450.78","450.78","450.78","N/A","N/A","N/A","450.78","450.78","N/A","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78"
"5","N/A","SET NEEDLE INTRAOSSEOUS EZ-IO SS 15GX25MM","N/A","N/A","0272","N/A","N/A","450.78","450.78","450.78","N/A","N/A","N/A","450.78","450.78","N/A","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78"
"5","N/A","SET NEEDLE INTRAOSSEOUS EZ-IO SS 15GX45MM","N/A","N/A","0272","N/A","N/A","450.78","450.78","450.78","N/A","N/A","N/A","450.78","450.78","N/A","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78","450.78"
"5","N/A","SET PAD GROUNDING HANDPIECE PROVU","N/A","N/A","0272","N/A","N/A","12540.00","12540.00","12540.00","N/A","N/A","N/A","12540.00","12540.00","N/A","12540.00","12540.00","12540.00","12540.00","12540.00","12540.00","12540.00","12540.00","12540.00","12540.00"
"5","N/A","SET PAD GROUNDING HANDPIECE PROVU (2)","N/A","N/A","0272","N/A","N/A","35145.00","35145.00","35145.00","N/A","N/A","N/A","35145.00","35145.00","N/A","35145.00","35145.00","35145.00","35145.00","35145.00","35145.00","35145.00","35145.00","35145.00","35145.00"
"5","N/A","SET PIN UNIVERSAL II ECLIPSE","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","SET PINS 12 PLUS 1 REAMER","N/A","N/A","0272","N/A","N/A","3499.65","3499.65","3499.65","N/A","N/A","N/A","3499.65","3499.65","N/A","3499.65","3499.65","3499.65","3499.65","3499.65","3499.65","3499.65","3499.65","3499.65","3499.65"
"5","N/A","SET PROBE BREAST LOCALIZER 20 US","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","SET PROCEDURE GENESYS HTA","N/A","N/A","0272","N/A","N/A","5722.72","5722.72","5722.72","N/A","N/A","N/A","5722.72","5722.72","N/A","5722.72","5722.72","5722.72","5722.72","5722.72","5722.72","5722.72","5722.72","5722.72","5722.72"
"5","N/A","SET SAPPHIRE PRIMARY PIGGYBACK Y-SITES BKCK VALVE 121"","N/A","N/A","0272","N/A","N/A","18.88","18.88","18.88","N/A","N/A","N/A","18.88","18.88","N/A","18.88","18.88","18.88","18.88","18.88","18.88","18.88","18.88","18.88","18.88"
"5","N/A","SET SPECTRA OPTIA EXCHANGE APHERESIS","N/A","N/A","0272","N/A","N/A","831.60","831.60","831.60","N/A","N/A","N/A","831.60","831.60","N/A","831.60","831.60","831.60","831.60","831.60","831.60","831.60","831.60","831.60","831.60"
"5","N/A","SET SPECTRA OPTIA IDL APHERESIS","N/A","N/A","0272","N/A","N/A","978.00","978.00","978.00","N/A","N/A","N/A","978.00","978.00","N/A","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00"
"5","N/A","SET SPRAY TISSEEL ARTISS","N/A","N/A","0272","N/A","N/A","173.92","173.92","173.92","N/A","N/A","N/A","173.92","173.92","N/A","173.92","173.92","173.92","173.92","173.92","173.92","173.92","173.92","173.92","173.92"
"5","N/A","SET SUSPENSION FRONTALIS 20GX2.5"","N/A","N/A","0272","N/A","N/A","229.64","229.64","229.64","N/A","N/A","N/A","229.64","229.64","N/A","229.64","229.64","229.64","229.64","229.64","229.64","229.64","229.64","229.64","229.64"
"5","N/A","SET THORACENTESIS 4.25 15GAX30"","N/A","N/A","0272","N/A","N/A","9.54","9.54","9.54","N/A","N/A","N/A","9.54","9.54","N/A","9.54","9.54","9.54","9.54","9.54","9.54","9.54","9.54","9.54","9.54"
"5","N/A","SET TRANSFER PD MINICAP CLAMP 4"","N/A","N/A","0272","N/A","N/A","246.03","246.03","246.03","N/A","N/A","N/A","246.03","246.03","N/A","246.03","246.03","246.03","246.03","246.03","246.03","246.03","246.03","246.03","246.03"
"5","N/A","SET TRANSFER PD MINICAP CLAMP 6"","N/A","N/A","0272","N/A","N/A","202.70","202.70","202.70","N/A","N/A","N/A","202.70","202.70","N/A","202.70","202.70","202.70","202.70","202.70","202.70","202.70","202.70","202.70","202.70"
"5","N/A","SET TUBE EXTN MRI 10ML","N/A","N/A","0272","N/A","N/A","56.10","56.10","56.10","N/A","N/A","N/A","56.10","56.10","N/A","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10"
"5","N/A","SET TUBE FILTERED TRI-LUMEN","N/A","N/A","0272","N/A","N/A","282.12","282.12","282.12","N/A","N/A","N/A","282.12","282.12","N/A","282.12","282.12","282.12","282.12","282.12","282.12","282.12","282.12","282.12","282.12"
"5","N/A","SET TUBING & EXTENDER FILTER","N/A","N/A","0272","N/A","N/A","1039.06","1039.06","1039.06","N/A","N/A","N/A","1039.06","1039.06","N/A","1039.06","1039.06","1039.06","1039.06","1039.06","1039.06","1039.06","1039.06","1039.06","1039.06"
"5","N/A","SET TUBING ERBEFLO CLEVERCAP OLYMPUS SCOPE","N/A","N/A","0272","N/A","N/A","85.64","85.64","85.64","N/A","N/A","N/A","85.64","85.64","N/A","85.64","85.64","85.64","85.64","85.64","85.64","85.64","85.64","85.64","85.64"
"5","N/A","SET TUBING IRRIGATION DRILLSAW HIGHSPEED 200","N/A","N/A","0272","N/A","N/A","107.25","107.25","107.25","N/A","N/A","N/A","107.25","107.25","N/A","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25","107.25"
"5","N/A","SET TUBING PRIMARY PLUM CLAVE Y-SITE 15DPM MICROBORE 104"","N/A","N/A","0272","N/A","N/A","12.71","12.71","12.71","N/A","N/A","N/A","12.71","12.71","N/A","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71"
"5","N/A","SET TUBING PRIMARY PLUMSET CLAVE Y SET 103"","N/A","N/A","0272","N/A","N/A","11.53","11.53","11.53","N/A","N/A","N/A","11.53","11.53","N/A","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53","11.53"
"5","N/A","SHAFT REAMER BIXCUT MODIFY TRINKLE 8X885MM","N/A","N/A","0272","N/A","N/A","2215.29","2215.29","2215.29","N/A","N/A","N/A","2215.29","2215.29","N/A","2215.29","2215.29","2215.29","2215.29","2215.29","2215.29","2215.29","2215.29","2215.29","2215.29"
"5","N/A","SHAFT SCREWDRIVER STARDRIVE T8 SELF RETAINING QC","N/A","N/A","0272","N/A","N/A","331.35","331.35","331.35","N/A","N/A","N/A","331.35","331.35","N/A","331.35","331.35","331.35","331.35","331.35","331.35","331.35","331.35","331.35","331.35"
"5","N/A","SHEAR ENDOSCOPIC CRV FOCUS 9CM","N/A","N/A","0272","N/A","N/A","1727.23","1727.23","1727.23","N/A","N/A","N/A","1727.23","1727.23","N/A","1727.23","1727.23","1727.23","1727.23","1727.23","1727.23","1727.23","1727.23","1727.23","1727.23"
"5","N/A","SHEAR SURGICAL CRV DISP 5MMX23CM","N/A","N/A","0272","N/A","N/A","1626.65","1626.65","1626.65","N/A","N/A","N/A","1626.65","1626.65","N/A","1626.65","1626.65","1626.65","1626.65","1626.65","1626.65","1626.65","1626.65","1626.65","1626.65"
"5","N/A","SHEAR SURGICAL CRV DISP 5MMX36CM","N/A","N/A","0272","N/A","N/A","1852.27","1852.27","1852.27","N/A","N/A","N/A","1852.27","1852.27","N/A","1852.27","1852.27","1852.27","1852.27","1852.27","1852.27","1852.27","1852.27","1852.27","1852.27"
"5","N/A","SHEAR SURGICAL CURVED DISP 5X45CM","N/A","N/A","0272","N/A","N/A","1951.99","1951.99","1951.99","N/A","N/A","N/A","1951.99","1951.99","N/A","1951.99","1951.99","1951.99","1951.99","1951.99","1951.99","1951.99","1951.99","1951.99","1951.99"
"5","N/A","SHEATH 0 DEG ENDO-SCRUB 2 4MM","N/A","N/A","0272","N/A","N/A","227.13","227.13","227.13","N/A","N/A","N/A","227.13","227.13","N/A","227.13","227.13","227.13","227.13","227.13","227.13","227.13","227.13","227.13","227.13"
"5","N/A","SHEATH 30 DEG ENDO-SCRUB 2 4MM","N/A","N/A","0272","N/A","N/A","194.70","194.70","194.70","N/A","N/A","N/A","194.70","194.70","N/A","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70","194.70"
"5","N/A","SHEATH ACCESS NAVIGATOR SS 13-15F 36CM","N/A","N/A","0272","N/A","N/A","329.74","329.74","329.74","N/A","N/A","N/A","329.74","329.74","N/A","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74"
"5","N/A","SHEATH ACCESS NAVIGATOR URETERAL 13-15F 28CM","N/A","N/A","0272","N/A","N/A","329.74","329.74","329.74","N/A","N/A","N/A","329.74","329.74","N/A","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74"
"5","N/A","SHEATH ACCESS NAVIGATOR URETERAL 13-15F 46 CM","N/A","N/A","0272","N/A","N/A","329.74","329.74","329.74","N/A","N/A","N/A","329.74","329.74","N/A","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74"
"5","N/A","SHEATH AMPLATZ OPQ 30FR 16CM","N/A","N/A","0272","N/A","N/A","85.67","85.67","85.67","N/A","N/A","N/A","85.67","85.67","N/A","85.67","85.67","85.67","85.67","85.67","85.67","85.67","85.67","85.67","85.67"
"5","N/A","SHEATH BRITE TIP BLK 9FR 11CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","SHEATH BRITE TIP GRN 6FR 5.5CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","SHEATH BRITE TIP GRY 5FR 11CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","SHEATH BRITE TIP GRY 5FR 35CM","N/A","N/A","0272","N/A","N/A","49.50","49.50","49.50","N/A","N/A","N/A","49.50","49.50","N/A","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50","49.50"
"5","N/A","SHEATH BRITE TIP ORNG 5.5CM 7","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","SHEATH BRITE TIP ORNG 7FR 11CM","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","SHEATH BRITE TIP RED 11CM 4FR","N/A","N/A","0272","N/A","N/A","28.05","28.05","28.05","N/A","N/A","N/A","28.05","28.05","N/A","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05","28.05"
"5","N/A","SHEATH DILATOR TIGHTRAIL MECH 11F","N/A","N/A","0272","N/A","N/A","7243.50","7243.50","7243.50","N/A","N/A","N/A","7243.50","7243.50","N/A","7243.50","7243.50","7243.50","7243.50","7243.50","7243.50","7243.50","7243.50","7243.50","7243.50"
"5","N/A","SHEATH GUIDING DESTINO 6.5FX65CM","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","SHEATH GUIDING DESTINO 8.5FX65CM","N/A","N/A","0272","N/A","N/A","1815.00","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","SHEATH GUIDING FLEXOR ANSEL CHECK-FLOW VALVE 5FX45MM","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","SHEATH GUIDING PINNACLE DESTINATION STR 6F 45CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","SHEATH GUIDING PINNACLE DESTINATION STR 6F 90CM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","SHEATH GUIDING PINNACLE DESTINATION STR 7F 45CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","SHEATH GUIDING PINNACLE DESTINATION STR 7F 65CM","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","SHEATH GUIDING PINNACLE DESTINATION STR 8F 45CM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","SHEATH GUIDING PINNACLE DESTINATION STR 8F 65CM","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","SHEATH GUIDING R2P DESTINATION SLENDER STR 6F 75CM","N/A","N/A","0272","N/A","N/A","937.20","937.20","937.20","N/A","N/A","N/A","937.20","937.20","N/A","937.20","937.20","937.20","937.20","937.20","937.20","937.20","937.20","937.20","937.20"
"5","N/A","SHEATH GUIDING R2P DESTINATION SLENDER STR 6F 85CM","N/A","N/A","0272","N/A","N/A","937.20","937.20","937.20","N/A","N/A","N/A","937.20","937.20","N/A","937.20","937.20","937.20","937.20","937.20","937.20","937.20","937.20","937.20","937.20"
"5","N/A","SHEATH INTRODUCER CORONARY PINNACLE .038 WIRE 5F 10CM","N/A","N/A","0272","N/A","N/A","24.75","24.75","24.75","N/A","N/A","N/A","24.75","24.75","N/A","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75"
"5","N/A","SHEATH INTRODUCER CORONARY PINNACLE .038 WIRE 7F 10CM","N/A","N/A","0272","N/A","N/A","24.75","24.75","24.75","N/A","N/A","N/A","24.75","24.75","N/A","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75"
"5","N/A","SHEATH INTRODUCER CORONARY PINNACLE .038 WIRE 8F 10CM","N/A","N/A","0272","N/A","N/A","24.75","24.75","24.75","N/A","N/A","N/A","24.75","24.75","N/A","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75"
"5","N/A","SHEATH INTRODUCER CORONARY PINNACLE .038 WIRE 9F 10CM","N/A","N/A","0272","N/A","N/A","24.75","24.75","24.75","N/A","N/A","N/A","24.75","24.75","N/A","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75"
"5","N/A","SHEATH INTRODUCER CORONARY PINNACLE 038 WIRE 6F 10CM","N/A","N/A","0272","N/A","N/A","24.75","24.75","24.75","N/A","N/A","N/A","24.75","24.75","N/A","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75","24.75"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 20F 33CM","N/A","N/A","0272","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 12F 33CM","N/A","N/A","0272","N/A","N/A","1122.00","1122.00","1122.00","N/A","N/A","N/A","1122.00","1122.00","N/A","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 14F 33CM","N/A","N/A","0272","N/A","N/A","1122.00","1122.00","1122.00","N/A","N/A","N/A","1122.00","1122.00","N/A","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 15F 33CM","N/A","N/A","0272","N/A","N/A","1122.00","1122.00","1122.00","N/A","N/A","N/A","1122.00","1122.00","N/A","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 16F 33CM","N/A","N/A","0272","N/A","N/A","1122.00","1122.00","1122.00","N/A","N/A","N/A","1122.00","1122.00","N/A","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00","1122.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 18F 33CM","N/A","N/A","0272","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 22F 33CM","N/A","N/A","0272","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 24F 33CM","N/A","N/A","0272","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","SHEATH INTRODUCER DRYSEAL FLEX 24F 65CM","N/A","N/A","0272","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","SHEATH INTRODUCER KIT 10.5F 13CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","SHEATH INTRODUCER KIT 6F 13CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","SHEATH INTRODUCER KIT 7F 13CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","SHEATH INTRODUCER KIT 8F 13CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","SHEATH INTRODUCER KIT 9.5F 13CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","SHEATH INTRODUCER PEEL-AWAY 4"","N/A","N/A","0272","N/A","N/A","115.34","115.34","115.34","N/A","N/A","N/A","115.34","115.34","N/A","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34","115.34"
"5","N/A","SHEATH LASER GLIDELIGHT 14F 50","N/A","N/A","0272","N/A","N/A","9883.50","9883.50","9883.50","N/A","N/A","N/A","9883.50","9883.50","N/A","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50"
"5","N/A","SHEATH LASER GLIDELIGHT 16F 50","N/A","N/A","0272","N/A","N/A","9883.50","9883.50","9883.50","N/A","N/A","N/A","9883.50","9883.50","N/A","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50","9883.50"
"5","N/A","SHEATH PEEL AWAY 10-12FR 54CM","N/A","N/A","0272","N/A","N/A","317.15","317.15","317.15","N/A","N/A","N/A","317.15","317.15","N/A","317.15","317.15","317.15","317.15","317.15","317.15","317.15","317.15","317.15","317.15"
"5","N/A","SHEATH RENAL CLR 34FR 17CM","N/A","N/A","0272","N/A","N/A","189.02","189.02","189.02","N/A","N/A","N/A","189.02","189.02","N/A","189.02","189.02","189.02","189.02","189.02","189.02","189.02","189.02","189.02","189.02"
"5","N/A","SHEATH SNARE 18FR 8"","N/A","N/A","0272","N/A","N/A","4.98","4.98","4.98","N/A","N/A","N/A","4.98","4.98","N/A","4.98","4.98","4.98","4.98","4.98","4.98","4.98","4.98","4.98","4.98"
"5","N/A","SHEATH STAPLER DISP ENDOWRIST","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","SHEATH STRAIGHT NEURON MAX 6F 80CM","N/A","N/A","0272","N/A","N/A","1501.50","1501.50","1501.50","N/A","N/A","N/A","1501.50","1501.50","N/A","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50"
"5","N/A","SHEATH STRAIGHT NEURON MAX 6F 90CM","N/A","N/A","0272","N/A","N/A","1501.50","1501.50","1501.50","N/A","N/A","N/A","1501.50","1501.50","N/A","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50","1501.50"
"5","N/A","SHEATH STRAIGHT PINNACLE 7FR 65CM","N/A","N/A","0272","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","SHEATH SURGICAL INSTRUMENT","N/A","N/A","0272","N/A","N/A","99.00","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","SHEATH TRANSEPTAL GUIDING TORFLEX ACUTE CURVE 8.5FRX180CM","N/A","N/A","0272","N/A","N/A","511.50","511.50","511.50","N/A","N/A","N/A","511.50","511.50","N/A","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50","511.50"
"5","N/A","SHEATH TUNNELER ORNG LG 12"","N/A","N/A","0272","N/A","N/A","191.15","191.15","191.15","N/A","N/A","N/A","191.15","191.15","N/A","191.15","191.15","191.15","191.15","191.15","191.15","191.15","191.15","191.15","191.15"
"5","N/A","SHEATH TUNNELER VASC LG 20.5"","N/A","N/A","0272","N/A","N/A","193.35","193.35","193.35","N/A","N/A","N/A","193.35","193.35","N/A","193.35","193.35","193.35","193.35","193.35","193.35","193.35","193.35","193.35","193.35"
"5","N/A","SHEATH TUNNELER VASC SM 20.5"","N/A","N/A","0272","N/A","N/A","188.76","188.76","188.76","N/A","N/A","N/A","188.76","188.76","N/A","188.76","188.76","188.76","188.76","188.76","188.76","188.76","188.76","188.76","188.76"
"5","N/A","SHEATH TUNNELER YEL SM 12"","N/A","N/A","0272","N/A","N/A","189.39","189.39","189.39","N/A","N/A","N/A","189.39","189.39","N/A","189.39","189.39","189.39","189.39","189.39","189.39","189.39","189.39","189.39","189.39"
"5","N/A","SHEATH ULTRASOUND PROBE & CORD COVER 6X58"","N/A","N/A","0272","N/A","N/A","24.60","24.60","24.60","N/A","N/A","N/A","24.60","24.60","N/A","24.60","24.60","24.60","24.60","24.60","24.60","24.60","24.60","24.60","24.60"
"5","N/A","SHEATH URETERAL ACCESS HD NAVIGATOR 13-15F 36CM","N/A","N/A","0272","N/A","N/A","396.76","396.76","396.76","N/A","N/A","N/A","396.76","396.76","N/A","396.76","396.76","396.76","396.76","396.76","396.76","396.76","396.76","396.76","396.76"
"5","N/A","SHEATH URETERAL ACCESS NAVIGATOR 11-13F 36CM","N/A","N/A","0272","N/A","N/A","329.74","329.74","329.74","N/A","N/A","N/A","329.74","329.74","N/A","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74","329.74"
"5","N/A","SHEATH URETERAL ACCESS NAVIGATOR HD 11-13F 36CM","N/A","N/A","0272","N/A","N/A","396.76","396.76","396.76","N/A","N/A","N/A","396.76","396.76","N/A","396.76","396.76","396.76","396.76","396.76","396.76","396.76","396.76","396.76","396.76"
"5","N/A","SHEET SILASTIC SILICONE .51MM THK 5X5CM","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","SHIELD ANGIO RADPAD FEMORAL ENTRY ORANGE","N/A","N/A","0272","N/A","N/A","122.10","122.10","122.10","N/A","N/A","N/A","122.10","122.10","N/A","122.10","122.10","122.10","122.10","122.10","122.10","122.10","122.10","122.10","122.10"
"5","N/A","SHIELD BREAST MEDELA PERSONALFIT 21MM","N/A","N/A","0272","N/A","N/A","14.69","14.69","14.69","N/A","N/A","N/A","14.69","14.69","N/A","14.69","14.69","14.69","14.69","14.69","14.69","14.69","14.69","14.69","14.69"
"5","N/A","SHIELD BREAST PERSONALFIT XL 30MM","N/A","N/A","0272","N/A","N/A","6.33","6.33","6.33","N/A","N/A","N/A","6.33","6.33","N/A","6.33","6.33","6.33","6.33","6.33","6.33","6.33","6.33","6.33","6.33"
"5","N/A","SHIELD BREAST PERSONALFIT XXL 36MM","N/A","N/A","0272","N/A","N/A","8.13","8.13","8.13","N/A","N/A","N/A","8.13","8.13","N/A","8.13","8.13","8.13","8.13","8.13","8.13","8.13","8.13","8.13","8.13"
"5","N/A","SHIELD CORNEAL SOFT SHIELD","N/A","N/A","0272","N/A","N/A","139.26","139.26","139.26","N/A","N/A","N/A","139.26","139.26","N/A","139.26","139.26","139.26","139.26","139.26","139.26","139.26","139.26","139.26","139.26"
"5","N/A","SHIELD EYE AL RUB SAFE-EDGE","N/A","N/A","0272","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","SHIELD EYE ALUMINUM FOX","N/A","N/A","0272","N/A","N/A","7.58","7.58","7.58","N/A","N/A","N/A","7.58","7.58","N/A","7.58","7.58","7.58","7.58","7.58","7.58","7.58","7.58","7.58","7.58"
"5","N/A","SHIELD EYE UV PROT CLR UNIV","N/A","N/A","0272","N/A","N/A","3.50","3.50","3.50","N/A","N/A","N/A","3.50","3.50","N/A","3.50","3.50","3.50","3.50","3.50","3.50","3.50","3.50","3.50","3.50"
"5","N/A","SHIELD SCATTER ARMOR EP LEFT SUBCLAVIAN","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SHIMS FIXATION MAXCESS","N/A","N/A","0272","N/A","N/A","1227.60","1227.60","1227.60","N/A","N/A","N/A","1227.60","1227.60","N/A","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60","1227.60"
"5","N/A","SHUNT CAROTID 12F 15.5CM","N/A","N/A","0272","N/A","N/A","288.42","288.42","288.42","N/A","N/A","N/A","288.42","288.42","N/A","288.42","288.42","288.42","288.42","288.42","288.42","288.42","288.42","288.42","288.42"
"5","N/A","SHUNT CAROTID ARTERY KT BEVELED","N/A","N/A","0272","N/A","N/A","85.74","85.74","85.74","N/A","N/A","N/A","85.74","85.74","N/A","85.74","85.74","85.74","85.74","85.74","85.74","85.74","85.74","85.74","85.74"
"5","N/A","SHUNT CAROTID BRENER 14FR 13CM","N/A","N/A","0272","N/A","N/A","294.20","294.20","294.20","N/A","N/A","N/A","294.20","294.20","N/A","294.20","294.20","294.20","294.20","294.20","294.20","294.20","294.20","294.20","294.20"
"5","N/A","SHUNT CAROTID PRUITT F3 W/T-PORT 9F 15CM","N/A","N/A","0272","N/A","N/A","2975.50","2975.50","2975.50","N/A","N/A","N/A","2975.50","2975.50","N/A","2975.50","2975.50","2975.50","2975.50","2975.50","2975.50","2975.50","2975.50","2975.50","2975.50"
"5","N/A","SHUNT CORONARY CLEARVIEW 1.25MM","N/A","N/A","0272","N/A","N/A","221.47","221.47","221.47","N/A","N/A","N/A","221.47","221.47","N/A","221.47","221.47","221.47","221.47","221.47","221.47","221.47","221.47","221.47","221.47"
"5","N/A","SHUNT CORONARY CLEARVIEW 1.5MM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","SHUNT CORONARY CLEARVIEW 1.75MM","N/A","N/A","0272","N/A","N/A","268.42","268.42","268.42","N/A","N/A","N/A","268.42","268.42","N/A","268.42","268.42","268.42","268.42","268.42","268.42","268.42","268.42","268.42","268.42"
"5","N/A","SHUNT CORONARY CLEARVIEW 2.25MM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","SHUNT CORONARY CLEARVIEW 2.5MM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","SHUNT CORONARY CLEARVIEW 2MM","N/A","N/A","0272","N/A","N/A","268.42","268.42","268.42","N/A","N/A","N/A","268.42","268.42","N/A","268.42","268.42","268.42","268.42","268.42","268.42","268.42","268.42","268.42","268.42"
"5","N/A","SIGMOIDOSCOPE STERILE","N/A","N/A","0272","N/A","N/A","34.34","34.34","34.34","N/A","N/A","N/A","34.34","34.34","N/A","34.34","34.34","34.34","34.34","34.34","34.34","34.34","34.34","34.34","34.34"
"5","N/A","SIZER BREAST INSPIRA F 520CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST INSPIRA F 560CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST INSPIRA M 485CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SI MSZ-F 365CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SI MSZ-F REUSE 295CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SI MSZ-F REUSE 650CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SI MSZ-F REUSE 745CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SIENTRA ROUND 485CC","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","SIZER BREAST SILICONE STYLE MSZ-X 400CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SRX 445CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SRX 495CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER BREAST SRX 650CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SIZER CAGE SCREW ECLIPSE","N/A","N/A","0272","N/A","N/A","312.18","312.18","312.18","N/A","N/A","N/A","312.18","312.18","N/A","312.18","312.18","312.18","312.18","312.18","312.18","312.18","312.18","312.18","312.18"
"5","N/A","SIZER GEL MEMORY SHAPE LM+ 570CC","N/A","N/A","0272","N/A","N/A","990.00","990.00","990.00","N/A","N/A","N/A","990.00","990.00","N/A","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00"
"5","N/A","SIZER GEL MEMORY SHAPE MM 375CC","N/A","N/A","0272","N/A","N/A","1006.50","1006.50","1006.50","N/A","N/A","N/A","1006.50","1006.50","N/A","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50","1006.50"
"5","N/A","SIZER GEL ROUND HIGH 415CC","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","SIZER GEL ROUND HIGH 440CC","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","SIZER GEL ROUND HIGH 620CC","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","SIZER GEL ROUND HIGH 700CC","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","SIZER GEL ROUND MP 175CC","N/A","N/A","0272","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","SIZER SILICONE STYLE MSZ-X 375CC","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SLEEVE CAMERA STERILE TEAR OFF","N/A","N/A","0272","N/A","N/A","19.80","19.80","19.80","N/A","N/A","N/A","19.80","19.80","N/A","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80"
"5","N/A","SLEEVE CANNULA ABD ACS KII 5X100MM","N/A","N/A","0272","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","SLEEVE CANNULA ADVANCED KII 12X100MM","N/A","N/A","0272","N/A","N/A","47.03","47.03","47.03","N/A","N/A","N/A","47.03","47.03","N/A","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03"
"5","N/A","SLEEVE CANNULA Z THRD KII 11X100MM","N/A","N/A","0272","N/A","N/A","47.03","47.03","47.03","N/A","N/A","N/A","47.03","47.03","N/A","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03"
"5","N/A","SLEEVE CANNULA Z THRD KII 12X100MM","N/A","N/A","0272","N/A","N/A","47.03","47.03","47.03","N/A","N/A","N/A","47.03","47.03","N/A","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03","47.03"
"5","N/A","SLEEVE CANNULA Z THRD KII 5X100MM","N/A","N/A","0272","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","SLEEVE COMPRESSION ' CUFF RPRC SCD MD","N/A","N/A","0272","N/A","N/A","31.35","31.35","31.35","N/A","N/A","N/A","31.35","31.35","N/A","31.35","31.35","31.35","31.35","31.35","31.35","31.35","31.35","31.35","31.35"
"5","N/A","SLEEVE COMPRESSION KNEE BLENDED MEDIUM","N/A","N/A","0272","N/A","N/A","32.76","32.76","32.76","N/A","N/A","N/A","32.76","32.76","N/A","32.76","32.76","32.76","32.76","32.76","32.76","32.76","32.76","32.76","32.76"
"5","N/A","SLEEVE COMPRESSION KNEE BLENDED SMALL","N/A","N/A","0272","N/A","N/A","83.79","83.79","83.79","N/A","N/A","N/A","83.79","83.79","N/A","83.79","83.79","83.79","83.79","83.79","83.79","83.79","83.79","83.79","83.79"
"5","N/A","SLEEVE COMPRESSION KNEE LG","N/A","N/A","0272","N/A","N/A","68.00","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","SLEEVE COMPRESSION KNEE XL","N/A","N/A","0272","N/A","N/A","109.64","109.64","109.64","N/A","N/A","N/A","109.64","109.64","N/A","109.64","109.64","109.64","109.64","109.64","109.64","109.64","109.64","109.64","109.64"
"5","N/A","SLEEVE DRILL 3.2/1.6MM","N/A","N/A","0272","N/A","N/A","580.80","580.80","580.80","N/A","N/A","N/A","580.80","580.80","N/A","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80"
"5","N/A","SLEEVE IRRIGATION EYE ULTRA SM 0.9MM","N/A","N/A","0272","N/A","N/A","142.07","142.07","142.07","N/A","N/A","N/A","142.07","142.07","N/A","142.07","142.07","142.07","142.07","142.07","142.07","142.07","142.07","142.07","142.07"
"5","N/A","SLEEVE IRRIGATION SHORT 12CM","N/A","N/A","0272","N/A","N/A","221.10","221.10","221.10","N/A","N/A","N/A","221.10","221.10","N/A","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10","221.10"
"5","N/A","SLEEVE LOCKING EVOLUTION SYNFIX","N/A","N/A","0272","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","SLEEVE PROTECTION EVOLUTION SYNFIX","N/A","N/A","0272","N/A","N/A","94.41","94.41","94.41","N/A","N/A","N/A","94.41","94.41","N/A","94.41","94.41","94.41","94.41","94.41","94.41","94.41","94.41","94.41","94.41"
"5","N/A","SLEEVE PROTECTION OUTER STER 12MM","N/A","N/A","0272","N/A","N/A","328.68","328.68","328.68","N/A","N/A","N/A","328.68","328.68","N/A","328.68","328.68","328.68","328.68","328.68","328.68","328.68","328.68","328.68","328.68"
"5","N/A","SLEEVE PROTECTION OUTER STER 14.5MM","N/A","N/A","0272","N/A","N/A","328.68","328.68","328.68","N/A","N/A","N/A","328.68","328.68","N/A","328.68","328.68","328.68","328.68","328.68","328.68","328.68","328.68","328.68","328.68"
"5","N/A","SLEEVE REPOSITIONING W/HEMO 9F 30CM","N/A","N/A","0272","N/A","N/A","19.80","19.80","19.80","N/A","N/A","N/A","19.80","19.80","N/A","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80"
"5","N/A","SLEEVE SUCTION NEPTUNE 125MM","N/A","N/A","0272","N/A","N/A","13.69","13.69","13.69","N/A","N/A","N/A","13.69","13.69","N/A","13.69","13.69","13.69","13.69","13.69","13.69","13.69","13.69","13.69","13.69"
"5","N/A","SLEEVE SUCTION NEPTUNE 165MM","N/A","N/A","0272","N/A","N/A","13.69","13.69","13.69","N/A","N/A","N/A","13.69","13.69","N/A","13.69","13.69","13.69","13.69","13.69","13.69","13.69","13.69","13.69","13.69"
"5","N/A","SLEEVE TRACTION STAR COBAN","N/A","N/A","0272","N/A","N/A","330.00","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","SLING BAND DISP","N/A","N/A","0272","N/A","N/A","69.96","69.96","69.96","N/A","N/A","N/A","69.96","69.96","N/A","69.96","69.96","69.96","69.96","69.96","69.96","69.96","69.96","69.96","69.96"
"5","N/A","SLING LIFT SYSTEMROMEDIC THORAX LARGE","N/A","N/A","0272","N/A","N/A","195.86","195.86","195.86","N/A","N/A","N/A","195.86","195.86","N/A","195.86","195.86","195.86","195.86","195.86","195.86","195.86","195.86","195.86","195.86"
"5","N/A","SLING LIFT SYSTEMROMEDIC THORAX MEDIUM","N/A","N/A","0272","N/A","N/A","191.93","191.93","191.93","N/A","N/A","N/A","191.93","191.93","N/A","191.93","191.93","191.93","191.93","191.93","191.93","191.93","191.93","191.93","191.93"
"5","N/A","SLING LIFT SYSTEMROMEDIC THORAX SMALL","N/A","N/A","0272","N/A","N/A","188.65","188.65","188.65","N/A","N/A","N/A","188.65","188.65","N/A","188.65","188.65","188.65","188.65","188.65","188.65","188.65","188.65","188.65","188.65"
"5","N/A","SLING LIFT SYSTEMROMEDIC THROAX X-LARGE","N/A","N/A","0272","N/A","N/A","207.65","207.65","207.65","N/A","N/A","N/A","207.65","207.65","N/A","207.65","207.65","207.65","207.65","207.65","207.65","207.65","207.65","207.65","207.65"
"5","N/A","SLING PATIENT UNIVERSAL WGS LARGE","N/A","N/A","0272","N/A","N/A","110.22","110.22","110.22","N/A","N/A","N/A","110.22","110.22","N/A","110.22","110.22","110.22","110.22","110.22","110.22","110.22","110.22","110.22","110.22"
"5","N/A","SLING PATIENT UNIVERSAL WGS MEDIUM","N/A","N/A","0272","N/A","N/A","102.63","102.63","102.63","N/A","N/A","N/A","102.63","102.63","N/A","102.63","102.63","102.63","102.63","102.63","102.63","102.63","102.63","102.63","102.63"
"5","N/A","SLING PATIENT UNIVERSAL WGS SMALL","N/A","N/A","0272","N/A","N/A","88.11","88.11","88.11","N/A","N/A","N/A","88.11","88.11","N/A","88.11","88.11","88.11","88.11","88.11","88.11","88.11","88.11","88.11","88.11"
"5","N/A","SLING PATIENT UNIVERSAL WGS X-LARGE","N/A","N/A","0272","N/A","N/A","121.11","121.11","121.11","N/A","N/A","N/A","121.11","121.11","N/A","121.11","121.11","121.11","121.11","121.11","121.11","121.11","121.11","121.11","121.11"
"5","N/A","SLING POSITIONING RESILIENT WGS 78X44"","N/A","N/A","0272","N/A","N/A","135.51","135.51","135.51","N/A","N/A","N/A","135.51","135.51","N/A","135.51","135.51","135.51","135.51","135.51","135.51","135.51","135.51","135.51","135.51"
"5","N/A","SNARE AMPLATZ KIT 6F 25MMX120CM","N/A","N/A","0272","N/A","N/A","986.37","986.37","986.37","N/A","N/A","N/A","986.37","986.37","N/A","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37"
"5","N/A","SNARE AMPLATZ KIT 6F 35MMX120CM","N/A","N/A","0272","N/A","N/A","986.37","986.37","986.37","N/A","N/A","N/A","986.37","986.37","N/A","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37","986.37"
"5","N/A","SNARE DUCK BILL ACUSNARE 25M","N/A","N/A","0272","N/A","N/A","123.75","123.75","123.75","N/A","N/A","N/A","123.75","123.75","N/A","123.75","123.75","123.75","123.75","123.75","123.75","123.75","123.75","123.75","123.75"
"5","N/A","SNARE ENDOSCOPIC RND STIFF 10MM","N/A","N/A","0272","N/A","N/A","30.11","30.11","30.11","N/A","N/A","N/A","30.11","30.11","N/A","30.11","30.11","30.11","30.11","30.11","30.11","30.11","30.11","30.11","30.11"
"5","N/A","SNARE ENDOSCOPIC RND STIFF 15MM","N/A","N/A","0272","N/A","N/A","30.11","30.11","30.11","N/A","N/A","N/A","30.11","30.11","N/A","30.11","30.11","30.11","30.11","30.11","30.11","30.11","30.11","30.11","30.11"
"5","N/A","SNARE ENDOVASCULAR 12-20MMX120CM","N/A","N/A","0272","N/A","N/A","1092.30","1092.30","1092.30","N/A","N/A","N/A","1092.30","1092.30","N/A","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30","1092.30"
"5","N/A","SNARE EXACTO COLD 9MMX230CM","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","SNARE MICRO AMPLATZ GN 2.3-3F 4MMX200CM","N/A","N/A","0272","N/A","N/A","2069.76","2069.76","2069.76","N/A","N/A","N/A","2069.76","2069.76","N/A","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76"
"5","N/A","SNARE MICRO AMPLATZ GN 2.3-3F 7MMX200CM","N/A","N/A","0272","N/A","N/A","2069.76","2069.76","2069.76","N/A","N/A","N/A","2069.76","2069.76","N/A","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76","2069.76"
"5","N/A","SNARE MUCOSECTOMY DUETTE 2.8MM","N/A","N/A","0272","N/A","N/A","1049.40","1049.40","1049.40","N/A","N/A","N/A","1049.40","1049.40","N/A","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40"
"5","N/A","SNARE POLYPECTOMY CAPTIVATOR COLD 10MM","N/A","N/A","0272","N/A","N/A","56.10","56.10","56.10","N/A","N/A","N/A","56.10","56.10","N/A","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10"
"5","N/A","SNARE POLYPECTOMY MICRO HEX 13","N/A","N/A","0272","N/A","N/A","45.21","45.21","45.21","N/A","N/A","N/A","45.21","45.21","N/A","45.21","45.21","45.21","45.21","45.21","45.21","45.21","45.21","45.21","45.21"
"5","N/A","SNARE POLYPECTOMY OVAL 2.4X13","N/A","N/A","0272","N/A","N/A","64.35","64.35","64.35","N/A","N/A","N/A","64.35","64.35","N/A","64.35","64.35","64.35","64.35","64.35","64.35","64.35","64.35","64.35","64.35"
"5","N/A","SNARE POLYPECTOMY OVAL 2.8X13MM","N/A","N/A","0272","N/A","N/A","60.72","60.72","60.72","N/A","N/A","N/A","60.72","60.72","N/A","60.72","60.72","60.72","60.72","60.72","60.72","60.72","60.72","60.72","60.72"
"5","N/A","SNARE POLYPECTOMY OVAL 240CM","N/A","N/A","0272","N/A","N/A","29.37","29.37","29.37","N/A","N/A","N/A","29.37","29.37","N/A","29.37","29.37","29.37","29.37","29.37","29.37","29.37","29.37","29.37","29.37"
"5","N/A","SNARE POLYPECTOMY RND STF 2.8X33MM CAPIIM","N/A","N/A","0272","N/A","N/A","50.09","50.09","50.09","N/A","N/A","N/A","50.09","50.09","N/A","50.09","50.09","50.09","50.09","50.09","50.09","50.09","50.09","50.09","50.09"
"5","N/A","SNARE POLYPECTOMY STD 27MM","N/A","N/A","0272","N/A","N/A","47.85","47.85","47.85","N/A","N/A","N/A","47.85","47.85","N/A","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85","47.85"
"5","N/A","SNARE RETRIEVAL SPYGLASS 9MMX286CM","N/A","N/A","0272","N/A","N/A","1702.80","1702.80","1702.80","N/A","N/A","N/A","1702.80","1702.80","N/A","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80","1702.80"
"5","N/A","SNARE WIRE ELECTROSURGICAL OVAL 10MM","N/A","N/A","0272","N/A","N/A","30.88","30.88","30.88","N/A","N/A","N/A","30.88","30.88","N/A","30.88","30.88","30.88","30.88","30.88","30.88","30.88","30.88","30.88","30.88"
"5","N/A","SNARE WIRE ELECTROSURGICAL OVAL 20MM","N/A","N/A","0272","N/A","N/A","74.26","74.26","74.26","N/A","N/A","N/A","74.26","74.26","N/A","74.26","74.26","74.26","74.26","74.26","74.26","74.26","74.26","74.26","74.26"
"5","N/A","SNARE WIRE ELECTROSURGICAL SOFT OVAL 10MM","N/A","N/A","0272","N/A","N/A","30.88","30.88","30.88","N/A","N/A","N/A","30.88","30.88","N/A","30.88","30.88","30.88","30.88","30.88","30.88","30.88","30.88","30.88","30.88"
"5","N/A","SOLUTION ANTICOAGULANT CITRATE DEX A (ACD-A) 750ML","N/A","N/A","0272","N/A","N/A","47.69","47.69","47.69","N/A","N/A","N/A","47.69","47.69","N/A","47.69","47.69","47.69","47.69","47.69","47.69","47.69","47.69","47.69","47.69"
"5","N/A","SOLUTION BACTISURE WOUND LAVAGE 1000ML","N/A","N/A","0272","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","SOLUTION BLEACH/H20 DAKINS FULL STRENGTH 16 OZ","N/A","N/A","0272","N/A","N/A","34.16","34.16","34.16","N/A","N/A","N/A","34.16","34.16","N/A","34.16","34.16","34.16","34.16","34.16","34.16","34.16","34.16","34.16","34.16"
"5","N/A","SOLUTION BLEACH/H20 DAKINS HALF STRENGTH 16 OZ","N/A","N/A","0272","N/A","N/A","34.62","34.62","34.62","N/A","N/A","N/A","34.62","34.62","N/A","34.62","34.62","34.62","34.62","34.62","34.62","34.62","34.62","34.62","34.62"
"5","N/A","SOLUTION BLEACH/H2O DAKINS QUARTER STRENGTH 16 OZ","N/A","N/A","0272","N/A","N/A","34.62","34.62","34.62","N/A","N/A","N/A","34.62","34.62","N/A","34.62","34.62","34.62","34.62","34.62","34.62","34.62","34.62","34.62","34.62"
"5","N/A","SOLUTION INHALATION AIRLIFE WATER 2000 ML","N/A","N/A","0272","N/A","N/A","16.50","16.50","16.50","N/A","N/A","N/A","16.50","16.50","N/A","16.50","16.50","16.50","16.50","16.50","16.50","16.50","16.50","16.50","16.50"
"5","N/A","SOLUTION INHALATION H2O 1000ML","N/A","N/A","0272","N/A","N/A","12.71","12.71","12.71","N/A","N/A","N/A","12.71","12.71","N/A","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71","12.71"
"5","N/A","SOLUTION INTRAVENOUS 0.9% NS 100ML","N/A","N/A","0272","N/A","N/A","7.24","7.24","7.24","N/A","N/A","N/A","7.24","7.24","N/A","7.24","7.24","7.24","7.24","7.24","7.24","7.24","7.24","7.24","7.24"
"5","N/A","SOLUTION INTRAVENOUS D5LR 500ML","N/A","N/A","0272","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION IRRIGATION NS PIC 500ML","N/A","N/A","0272","N/A","N/A","8.91","8.91","8.91","N/A","N/A","N/A","8.91","8.91","N/A","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91","8.91"
"5","N/A","SOLUTION IRRIGATION WND PRONTOSAN 1000ML","N/A","N/A","0272","N/A","N/A","359.70","359.70","359.70","N/A","N/A","N/A","359.70","359.70","N/A","359.70","359.70","359.70","359.70","359.70","359.70","359.70","359.70","359.70","359.70"
"5","N/A","SOLUTION PHOXILLUM W/ CALCIUM BK 4/2.5 5ML","N/A","N/A","0272","N/A","N/A","136.23","136.23","136.23","N/A","N/A","N/A","136.23","136.23","N/A","136.23","136.23","136.23","136.23","136.23","136.23","136.23","136.23","136.23","136.23"
"5","N/A","SPECULUM VAGINAL KLEENSPEC 590 LED LRG DISP","N/A","N/A","0272","N/A","N/A","22.54","22.54","22.54","N/A","N/A","N/A","22.54","22.54","N/A","22.54","22.54","22.54","22.54","22.54","22.54","22.54","22.54","22.54","22.54"
"5","N/A","SPECULUM VAGINAL KLEENSPEC 590 LED MED DISP","N/A","N/A","0272","N/A","N/A","12.51","12.51","12.51","N/A","N/A","N/A","12.51","12.51","N/A","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51"
"5","N/A","SPECULUM VAGINAL KLEENSPEC 590 LED SM DISP","N/A","N/A","0272","N/A","N/A","12.51","12.51","12.51","N/A","N/A","N/A","12.51","12.51","N/A","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51"
"5","N/A","SPHINCTEROTOME 0.035" 5-7FR","N/A","N/A","0272","N/A","N/A","619.77","619.77","619.77","N/A","N/A","N/A","619.77","619.77","N/A","619.77","619.77","619.77","619.77","619.77","619.77","619.77","619.77","619.77","619.77"
"5","N/A","SPHINCTEROTOME BILLROTH II 6-5","N/A","N/A","0272","N/A","N/A","673.20","673.20","673.20","N/A","N/A","N/A","673.20","673.20","N/A","673.20","673.20","673.20","673.20","673.20","673.20","673.20","673.20","673.20","673.20"
"5","N/A","SPHINCTEROTOME DREAMTOME 4.4FR","N/A","N/A","0272","N/A","N/A","1339.64","1339.64","1339.64","N/A","N/A","N/A","1339.64","1339.64","N/A","1339.64","1339.64","1339.64","1339.64","1339.64","1339.64","1339.64","1339.64","1339.64","1339.64"
"5","N/A","SPHINCTEROTOME JAGTOME RX 3.9","N/A","N/A","0272","N/A","N/A","999.90","999.90","999.90","N/A","N/A","N/A","999.90","999.90","N/A","999.90","999.90","999.90","999.90","999.90","999.90","999.90","999.90","999.90","999.90"
"5","N/A","SPIKE SCREW SAFTEY 1L FLUSH BG","N/A","N/A","0272","N/A","N/A","12.32","12.32","12.32","N/A","N/A","N/A","12.32","12.32","N/A","12.32","12.32","12.32","12.32","12.32","12.32","12.32","12.32","12.32","12.32"
"5","N/A","SPIROMETER INCENTIVE 5000ML","N/A","N/A","0272","N/A","N/A","8.43","8.43","8.43","N/A","N/A","N/A","8.43","8.43","N/A","8.43","8.43","8.43","8.43","8.43","8.43","8.43","8.43","8.43","8.43"
"5","N/A","SPLINT CAST CONFORMABLE 5X30"","N/A","N/A","0272","N/A","N/A","38.79","38.79","38.79","N/A","N/A","N/A","38.79","38.79","N/A","38.79","38.79","38.79","38.79","38.79","38.79","38.79","38.79","38.79","38.79"
"5","N/A","SPLINT INTRANASAL SI AWY H","N/A","N/A","0272","N/A","N/A","227.27","227.27","227.27","N/A","N/A","N/A","227.27","227.27","N/A","227.27","227.27","227.27","227.27","227.27","227.27","227.27","227.27","227.27","227.27"
"5","N/A","SPLINT NASAL DOYLE II AIRWAY","N/A","N/A","0272","N/A","N/A","224.40","224.40","224.40","N/A","N/A","N/A","224.40","224.40","N/A","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40","224.40"
"5","N/A","SPONGE ABSORBABLE SURGIFOAM 10X12.5X8CM","N/A","N/A","0272","N/A","N/A","87.66","87.66","87.66","N/A","N/A","N/A","87.66","87.66","N/A","87.66","87.66","87.66","87.66","87.66","87.66","87.66","87.66","87.66","87.66"
"5","N/A","SPONGE COLLAGEN STER BICOL 3X4"","N/A","N/A","0272","N/A","N/A","393.69","393.69","393.69","N/A","N/A","N/A","393.69","393.69","N/A","393.69","393.69","393.69","393.69","393.69","393.69","393.69","393.69","393.69","393.69"
"5","N/A","SPONGE GELATIN EMBOCUBE 2.5MMX50MG","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SPONGE GELATIN SZ 12-7 2X6CMX77MM","N/A","N/A","0272","N/A","N/A","19.12","19.12","19.12","N/A","N/A","N/A","19.12","19.12","N/A","19.12","19.12","19.12","19.12","19.12","19.12","19.12","19.12","19.12","19.12"
"5","N/A","SPRAY ENDOSCOPIC HEMOSTAT NON VARICEAL 10F","N/A","N/A","0272","N/A","N/A","8085.00","8085.00","8085.00","N/A","N/A","N/A","8085.00","8085.00","N/A","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00"
"5","N/A","SPRAY ENDOSCOPIC HEMOSTAT NON VARICEAL 7F","N/A","N/A","0272","N/A","N/A","8085.00","8085.00","8085.00","N/A","N/A","N/A","8085.00","8085.00","N/A","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00","8085.00"
"5","N/A","SPRAY RADIAL IM TIP 22.86X89CM HI-CAP","N/A","N/A","0272","N/A","N/A","33.00","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","SPRAY WOUND DEBRI TIP PULSAVAC HI-CAP","N/A","N/A","0272","N/A","N/A","16.83","16.83","16.83","N/A","N/A","N/A","16.83","16.83","N/A","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83"
"5","N/A","STABILIZER CARDIAC OCTOPUS 4.3","N/A","N/A","0272","N/A","N/A","2557.50","2557.50","2557.50","N/A","N/A","N/A","2557.50","2557.50","N/A","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50","2557.50"
"5","N/A","STABILIZER EZ-IO 5.75X5.25X1.25" 17GM DRSSG","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","STABILIZER PELVIC ADJ T-POD","N/A","N/A","0272","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","STABILIZER SURGICAL URCHIN HEART","N/A","N/A","0272","N/A","N/A","2623.50","2623.50","2623.50","N/A","N/A","N/A","2623.50","2623.50","N/A","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50","2623.50"
"5","N/A","STABILIZER TISSUE HEART OCTOPUS 4.3","N/A","N/A","0272","N/A","N/A","3291.75","3291.75","3291.75","N/A","N/A","N/A","3291.75","3291.75","N/A","3291.75","3291.75","3291.75","3291.75","3291.75","3291.75","3291.75","3291.75","3291.75","3291.75"
"5","N/A","STAPLER CURVED CONTOUR GRN 2MM","N/A","N/A","0272","N/A","N/A","2317.33","2317.33","2317.33","N/A","N/A","N/A","2317.33","2317.33","N/A","2317.33","2317.33","2317.33","2317.33","2317.33","2317.33","2317.33","2317.33","2317.33","2317.33"
"5","N/A","STAPLER ENDOSCOPIC EEA BLU 28X4.8MM","N/A","N/A","0272","N/A","N/A","993.15","993.15","993.15","N/A","N/A","N/A","993.15","993.15","N/A","993.15","993.15","993.15","993.15","993.15","993.15","993.15","993.15","993.15","993.15"
"5","N/A","STAPLER ENDOSCOPIC EEA GRN 31X4.8MM","N/A","N/A","0272","N/A","N/A","1005.24","1005.24","1005.24","N/A","N/A","N/A","1005.24","1005.24","N/A","1005.24","1005.24","1005.24","1005.24","1005.24","1005.24","1005.24","1005.24","1005.24","1005.24"
"5","N/A","STAPLER ENDOSCOPIC EEA WHT 25X4.8MM","N/A","N/A","0272","N/A","N/A","993.15","993.15","993.15","N/A","N/A","N/A","993.15","993.15","N/A","993.15","993.15","993.15","993.15","993.15","993.15","993.15","993.15","993.15","993.15"
"5","N/A","STAPLER ENDOSCOPIC EEA YEL 33X4.8MM","N/A","N/A","0272","N/A","N/A","966.57","966.57","966.57","N/A","N/A","N/A","966.57","966.57","N/A","966.57","966.57","966.57","966.57","966.57","966.57","966.57","966.57","966.57","966.57"
"5","N/A","STAPLER INTERNAL DST TA 3.5X30MM","N/A","N/A","0272","N/A","N/A","286.65","286.65","286.65","N/A","N/A","N/A","286.65","286.65","N/A","286.65","286.65","286.65","286.65","286.65","286.65","286.65","286.65","286.65","286.65"
"5","N/A","STAPLER INTERNAL DST TA 3.5X60MM","N/A","N/A","0272","N/A","N/A","288.55","288.55","288.55","N/A","N/A","N/A","288.55","288.55","N/A","288.55","288.55","288.55","288.55","288.55","288.55","288.55","288.55","288.55","288.55"
"5","N/A","STAPLER INTERNAL EEA 3.5X33MM","N/A","N/A","0272","N/A","N/A","1269.97","1269.97","1269.97","N/A","N/A","N/A","1269.97","1269.97","N/A","1269.97","1269.97","1269.97","1269.97","1269.97","1269.97","1269.97","1269.97","1269.97","1269.97"
"5","N/A","STAPLER INTERNAL EEA CIRCULAR 31MM","N/A","N/A","0272","N/A","N/A","1144.94","1144.94","1144.94","N/A","N/A","N/A","1144.94","1144.94","N/A","1144.94","1144.94","1144.94","1144.94","1144.94","1144.94","1144.94","1144.94","1144.94","1144.94"
"5","N/A","STAPLER INTERNAL EEA ORVIL ADVANCED PGS 25MM","N/A","N/A","0272","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","STAPLER INTERNAL EEA XL 25X3.5MM","N/A","N/A","0272","N/A","N/A","1233.21","1233.21","1233.21","N/A","N/A","N/A","1233.21","1233.21","N/A","1233.21","1233.21","1233.21","1233.21","1233.21","1233.21","1233.21","1233.21","1233.21","1233.21"
"5","N/A","STAPLER INTERNAL EPTH ETS 45MM","N/A","N/A","0272","N/A","N/A","3193.43","3193.43","3193.43","N/A","N/A","N/A","3193.43","3193.43","N/A","3193.43","3193.43","3193.43","3193.43","3193.43","3193.43","3193.43","3193.43","3193.43","3193.43"
"5","N/A","STAPLER INTERNAL GIA MD THK 45MM","N/A","N/A","0272","N/A","N/A","1159.72","1159.72","1159.72","N/A","N/A","N/A","1159.72","1159.72","N/A","1159.72","1159.72","1159.72","1159.72","1159.72","1159.72","1159.72","1159.72","1159.72","1159.72"
"5","N/A","STAPLER INTERNAL GIA ULTRA UNIV STD","N/A","N/A","0272","N/A","N/A","370.34","370.34","370.34","N/A","N/A","N/A","370.34","370.34","N/A","370.34","370.34","370.34","370.34","370.34","370.34","370.34","370.34","370.34","370.34"
"5","N/A","STAPLER INTERNAL GIA ULTRA UNIV XL","N/A","N/A","0272","N/A","N/A","598.47","598.47","598.47","N/A","N/A","N/A","598.47","598.47","N/A","598.47","598.47","598.47","598.47","598.47","598.47","598.47","598.47","598.47","598.47"
"5","N/A","STAPLER INTERNAL RELOAD SS 3.5X90MM","N/A","N/A","0272","N/A","N/A","316.81","316.81","316.81","N/A","N/A","N/A","316.81","316.81","N/A","316.81","316.81","316.81","316.81","316.81","316.81","316.81","316.81","316.81","316.81"
"5","N/A","STAPLER INTERNAL RELOAD SS 3.8X30MM","N/A","N/A","0272","N/A","N/A","322.40","322.40","322.40","N/A","N/A","N/A","322.40","322.40","N/A","322.40","322.40","322.40","322.40","322.40","322.40","322.40","322.40","322.40","322.40"
"5","N/A","STAPLER INTERNAL RELOAD TI 4.8X45MM","N/A","N/A","0272","N/A","N/A","420.62","420.62","420.62","N/A","N/A","N/A","420.62","420.62","N/A","420.62","420.62","420.62","420.62","420.62","420.62","420.62","420.62","420.62","420.62"
"5","N/A","STAPLER INTERNAL SEPTAL ENTACT","N/A","N/A","0272","N/A","N/A","561.00","561.00","561.00","N/A","N/A","N/A","561.00","561.00","N/A","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00","561.00"
"5","N/A","STAPLER INTERNAL SUREFORM 45","N/A","N/A","0272","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","STAPLER INTERNAL SUREFORM 45 CURVED TIP","N/A","N/A","0272","N/A","N/A","1633.50","1633.50","1633.50","N/A","N/A","N/A","1633.50","1633.50","N/A","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50"
"5","N/A","STAPLER INTERNAL SUREFORM 60 SZ 12MM","N/A","N/A","0272","N/A","N/A","1749.00","1749.00","1749.00","N/A","N/A","N/A","1749.00","1749.00","N/A","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00"
"5","N/A","STAPLER INTERNAL TI GIA 3.8X60MM","N/A","N/A","0272","N/A","N/A","311.67","311.67","311.67","N/A","N/A","N/A","311.67","311.67","N/A","311.67","311.67","311.67","311.67","311.67","311.67","311.67","311.67","311.67","311.67"
"5","N/A","STAPLER INTERNAL TI GIA 3.8X80MM","N/A","N/A","0272","N/A","N/A","459.27","459.27","459.27","N/A","N/A","N/A","459.27","459.27","N/A","459.27","459.27","459.27","459.27","459.27","459.27","459.27","459.27","459.27","459.27"
"5","N/A","STAPLER INTERNAL TI ROTIC 3.5X55MM","N/A","N/A","0272","N/A","N/A","636.11","636.11","636.11","N/A","N/A","N/A","636.11","636.11","N/A","636.11","636.11","636.11","636.11","636.11","636.11","636.11","636.11","636.11","636.11"
"5","N/A","STAPLER LINEAR TI PROX TX 3.5X30","N/A","N/A","0272","N/A","N/A","1127.67","1127.67","1127.67","N/A","N/A","N/A","1127.67","1127.67","N/A","1127.67","1127.67","1127.67","1127.67","1127.67","1127.67","1127.67","1127.67","1127.67","1127.67"
"5","N/A","STAPLER MONOSOF PURSTRING 2-0 65","N/A","N/A","0272","N/A","N/A","240.55","240.55","240.55","N/A","N/A","N/A","240.55","240.55","N/A","240.55","240.55","240.55","240.55","240.55","240.55","240.55","240.55","240.55","240.55"
"5","N/A","STAPLER MULTIFIRE ENDO GIA 15X60MM","N/A","N/A","0272","N/A","N/A","1175.30","1175.30","1175.30","N/A","N/A","N/A","1175.30","1175.30","N/A","1175.30","1175.30","1175.30","1175.30","1175.30","1175.30","1175.30","1175.30","1175.30","1175.30"
"5","N/A","STAPLER POWER SIGNIA SHELL","N/A","N/A","0272","N/A","N/A","360.43","360.43","360.43","N/A","N/A","N/A","360.43","360.43","N/A","360.43","360.43","360.43","360.43","360.43","360.43","360.43","360.43","360.43","360.43"
"5","N/A","STAPLER SKIN 35W","N/A","N/A","0272","N/A","N/A","19.20","19.20","19.20","N/A","N/A","N/A","19.20","19.20","N/A","19.20","19.20","19.20","19.20","19.20","19.20","19.20","19.20","19.20","19.20"
"5","N/A","STAPLER SKIN 35W STL.","N/A","N/A","0272","N/A","N/A","33.84","33.84","33.84","N/A","N/A","N/A","33.84","33.84","N/A","33.84","33.84","33.84","33.84","33.84","33.84","33.84","33.84","33.84","33.84"
"5","N/A","STAPLER SKIN APPOSE ULC 35 REG","N/A","N/A","0272","N/A","N/A","18.58","18.58","18.58","N/A","N/A","N/A","18.58","18.58","N/A","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58"
"5","N/A","STAPLER SKIN APPOSE ULC 35 WD","N/A","N/A","0272","N/A","N/A","18.80","18.80","18.80","N/A","N/A","N/A","18.80","18.80","N/A","18.80","18.80","18.80","18.80","18.80","18.80","18.80","18.80","18.80","18.80"
"5","N/A","STAPLER SKIN INSORB 3.5X5MM","N/A","N/A","0272","N/A","N/A","143.00","143.00","143.00","N/A","N/A","N/A","143.00","143.00","N/A","143.00","143.00","143.00","143.00","143.00","143.00","143.00","143.00","143.00","143.00"
"5","N/A","STAPLER SKIN MF PREM PROX","N/A","N/A","0272","N/A","N/A","60.06","60.06","60.06","N/A","N/A","N/A","60.06","60.06","N/A","60.06","60.06","60.06","60.06","60.06","60.06","60.06","60.06","60.06","60.06"
"5","N/A","STAPLER SURGIDAC PURSTRING 2-0 45","N/A","N/A","0272","N/A","N/A","231.30","231.30","231.30","N/A","N/A","N/A","231.30","231.30","N/A","231.30","231.30","231.30","231.30","231.30","231.30","231.30","231.30","231.30","231.30"
"5","N/A","STENT URETERIC URIGLOW","N/A","N/A","0272","N/A","N/A","775.50","775.50","775.50","N/A","N/A","N/A","775.50","775.50","N/A","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50"
"5","N/A","STIMULATOR ACTIVATOR NEUROVISION M5","N/A","N/A","0272","N/A","N/A","1019.70","1019.70","1019.70","N/A","N/A","N/A","1019.70","1019.70","N/A","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70"
"5","N/A","STIMULATOR NERVE LOCATOR VARI-STIM","N/A","N/A","0272","N/A","N/A","242.88","242.88","242.88","N/A","N/A","N/A","242.88","242.88","N/A","242.88","242.88","242.88","242.88","242.88","242.88","242.88","242.88","242.88","242.88"
"5","N/A","STOPCOCK 1 WAY MALE LL NAMIC","N/A","N/A","0272","N/A","N/A","8.78","8.78","8.78","N/A","N/A","N/A","8.78","8.78","N/A","8.78","8.78","8.78","8.78","8.78","8.78","8.78","8.78","8.78","8.78"
"5","N/A","STOPCOCK 3 WAY SWVL MARQUIS 500PSI","N/A","N/A","0272","N/A","N/A","2.81","2.81","2.81","N/A","N/A","N/A","2.81","2.81","N/A","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81"
"5","N/A","STOPCOCK IV 3W FXD MALE LL 1050 PSI W/ROTATING","N/A","N/A","0272","N/A","N/A","7.26","7.26","7.26","N/A","N/A","N/A","7.26","7.26","N/A","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26"
"5","N/A","STOPCOCK IV 3W RT PORT NAMIC 400 PSI","N/A","N/A","0272","N/A","N/A","8.17","8.17","8.17","N/A","N/A","N/A","8.17","8.17","N/A","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17"
"5","N/A","STRIPPER VEIN DISP STER 36"","N/A","N/A","0272","N/A","N/A","45.37","45.37","45.37","N/A","N/A","N/A","45.37","45.37","N/A","45.37","45.37","45.37","45.37","45.37","45.37","45.37","45.37","45.37","45.37"
"5","N/A","STRUTS RAPID LONG","N/A","N/A","0272","N/A","N/A","5039.10","5039.10","5039.10","N/A","N/A","N/A","5039.10","5039.10","N/A","5039.10","5039.10","5039.10","5039.10","5039.10","5039.10","5039.10","5039.10","5039.10","5039.10"
"5","N/A","STYLET ENDOTRACHEAL PEDS 6FR 32CM","N/A","N/A","0272","N/A","N/A","7.43","7.43","7.43","N/A","N/A","N/A","7.43","7.43","N/A","7.43","7.43","7.43","7.43","7.43","7.43","7.43","7.43","7.43","7.43"
"5","N/A","STYLET INTUBATION SLICK 10FR","N/A","N/A","0272","N/A","N/A","7.19","7.19","7.19","N/A","N/A","N/A","7.19","7.19","N/A","7.19","7.19","7.19","7.19","7.19","7.19","7.19","7.19","7.19","7.19"
"5","N/A","STYLET LEAD CURVE 60CM","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","STYLET NI PATIENT TRACKER BUNDLE","N/A","N/A","0272","N/A","N/A","2481.60","2481.60","2481.60","N/A","N/A","N/A","2481.60","2481.60","N/A","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60","2481.60"
"5","N/A","STYLET PRIME VIPER","N/A","N/A","0272","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","STYLET TUNNELING DIAL 18.75CM","N/A","N/A","0272","N/A","N/A","611.66","611.66","611.66","N/A","N/A","N/A","611.66","611.66","N/A","611.66","611.66","611.66","611.66","611.66","611.66","611.66","611.66","611.66","611.66"
"5","N/A","SUMP PERICARDIAL DLP ADLT 15"","N/A","N/A","0272","N/A","N/A","40.66","40.66","40.66","N/A","N/A","N/A","40.66","40.66","N/A","40.66","40.66","40.66","40.66","40.66","40.66","40.66","40.66","40.66","40.66"
"5","N/A","SUPPORT STERNUM REG 36-55"","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","SUTURE ACS 10-0 AU-5 12" BLK","N/A","N/A","0272","N/A","N/A","76.76","76.76","76.76","N/A","N/A","N/A","76.76","76.76","N/A","76.76","76.76","76.76","76.76","76.76","76.76","76.76","76.76","76.76","76.76"
"5","N/A","SUTURE ACS 10-0 CU-5 CU-5 12" BLK","N/A","N/A","0272","N/A","N/A","79.70","79.70","79.70","N/A","N/A","N/A","79.70","79.70","N/A","79.70","79.70","79.70","79.70","79.70","79.70","79.70","79.70","79.70","79.70"
"5","N/A","SUTURE BOOT STD YELLOW-IN-BLUE","N/A","N/A","0272","N/A","N/A","3.13","3.13","3.13","N/A","N/A","N/A","3.13","3.13","N/A","3.13","3.13","3.13","3.13","3.13","3.13","3.13","3.13","3.13","3.13"
"5","N/A","SUTURE CHROMIC 3-0 RB-1 27"","N/A","N/A","0272","N/A","N/A","11.76","11.76","11.76","N/A","N/A","N/A","11.76","11.76","N/A","11.76","11.76","11.76","11.76","11.76","11.76","11.76","11.76","11.76","11.76"
"5","N/A","SUTURE CHROMIC 3-0 UR-6 NDL N877H","N/A","N/A","0272","N/A","N/A","12.56","12.56","12.56","N/A","N/A","N/A","12.56","12.56","N/A","12.56","12.56","12.56","12.56","12.56","12.56","12.56","12.56","12.56","12.56"
"5","N/A","SUTURE ENDO SURGIDAC 2-0 7" GRN","N/A","N/A","0272","N/A","N/A","68.94","68.94","68.94","N/A","N/A","N/A","68.94","68.94","N/A","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94"
"5","N/A","SUTURE ENDO SURGIDAC 2-0 7IN GRN 170041","N/A","N/A","0272","N/A","N/A","527.60","527.60","527.60","N/A","N/A","N/A","527.60","527.60","N/A","527.60","527.60","527.60","527.60","527.60","527.60","527.60","527.60","527.60","527.60"
"5","N/A","SUTURE ETHIBOND 2-0 RB-1 30"","N/A","N/A","0272","N/A","N/A","183.62","183.62","183.62","N/A","N/A","N/A","183.62","183.62","N/A","183.62","183.62","183.62","183.62","183.62","183.62","183.62","183.62","183.62","183.62"
"5","N/A","SUTURE ETHIBOND EXCEL 0 CT-1 18" GRN","N/A","N/A","0272","N/A","N/A","42.23","42.23","42.23","N/A","N/A","N/A","42.23","42.23","N/A","42.23","42.23","42.23","42.23","42.23","42.23","42.23","42.23","42.23","42.23"
"5","N/A","SUTURE ETHIBOND EXCEL 0 CT-2 18" GRN","N/A","N/A","0272","N/A","N/A","42.12","42.12","42.12","N/A","N/A","N/A","42.12","42.12","N/A","42.12","42.12","42.12","42.12","42.12","42.12","42.12","42.12","42.12","42.12"
"5","N/A","SUTURE ETHIBOND EXCEL 0 CT-2 30" GRN","N/A","N/A","0272","N/A","N/A","6.22","6.22","6.22","N/A","N/A","N/A","6.22","6.22","N/A","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22"
"5","N/A","SUTURE ETHIBOND EXCEL 0 MH 36" GRN","N/A","N/A","0272","N/A","N/A","19.83","19.83","19.83","N/A","N/A","N/A","19.83","19.83","N/A","19.83","19.83","19.83","19.83","19.83","19.83","19.83","19.83","19.83","19.83"
"5","N/A","SUTURE ETHIBOND EXCEL 0 OS-30" GRN","N/A","N/A","0272","N/A","N/A","9.13","9.13","9.13","N/A","N/A","N/A","9.13","9.13","N/A","9.13","9.13","9.13","9.13","9.13","9.13","9.13","9.13","9.13","9.13"
"5","N/A","SUTURE ETHIBOND EXCEL 0 TIE 30" GRN","N/A","N/A","0272","N/A","N/A","5.75","5.75","5.75","N/A","N/A","N/A","5.75","5.75","N/A","5.75","5.75","5.75","5.75","5.75","5.75","5.75","5.75","5.75","5.75"
"5","N/A","SUTURE ETHIBOND EXCEL 1 CT-1 30" GRN","N/A","N/A","0272","N/A","N/A","6.22","6.22","6.22","N/A","N/A","N/A","6.22","6.22","N/A","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22"
"5","N/A","SUTURE ETHIBOND EXCEL 1 CTX 18" GRN","N/A","N/A","0272","N/A","N/A","41.66","41.66","41.66","N/A","N/A","N/A","41.66","41.66","N/A","41.66","41.66","41.66","41.66","41.66","41.66","41.66","41.66","41.66","41.66"
"5","N/A","SUTURE ETHIBOND EXCEL 1 OS-4 30" GRN","N/A","N/A","0272","N/A","N/A","9.24","9.24","9.24","N/A","N/A","N/A","9.24","9.24","N/A","9.24","9.24","9.24","9.24","9.24","9.24","9.24","9.24","9.24","9.24"
"5","N/A","SUTURE ETHIBOND EXCEL 2 V-37 30" GRN","N/A","N/A","0272","N/A","N/A","57.34","57.34","57.34","N/A","N/A","N/A","57.34","57.34","N/A","57.34","57.34","57.34","57.34","57.34","57.34","57.34","57.34","57.34","57.34"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 CT1 18 GRN","N/A","N/A","0272","N/A","N/A","41.61","41.61","41.61","N/A","N/A","N/A","41.61","41.61","N/A","41.61","41.61","41.61","41.61","41.61","41.61","41.61","41.61","41.61","41.61"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 CT2 30 GRN","N/A","N/A","0272","N/A","N/A","6.22","6.22","6.22","N/A","N/A","N/A","6.22","6.22","N/A","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 MO6 18 GRN","N/A","N/A","0272","N/A","N/A","49.66","49.66","49.66","N/A","N/A","N/A","49.66","49.66","N/A","49.66","49.66","49.66","49.66","49.66","49.66","49.66","49.66","49.66","49.66"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 RB1 30 GRN","N/A","N/A","0272","N/A","N/A","55.78","55.78","55.78","N/A","N/A","N/A","55.78","55.78","N/A","55.78","55.78","55.78","55.78","55.78","55.78","55.78","55.78","55.78","55.78"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 SH 18"","N/A","N/A","0272","N/A","N/A","42.62","42.62","42.62","N/A","N/A","N/A","42.62","42.62","N/A","42.62","42.62","42.62","42.62","42.62","42.62","42.62","42.62","42.62","42.62"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 SH 30" WHT","N/A","N/A","0272","N/A","N/A","133.09","133.09","133.09","N/A","N/A","N/A","133.09","133.09","N/A","133.09","133.09","133.09","133.09","133.09","133.09","133.09","133.09","133.09","133.09"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 SH 36" GRN","N/A","N/A","0272","N/A","N/A","15.14","15.14","15.14","N/A","N/A","N/A","15.14","15.14","N/A","15.14","15.14","15.14","15.14","15.14","15.14","15.14","15.14","15.14","15.14"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 SH 36" WHT","N/A","N/A","0272","N/A","N/A","215.96","215.96","215.96","N/A","N/A","N/A","215.96","215.96","N/A","215.96","215.96","215.96","215.96","215.96","215.96","215.96","215.96","215.96","215.96"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 SH1 30 WHT","N/A","N/A","0272","N/A","N/A","210.67","210.67","210.67","N/A","N/A","N/A","210.67","210.67","N/A","210.67","210.67","210.67","210.67","210.67","210.67","210.67","210.67","210.67","210.67"
"5","N/A","SUTURE ETHIBOND EXCEL 2-0 SH2 30 WHT","N/A","N/A","0272","N/A","N/A","228.93","228.93","228.93","N/A","N/A","N/A","228.93","228.93","N/A","228.93","228.93","228.93","228.93","228.93","228.93","228.93","228.93","228.93","228.93"
"5","N/A","SUTURE ETHIBOND EXCEL 3-0 RB1 36 GRN","N/A","N/A","0272","N/A","N/A","15.34","15.34","15.34","N/A","N/A","N/A","15.34","15.34","N/A","15.34","15.34","15.34","15.34","15.34","15.34","15.34","15.34","15.34","15.34"
"5","N/A","SUTURE ETHIBOND EXCEL 3-0 SH 36" GRN","N/A","N/A","0272","N/A","N/A","15.18","15.18","15.18","N/A","N/A","N/A","15.18","15.18","N/A","15.18","15.18","15.18","15.18","15.18","15.18","15.18","15.18","15.18","15.18"
"5","N/A","SUTURE ETHIBOND EXCEL 4-0 RB1 36 GRN","N/A","N/A","0272","N/A","N/A","15.56","15.56","15.56","N/A","N/A","N/A","15.56","15.56","N/A","15.56","15.56","15.56","15.56","15.56","15.56","15.56","15.56","15.56","15.56"
"5","N/A","SUTURE ETHIBOND EXCEL 4-0 TF 24" GRN","N/A","N/A","0272","N/A","N/A","26.52","26.52","26.52","N/A","N/A","N/A","26.52","26.52","N/A","26.52","26.52","26.52","26.52","26.52","26.52","26.52","26.52","26.52","26.52"
"5","N/A","SUTURE ETHIBOND EXCEL 5 V-37 30" GRN","N/A","N/A","0272","N/A","N/A","57.89","57.89","57.89","N/A","N/A","N/A","57.89","57.89","N/A","57.89","57.89","57.89","57.89","57.89","57.89","57.89","57.89","57.89","57.89"
"5","N/A","SUTURE ETHILON 10-0 BV75-4 5" BLK","N/A","N/A","0272","N/A","N/A","98.97","98.97","98.97","N/A","N/A","N/A","98.97","98.97","N/A","98.97","98.97","98.97","98.97","98.97","98.97","98.97","98.97","98.97","98.97"
"5","N/A","SUTURE ETHILON 10-0 TG160-6 6" BLK","N/A","N/A","0272","N/A","N/A","67.94","67.94","67.94","N/A","N/A","N/A","67.94","67.94","N/A","67.94","67.94","67.94","67.94","67.94","67.94","67.94","67.94","67.94","67.94"
"5","N/A","SUTURE ETHILON 2 BLACK 60" TP-1 NDL","N/A","N/A","0272","N/A","N/A","12.90","12.90","12.90","N/A","N/A","N/A","12.90","12.90","N/A","12.90","12.90","12.90","12.90","12.90","12.90","12.90","12.90","12.90","12.90"
"5","N/A","SUTURE ETHILON 2 LR 20" BLK","N/A","N/A","0272","N/A","N/A","8.17","8.17","8.17","N/A","N/A","N/A","8.17","8.17","N/A","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17"
"5","N/A","SUTURE ETHILON 2-0 FS 18" BLK","N/A","N/A","0272","N/A","N/A","7.28","7.28","7.28","N/A","N/A","N/A","7.28","7.28","N/A","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28"
"5","N/A","SUTURE ETHILON 3-0 FS-1 18" BLK","N/A","N/A","0272","N/A","N/A","7.35","7.35","7.35","N/A","N/A","N/A","7.35","7.35","N/A","7.35","7.35","7.35","7.35","7.35","7.35","7.35","7.35","7.35","7.35"
"5","N/A","SUTURE ETHILON 3-0 FSL 30" BLK","N/A","N/A","0272","N/A","N/A","7.70","7.70","7.70","N/A","N/A","N/A","7.70","7.70","N/A","7.70","7.70","7.70","7.70","7.70","7.70","7.70","7.70","7.70","7.70"
"5","N/A","SUTURE ETHILON 3-0 PC-5 18" BLK","N/A","N/A","0272","N/A","N/A","16.17","16.17","16.17","N/A","N/A","N/A","16.17","16.17","N/A","16.17","16.17","16.17","16.17","16.17","16.17","16.17","16.17","16.17","16.17"
"5","N/A","SUTURE ETHILON 3-0 PS-1 18" BLK","N/A","N/A","0272","N/A","N/A","15.98","15.98","15.98","N/A","N/A","N/A","15.98","15.98","N/A","15.98","15.98","15.98","15.98","15.98","15.98","15.98","15.98","15.98","15.98"
"5","N/A","SUTURE ETHILON 4-0 FS-1 18" BLK","N/A","N/A","0272","N/A","N/A","7.54","7.54","7.54","N/A","N/A","N/A","7.54","7.54","N/A","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54"
"5","N/A","SUTURE ETHILON 4-0 FS-2 18" BLK","N/A","N/A","0272","N/A","N/A","7.01","7.01","7.01","N/A","N/A","N/A","7.01","7.01","N/A","7.01","7.01","7.01","7.01","7.01","7.01","7.01","7.01","7.01","7.01"
"5","N/A","SUTURE ETHILON 4-0 FSL 30" BLK","N/A","N/A","0272","N/A","N/A","7.81","7.81","7.81","N/A","N/A","N/A","7.81","7.81","N/A","7.81","7.81","7.81","7.81","7.81","7.81","7.81","7.81","7.81","7.81"
"5","N/A","SUTURE ETHILON 4-0 P-3 18" BLK","N/A","N/A","0272","N/A","N/A","15.39","15.39","15.39","N/A","N/A","N/A","15.39","15.39","N/A","15.39","15.39","15.39","15.39","15.39","15.39","15.39","15.39","15.39","15.39"
"5","N/A","SUTURE ETHILON 4-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","16.08","16.08","16.08","N/A","N/A","N/A","16.08","16.08","N/A","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08"
"5","N/A","SUTURE ETHILON 4-0 PC-3 18" BLK","N/A","N/A","0272","N/A","N/A","16.08","16.08","16.08","N/A","N/A","N/A","16.08","16.08","N/A","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08"
"5","N/A","SUTURE ETHILON 4-0 PS-2 18" BLK","N/A","N/A","0272","N/A","N/A","14.75","14.75","14.75","N/A","N/A","N/A","14.75","14.75","N/A","14.75","14.75","14.75","14.75","14.75","14.75","14.75","14.75","14.75","14.75"
"5","N/A","SUTURE ETHILON 4-0 PS-2 18" UDY","N/A","N/A","0272","N/A","N/A","14.82","14.82","14.82","N/A","N/A","N/A","14.82","14.82","N/A","14.82","14.82","14.82","14.82","14.82","14.82","14.82","14.82","14.82","14.82"
"5","N/A","SUTURE ETHILON 5-0 FS-2 18" BLK","N/A","N/A","0272","N/A","N/A","7.60","7.60","7.60","N/A","N/A","N/A","7.60","7.60","N/A","7.60","7.60","7.60","7.60","7.60","7.60","7.60","7.60","7.60","7.60"
"5","N/A","SUTURE ETHILON 5-0 FS-2 18IN BLACK","N/A","N/A","0272","N/A","N/A","7.60","7.60","7.60","N/A","N/A","N/A","7.60","7.60","N/A","7.60","7.60","7.60","7.60","7.60","7.60","7.60","7.60","7.60","7.60"
"5","N/A","SUTURE ETHILON 5-0 P-3 18" BLK","N/A","N/A","0272","N/A","N/A","13.73","13.73","13.73","N/A","N/A","N/A","13.73","13.73","N/A","13.73","13.73","13.73","13.73","13.73","13.73","13.73","13.73","13.73","13.73"
"5","N/A","SUTURE ETHILON 5-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","16.43","16.43","16.43","N/A","N/A","N/A","16.43","16.43","N/A","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43"
"5","N/A","SUTURE ETHILON 5-0 PC-1 18" BLK","N/A","N/A","0272","N/A","N/A","16.23","16.23","16.23","N/A","N/A","N/A","16.23","16.23","N/A","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23"
"5","N/A","SUTURE ETHILON 5-0 PC-3 18" BLK","N/A","N/A","0272","N/A","N/A","16.23","16.23","16.23","N/A","N/A","N/A","16.23","16.23","N/A","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23"
"5","N/A","SUTURE ETHILON 5-0 PS-2 18" BLK","N/A","N/A","0272","N/A","N/A","14.79","14.79","14.79","N/A","N/A","N/A","14.79","14.79","N/A","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79"
"5","N/A","SUTURE ETHILON 5-0 RD-1 18" BLK","N/A","N/A","0272","N/A","N/A","48.50","48.50","48.50","N/A","N/A","N/A","48.50","48.50","N/A","48.50","48.50","48.50","48.50","48.50","48.50","48.50","48.50","48.50","48.50"
"5","N/A","SUTURE ETHILON 5-0 S-24 18" BLK","N/A","N/A","0272","N/A","N/A","48.40","48.40","48.40","N/A","N/A","N/A","48.40","48.40","N/A","48.40","48.40","48.40","48.40","48.40","48.40","48.40","48.40","48.40","48.40"
"5","N/A","SUTURE ETHILON 6-0 P-1 18" BLK","N/A","N/A","0272","N/A","N/A","15.58","15.58","15.58","N/A","N/A","N/A","15.58","15.58","N/A","15.58","15.58","15.58","15.58","15.58","15.58","15.58","15.58","15.58","15.58"
"5","N/A","SUTURE ETHILON 6-0 P-3 18" BLK","N/A","N/A","0272","N/A","N/A","13.92","13.92","13.92","N/A","N/A","N/A","13.92","13.92","N/A","13.92","13.92","13.92","13.92","13.92","13.92","13.92","13.92","13.92","13.92"
"5","N/A","SUTURE ETHILON 6-0 PC-1 18" BLK","N/A","N/A","0272","N/A","N/A","16.63","16.63","16.63","N/A","N/A","N/A","16.63","16.63","N/A","16.63","16.63","16.63","16.63","16.63","16.63","16.63","16.63","16.63","16.63"
"5","N/A","SUTURE ETHILON 7-0 P-1 18" BLK","N/A","N/A","0272","N/A","N/A","16.82","16.82","16.82","N/A","N/A","N/A","16.82","16.82","N/A","16.82","16.82","16.82","16.82","16.82","16.82","16.82","16.82","16.82","16.82"
"5","N/A","SUTURE ETHILON 8-0 BV130-5 5" BLK","N/A","N/A","0272","N/A","N/A","57.04","57.04","57.04","N/A","N/A","N/A","57.04","57.04","N/A","57.04","57.04","57.04","57.04","57.04","57.04","57.04","57.04","57.04","57.04"
"5","N/A","SUTURE ETHILON 8-0 TG175-8 12" BLK","N/A","N/A","0272","N/A","N/A","47.88","47.88","47.88","N/A","N/A","N/A","47.88","47.88","N/A","47.88","47.88","47.88","47.88","47.88","47.88","47.88","47.88","47.88","47.88"
"5","N/A","SUTURE ETHILON 9-0 BV100-4 5" BLK","N/A","N/A","0272","N/A","N/A","83.70","83.70","83.70","N/A","N/A","N/A","83.70","83.70","N/A","83.70","83.70","83.70","83.70","83.70","83.70","83.70","83.70","83.70","83.70"
"5","N/A","SUTURE ETHILON 9-0 BV130-3 5" BLK","N/A","N/A","0272","N/A","N/A","58.52","58.52","58.52","N/A","N/A","N/A","58.52","58.52","N/A","58.52","58.52","58.52","58.52","58.52","58.52","58.52","58.52","58.52","58.52"
"5","N/A","SUTURE ETHILON 9-0 TG140-8 12" BLK","N/A","N/A","0272","N/A","N/A","48.10","48.10","48.10","N/A","N/A","N/A","48.10","48.10","N/A","48.10","48.10","48.10","48.10","48.10","48.10","48.10","48.10","48.10","48.10"
"5","N/A","SUTURE ETHILON 9-0 TG160-6 12" BLK","N/A","N/A","0272","N/A","N/A","60.49","60.49","60.49","N/A","N/A","N/A","60.49","60.49","N/A","60.49","60.49","60.49","60.49","60.49","60.49","60.49","60.49","60.49","60.49"
"5","N/A","SUTURE FIBERLINK 0 1.4X36" BLUE","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","SUTURE FIBERLINK W/ CLOSED LOOP BLUE SZ 2 26"","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","SUTURE FIBERLOOP 2 STR 15" BLUE","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERLOOP 2-0 D-17 60" BLU","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERLOOP 2-0 DMD 48"","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERLOOP 4-0 20" WHITE","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERLOOP 4-0 T-13 12" BLUE","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERTAPE 2 TAPER 2MM 36" BLUE","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","SUTURE FIBERTAPE 2 TAPER 7" 2MM BLUE","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERTAPE 2MM STR 17" BLUE","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERTAPE LOOP 2MMX8" BLUE","N/A","N/A","0272","N/A","N/A","1485.00","1485.00","1485.00","N/A","N/A","N/A","1485.00","1485.00","N/A","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00","1485.00"
"5","N/A","SUTURE FIBERTAPE TENDON COMPRESSION BRIDGE","N/A","N/A","0272","N/A","N/A","1980.00","1980.00","1980.00","N/A","N/A","N/A","1980.00","1980.00","N/A","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00"
"5","N/A","SUTURE FIBERWIRE 2 50" BLU","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERWIRE 2 50" WHT BLK","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE FIBERWIRE 2 T-5 38" BLU","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SUTURE FIBERWIRE 2 T-5 38" BLUE","N/A","N/A","0272","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","SUTURE FIBERWIRE 2-0 T-13 18" BLU","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SUTURE FIBERWIRE 2-0 T-5 18" BLU","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SUTURE FIBERWIRE 3-0 18" 15MM TAPER","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SUTURE FIBERWIRE 4-0 T-12 18" BLUE","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SUTURE FIBERWIRE 5 38" BLU","N/A","N/A","0272","N/A","N/A","125.40","125.40","125.40","N/A","N/A","N/A","125.40","125.40","N/A","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40","125.40"
"5","N/A","SUTURE FIBERWIRE 5 CCS-1 38" BLUE","N/A","N/A","0272","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","SUTURE GORE CV-0 THX-26 NDL 36"","N/A","N/A","0272","N/A","N/A","89.10","89.10","89.10","N/A","N/A","N/A","89.10","89.10","N/A","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10","89.10"
"5","N/A","SUTURE GORE CV-8 24" TTC-7 NDL","N/A","N/A","0272","N/A","N/A","101.75","101.75","101.75","N/A","N/A","N/A","101.75","101.75","N/A","101.75","101.75","101.75","101.75","101.75","101.75","101.75","101.75","101.75","101.75"
"5","N/A","SUTURE GORE-TEX 0 CV-2 36" WHT","N/A","N/A","0272","N/A","N/A","79.26","79.26","79.26","N/A","N/A","N/A","79.26","79.26","N/A","79.26","79.26","79.26","79.26","79.26","79.26","79.26","79.26","79.26","79.26"
"5","N/A","SUTURE GORE-TEX 0 CV-2 48" WHT","N/A","N/A","0272","N/A","N/A","91.74","91.74","91.74","N/A","N/A","N/A","91.74","91.74","N/A","91.74","91.74","91.74","91.74","91.74","91.74","91.74","91.74","91.74","91.74"
"5","N/A","SUTURE GORE-TEX 5-0 CV-6 30" UDY","N/A","N/A","0272","N/A","N/A","100.65","100.65","100.65","N/A","N/A","N/A","100.65","100.65","N/A","100.65","100.65","100.65","100.65","100.65","100.65","100.65","100.65","100.65","100.65"
"5","N/A","SUTURE GORE-TEX CV-4 TH-18 NDL 36"","N/A","N/A","0272","N/A","N/A","88.83","88.83","88.83","N/A","N/A","N/A","88.83","88.83","N/A","88.83","88.83","88.83","88.83","88.83","88.83","88.83","88.83","88.83","88.83"
"5","N/A","SUTURE GUT CHR 0 CT-1 36" UDY","N/A","N/A","0272","N/A","N/A","11.96","11.96","11.96","N/A","N/A","N/A","11.96","11.96","N/A","11.96","11.96","11.96","11.96","11.96","11.96","11.96","11.96","11.96","11.96"
"5","N/A","SUTURE GUT CHR 0 CT-2 27" UDY","N/A","N/A","0272","N/A","N/A","11.09","11.09","11.09","N/A","N/A","N/A","11.09","11.09","N/A","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09"
"5","N/A","SUTURE GUT CHR 0 MO-5 18" UDY","N/A","N/A","0272","N/A","N/A","113.67","113.67","113.67","N/A","N/A","N/A","113.67","113.67","N/A","113.67","113.67","113.67","113.67","113.67","113.67","113.67","113.67","113.67","113.67"
"5","N/A","SUTURE GUT CHR 0 P-CUT 18" UDY","N/A","N/A","0272","N/A","N/A","55.07","55.07","55.07","N/A","N/A","N/A","55.07","55.07","N/A","55.07","55.07","55.07","55.07","55.07","55.07","55.07","55.07","55.07","55.07"
"5","N/A","SUTURE GUT CHR 1 CT 36" UDY","N/A","N/A","0272","N/A","N/A","12.20","12.20","12.20","N/A","N/A","N/A","12.20","12.20","N/A","12.20","12.20","12.20","12.20","12.20","12.20","12.20","12.20","12.20","12.20"
"5","N/A","SUTURE GUT CHR 1 MO-5 18" UDY","N/A","N/A","0272","N/A","N/A","116.20","116.20","116.20","N/A","N/A","N/A","116.20","116.20","N/A","116.20","116.20","116.20","116.20","116.20","116.20","116.20","116.20","116.20","116.20"
"5","N/A","SUTURE GUT CHR 2-0 CT-1 36" UDY","N/A","N/A","0272","N/A","N/A","12.08","12.08","12.08","N/A","N/A","N/A","12.08","12.08","N/A","12.08","12.08","12.08","12.08","12.08","12.08","12.08","12.08","12.08","12.08"
"5","N/A","SUTURE GUT CHR 2-0 CT-2 27"","N/A","N/A","0272","N/A","N/A","11.23","11.23","11.23","N/A","N/A","N/A","11.23","11.23","N/A","11.23","11.23","11.23","11.23","11.23","11.23","11.23","11.23","11.23","11.23"
"5","N/A","SUTURE GUT CHR 2-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","11.05","11.05","11.05","N/A","N/A","N/A","11.05","11.05","N/A","11.05","11.05","11.05","11.05","11.05","11.05","11.05","11.05","11.05","11.05"
"5","N/A","SUTURE GUT CHR 2-0 UR-6 27" UDY","N/A","N/A","0272","N/A","N/A","12.99","12.99","12.99","N/A","N/A","N/A","12.99","12.99","N/A","12.99","12.99","12.99","12.99","12.99","12.99","12.99","12.99","12.99","12.99"
"5","N/A","SUTURE GUT CHR 3-0 54" UDY","N/A","N/A","0272","N/A","N/A","10.92","10.92","10.92","N/A","N/A","N/A","10.92","10.92","N/A","10.92","10.92","10.92","10.92","10.92","10.92","10.92","10.92","10.92","10.92"
"5","N/A","SUTURE GUT CHR 3-0 CT-1 36" UDY","N/A","N/A","0272","N/A","N/A","11.92","11.92","11.92","N/A","N/A","N/A","11.92","11.92","N/A","11.92","11.92","11.92","11.92","11.92","11.92","11.92","11.92","11.92","11.92"
"5","N/A","SUTURE GUT CHR 3-0 FS-2 27" UDY","N/A","N/A","0272","N/A","N/A","10.62","10.62","10.62","N/A","N/A","N/A","10.62","10.62","N/A","10.62","10.62","10.62","10.62","10.62","10.62","10.62","10.62","10.62","10.62"
"5","N/A","SUTURE GUT CHR 3-0 REEL 54" UDY","N/A","N/A","0272","N/A","N/A","12.74","12.74","12.74","N/A","N/A","N/A","12.74","12.74","N/A","12.74","12.74","12.74","12.74","12.74","12.74","12.74","12.74","12.74","12.74"
"5","N/A","SUTURE GUT CHR 3-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","11.09","11.09","11.09","N/A","N/A","N/A","11.09","11.09","N/A","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09"
"5","N/A","SUTURE GUT CHR 3-0 V-34 36" UDY","N/A","N/A","0272","N/A","N/A","18.45","18.45","18.45","N/A","N/A","N/A","18.45","18.45","N/A","18.45","18.45","18.45","18.45","18.45","18.45","18.45","18.45","18.45","18.45"
"5","N/A","SUTURE GUT CHR 4-0 FS-2 27" UDY","N/A","N/A","0272","N/A","N/A","10.62","10.62","10.62","N/A","N/A","N/A","10.62","10.62","N/A","10.62","10.62","10.62","10.62","10.62","10.62","10.62","10.62","10.62","10.62"
"5","N/A","SUTURE GUT CHR 4-0 G-2 18" UDY","N/A","N/A","0272","N/A","N/A","57.20","57.20","57.20","N/A","N/A","N/A","57.20","57.20","N/A","57.20","57.20","57.20","57.20","57.20","57.20","57.20","57.20","57.20","57.20"
"5","N/A","SUTURE GUT CHR 4-0 M-2 12" UDY","N/A","N/A","0272","N/A","N/A","26.62","26.62","26.62","N/A","N/A","N/A","26.62","26.62","N/A","26.62","26.62","26.62","26.62","26.62","26.62","26.62","26.62","26.62","26.62"
"5","N/A","SUTURE GUT CHR 4-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","22.30","22.30","22.30","N/A","N/A","N/A","22.30","22.30","N/A","22.30","22.30","22.30","22.30","22.30","22.30","22.30","22.30","22.30","22.30"
"5","N/A","SUTURE GUT CHR 4-0 PS-2 18" UDY","N/A","N/A","0272","N/A","N/A","23.24","23.24","23.24","N/A","N/A","N/A","23.24","23.24","N/A","23.24","23.24","23.24","23.24","23.24","23.24","23.24","23.24","23.24","23.24"
"5","N/A","SUTURE GUT CHR 4-0 PS-4 18" UDY","N/A","N/A","0272","N/A","N/A","21.87","21.87","21.87","N/A","N/A","N/A","21.87","21.87","N/A","21.87","21.87","21.87","21.87","21.87","21.87","21.87","21.87","21.87","21.87"
"5","N/A","SUTURE GUT CHR 4-0 RB-1 27" UDY","N/A","N/A","0272","N/A","N/A","11.78","11.78","11.78","N/A","N/A","N/A","11.78","11.78","N/A","11.78","11.78","11.78","11.78","11.78","11.78","11.78","11.78","11.78","11.78"
"5","N/A","SUTURE GUT CHR 4-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","11.50","11.50","11.50","N/A","N/A","N/A","11.50","11.50","N/A","11.50","11.50","11.50","11.50","11.50","11.50","11.50","11.50","11.50","11.50"
"5","N/A","SUTURE GUT CHR 5-0 C-3 12" UDY","N/A","N/A","0272","N/A","N/A","27.09","27.09","27.09","N/A","N/A","N/A","27.09","27.09","N/A","27.09","27.09","27.09","27.09","27.09","27.09","27.09","27.09","27.09","27.09"
"5","N/A","SUTURE GUT CHR 5-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","22.54","22.54","22.54","N/A","N/A","N/A","22.54","22.54","N/A","22.54","22.54","22.54","22.54","22.54","22.54","22.54","22.54","22.54","22.54"
"5","N/A","SUTURE GUT CHR 5-0 RB-1 27" UDY","N/A","N/A","0272","N/A","N/A","11.51","11.51","11.51","N/A","N/A","N/A","11.51","11.51","N/A","11.51","11.51","11.51","11.51","11.51","11.51","11.51","11.51","11.51","11.51"
"5","N/A","SUTURE GUT CHR 6-0 G-1 18" UDY","N/A","N/A","0272","N/A","N/A","59.49","59.49","59.49","N/A","N/A","N/A","59.49","59.49","N/A","59.49","59.49","59.49","59.49","59.49","59.49","59.49","59.49","59.49","59.49"
"5","N/A","SUTURE GUT CHR 6-0 G-6 18" BLU","N/A","N/A","0272","N/A","N/A","68.97","68.97","68.97","N/A","N/A","N/A","68.97","68.97","N/A","68.97","68.97","68.97","68.97","68.97","68.97","68.97","68.97","68.97","68.97"
"5","N/A","SUTURE GUT CHR 7-0 TG140-8 18 BLU","N/A","N/A","0272","N/A","N/A","102.00","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","SUTURE GUT PLAIN 6-0 PC-1 18" UNDYED","N/A","N/A","0272","N/A","N/A","24.65","24.65","24.65","N/A","N/A","N/A","24.65","24.65","N/A","24.65","24.65","24.65","24.65","24.65","24.65","24.65","24.65","24.65","24.65"
"5","N/A","SUTURE GUT PLN 0 P-CUT 54" UDY","N/A","N/A","0272","N/A","N/A","10.92","10.92","10.92","N/A","N/A","N/A","10.92","10.92","N/A","10.92","10.92","10.92","10.92","10.92","10.92","10.92","10.92","10.92","10.92"
"5","N/A","SUTURE GUT PLN 3-0 CT-1 27" UDY","N/A","N/A","0272","N/A","N/A","11.18","11.18","11.18","N/A","N/A","N/A","11.18","11.18","N/A","11.18","11.18","11.18","11.18","11.18","11.18","11.18","11.18","11.18","11.18"
"5","N/A","SUTURE GUT PLN 3-0 REEL 54" UDY","N/A","N/A","0272","N/A","N/A","12.59","12.59","12.59","N/A","N/A","N/A","12.59","12.59","N/A","12.59","12.59","12.59","12.59","12.59","12.59","12.59","12.59","12.59","12.59"
"5","N/A","SUTURE GUT PLN 3-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","11.09","11.09","11.09","N/A","N/A","N/A","11.09","11.09","N/A","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09","11.09"
"5","N/A","SUTURE GUT PLN 4-0 G-3 18" UDY","N/A","N/A","0272","N/A","N/A","57.10","57.10","57.10","N/A","N/A","N/A","57.10","57.10","N/A","57.10","57.10","57.10","57.10","57.10","57.10","57.10","57.10","57.10","57.10"
"5","N/A","SUTURE GUT PLN 4-0 SC-1 18" UDY","N/A","N/A","0272","N/A","N/A","22.48","22.48","22.48","N/A","N/A","N/A","22.48","22.48","N/A","22.48","22.48","22.48","22.48","22.48","22.48","22.48","22.48","22.48","22.48"
"5","N/A","SUTURE GUT PLN 5-0 PC-1 18" UDY","N/A","N/A","0272","N/A","N/A","24.35","24.35","24.35","N/A","N/A","N/A","24.35","24.35","N/A","24.35","24.35","24.35","24.35","24.35","24.35","24.35","24.35","24.35","24.35"
"5","N/A","SUTURE GUT PLN 6-0 G-1 18" UDY","N/A","N/A","0272","N/A","N/A","58.37","58.37","58.37","N/A","N/A","N/A","58.37","58.37","N/A","58.37","58.37","58.37","58.37","58.37","58.37","58.37","58.37","58.37","58.37"
"5","N/A","SUTURE GUT PLN 6-0 TG140-8 18 UDY","N/A","N/A","0272","N/A","N/A","79.37","79.37","79.37","N/A","N/A","N/A","79.37","79.37","N/A","79.37","79.37","79.37","79.37","79.37","79.37","79.37","79.37","79.37","79.37"
"5","N/A","SUTURE LABRALTAPE 1.5MM 36" WHITE","N/A","N/A","0272","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","SUTURE MAXON 0 GS-26 60" GRN","N/A","N/A","0272","N/A","N/A","64.54","64.54","64.54","N/A","N/A","N/A","64.54","64.54","N/A","64.54","64.54","64.54","64.54","64.54","64.54","64.54","64.54","64.54","64.54"
"5","N/A","SUTURE MAXON 1 GS-25 36" GRN","N/A","N/A","0272","N/A","N/A","24.65","24.65","24.65","N/A","N/A","N/A","24.65","24.65","N/A","24.65","24.65","24.65","24.65","24.65","24.65","24.65","24.65","24.65","24.65"
"5","N/A","SUTURE MAXON 1 GS-26 96" GRN","N/A","N/A","0272","N/A","N/A","92.60","92.60","92.60","N/A","N/A","N/A","92.60","92.60","N/A","92.60","92.60","92.60","92.60","92.60","92.60","92.60","92.60","92.60","92.60"
"5","N/A","SUTURE MAXON 2-0 GS-24 36" GRN","N/A","N/A","0272","N/A","N/A","27.16","27.16","27.16","N/A","N/A","N/A","27.16","27.16","N/A","27.16","27.16","27.16","27.16","27.16","27.16","27.16","27.16","27.16","27.16"
"5","N/A","SUTURE MAXON 5-0 CV-22 30" GRN","N/A","N/A","0272","N/A","N/A","27.52","27.52","27.52","N/A","N/A","N/A","27.52","27.52","N/A","27.52","27.52","27.52","27.52","27.52","27.52","27.52","27.52","27.52","27.52"
"5","N/A","SUTURE MAXON 5-0 CV-23 30" GRN","N/A","N/A","0272","N/A","N/A","22.11","22.11","22.11","N/A","N/A","N/A","22.11","22.11","N/A","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11","22.11"
"5","N/A","SUTURE MAXON 6-0 CV-22 30" GRN","N/A","N/A","0272","N/A","N/A","24.20","24.20","24.20","N/A","N/A","N/A","24.20","24.20","N/A","24.20","24.20","24.20","24.20","24.20","24.20","24.20","24.20","24.20","24.20"
"5","N/A","SUTURE MERSILENE 4-0 S-2 18" WTE","N/A","N/A","0272","N/A","N/A","52.47","52.47","52.47","N/A","N/A","N/A","52.47","52.47","N/A","52.47","52.47","52.47","52.47","52.47","52.47","52.47","52.47","52.47","52.47"
"5","N/A","SUTURE MERSILENE 4-0 S-24 18" GRN","N/A","N/A","0272","N/A","N/A","53.09","53.09","53.09","N/A","N/A","N/A","53.09","53.09","N/A","53.09","53.09","53.09","53.09","53.09","53.09","53.09","53.09","53.09","53.09"
"5","N/A","SUTURE MERSILENE 5-0 S-14 18" WHT","N/A","N/A","0272","N/A","N/A","51.19","51.19","51.19","N/A","N/A","N/A","51.19","51.19","N/A","51.19","51.19","51.19","51.19","51.19","51.19","51.19","51.19","51.19","51.19"
"5","N/A","SUTURE MERSILENE CTX 12" WHT","N/A","N/A","0272","N/A","N/A","113.98","113.98","113.98","N/A","N/A","N/A","113.98","113.98","N/A","113.98","113.98","113.98","113.98","113.98","113.98","113.98","113.98","113.98","113.98"
"5","N/A","SUTURE MONOCRYL 2-0 CT-1 36" UDY","N/A","N/A","0272","N/A","N/A","8.79","8.79","8.79","N/A","N/A","N/A","8.79","8.79","N/A","8.79","8.79","8.79","8.79","8.79","8.79","8.79","8.79","8.79","8.79"
"5","N/A","SUTURE MONOCRYL 2-0 SH UR-6 27" UDY","N/A","N/A","0272","N/A","N/A","87.75","87.75","87.75","N/A","N/A","N/A","87.75","87.75","N/A","87.75","87.75","87.75","87.75","87.75","87.75","87.75","87.75","87.75","87.75"
"5","N/A","SUTURE MONOCRYL 2-0 UR-5 VIOLET 27"","N/A","N/A","0272","N/A","N/A","9.60","9.60","9.60","N/A","N/A","N/A","9.60","9.60","N/A","9.60","9.60","9.60","9.60","9.60","9.60","9.60","9.60","9.60","9.60"
"5","N/A","SUTURE MONOCRYL 3-0 PS-2 27" UDY","N/A","N/A","0272","N/A","N/A","21.38","21.38","21.38","N/A","N/A","N/A","21.38","21.38","N/A","21.38","21.38","21.38","21.38","21.38","21.38","21.38","21.38","21.38","21.38"
"5","N/A","SUTURE MONOCRYL 3-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","8.84","8.84","8.84","N/A","N/A","N/A","8.84","8.84","N/A","8.84","8.84","8.84","8.84","8.84","8.84","8.84","8.84","8.84","8.84"
"5","N/A","SUTURE MONOCRYL 3-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","7.86","7.86","7.86","N/A","N/A","N/A","7.86","7.86","N/A","7.86","7.86","7.86","7.86","7.86","7.86","7.86","7.86","7.86","7.86"
"5","N/A","SUTURE MONOCRYL 3-0 SH 27" VIO","N/A","N/A","0272","N/A","N/A","7.96","7.96","7.96","N/A","N/A","N/A","7.96","7.96","N/A","7.96","7.96","7.96","7.96","7.96","7.96","7.96","7.96","7.96","7.96"
"5","N/A","SUTURE MONOCRYL 3-0 UR-6 27" VIO","N/A","N/A","0272","N/A","N/A","9.43","9.43","9.43","N/A","N/A","N/A","9.43","9.43","N/A","9.43","9.43","9.43","9.43","9.43","9.43","9.43","9.43","9.43","9.43"
"5","N/A","SUTURE MONOCRYL 4-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","22.46","22.46","22.46","N/A","N/A","N/A","22.46","22.46","N/A","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46"
"5","N/A","SUTURE MONOCRYL 4-0 P-3 18" VIO","N/A","N/A","0272","N/A","N/A","22.46","22.46","22.46","N/A","N/A","N/A","22.46","22.46","N/A","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46"
"5","N/A","SUTURE MONOCRYL 4-0 PS-2 27" PLUS UDY","N/A","N/A","0272","N/A","N/A","25.17","25.17","25.17","N/A","N/A","N/A","25.17","25.17","N/A","25.17","25.17","25.17","25.17","25.17","25.17","25.17","25.17","25.17","25.17"
"5","N/A","SUTURE MONOCRYL 4-0 PS-2 27" UDY","N/A","N/A","0272","N/A","N/A","21.61","21.61","21.61","N/A","N/A","N/A","21.61","21.61","N/A","21.61","21.61","21.61","21.61","21.61","21.61","21.61","21.61","21.61","21.61"
"5","N/A","SUTURE MONOCRYL 4-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","8.75","8.75","8.75","N/A","N/A","N/A","8.75","8.75","N/A","8.75","8.75","8.75","8.75","8.75","8.75","8.75","8.75","8.75","8.75"
"5","N/A","SUTURE MONOCRYL 4-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","SUTURE MONOCRYL 4-0 SH 27" VIO","N/A","N/A","0272","N/A","N/A","8.48","8.48","8.48","N/A","N/A","N/A","8.48","8.48","N/A","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48","8.48"
"5","N/A","SUTURE MONOCRYL 5-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","22.80","22.80","22.80","N/A","N/A","N/A","22.80","22.80","N/A","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80"
"5","N/A","SUTURE MONOCRYL 5-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","8.98","8.98","8.98","N/A","N/A","N/A","8.98","8.98","N/A","8.98","8.98","8.98","8.98","8.98","8.98","8.98","8.98","8.98","8.98"
"5","N/A","SUTURE NICELOOP BRAID GREEN #5","N/A","N/A","0272","N/A","N/A","204.60","204.60","204.60","N/A","N/A","N/A","204.60","204.60","N/A","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60"
"5","N/A","SUTURE NICELOOP BRAID WHITE #5 24"","N/A","N/A","0272","N/A","N/A","204.60","204.60","204.60","N/A","N/A","N/A","204.60","204.60","N/A","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60","204.60"
"5","N/A","SUTURE NOVAFIL SIZE 0","N/A","N/A","0272","N/A","N/A","23.86","23.86","23.86","N/A","N/A","N/A","23.86","23.86","N/A","23.86","23.86","23.86","23.86","23.86","23.86","23.86","23.86","23.86","23.86"
"5","N/A","SUTURE NOVAFIL SIZE 1","N/A","N/A","0272","N/A","N/A","25.01","25.01","25.01","N/A","N/A","N/A","25.01","25.01","N/A","25.01","25.01","25.01","25.01","25.01","25.01","25.01","25.01","25.01","25.01"
"5","N/A","SUTURE NUROLON 4-0 TF 18" BLK","N/A","N/A","0272","N/A","N/A","56.10","56.10","56.10","N/A","N/A","N/A","56.10","56.10","N/A","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10","56.10"
"5","N/A","SUTURE NYLON 9-0 DRM5 5" BLK","N/A","N/A","0272","N/A","N/A","142.30","142.30","142.30","N/A","N/A","N/A","142.30","142.30","N/A","142.30","142.30","142.30","142.30","142.30","142.30","142.30","142.30","142.30","142.30"
"5","N/A","SUTURE NYLON SHARPOINT 9-0 13CM BLK","N/A","N/A","0272","N/A","N/A","114.85","114.85","114.85","N/A","N/A","N/A","114.85","114.85","N/A","114.85","114.85","114.85","114.85","114.85","114.85","114.85","114.85","114.85","114.85"
"5","N/A","SUTURE PDS + 5-0 RB-2 30" VIO","N/A","N/A","0272","N/A","N/A","25.83","25.83","25.83","N/A","N/A","N/A","25.83","25.83","N/A","25.83","25.83","25.83","25.83","25.83","25.83","25.83","25.83","25.83","25.83"
"5","N/A","SUTURE PDS II 0 18" VIO","N/A","N/A","0272","N/A","N/A","484.12","484.12","484.12","N/A","N/A","N/A","484.12","484.12","N/A","484.12","484.12","484.12","484.12","484.12","484.12","484.12","484.12","484.12","484.12"
"5","N/A","SUTURE PDS II 0 CT 36" VIO","N/A","N/A","0272","N/A","N/A","10.15","10.15","10.15","N/A","N/A","N/A","10.15","10.15","N/A","10.15","10.15","10.15","10.15","10.15","10.15","10.15","10.15","10.15","10.15"
"5","N/A","SUTURE PDS II 0 CT-1 36" VIO","N/A","N/A","0272","N/A","N/A","10.14","10.14","10.14","N/A","N/A","N/A","10.14","10.14","N/A","10.14","10.14","10.14","10.14","10.14","10.14","10.14","10.14","10.14","10.14"
"5","N/A","SUTURE PDS II 0 CT-2 27" VIO","N/A","N/A","0272","N/A","N/A","10.19","10.19","10.19","N/A","N/A","N/A","10.19","10.19","N/A","10.19","10.19","10.19","10.19","10.19","10.19","10.19","10.19","10.19","10.19"
"5","N/A","SUTURE PDS II 0 CTX 36" VIO","N/A","N/A","0272","N/A","N/A","10.06","10.06","10.06","N/A","N/A","N/A","10.06","10.06","N/A","10.06","10.06","10.06","10.06","10.06","10.06","10.06","10.06","10.06","10.06"
"5","N/A","SUTURE PDS II 1 CT 36" VIO","N/A","N/A","0272","N/A","N/A","10.93","10.93","10.93","N/A","N/A","N/A","10.93","10.93","N/A","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93"
"5","N/A","SUTURE PDS II 1 CT-1 36" VIO","N/A","N/A","0272","N/A","N/A","10.80","10.80","10.80","N/A","N/A","N/A","10.80","10.80","N/A","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80"
"5","N/A","SUTURE PDS II 1 CTX 18" VIO","N/A","N/A","0272","N/A","N/A","72.40","72.40","72.40","N/A","N/A","N/A","72.40","72.40","N/A","72.40","72.40","72.40","72.40","72.40","72.40","72.40","72.40","72.40","72.40"
"5","N/A","SUTURE PDS II 1 TP-1 54" VIO","N/A","N/A","0272","N/A","N/A","16.56","16.56","16.56","N/A","N/A","N/A","16.56","16.56","N/A","16.56","16.56","16.56","16.56","16.56","16.56","16.56","16.56","16.56","16.56"
"5","N/A","SUTURE PDS II 1 TP-1 96" VIO","N/A","N/A","0272","N/A","N/A","18.92","18.92","18.92","N/A","N/A","N/A","18.92","18.92","N/A","18.92","18.92","18.92","18.92","18.92","18.92","18.92","18.92","18.92","18.92"
"5","N/A","SUTURE PDS II 1 VIOLET CT-1 8X18"","N/A","N/A","0272","N/A","N/A","73.13","73.13","73.13","N/A","N/A","N/A","73.13","73.13","N/A","73.13","73.13","73.13","73.13","73.13","73.13","73.13","73.13","73.13","73.13"
"5","N/A","SUTURE PDS II 2 CP 27" VIO","N/A","N/A","0272","N/A","N/A","12.27","12.27","12.27","N/A","N/A","N/A","12.27","12.27","N/A","12.27","12.27","12.27","12.27","12.27","12.27","12.27","12.27","12.27","12.27"
"5","N/A","SUTURE PDS II 2-0 CT 36" VIO","N/A","N/A","0272","N/A","N/A","10.59","10.59","10.59","N/A","N/A","N/A","10.59","10.59","N/A","10.59","10.59","10.59","10.59","10.59","10.59","10.59","10.59","10.59","10.59"
"5","N/A","SUTURE PDS II 2-0 CT-2 27" VIO","N/A","N/A","0272","N/A","N/A","10.16","10.16","10.16","N/A","N/A","N/A","10.16","10.16","N/A","10.16","10.16","10.16","10.16","10.16","10.16","10.16","10.16","10.16","10.16"
"5","N/A","SUTURE PDS II 2-0 FS-1 27" UDY","N/A","N/A","0272","N/A","N/A","14.09","14.09","14.09","N/A","N/A","N/A","14.09","14.09","N/A","14.09","14.09","14.09","14.09","14.09","14.09","14.09","14.09","14.09","14.09"
"5","N/A","SUTURE PDS II 3-0 SH 27" VIO","N/A","N/A","0272","N/A","N/A","9.76","9.76","9.76","N/A","N/A","N/A","9.76","9.76","N/A","9.76","9.76","9.76","9.76","9.76","9.76","9.76","9.76","9.76","9.76"
"5","N/A","SUTURE PDS II 4-0 PS-2 18" UDY","N/A","N/A","0272","N/A","N/A","22.02","22.02","22.02","N/A","N/A","N/A","22.02","22.02","N/A","22.02","22.02","22.02","22.02","22.02","22.02","22.02","22.02","22.02","22.02"
"5","N/A","SUTURE PDS II 4-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","9.61","9.61","9.61","N/A","N/A","N/A","9.61","9.61","N/A","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61"
"5","N/A","SUTURE PDS II 4-0 SH 27" VIO","N/A","N/A","0272","N/A","N/A","10.72","10.72","10.72","N/A","N/A","N/A","10.72","10.72","N/A","10.72","10.72","10.72","10.72","10.72","10.72","10.72","10.72","10.72","10.72"
"5","N/A","SUTURE PDS II 5-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","21.76","21.76","21.76","N/A","N/A","N/A","21.76","21.76","N/A","21.76","21.76","21.76","21.76","21.76","21.76","21.76","21.76","21.76","21.76"
"5","N/A","SUTURE PDS II 5-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","10.37","10.37","10.37","N/A","N/A","N/A","10.37","10.37","N/A","10.37","10.37","10.37","10.37","10.37","10.37","10.37","10.37","10.37","10.37"
"5","N/A","SUTURE PDS PLUS 6-0 30" VIOLET BV NDL","N/A","N/A","0272","N/A","N/A","74.33","74.33","74.33","N/A","N/A","N/A","74.33","74.33","N/A","74.33","74.33","74.33","74.33","74.33","74.33","74.33","74.33","74.33","74.33"
"5","N/A","SUTURE POLYPROPYLENE 10-0 PC-9 8" BLU","N/A","N/A","0272","N/A","N/A","104.02","104.02","104.02","N/A","N/A","N/A","104.02","104.02","N/A","104.02","104.02","104.02","104.02","104.02","104.02","104.02","104.02","104.02","104.02"
"5","N/A","SUTURE PROLENE 0 CT 30" BLU","N/A","N/A","0272","N/A","N/A","9.41","9.41","9.41","N/A","N/A","N/A","9.41","9.41","N/A","9.41","9.41","9.41","9.41","9.41","9.41","9.41","9.41","9.41","9.41"
"5","N/A","SUTURE PROLENE 0 SH 30" BLU","N/A","N/A","0272","N/A","N/A","13.50","13.50","13.50","N/A","N/A","N/A","13.50","13.50","N/A","13.50","13.50","13.50","13.50","13.50","13.50","13.50","13.50","13.50","13.50"
"5","N/A","SUTURE PROLENE 0 XLH 24" BLU","N/A","N/A","0272","N/A","N/A","33.49","33.49","33.49","N/A","N/A","N/A","33.49","33.49","N/A","33.49","33.49","33.49","33.49","33.49","33.49","33.49","33.49","33.49","33.49"
"5","N/A","SUTURE PROLENE 1 CT 30" BLU","N/A","N/A","0272","N/A","N/A","9.61","9.61","9.61","N/A","N/A","N/A","9.61","9.61","N/A","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61"
"5","N/A","SUTURE PROLENE 1 CTX 30" BLU","N/A","N/A","0272","N/A","N/A","8.99","8.99","8.99","N/A","N/A","N/A","8.99","8.99","N/A","8.99","8.99","8.99","8.99","8.99","8.99","8.99","8.99","8.99","8.99"
"5","N/A","SUTURE PROLENE 10-0 TG140-8 12" BLU","N/A","N/A","0272","N/A","N/A","65.02","65.02","65.02","N/A","N/A","N/A","65.02","65.02","N/A","65.02","65.02","65.02","65.02","65.02","65.02","65.02","65.02","65.02","65.02"
"5","N/A","SUTURE PROLENE 2 LR 20" BLU","N/A","N/A","0272","N/A","N/A","36.33","36.33","36.33","N/A","N/A","N/A","36.33","36.33","N/A","36.33","36.33","36.33","36.33","36.33","36.33","36.33","36.33","36.33","36.33"
"5","N/A","SUTURE PROLENE 2 TP-1 60" BLU","N/A","N/A","0272","N/A","N/A","17.14","17.14","17.14","N/A","N/A","N/A","17.14","17.14","N/A","17.14","17.14","17.14","17.14","17.14","17.14","17.14","17.14","17.14","17.14"
"5","N/A","SUTURE PROLENE 2-0 CT-2 30" BLU","N/A","N/A","0272","N/A","N/A","9.54","9.54","9.54","N/A","N/A","N/A","9.54","9.54","N/A","9.54","9.54","9.54","9.54","9.54","9.54","9.54","9.54","9.54","9.54"
"5","N/A","SUTURE PROLENE 2-0 FS 18" BLU","N/A","N/A","0272","N/A","N/A","10.03","10.03","10.03","N/A","N/A","N/A","10.03","10.03","N/A","10.03","10.03","10.03","10.03","10.03","10.03","10.03","10.03","10.03","10.03"
"5","N/A","SUTURE PROLENE 2-0 MH 36" BLU","N/A","N/A","0272","N/A","N/A","21.70","21.70","21.70","N/A","N/A","N/A","21.70","21.70","N/A","21.70","21.70","21.70","21.70","21.70","21.70","21.70","21.70","21.70","21.70"
"5","N/A","SUTURE PROLENE 2-0 SH 30" BLU","N/A","N/A","0272","N/A","N/A","12.42","12.42","12.42","N/A","N/A","N/A","12.42","12.42","N/A","12.42","12.42","12.42","12.42","12.42","12.42","12.42","12.42","12.42","12.42"
"5","N/A","SUTURE PROLENE 2-0 SH 36" BLU","N/A","N/A","0272","N/A","N/A","21.82","21.82","21.82","N/A","N/A","N/A","21.82","21.82","N/A","21.82","21.82","21.82","21.82","21.82","21.82","21.82","21.82","21.82","21.82"
"5","N/A","SUTURE PROLENE 3-0 CT-2 30" BLU","N/A","N/A","0272","N/A","N/A","9.53","9.53","9.53","N/A","N/A","N/A","9.53","9.53","N/A","9.53","9.53","9.53","9.53","9.53","9.53","9.53","9.53","9.53","9.53"
"5","N/A","SUTURE PROLENE 3-0 FSL 30" BLU","N/A","N/A","0272","N/A","N/A","12.10","12.10","12.10","N/A","N/A","N/A","12.10","12.10","N/A","12.10","12.10","12.10","12.10","12.10","12.10","12.10","12.10","12.10","12.10"
"5","N/A","SUTURE PROLENE 3-0 PS-2 18" BLU","N/A","N/A","0272","N/A","N/A","20.86","20.86","20.86","N/A","N/A","N/A","20.86","20.86","N/A","20.86","20.86","20.86","20.86","20.86","20.86","20.86","20.86","20.86","20.86"
"5","N/A","SUTURE PROLENE 3-0 RB-1 36" BLU","N/A","N/A","0272","N/A","N/A","22.21","22.21","22.21","N/A","N/A","N/A","22.21","22.21","N/A","22.21","22.21","22.21","22.21","22.21","22.21","22.21","22.21","22.21","22.21"
"5","N/A","SUTURE PROLENE 3-0 SH 30" BLU","N/A","N/A","0272","N/A","N/A","12.98","12.98","12.98","N/A","N/A","N/A","12.98","12.98","N/A","12.98","12.98","12.98","12.98","12.98","12.98","12.98","12.98","12.98","12.98"
"5","N/A","SUTURE PROLENE 3-0 SH 36" BLU","N/A","N/A","0272","N/A","N/A","21.91","21.91","21.91","N/A","N/A","N/A","21.91","21.91","N/A","21.91","21.91","21.91","21.91","21.91","21.91","21.91","21.91","21.91","21.91"
"5","N/A","SUTURE PROLENE 3-0 SH-1 30" BLU","N/A","N/A","0272","N/A","N/A","21.61","21.61","21.61","N/A","N/A","N/A","21.61","21.61","N/A","21.61","21.61","21.61","21.61","21.61","21.61","21.61","21.61","21.61","21.61"
"5","N/A","SUTURE PROLENE 4-0 FS-2 18" BLU","N/A","N/A","0272","N/A","N/A","10.38","10.38","10.38","N/A","N/A","N/A","10.38","10.38","N/A","10.38","10.38","10.38","10.38","10.38","10.38","10.38","10.38","10.38","10.38"
"5","N/A","SUTURE PROLENE 4-0 P-3 18" BLU","N/A","N/A","0272","N/A","N/A","21.21","21.21","21.21","N/A","N/A","N/A","21.21","21.21","N/A","21.21","21.21","21.21","21.21","21.21","21.21","21.21","21.21","21.21","21.21"
"5","N/A","SUTURE PROLENE 4-0 PC-3 18" BLU","N/A","N/A","0272","N/A","N/A","22.46","22.46","22.46","N/A","N/A","N/A","22.46","22.46","N/A","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46","22.46"
"5","N/A","SUTURE PROLENE 4-0 PS-2 18" BLU","N/A","N/A","0272","N/A","N/A","21.28","21.28","21.28","N/A","N/A","N/A","21.28","21.28","N/A","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28","21.28"
"5","N/A","SUTURE PROLENE 4-0 RB-1 36" BLU","N/A","N/A","0272","N/A","N/A","23.17","23.17","23.17","N/A","N/A","N/A","23.17","23.17","N/A","23.17","23.17","23.17","23.17","23.17","23.17","23.17","23.17","23.17","23.17"
"5","N/A","SUTURE PROLENE 4-0 SH 36" BLU","N/A","N/A","0272","N/A","N/A","22.15","22.15","22.15","N/A","N/A","N/A","22.15","22.15","N/A","22.15","22.15","22.15","22.15","22.15","22.15","22.15","22.15","22.15","22.15"
"5","N/A","SUTURE PROLENE 4-0 SH-1 30" BLU","N/A","N/A","0272","N/A","N/A","21.85","21.85","21.85","N/A","N/A","N/A","21.85","21.85","N/A","21.85","21.85","21.85","21.85","21.85","21.85","21.85","21.85","21.85","21.85"
"5","N/A","SUTURE PROLENE 5-0 C-1 36" BLU","N/A","N/A","0272","N/A","N/A","55.84","55.84","55.84","N/A","N/A","N/A","55.84","55.84","N/A","55.84","55.84","55.84","55.84","55.84","55.84","55.84","55.84","55.84","55.84"
"5","N/A","SUTURE PROLENE 5-0 P-3 18" BLU","N/A","N/A","0272","N/A","N/A","18.40","18.40","18.40","N/A","N/A","N/A","18.40","18.40","N/A","18.40","18.40","18.40","18.40","18.40","18.40","18.40","18.40","18.40","18.40"
"5","N/A","SUTURE PROLENE 5-0 PC-1 18" BLU","N/A","N/A","0272","N/A","N/A","22.80","22.80","22.80","N/A","N/A","N/A","22.80","22.80","N/A","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80"
"5","N/A","SUTURE PROLENE 5-0 PC-3 18" BLU","N/A","N/A","0272","N/A","N/A","22.80","22.80","22.80","N/A","N/A","N/A","22.80","22.80","N/A","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80"
"5","N/A","SUTURE PROLENE 5-0 RB-1 36" BLU","N/A","N/A","0272","N/A","N/A","22.80","22.80","22.80","N/A","N/A","N/A","22.80","22.80","N/A","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80","22.80"
"5","N/A","SUTURE PROLENE 5-0 RB-2 30" BLU","N/A","N/A","0272","N/A","N/A","21.92","21.92","21.92","N/A","N/A","N/A","21.92","21.92","N/A","21.92","21.92","21.92","21.92","21.92","21.92","21.92","21.92","21.92","21.92"
"5","N/A","SUTURE PROLENE 5-0 RB-218" BLU","N/A","N/A","0272","N/A","N/A","21.34","21.34","21.34","N/A","N/A","N/A","21.34","21.34","N/A","21.34","21.34","21.34","21.34","21.34","21.34","21.34","21.34","21.34","21.34"
"5","N/A","SUTURE PROLENE 6-0 BV-1 24" BLU","N/A","N/A","0272","N/A","N/A","67.90","67.90","67.90","N/A","N/A","N/A","67.90","67.90","N/A","67.90","67.90","67.90","67.90","67.90","67.90","67.90","67.90","67.90","67.90"
"5","N/A","SUTURE PROLENE 6-0 BV1 30"","N/A","N/A","0272","N/A","N/A","67.20","67.20","67.20","N/A","N/A","N/A","67.20","67.20","N/A","67.20","67.20","67.20","67.20","67.20","67.20","67.20","67.20","67.20","67.20"
"5","N/A","SUTURE PROLENE 6-0 C-1 30" BLU","N/A","N/A","0272","N/A","N/A","58.96","58.96","58.96","N/A","N/A","N/A","58.96","58.96","N/A","58.96","58.96","58.96","58.96","58.96","58.96","58.96","58.96","58.96","58.96"
"5","N/A","SUTURE PROLENE 6-0 P-1 18" BLU","N/A","N/A","0272","N/A","N/A","22.72","22.72","22.72","N/A","N/A","N/A","22.72","22.72","N/A","22.72","22.72","22.72","22.72","22.72","22.72","22.72","22.72","22.72","22.72"
"5","N/A","SUTURE PROLENE 6-0 PC-1 18" BLU","N/A","N/A","0272","N/A","N/A","23.53","23.53","23.53","N/A","N/A","N/A","23.53","23.53","N/A","23.53","23.53","23.53","23.53","23.53","23.53","23.53","23.53","23.53","23.53"
"5","N/A","SUTURE PROLENE 6-0 RB-2 30" BLU","N/A","N/A","0272","N/A","N/A","22.60","22.60","22.60","N/A","N/A","N/A","22.60","22.60","N/A","22.60","22.60","22.60","22.60","22.60","22.60","22.60","22.60","22.60","22.60"
"5","N/A","SUTURE PROLENE 7-0 BV-1 24" BLU","N/A","N/A","0272","N/A","N/A","69.53","69.53","69.53","N/A","N/A","N/A","69.53","69.53","N/A","69.53","69.53","69.53","69.53","69.53","69.53","69.53","69.53","69.53","69.53"
"5","N/A","SUTURE PROLENE 7-0 BV-1 30"","N/A","N/A","0272","N/A","N/A","136.53","136.53","136.53","N/A","N/A","N/A","136.53","136.53","N/A","136.53","136.53","136.53","136.53","136.53","136.53","136.53","136.53","136.53","136.53"
"5","N/A","SUTURE PROLENE 7-0 BV-1 30" BLU","N/A","N/A","0272","N/A","N/A","108.29","108.29","108.29","N/A","N/A","N/A","108.29","108.29","N/A","108.29","108.29","108.29","108.29","108.29","108.29","108.29","108.29","108.29","108.29"
"5","N/A","SUTURE PROLENE 7-0 BV175-6 24" BLU","N/A","N/A","0272","N/A","N/A","126.87","126.87","126.87","N/A","N/A","N/A","126.87","126.87","N/A","126.87","126.87","126.87","126.87","126.87","126.87","126.87","126.87","126.87","126.87"
"5","N/A","SUTURE PROLENE 7-0 BV175-6 30" BLU","N/A","N/A","0272","N/A","N/A","207.09","207.09","207.09","N/A","N/A","N/A","207.09","207.09","N/A","207.09","207.09","207.09","207.09","207.09","207.09","207.09","207.09","207.09","207.09"
"5","N/A","SUTURE PROLENE 8-0 BV130-5 24" BLU","N/A","N/A","0272","N/A","N/A","97.83","97.83","97.83","N/A","N/A","N/A","97.83","97.83","N/A","97.83","97.83","97.83","97.83","97.83","97.83","97.83","97.83","97.83","97.83"
"5","N/A","SUTURE PROLENE 9-0 STC-6 8" BLU","N/A","N/A","0272","N/A","N/A","391.96","391.96","391.96","N/A","N/A","N/A","391.96","391.96","N/A","391.96","391.96","391.96","391.96","391.96","391.96","391.96","391.96","391.96","391.96"
"5","N/A","SUTURE SHARPOINT 9-0 VRM6 5" BLK","N/A","N/A","0272","N/A","N/A","114.85","114.85","114.85","N/A","N/A","N/A","114.85","114.85","N/A","114.85","114.85","114.85","114.85","114.85","114.85","114.85","114.85","114.85","114.85"
"5","N/A","SUTURE SILK 0 CT-1 30" BLK","N/A","N/A","0272","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","SUTURE SILK 0 KS 30" BLK","N/A","N/A","0272","N/A","N/A","5.96","5.96","5.96","N/A","N/A","N/A","5.96","5.96","N/A","5.96","5.96","5.96","5.96","5.96","5.96","5.96","5.96","5.96","5.96"
"5","N/A","SUTURE SILK 0 P-CUT 30" BLK","N/A","N/A","0272","N/A","N/A","5.31","5.31","5.31","N/A","N/A","N/A","5.31","5.31","N/A","5.31","5.31","5.31","5.31","5.31","5.31","5.31","5.31","5.31","5.31"
"5","N/A","SUTURE SILK 0 PSL 30" BLK","N/A","N/A","0272","N/A","N/A","13.44","13.44","13.44","N/A","N/A","N/A","13.44","13.44","N/A","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44"
"5","N/A","SUTURE SILK 0 SH 30" BLK","N/A","N/A","0272","N/A","N/A","4.82","4.82","4.82","N/A","N/A","N/A","4.82","4.82","N/A","4.82","4.82","4.82","4.82","4.82","4.82","4.82","4.82","4.82","4.82"
"5","N/A","SUTURE SILK 1 P-CUT 30" BLK","N/A","N/A","0272","N/A","N/A","8.57","8.57","8.57","N/A","N/A","N/A","8.57","8.57","N/A","8.57","8.57","8.57","8.57","8.57","8.57","8.57","8.57","8.57","8.57"
"5","N/A","SUTURE SILK 2 LR 30" BLK","N/A","N/A","0272","N/A","N/A","12.54","12.54","12.54","N/A","N/A","N/A","12.54","12.54","N/A","12.54","12.54","12.54","12.54","12.54","12.54","12.54","12.54","12.54","12.54"
"5","N/A","SUTURE SILK 2-0 CT-1 18" BLK","N/A","N/A","0272","N/A","N/A","33.29","33.29","33.29","N/A","N/A","N/A","33.29","33.29","N/A","33.29","33.29","33.29","33.29","33.29","33.29","33.29","33.29","33.29","33.29"
"5","N/A","SUTURE SILK 2-0 CT-1 30" BLK","N/A","N/A","0272","N/A","N/A","4.85","4.85","4.85","N/A","N/A","N/A","4.85","4.85","N/A","4.85","4.85","4.85","4.85","4.85","4.85","4.85","4.85","4.85","4.85"
"5","N/A","SUTURE SILK 2-0 FS 18" BLK","N/A","N/A","0272","N/A","N/A","5.88","5.88","5.88","N/A","N/A","N/A","5.88","5.88","N/A","5.88","5.88","5.88","5.88","5.88","5.88","5.88","5.88","5.88","5.88"
"5","N/A","SUTURE SILK 2-0 FSL 18" BLK","N/A","N/A","0272","N/A","N/A","6.23","6.23","6.23","N/A","N/A","N/A","6.23","6.23","N/A","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23"
"5","N/A","SUTURE SILK 2-0 FSL 30" BLK","N/A","N/A","0272","N/A","N/A","6.23","6.23","6.23","N/A","N/A","N/A","6.23","6.23","N/A","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23"
"5","N/A","SUTURE SILK 2-0 P-CUT 18" BLK","N/A","N/A","0272","N/A","N/A","5.52","5.52","5.52","N/A","N/A","N/A","5.52","5.52","N/A","5.52","5.52","5.52","5.52","5.52","5.52","5.52","5.52","5.52","5.52"
"5","N/A","SUTURE SILK 2-0 P-CUT 24" BLK","N/A","N/A","0272","N/A","N/A","8.93","8.93","8.93","N/A","N/A","N/A","8.93","8.93","N/A","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93"
"5","N/A","SUTURE SILK 2-0 P-CUT 30" BLK","N/A","N/A","0272","N/A","N/A","9.19","9.19","9.19","N/A","N/A","N/A","9.19","9.19","N/A","9.19","9.19","9.19","9.19","9.19","9.19","9.19","9.19","9.19","9.19"
"5","N/A","SUTURE SILK 2-0 PS 18" BLK","N/A","N/A","0272","N/A","N/A","13.44","13.44","13.44","N/A","N/A","N/A","13.44","13.44","N/A","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44","13.44"
"5","N/A","SUTURE SILK 2-0 REEL 144" BLK","N/A","N/A","0272","N/A","N/A","6.14","6.14","6.14","N/A","N/A","N/A","6.14","6.14","N/A","6.14","6.14","6.14","6.14","6.14","6.14","6.14","6.14","6.14","6.14"
"5","N/A","SUTURE SILK 2-0 SH 18" BLK","N/A","N/A","0272","N/A","N/A","32.62","32.62","32.62","N/A","N/A","N/A","32.62","32.62","N/A","32.62","32.62","32.62","32.62","32.62","32.62","32.62","32.62","32.62","32.62"
"5","N/A","SUTURE SILK 2-0 SH 30" BLK","N/A","N/A","0272","N/A","N/A","5.72","5.72","5.72","N/A","N/A","N/A","5.72","5.72","N/A","5.72","5.72","5.72","5.72","5.72","5.72","5.72","5.72","5.72","5.72"
"5","N/A","SUTURE SILK 3-0 FS-1 18" BLK","N/A","N/A","0272","N/A","N/A","6.18","6.18","6.18","N/A","N/A","N/A","6.18","6.18","N/A","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18"
"5","N/A","SUTURE SILK 3-0 KS 30" BLK","N/A","N/A","0272","N/A","N/A","6.03","6.03","6.03","N/A","N/A","N/A","6.03","6.03","N/A","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03"
"5","N/A","SUTURE SILK 3-0 P-CUT 18" BLK","N/A","N/A","0272","N/A","N/A","6.56","6.56","6.56","N/A","N/A","N/A","6.56","6.56","N/A","6.56","6.56","6.56","6.56","6.56","6.56","6.56","6.56","6.56","6.56"
"5","N/A","SUTURE SILK 3-0 P-CUT 24" BLK","N/A","N/A","0272","N/A","N/A","8.93","8.93","8.93","N/A","N/A","N/A","8.93","8.93","N/A","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93"
"5","N/A","SUTURE SILK 3-0 P-CUT 30" BLK","N/A","N/A","0272","N/A","N/A","11.16","11.16","11.16","N/A","N/A","N/A","11.16","11.16","N/A","11.16","11.16","11.16","11.16","11.16","11.16","11.16","11.16","11.16","11.16"
"5","N/A","SUTURE SILK 3-0 RB-1 30" BLK","N/A","N/A","0272","N/A","N/A","6.00","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","SUTURE SILK 3-0 REEL 144" BLK","N/A","N/A","0272","N/A","N/A","6.08","6.08","6.08","N/A","N/A","N/A","6.08","6.08","N/A","6.08","6.08","6.08","6.08","6.08","6.08","6.08","6.08","6.08","6.08"
"5","N/A","SUTURE SILK 3-0 SH 18" BLK","N/A","N/A","0272","N/A","N/A","32.41","32.41","32.41","N/A","N/A","N/A","32.41","32.41","N/A","32.41","32.41","32.41","32.41","32.41","32.41","32.41","32.41","32.41","32.41"
"5","N/A","SUTURE SILK 3-0 SH 30" BLK","N/A","N/A","0272","N/A","N/A","10.65","10.65","10.65","N/A","N/A","N/A","10.65","10.65","N/A","10.65","10.65","10.65","10.65","10.65","10.65","10.65","10.65","10.65","10.65"
"5","N/A","SUTURE SILK 4-0 C-3 12" BLK","N/A","N/A","0272","N/A","N/A","19.07","19.07","19.07","N/A","N/A","N/A","19.07","19.07","N/A","19.07","19.07","19.07","19.07","19.07","19.07","19.07","19.07","19.07","19.07"
"5","N/A","SUTURE SILK 4-0 C-3 18" BLK","N/A","N/A","0272","N/A","N/A","7.12","7.12","7.12","N/A","N/A","N/A","7.12","7.12","N/A","7.12","7.12","7.12","7.12","7.12","7.12","7.12","7.12","7.12","7.12"
"5","N/A","SUTURE SILK 4-0 FS-2 18" BLK","N/A","N/A","0272","N/A","N/A","6.11","6.11","6.11","N/A","N/A","N/A","6.11","6.11","N/A","6.11","6.11","6.11","6.11","6.11","6.11","6.11","6.11","6.11","6.11"
"5","N/A","SUTURE SILK 4-0 KS 30" BLK","N/A","N/A","0272","N/A","N/A","6.04","6.04","6.04","N/A","N/A","N/A","6.04","6.04","N/A","6.04","6.04","6.04","6.04","6.04","6.04","6.04","6.04","6.04","6.04"
"5","N/A","SUTURE SILK 4-0 RB-1 18" BLK","N/A","N/A","0272","N/A","N/A","42.25","42.25","42.25","N/A","N/A","N/A","42.25","42.25","N/A","42.25","42.25","42.25","42.25","42.25","42.25","42.25","42.25","42.25","42.25"
"5","N/A","SUTURE SILK 4-0 RB-1 30" BLK","N/A","N/A","0272","N/A","N/A","6.03","6.03","6.03","N/A","N/A","N/A","6.03","6.03","N/A","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03","6.03"
"5","N/A","SUTURE SILK 4-0 REEL 144" BLK","N/A","N/A","0272","N/A","N/A","6.31","6.31","6.31","N/A","N/A","N/A","6.31","6.31","N/A","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31"
"5","N/A","SUTURE SILK 4-0 SH 18" BLK","N/A","N/A","0272","N/A","N/A","32.47","32.47","32.47","N/A","N/A","N/A","32.47","32.47","N/A","32.47","32.47","32.47","32.47","32.47","32.47","32.47","32.47","32.47","32.47"
"5","N/A","SUTURE SILK 4-0 SH 30" BLK","N/A","N/A","0272","N/A","N/A","4.83","4.83","4.83","N/A","N/A","N/A","4.83","4.83","N/A","4.83","4.83","4.83","4.83","4.83","4.83","4.83","4.83","4.83","4.83"
"5","N/A","SUTURE SILK 4-0 TF 18" BLK","N/A","N/A","0272","N/A","N/A","45.04","45.04","45.04","N/A","N/A","N/A","45.04","45.04","N/A","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04"
"5","N/A","SUTURE SILK 4-0 TIES 18" BLK","N/A","N/A","0272","N/A","N/A","7.70","7.70","7.70","N/A","N/A","N/A","7.70","7.70","N/A","7.70","7.70","7.70","7.70","7.70","7.70","7.70","7.70","7.70","7.70"
"5","N/A","SUTURE SILK 5-0 P-CUT 18" BLK","N/A","N/A","0272","N/A","N/A","6.70","6.70","6.70","N/A","N/A","N/A","6.70","6.70","N/A","6.70","6.70","6.70","6.70","6.70","6.70","6.70","6.70","6.70","6.70"
"5","N/A","SUTURE SILK 5-0 RB-1 30" BLK","N/A","N/A","0272","N/A","N/A","6.20","6.20","6.20","N/A","N/A","N/A","6.20","6.20","N/A","6.20","6.20","6.20","6.20","6.20","6.20","6.20","6.20","6.20","6.20"
"5","N/A","SUTURE SILK 6-0 C-1 18" BLK","N/A","N/A","0272","N/A","N/A","32.23","32.23","32.23","N/A","N/A","N/A","32.23","32.23","N/A","32.23","32.23","32.23","32.23","32.23","32.23","32.23","32.23","32.23","32.23"
"5","N/A","SUTURE SILK 6-0 G-1 18" BLK","N/A","N/A","0272","N/A","N/A","43.34","43.34","43.34","N/A","N/A","N/A","43.34","43.34","N/A","43.34","43.34","43.34","43.34","43.34","43.34","43.34","43.34","43.34","43.34"
"5","N/A","SUTURE SILK 6-0 P-1 18" BLK","N/A","N/A","0272","N/A","N/A","14.71","14.71","14.71","N/A","N/A","N/A","14.71","14.71","N/A","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71"
"5","N/A","SUTURE SILK 6-0 TG140-8 18" BLK","N/A","N/A","0272","N/A","N/A","45.05","45.05","45.05","N/A","N/A","N/A","45.05","45.05","N/A","45.05","45.05","45.05","45.05","45.05","45.05","45.05","45.05","45.05","45.05"
"5","N/A","SUTURE SILK 7-0 G-6 18" BLK","N/A","N/A","0272","N/A","N/A","45.92","45.92","45.92","N/A","N/A","N/A","45.92","45.92","N/A","45.92","45.92","45.92","45.92","45.92","45.92","45.92","45.92","45.92","45.92"
"5","N/A","SUTURE STAINLESS STEEL 0 18"","N/A","N/A","0272","N/A","N/A","28.24","28.24","28.24","N/A","N/A","N/A","28.24","28.24","N/A","28.24","28.24","28.24","28.24","28.24","28.24","28.24","28.24","28.24","28.24"
"5","N/A","SUTURE STAINLESS STEEL 2 18"","N/A","N/A","0272","N/A","N/A","23.84","23.84","23.84","N/A","N/A","N/A","23.84","23.84","N/A","23.84","23.84","23.84","23.84","23.84","23.84","23.84","23.84","23.84","23.84"
"5","N/A","SUTURE STAINLESS STEEL 2-0 18"","N/A","N/A","0272","N/A","N/A","28.58","28.58","28.58","N/A","N/A","N/A","28.58","28.58","N/A","28.58","28.58","28.58","28.58","28.58","28.58","28.58","28.58","28.58","28.58"
"5","N/A","SUTURE STAINLESS STEEL 5 CCS-1 30"","N/A","N/A","0272","N/A","N/A","31.80","31.80","31.80","N/A","N/A","N/A","31.80","31.80","N/A","31.80","31.80","31.80","31.80","31.80","31.80","31.80","31.80","31.80","31.80"
"5","N/A","SUTURE STAINLESS STEEL 5 V-56 30"","N/A","N/A","0272","N/A","N/A","45.35","45.35","45.35","N/A","N/A","N/A","45.35","45.35","N/A","45.35","45.35","45.35","45.35","45.35","45.35","45.35","45.35","45.35","45.35"
"5","N/A","SUTURE STAINLESS STEEL 6 CCS 18"","N/A","N/A","0272","N/A","N/A","58.97","58.97","58.97","N/A","N/A","N/A","58.97","58.97","N/A","58.97","58.97","58.97","58.97","58.97","58.97","58.97","58.97","58.97","58.97"
"5","N/A","SUTURE STAINLESS STEEL 7 18"","N/A","N/A","0272","N/A","N/A","25.70","25.70","25.70","N/A","N/A","N/A","25.70","25.70","N/A","25.70","25.70","25.70","25.70","25.70","25.70","25.70","25.70","25.70","25.70"
"5","N/A","SUTURE STRATAFIX 0 PDS CT-1 NDL W/LOOP","N/A","N/A","0272","N/A","N/A","87.14","87.14","87.14","N/A","N/A","N/A","87.14","87.14","N/A","87.14","87.14","87.14","87.14","87.14","87.14","87.14","87.14","87.14","87.14"
"5","N/A","SUTURE STRATAFIX 1 PDS PLUS CT-1 60CM","N/A","N/A","0272","N/A","N/A","89.31","89.31","89.31","N/A","N/A","N/A","89.31","89.31","N/A","89.31","89.31","89.31","89.31","89.31","89.31","89.31","89.31","89.31","89.31"
"5","N/A","SUTURE STRATAFIX 2-0 PDS PLUS CT-2 NDL","N/A","N/A","0272","N/A","N/A","87.48","87.48","87.48","N/A","N/A","N/A","87.48","87.48","N/A","87.48","87.48","87.48","87.48","87.48","87.48","87.48","87.48","87.48","87.48"
"5","N/A","SUTURE STRATAFIX 3-0 SH 20CM UDY","N/A","N/A","0272","N/A","N/A","84.07","84.07","84.07","N/A","N/A","N/A","84.07","84.07","N/A","84.07","84.07","84.07","84.07","84.07","84.07","84.07","84.07","84.07","84.07"
"5","N/A","SUTURE STRATAFIX 4-0 PS2 30CM UDY","N/A","N/A","0272","N/A","N/A","53.63","53.63","53.63","N/A","N/A","N/A","53.63","53.63","N/A","53.63","53.63","53.63","53.63","53.63","53.63","53.63","53.63","53.63","53.63"
"5","N/A","SUTURE STRATAFIX 4-0 PS2 60CM UDY","N/A","N/A","0272","N/A","N/A","54.63","54.63","54.63","N/A","N/A","N/A","54.63","54.63","N/A","54.63","54.63","54.63","54.63","54.63","54.63","54.63","54.63","54.63","54.63"
"5","N/A","SUTURE STRATAFIX PDO 2-0 CT-1 30CM","N/A","N/A","0272","N/A","N/A","65.76","65.76","65.76","N/A","N/A","N/A","65.76","65.76","N/A","65.76","65.76","65.76","65.76","65.76","65.76","65.76","65.76","65.76","65.76"
"5","N/A","SUTURE STRATAFIX PDS+ 1 CT-1 18"","N/A","N/A","0272","N/A","N/A","71.90","71.90","71.90","N/A","N/A","N/A","71.90","71.90","N/A","71.90","71.90","71.90","71.90","71.90","71.90","71.90","71.90","71.90","71.90"
"5","N/A","SUTURE STRATAFIX PDS+ 1 CTX 18"","N/A","N/A","0272","N/A","N/A","69.12","69.12","69.12","N/A","N/A","N/A","69.12","69.12","N/A","69.12","69.12","69.12","69.12","69.12","69.12","69.12","69.12","69.12","69.12"
"5","N/A","SUTURE STRATAFIX PGA 3-0 30X30CM","N/A","N/A","0272","N/A","N/A","68.52","68.52","68.52","N/A","N/A","N/A","68.52","68.52","N/A","68.52","68.52","68.52","68.52","68.52","68.52","68.52","68.52","68.52","68.52"
"5","N/A","CHLOROPROCAINE (PF) 30 MG/ML (3 %) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","53.72","53.72","53.72","N/A","N/A","N/A","53.72","53.72","N/A","53.72","53.72","53.72","53.72","53.72","53.72","53.72","53.72","53.72","53.72"
"5","N/A","CHLOROTHIAZIDE 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","714.48","714.48","714.48","N/A","N/A","N/A","714.48","714.48","N/A","714.48","714.48","714.48","714.48","714.48","714.48","714.48","714.48","714.48","714.48"
"5","N/A","CHLORPROMAZINE 50 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","79.45","79.45","79.45","N/A","N/A","N/A","79.45","79.45","N/A","79.45","79.45","79.45","79.45","79.45","79.45","79.45","79.45","79.45","79.45"
"5","N/A","CIDOFOVIR 375 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","1776.00","1776.00","1776.00","N/A","N/A","N/A","1776.00","1776.00","N/A","1776.00","1776.00","1776.00","1776.00","1776.00","1776.00","1776.00","1776.00","1776.00","1776.00"
"5","N/A","CIPROFLOXACIN 400 MG/200 ML IVPB","N/A","N/A","0250","N/A","N/A","10.02","10.02","10.02","N/A","N/A","N/A","10.02","10.02","N/A","10.02","10.02","10.02","10.02","10.02","10.02","10.02","10.02","10.02","10.02"
"5","N/A","CIPROFLOXACIN HCL 0.3 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","13.00","13.00","13.00","N/A","N/A","N/A","13.00","13.00","N/A","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00"
"5","N/A","CIPROFLOXACIN HCL 0.3 % DROP 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","53.82","53.82","53.82","N/A","N/A","N/A","53.82","53.82","N/A","53.82","53.82","53.82","53.82","53.82","53.82","53.82","53.82","53.82","53.82"
"5","N/A","CISATRACURIUM 20 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","55.20","55.20","55.20","N/A","N/A","N/A","55.20","55.20","N/A","55.20","55.20","55.20","55.20","55.20","55.20","55.20","55.20","55.20","55.20"
"5","N/A","CISATRACURIUM 20 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","62.11","62.11","62.11","N/A","N/A","N/A","62.11","62.11","N/A","62.11","62.11","62.11","62.11","62.11","62.11","62.11","62.11","62.11","62.11"
"5","N/A","CISATRACURIUM BESYLATE 10 MG/ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","672.55","672.55","672.55","N/A","N/A","N/A","672.55","672.55","N/A","672.55","672.55","672.55","672.55","672.55","672.55","672.55","672.55","672.55","672.55"
"5","N/A","CISPLATIN 50 MG/50 ML SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","7.20","7.20","7.20","N/A","N/A","N/A","7.20","7.20","N/A","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20"
"5","N/A","CISPLATIN 50 MG/50 ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","8.25","8.25","8.25","N/A","N/A","N/A","8.25","8.25","N/A","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25"
"5","N/A","CLEVIDIPINE 25 MG/50 ML EMUL","N/A","N/A","0250","N/A","N/A","7.20","7.20","7.20","N/A","N/A","N/A","7.20","7.20","N/A","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20"
"5","N/A","CLINDAMYCIN 150 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","5.97","5.97","5.97","N/A","N/A","N/A","5.97","5.97","N/A","5.97","5.97","5.97","5.97","5.97","5.97","5.97","5.97","5.97","5.97"
"5","N/A","CLINDAMYCIN 150 MG/ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","CLINDAMYCIN 150 MG/ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","CLINDAMYCIN 600 MG/50 ML IVPB","N/A","N/A","0250","N/A","N/A","28.44","28.44","28.44","N/A","N/A","N/A","28.44","28.44","N/A","28.44","28.44","28.44","28.44","28.44","28.44","28.44","28.44","28.44","28.44"
"5","N/A","CLINDAMYCIN 900 MG/50 ML IVPB","N/A","N/A","0250","N/A","N/A","34.80","34.80","34.80","N/A","N/A","N/A","34.80","34.80","N/A","34.80","34.80","34.80","34.80","34.80","34.80","34.80","34.80","34.80","34.80"
"5","N/A","CLINDAMYCIN IN 900 MG (PREMIX) IVPB","N/A","N/A","0250","N/A","N/A","34.80","34.80","34.80","N/A","N/A","N/A","34.80","34.80","N/A","34.80","34.80","34.80","34.80","34.80","34.80","34.80","34.80","34.80","34.80"
"5","N/A","CLINIMIX E 8/14 8-14 % SOLP","N/A","N/A","0250","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","CLOSTRIDIUM BOTULINUM TOXIN A 100 UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","14.42","14.42","14.42","N/A","N/A","N/A","14.42","14.42","N/A","14.42","14.42","14.42","14.42","14.42","14.42","14.42","14.42","14.42","14.42"
"5","N/A","CLOSTRIDIUM BOTULINUM TOXIN TY 100 UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","13.53","13.53","13.53","N/A","N/A","N/A","13.53","13.53","N/A","13.53","13.53","13.53","13.53","13.53","13.53","13.53","13.53","13.53","13.53"
"5","N/A","COCAINE 4 % SOLN","N/A","N/A","0250","N/A","N/A","3.68","3.68","3.68","N/A","N/A","N/A","3.68","3.68","N/A","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68"
"5","N/A","COMPOUND VEHICLE SUSP SF NO.20 SUSP 480 ML BOTTLE","N/A","N/A","0250","N/A","N/A","0.09","0.09","0.09","N/A","N/A","N/A","0.09","0.09","N/A","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09"
"5","N/A","COMPOUNDING VEHICLE SF NO.9 LIQ 480 ML BOTTLE","N/A","N/A","0250","N/A","N/A","0.09","0.09","0.09","N/A","N/A","N/A","0.09","0.09","N/A","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09"
"5","N/A","CONJUGATED ESTROGENS 25 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","747.94","747.94","747.94","N/A","N/A","N/A","747.94","747.94","N/A","747.94","747.94","747.94","747.94","747.94","747.94","747.94","747.94","747.94","747.94"
"5","N/A","COSYNTROPIN 250 MCG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","207.48","207.48","207.48","N/A","N/A","N/A","207.48","207.48","N/A","207.48","207.48","207.48","207.48","207.48","207.48","207.48","207.48","207.48","207.48"
"5","N/A","CYANOCOBALAMIN 1,000 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","16.61","16.61","16.61","N/A","N/A","N/A","16.61","16.61","N/A","16.61","16.61","16.61","16.61","16.61","16.61","16.61","16.61","16.61","16.61"
"5","N/A","CYCLOPENTOLATE HCL 1 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","14.29","14.29","14.29","N/A","N/A","N/A","14.29","14.29","N/A","14.29","14.29","14.29","14.29","14.29","14.29","14.29","14.29","14.29","14.29"
"5","N/A","CYCLOPENTOLATE HCL 1 % DROP 2 ML DROP BTL","N/A","N/A","0250","N/A","N/A","28.73","28.73","28.73","N/A","N/A","N/A","28.73","28.73","N/A","28.73","28.73","28.73","28.73","28.73","28.73","28.73","28.73","28.73","28.73"
"5","N/A","CYCLOPHOSPHAMIDE 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","175.80","175.80","175.80","N/A","N/A","N/A","175.80","175.80","N/A","175.80","175.80","175.80","175.80","175.80","175.80","175.80","175.80","175.80","175.80"
"5","N/A","CYCLOPHOSPHAMIDE 50 MG CAP","N/A","N/A","0250","N/A","N/A","8.40","8.40","8.40","N/A","N/A","N/A","8.40","8.40","N/A","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40"
"5","N/A","CYCLOPHOSPHAMIDE 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","175.80","175.80","175.80","N/A","N/A","N/A","175.80","175.80","N/A","175.80","175.80","175.80","175.80","175.80","175.80","175.80","175.80","175.80","175.80"
"5","N/A","CYCLOSPORINE MODIFIED (GENGRAF) 25 MG CAP","N/A","N/A","0250","N/A","N/A","4.20","4.20","4.20","N/A","N/A","N/A","4.20","4.20","N/A","4.20","4.20","4.20","4.20","4.20","4.20","4.20","4.20","4.20","4.20"
"5","N/A","CYCLOSPORINE MODIFIED 100 MG CAP","N/A","N/A","0250","N/A","N/A","10.55","10.55","10.55","N/A","N/A","N/A","10.55","10.55","N/A","10.55","10.55","10.55","10.55","10.55","10.55","10.55","10.55","10.55","10.55"
"5","N/A","CYCLOSPORINE MODIFIED 100 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","11.32","11.32","11.32","N/A","N/A","N/A","11.32","11.32","N/A","11.32","11.32","11.32","11.32","11.32","11.32","11.32","11.32","11.32","11.32"
"5","N/A","CYCLOSPORINE MODIFIED 25 MG CAP","N/A","N/A","0250","N/A","N/A","2.66","2.66","2.66","N/A","N/A","N/A","2.66","2.66","N/A","2.66","2.66","2.66","2.66","2.66","2.66","2.66","2.66","2.66","2.66"
"5","N/A","CYTARABINE (PF) 2 GRAM/20 ML (100 MG/ML) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","2.43","2.43","2.43","N/A","N/A","N/A","2.43","2.43","N/A","2.43","2.43","2.43","2.43","2.43","2.43","2.43","2.43","2.43","2.43"
"5","N/A","CYTOMEGALOVIRUS IMMUNE GLOB 2500 MG/50 ML SOLN","N/A","N/A","0250","N/A","N/A","3389.28","3389.28","3389.28","N/A","N/A","N/A","3389.28","3389.28","N/A","3389.28","3389.28","3389.28","3389.28","3389.28","3389.28","3389.28","3389.28","3389.28","3389.28"
"5","N/A","D10 SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","16.91","16.91","16.91","N/A","N/A","N/A","16.91","16.91","N/A","16.91","16.91","16.91","16.91","16.91","16.91","16.91","16.91","16.91","16.91"
"5","N/A","D10 SOLP 500 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D10 SOLP 500 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","D20W 20 %","N/A","N/A","0250","N/A","N/A","27.60","27.60","27.60","N/A","N/A","N/A","27.60","27.60","N/A","27.60","27.60","27.60","27.60","27.60","27.60","27.60","27.60","27.60","27.60"
"5","N/A","D20W 20 % SOLP","N/A","N/A","0250","N/A","N/A","27.60","27.60","27.60","N/A","N/A","N/A","27.60","27.60","N/A","27.60","27.60","27.60","27.60","27.60","27.60","27.60","27.60","27.60","27.60"
"5","N/A","D5-1/2 NS KCL 20 MEQ/L SOLP","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","D5-1/2 NS KCL 20 MEQ/L SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","D5-1/2NS SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5-1/2NS SOLP 1,000 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5-1/2NS SOLP 500 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5-1/4NS SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5-1/4NS SOLP 1,000 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5-LR SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5-NS KCL 20 MEQ/L SOLP","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","D5-NS KCL 20 MEQ/L SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","D50 SOLP","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","D50 SOLP 50 ML SYRINGE","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","D50 SOLP 50 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","D5LR KCL 20 MEQ/L SOLP","N/A","N/A","0250","N/A","N/A","2.28","2.28","2.28","N/A","N/A","N/A","2.28","2.28","N/A","2.28","2.28","2.28","2.28","2.28","2.28","2.28","2.28","2.28","2.28"
"5","N/A","D5W 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W 1,000 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W 100 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W 50 ML BAG","N/A","N/A","0250","N/A","N/A","17.68","17.68","17.68","N/A","N/A","N/A","17.68","17.68","N/A","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68"
"5","N/A","D5W 500 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W 500 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W SOLP 100 ML BAG","N/A","N/A","0250","N/A","N/A","18.45","18.45","18.45","N/A","N/A","N/A","18.45","18.45","N/A","18.45","18.45","18.45","18.45","18.45","18.45","18.45","18.45","18.45","18.45"
"5","N/A","D5W SOLP 25 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W SOLP 250 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W SOLP 250 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W SOLP 50 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","D5W SOLP 500 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","DACARBAZINE 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","22.68","22.68","22.68","N/A","N/A","N/A","22.68","22.68","N/A","22.68","22.68","22.68","22.68","22.68","22.68","22.68","22.68","22.68","22.68"
"5","N/A","DACARBAZINE 200 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","14.40","14.40","14.40","N/A","N/A","N/A","14.40","14.40","N/A","14.40","14.40","14.40","14.40","14.40","14.40","14.40","14.40","14.40","14.40"
"5","N/A","DALBAVANCIN 500 MG SOLN 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","22.79","22.79","22.79","N/A","N/A","N/A","22.79","22.79","N/A","22.79","22.79","22.79","22.79","22.79","22.79","22.79","22.79","22.79","22.79"
"5","N/A","DANTROLENE 20 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","201.00","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","DANTROLENE 250 MG SUSR","N/A","N/A","0250","N/A","N/A","3948.05","3948.05","3948.05","N/A","N/A","N/A","3948.05","3948.05","N/A","3948.05","3948.05","3948.05","3948.05","3948.05","3948.05","3948.05","3948.05","3948.05","3948.05"
"5","N/A","DAPTOMYCIN (MG/KG) 50 MG/ML SYR","N/A","N/A","0250","N/A","N/A","1.90","1.90","1.90","N/A","N/A","N/A","1.90","1.90","N/A","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90"
"5","N/A","DAPTOMYCIN (QITC) 50 MG/ML SYR","N/A","N/A","0250","N/A","N/A","2.02","2.02","2.02","N/A","N/A","N/A","2.02","2.02","N/A","2.02","2.02","2.02","2.02","2.02","2.02","2.02","2.02","2.02","2.02"
"5","N/A","DAPTOMYCIN 350 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","1.90","1.90","1.90","N/A","N/A","N/A","1.90","1.90","N/A","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90","1.90"
"5","N/A","DARATUMUMAB 20 MG/ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","135.60","135.60","135.60","N/A","N/A","N/A","135.60","135.60","N/A","135.60","135.60","135.60","135.60","135.60","135.60","135.60","135.60","135.60","135.60"
"5","N/A","DARATUMUMAB 20 MG/ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","134.28","134.28","134.28","N/A","N/A","N/A","134.28","134.28","N/A","134.28","134.28","134.28","134.28","134.28","134.28","134.28","134.28","134.28","134.28"
"5","N/A","DARATUMUMAB-HYALURONIDASE-FIHJ 1,800 MG-30,000 UNIT/15 ML SOLN","N/A","N/A","0250","N/A","N/A","104.29","104.29","104.29","N/A","N/A","N/A","104.29","104.29","N/A","104.29","104.29","104.29","104.29","104.29","104.29","104.29","104.29","104.29","104.29"
"5","N/A","DARBEPOETIN ALFA IN POLYSORBAT 200 MCG/0.4 ML SYR","N/A","N/A","0250","N/A","N/A","10.84","10.84","10.84","N/A","N/A","N/A","10.84","10.84","N/A","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84"
"5","N/A","DARBEPOETIN ALFA-POLYSORBATE 25 MCG/0.42 ML SYR","N/A","N/A","0250","N/A","N/A","18.58","18.58","18.58","N/A","N/A","N/A","18.58","18.58","N/A","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58"
"5","N/A","DARBEPOETIN ALFA-POLYSORBATE 25 MCG/0.42 ML SYR 0.42 ML SYRINGE","N/A","N/A","0250","N/A","N/A","18.58","18.58","18.58","N/A","N/A","N/A","18.58","18.58","N/A","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58"
"5","N/A","DARBEPOETIN ALFA-SORBATE 100 MCG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","10.84","10.84","10.84","N/A","N/A","N/A","10.84","10.84","N/A","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84"
"5","N/A","DARBEPOETIN ALFA-SORBATE 100 MCG/0.5 ML SYR 0.5 ML SYRINGE","N/A","N/A","0250","N/A","N/A","10.84","10.84","10.84","N/A","N/A","N/A","10.84","10.84","N/A","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84"
"5","N/A","DARBEPOETIN ALFA-SORBATE 150 MCG/0.3 ML SYR","N/A","N/A","0250","N/A","N/A","10.84","10.84","10.84","N/A","N/A","N/A","10.84","10.84","N/A","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84"
"5","N/A","DARBEPOETIN ALFA-SORBATE 300 MCG/0.6 ML SYR","N/A","N/A","0250","N/A","N/A","10.84","10.84","10.84","N/A","N/A","N/A","10.84","10.84","N/A","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84"
"5","N/A","DARBEPOETIN ALFA-SORBATE 40 MCG/0.4 ML SYR","N/A","N/A","0250","N/A","N/A","18.58","18.58","18.58","N/A","N/A","N/A","18.58","18.58","N/A","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58"
"5","N/A","DARBEPOETIN ALFA-SORBATE 60 MCG/0.3 ML SYR","N/A","N/A","0250","N/A","N/A","10.84","10.84","10.84","N/A","N/A","N/A","10.84","10.84","N/A","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84"
"5","N/A","DAUNORUBICIN 5 MG/ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","160.97","160.97","160.97","N/A","N/A","N/A","160.97","160.97","N/A","160.97","160.97","160.97","160.97","160.97","160.97","160.97","160.97","160.97","160.97"
"5","N/A","DECITABINE 50 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","29.88","29.88","29.88","N/A","N/A","N/A","29.88","29.88","N/A","29.88","29.88","29.88","29.88","29.88","29.88","29.88","29.88","29.88","29.88"
"5","N/A","DEFEROXAMINE 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","31.08","31.08","31.08","N/A","N/A","N/A","31.08","31.08","N/A","31.08","31.08","31.08","31.08","31.08","31.08","31.08","31.08","31.08","31.08"
"5","N/A","DEGARELIX ACETATE 80 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","14.65","14.65","14.65","N/A","N/A","N/A","14.65","14.65","N/A","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65"
"5","N/A","DENOSUMAB 120 MG/1.7 ML (70 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","48.55","48.55","48.55","N/A","N/A","N/A","48.55","48.55","N/A","48.55","48.55","48.55","48.55","48.55","48.55","48.55","48.55","48.55","48.55"
"5","N/A","DENOSUMAB 60 MG/ML SYR","N/A","N/A","0250","N/A","N/A","52.52","52.52","52.52","N/A","N/A","N/A","52.52","52.52","N/A","52.52","52.52","52.52","52.52","52.52","52.52","52.52","52.52","52.52","52.52"
"5","N/A","DESMOPRESSIN 4 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","35.46","35.46","35.46","N/A","N/A","N/A","35.46","35.46","N/A","35.46","35.46","35.46","35.46","35.46","35.46","35.46","35.46","35.46","35.46"
"5","N/A","DESMOPRESSIN 4 MCG/ML SOLN 1 ML AMPUL","N/A","N/A","0250","N/A","N/A","35.28","35.28","35.28","N/A","N/A","N/A","35.28","35.28","N/A","35.28","35.28","35.28","35.28","35.28","35.28","35.28","35.28","35.28","35.28"
"5","N/A","DEVICE CONTRACEPTIVE PARAGARD IUD COPPER","N/A","N/A","0250","N/A","N/A","815.10","815.10","815.10","N/A","N/A","N/A","815.10","815.10","N/A","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10","815.10"
"5","N/A","DEXAMETHASONE (PRESERVATIVE FREE) 10 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","1.29","1.29","1.29","N/A","N/A","N/A","1.29","1.29","N/A","1.29","1.29","1.29","1.29","1.29","1.29","1.29","1.29","1.29","1.29"
"5","N/A","DEXAMETHASONE 0.5 MG TABLET","N/A","N/A","0250","N/A","N/A","0.27","0.27","0.27","N/A","N/A","N/A","0.27","0.27","N/A","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27"
"5","N/A","DEXAMETHASONE 100 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","0.83","0.83","0.83","N/A","N/A","N/A","0.83","0.83","N/A","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83"
"5","N/A","DEXAMETHASONE 100 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","0.58","0.58","0.58","N/A","N/A","N/A","0.58","0.58","N/A","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58"
"5","N/A","DEXAMETHASONE 2 MG TABLET","N/A","N/A","0250","N/A","N/A","0.16","0.16","0.16","N/A","N/A","N/A","0.16","0.16","N/A","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16"
"5","N/A","DEXAMETHASONE 20 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","1.20","1.20","1.20","N/A","N/A","N/A","1.20","1.20","N/A","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20"
"5","N/A","DEXAMETHASONE 20 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","1.00","1.00","1.00","N/A","N/A","N/A","1.00","1.00","N/A","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00"
"5","N/A","DEXAMETHASONE 4 MG TABLET","N/A","N/A","0250","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","DEXAMETHASONE 4 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","3.18","3.18","3.18","N/A","N/A","N/A","3.18","3.18","N/A","3.18","3.18","3.18","3.18","3.18","3.18","3.18","3.18","3.18","3.18"
"5","N/A","DEXAMETHASONE 4 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","2.67","2.67","2.67","N/A","N/A","N/A","2.67","2.67","N/A","2.67","2.67","2.67","2.67","2.67","2.67","2.67","2.67","2.67","2.67"
"5","N/A","DEXAMETHASONE 4 MG/ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","0.97","0.97","0.97","N/A","N/A","N/A","0.97","0.97","N/A","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97"
"5","N/A","DEXMEDETOMIDINE 400 MCG/100 ML (4 MCG/ML) SOLN","N/A","N/A","0250","N/A","N/A","192.00","192.00","192.00","N/A","N/A","N/A","192.00","192.00","N/A","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00"
"5","N/A","DEXMEDETOMIDINE 400 MCG/100 ML SOLN","N/A","N/A","0250","N/A","N/A","192.00","192.00","192.00","N/A","N/A","N/A","192.00","192.00","N/A","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00"
"5","N/A","DEXMEDETOMIDINE HCL 200 MCG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","13.76","13.76","13.76","N/A","N/A","N/A","13.76","13.76","N/A","13.76","13.76","13.76","13.76","13.76","13.76","13.76","13.76","13.76","13.76"
"5","N/A","DEXMEDETOMIDINE HCL 200 MCG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","15.92","15.92","15.92","N/A","N/A","N/A","15.92","15.92","N/A","15.92","15.92","15.92","15.92","15.92","15.92","15.92","15.92","15.92","15.92"
"5","N/A","DEXRAZOXANE HCL 250 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","658.23","658.23","658.23","N/A","N/A","N/A","658.23","658.23","N/A","658.23","658.23","658.23","658.23","658.23","658.23","658.23","658.23","658.23","658.23"
"5","N/A","DEXTROSE 25 % IN WATER (D25W) SYR","N/A","N/A","0250","N/A","N/A","23.04","23.04","23.04","N/A","N/A","N/A","23.04","23.04","N/A","23.04","23.04","23.04","23.04","23.04","23.04","23.04","23.04","23.04","23.04"
"5","N/A","DEXTROSE 50 % IN WATER (D50W) SYR","N/A","N/A","0250","N/A","N/A","22.53","22.53","22.53","N/A","N/A","N/A","22.53","22.53","N/A","22.53","22.53","22.53","22.53","22.53","22.53","22.53","22.53","22.53","22.53"
"5","N/A","DEXTROSE 50% IN WATER (D50W) SYR","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","DIAZEPAM 10 MG/2 ML SYR","N/A","N/A","0250","N/A","N/A","31.72","31.72","31.72","N/A","N/A","N/A","31.72","31.72","N/A","31.72","31.72","31.72","31.72","31.72","31.72","31.72","31.72","31.72","31.72"
"5","N/A","DICLOFENAC 0.1 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","DICLOFENAC 0.1 % DROP 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","55.11","55.11","55.11","N/A","N/A","N/A","55.11","55.11","N/A","55.11","55.11","55.11","55.11","55.11","55.11","55.11","55.11","55.11","55.11"
"5","N/A","DICYCLOMINE 20 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","174.01","174.01","174.01","N/A","N/A","N/A","174.01","174.01","N/A","174.01","174.01","174.01","174.01","174.01","174.01","174.01","174.01","174.01","174.01"
"5","N/A","DIGOXIN 250 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","13.20","13.20","13.20","N/A","N/A","N/A","13.20","13.20","N/A","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20"
"5","N/A","DIGOXIN 250 MCG/ML SOLN 2 ML AMPUL","N/A","N/A","0250","N/A","N/A","13.83","13.83","13.83","N/A","N/A","N/A","13.83","13.83","N/A","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83"
"5","N/A","DIGOXIN IMMUNE FAB 40 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","5563.60","5563.60","5563.60","N/A","N/A","N/A","5563.60","5563.60","N/A","5563.60","5563.60","5563.60","5563.60","5563.60","5563.60","5563.60","5563.60","5563.60","5563.60"
"5","N/A","DILTIAZEM 50 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","DILTIAZEM 50 MG/10 ML SOLN 25 ML VIAL","N/A","N/A","0250","N/A","N/A","19.86","19.86","19.86","N/A","N/A","N/A","19.86","19.86","N/A","19.86","19.86","19.86","19.86","19.86","19.86","19.86","19.86","19.86","19.86"
"5","N/A","DIPH,PERTUS(ACEL),TETANUS PEDI (PF) 25-58-10 LF-MCG-LF/0.5ML SUSP","N/A","N/A","0250","N/A","N/A","56.64","56.64","56.64","N/A","N/A","N/A","56.64","56.64","N/A","56.64","56.64","56.64","56.64","56.64","56.64","56.64","56.64","56.64","56.64"
"5","N/A","DIPHENHYDRAMINE 50 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","DIPHENHYDRAMINE 50 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","DIPHTH, PERTUS(ACELL), TETANUS 2.5-8-5 LF-MCG-LF/0.5ML SYR","N/A","N/A","0250","N/A","N/A","97.82","97.82","97.82","N/A","N/A","N/A","97.82","97.82","N/A","97.82","97.82","97.82","97.82","97.82","97.82","97.82","97.82","97.82","97.82"
"5","N/A","DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","13.39","13.39","13.39","N/A","N/A","N/A","13.39","13.39","N/A","13.39","13.39","13.39","13.39","13.39","13.39","13.39","13.39","13.39","13.39"
"5","N/A","DOBUTAMINE 250 MG/20 ML (12.5 MG/ML) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","13.40","13.40","13.40","N/A","N/A","N/A","13.40","13.40","N/A","13.40","13.40","13.40","13.40","13.40","13.40","13.40","13.40","13.40","13.40"
"5","N/A","DOBUTAMINE IN D5W 250 MG/250 ML(1 MG/ML) SOLP","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","DOBUTAMINE IN D5W 500 MG/250 ML(2 MG/ML) SOLP","N/A","N/A","0250","N/A","N/A","39.65","39.65","39.65","N/A","N/A","N/A","39.65","39.65","N/A","39.65","39.65","39.65","39.65","39.65","39.65","39.65","39.65","39.65","39.65"
"5","N/A","DOBUTAMINE IN D5W 500 MG/250 ML(2MG/ML) SOLP","N/A","N/A","0250","N/A","N/A","42.00","42.00","42.00","N/A","N/A","N/A","42.00","42.00","N/A","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00"
"5","N/A","DOCETAXEL 160 MG/16 ML (10 MG/ML) SOLN 16 ML VIAL","N/A","N/A","0250","N/A","N/A","7.03","7.03","7.03","N/A","N/A","N/A","7.03","7.03","N/A","7.03","7.03","7.03","7.03","7.03","7.03","7.03","7.03","7.03","7.03"
"5","N/A","DOPAMINE (1,600 MCG/ML) 400MG/250ML(1,600MCG/ML) SOLN","N/A","N/A","0250","N/A","N/A","2.98","2.98","2.98","N/A","N/A","N/A","2.98","2.98","N/A","2.98","2.98","2.98","2.98","2.98","2.98","2.98","2.98","2.98","2.98"
"5","N/A","DOPAMINE (1,600 MCG/ML) DRIP 400 MG/250 ML INJ","N/A","N/A","0250","N/A","N/A","2.98","2.98","2.98","N/A","N/A","N/A","2.98","2.98","N/A","2.98","2.98","2.98","2.98","2.98","2.98","2.98","2.98","2.98","2.98"
"5","N/A","DOPAMINE 200 MG/5 ML (40 MG/ML) SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","1.40","1.40","1.40","N/A","N/A","N/A","1.40","1.40","N/A","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40"
"5","N/A","DORNASE ALFA 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","275.81","275.81","275.81","N/A","N/A","N/A","275.81","275.81","N/A","275.81","275.81","275.81","275.81","275.81","275.81","275.81","275.81","275.81","275.81"
"5","N/A","DORNASE ALFA 1 MG/ML SOLN 2.5 ML BOTTLE","N/A","N/A","0250","N/A","N/A","275.81","275.81","275.81","N/A","N/A","N/A","275.81","275.81","N/A","275.81","275.81","275.81","275.81","275.81","275.81","275.81","275.81","275.81","275.81"
"5","N/A","DOXORUBICIN 200 MG/100 ML SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","16.61","16.61","16.61","N/A","N/A","N/A","16.61","16.61","N/A","16.61","16.61","16.61","16.61","16.61","16.61","16.61","16.61","16.61","16.61"
"5","N/A","DOXORUBICIN LIPOSOME 2 MG/ML SUSP 10 ML VIAL","N/A","N/A","0250","N/A","N/A","1162.80","1162.80","1162.80","N/A","N/A","N/A","1162.80","1162.80","N/A","1162.80","1162.80","1162.80","1162.80","1162.80","1162.80","1162.80","1162.80","1162.80","1162.80"
"5","N/A","DOXORUBICIN LIPOSOME 2 MG/ML SUSP 25 ML VIAL","N/A","N/A","0250","N/A","N/A","1162.82","1162.82","1162.82","N/A","N/A","N/A","1162.82","1162.82","N/A","1162.82","1162.82","1162.82","1162.82","1162.82","1162.82","1162.82","1162.82","1162.82","1162.82"
"5","N/A","DOXYCYCLINE 100 MG / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","44.26","44.26","44.26","N/A","N/A","N/A","44.26","44.26","N/A","44.26","44.26","44.26","44.26","44.26","44.26","44.26","44.26","44.26","44.26"
"5","N/A","DOXYCYCLINE 100 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","48.29","48.29","48.29","N/A","N/A","N/A","48.29","48.29","N/A","48.29","48.29","48.29","48.29","48.29","48.29","48.29","48.29","48.29","48.29"
"5","N/A","DOXYCYCLINE 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","49.15","49.15","49.15","N/A","N/A","N/A","49.15","49.15","N/A","49.15","49.15","49.15","49.15","49.15","49.15","49.15","49.15","49.15","49.15"
"5","N/A","DURVALUMAB 50 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","178.56","178.56","178.56","N/A","N/A","N/A","178.56","178.56","N/A","178.56","178.56","178.56","178.56","178.56","178.56","178.56","178.56","178.56","178.56"
"5","N/A","DURVALUMAB 50 MG/ML SOLN 2.4 ML VIAL","N/A","N/A","0250","N/A","N/A","178.56","178.56","178.56","N/A","N/A","N/A","178.56","178.56","N/A","178.56","178.56","178.56","178.56","178.56","178.56","178.56","178.56","178.56","178.56"
"5","N/A","ECULIZUMAB 300 MG/30 ML SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","391.38","391.38","391.38","N/A","N/A","N/A","391.38","391.38","N/A","391.38","391.38","391.38","391.38","391.38","391.38","391.38","391.38","391.38","391.38"
"5","N/A","ELOTUZUMAB 300 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","9.06","9.06","9.06","N/A","N/A","N/A","9.06","9.06","N/A","9.06","9.06","9.06","9.06","9.06","9.06","9.06","9.06","9.06","9.06"
"5","N/A","ENALAPRILAT 1.25 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","11.37","11.37","11.37","N/A","N/A","N/A","11.37","11.37","N/A","11.37","11.37","11.37","11.37","11.37","11.37","11.37","11.37","11.37","11.37"
"5","N/A","ENALAPRILAT 1.25 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","11.40","11.40","11.40","N/A","N/A","N/A","11.40","11.40","N/A","11.40","11.40","11.40","11.40","11.40","11.40","11.40","11.40","11.40","11.40"
"5","N/A","ENOXAPARIN","N/A","N/A","0250","N/A","N/A","4.78","4.78","4.78","N/A","N/A","N/A","4.78","4.78","N/A","4.78","4.78","4.78","4.78","4.78","4.78","4.78","4.78","4.78","4.78"
"5","N/A","ENOXAPARIN 100 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","5.64","5.64","5.64","N/A","N/A","N/A","5.64","5.64","N/A","5.64","5.64","5.64","5.64","5.64","5.64","5.64","5.64","5.64","5.64"
"5","N/A","ENOXAPARIN 100 MG/ML SYR","N/A","N/A","0250","N/A","N/A","4.77","4.77","4.77","N/A","N/A","N/A","4.77","4.77","N/A","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77"
"5","N/A","ENOXAPARIN 120 MG/0.8 ML SYR","N/A","N/A","0250","N/A","N/A","4.79","4.79","4.79","N/A","N/A","N/A","4.79","4.79","N/A","4.79","4.79","4.79","4.79","4.79","4.79","4.79","4.79","4.79","4.79"
"5","N/A","ENOXAPARIN 150 MG/ML SYR","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","ENOXAPARIN 30 MG/0.3 ML SYR","N/A","N/A","0250","N/A","N/A","5.00","5.00","5.00","N/A","N/A","N/A","5.00","5.00","N/A","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00"
"5","N/A","ENOXAPARIN 40 MG/0.4 ML SYR","N/A","N/A","0250","N/A","N/A","5.11","5.11","5.11","N/A","N/A","N/A","5.11","5.11","N/A","5.11","5.11","5.11","5.11","5.11","5.11","5.11","5.11","5.11","5.11"
"5","N/A","ENOXAPARIN 60 MG/0.6 ML SYR","N/A","N/A","0250","N/A","N/A","4.77","4.77","4.77","N/A","N/A","N/A","4.77","4.77","N/A","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77"
"5","N/A","ENOXAPARIN 80 MG/0.8 ML SYR","N/A","N/A","0250","N/A","N/A","4.77","4.77","4.77","N/A","N/A","N/A","4.77","4.77","N/A","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77"
"5","N/A","ENOXAPARIN SODIUM 300 MG/3 ML SOLN","N/A","N/A","0250","N/A","N/A","5.64","5.64","5.64","N/A","N/A","N/A","5.64","5.64","N/A","5.64","5.64","5.64","5.64","5.64","5.64","5.64","5.64","5.64","5.64"
"5","N/A","EPHEDRINE SULFATE 50 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","67.17","67.17","67.17","N/A","N/A","N/A","67.17","67.17","N/A","67.17","67.17","67.17","67.17","67.17","67.17","67.17","67.17","67.17","67.17"
"5","N/A","EPHEDRINE SULFATE IN NS (PF) 25 MG/5 ML (5 MG/ML) SYR","N/A","N/A","0250","N/A","N/A","47.57","47.57","47.57","N/A","N/A","N/A","47.57","47.57","N/A","47.57","47.57","47.57","47.57","47.57","47.57","47.57","47.57","47.57","47.57"
"5","N/A","EPINEPHRINE (NON-OPHTHALMIC USE) 1 MG/ML (1:1,000) SOLN","N/A","N/A","0250","N/A","N/A","3.68","3.68","3.68","N/A","N/A","N/A","3.68","3.68","N/A","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68"
"5","N/A","EPINEPHRINE 1 MG/ML (1:1,000) (1ML) SOLN","N/A","N/A","0250","N/A","N/A","3.78","3.78","3.78","N/A","N/A","N/A","3.78","3.78","N/A","3.78","3.78","3.78","3.78","3.78","3.78","3.78","3.78","3.78","3.78"
"5","N/A","EPINEPHRINE 1 MG/ML (1:1,000) SOLN","N/A","N/A","0250","N/A","N/A","2.48","2.48","2.48","N/A","N/A","N/A","2.48","2.48","N/A","2.48","2.48","2.48","2.48","2.48","2.48","2.48","2.48","2.48","2.48"
"5","N/A","EPINEPHRINE 1 MG/ML (1:1,000) SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","1.86","1.86","1.86","N/A","N/A","N/A","1.86","1.86","N/A","1.86","1.86","1.86","1.86","1.86","1.86","1.86","1.86","1.86","1.86"
"5","N/A","EPINEPHRINE 1:1,000 (0.1 %) SOLN","N/A","N/A","0250","N/A","N/A","601.35","601.35","601.35","N/A","N/A","N/A","601.35","601.35","N/A","601.35","601.35","601.35","601.35","601.35","601.35","601.35","601.35","601.35","601.35"
"5","N/A","EPINEPHRINE 3 MG/3 ML SYR","N/A","N/A","0250","N/A","N/A","129.03","129.03","129.03","N/A","N/A","N/A","129.03","129.03","N/A","129.03","129.03","129.03","129.03","129.03","129.03","129.03","129.03","129.03","129.03"
"5","N/A","EPINEPHRINE 5 MG/5 ML","N/A","N/A","0250","N/A","N/A","150.90","150.90","150.90","N/A","N/A","N/A","150.90","150.90","N/A","150.90","150.90","150.90","150.90","150.90","150.90","150.90","150.90","150.90","150.90"
"5","N/A","EPINEPHRINE 5 MG/5 ML 5 ML SYRINGE","N/A","N/A","0250","N/A","N/A","95.12","95.12","95.12","N/A","N/A","N/A","95.12","95.12","N/A","95.12","95.12","95.12","95.12","95.12","95.12","95.12","95.12","95.12","95.12"
"5","N/A","EPINEPHRINE HCL (1:10,000) 1 MG/10 ML SYR","N/A","N/A","0250","N/A","N/A","1.34","1.34","1.34","N/A","N/A","N/A","1.34","1.34","N/A","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34"
"5","N/A","EPINEPHRINE HCL (PF) 1 MG/ML (1:1,000) (1ML) SOLN","N/A","N/A","0250","N/A","N/A","2.70","2.70","2.70","N/A","N/A","N/A","2.70","2.70","N/A","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70"
"5","N/A","EPINEPHRINE IN SOD CHLOR,ISO 1 MG/10 ML (100 MCG/ML) SYR","N/A","N/A","0250","N/A","N/A","1.44","1.44","1.44","N/A","N/A","N/A","1.44","1.44","N/A","1.44","1.44","1.44","1.44","1.44","1.44","1.44","1.44","1.44","1.44"
"5","N/A","EPOETIN ALFA 10,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","7.25","7.25","7.25","N/A","N/A","N/A","7.25","7.25","N/A","7.25","7.25","7.25","7.25","7.25","7.25","7.25","7.25","7.25","7.25"
"5","N/A","EPOETIN ALFA 10,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","6.41","6.41","6.41","N/A","N/A","N/A","6.41","6.41","N/A","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41"
"5","N/A","EPOETIN ALFA 1000 UNITS/0.05 ML INJ","N/A","N/A","0250","N/A","N/A","64.14","64.14","64.14","N/A","N/A","N/A","64.14","64.14","N/A","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14"
"5","N/A","EPOETIN ALFA 1000 UNITS/0.05 ML INJ 1 ML VIAL","N/A","N/A","0250","N/A","N/A","64.14","64.14","64.14","N/A","N/A","N/A","64.14","64.14","N/A","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14"
"5","N/A","EPOETIN ALFA 10000 UNITS/ML SOLN","N/A","N/A","0250","N/A","N/A","6.41","6.41","6.41","N/A","N/A","N/A","6.41","6.41","N/A","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41"
"5","N/A","EPOETIN ALFA 10000 UNITS/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","6.41","6.41","6.41","N/A","N/A","N/A","6.41","6.41","N/A","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41"
"5","N/A","EPOETIN ALFA 2,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 20,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","45.33","45.33","45.33","N/A","N/A","N/A","45.33","45.33","N/A","45.33","45.33","45.33","45.33","45.33","45.33","45.33","45.33","45.33","45.33"
"5","N/A","EPOETIN ALFA 20,000 UNIT/ML SOLN 0.05 ML VIAL","N/A","N/A","0250","N/A","N/A","64.14","64.14","64.14","N/A","N/A","N/A","64.14","64.14","N/A","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14"
"5","N/A","EPOETIN ALFA 20,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","64.14","64.14","64.14","N/A","N/A","N/A","64.14","64.14","N/A","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14","64.14"
"5","N/A","EPOETIN ALFA 2000 UNITS/ML SOLN","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 2000 UNITS/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 20000 UNITS/ML SOLN","N/A","N/A","0250","N/A","N/A","6.41","6.41","6.41","N/A","N/A","N/A","6.41","6.41","N/A","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41"
"5","N/A","EPOETIN ALFA 20000 UNITS/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","6.41","6.41","6.41","N/A","N/A","N/A","6.41","6.41","N/A","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41","6.41"
"5","N/A","EPOETIN ALFA 3,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 3,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 3000 UNITS/ML SOLN","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 3000 UNITS/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 4,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","4.60","4.60","4.60","N/A","N/A","N/A","4.60","4.60","N/A","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60"
"5","N/A","EPOETIN ALFA 4,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 40,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","37.42","37.42","37.42","N/A","N/A","N/A","37.42","37.42","N/A","37.42","37.42","37.42","37.42","37.42","37.42","37.42","37.42","37.42","37.42"
"5","N/A","EPOETIN ALFA 40,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","37.42","37.42","37.42","N/A","N/A","N/A","37.42","37.42","N/A","37.42","37.42","37.42","37.42","37.42","37.42","37.42","37.42","37.42","37.42"
"5","N/A","EPOETIN ALFA 4000 UNITS/ML SOLN","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 4000 UNITS/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","3.98","3.98","3.98","N/A","N/A","N/A","3.98","3.98","N/A","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98","3.98"
"5","N/A","EPOETIN ALFA 40000 UNITS/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","3.75","3.75","3.75","N/A","N/A","N/A","3.75","3.75","N/A","3.75","3.75","3.75","3.75","3.75","3.75","3.75","3.75","3.75","3.75"
"5","N/A","EPOETIN ALFA-EPBX 10,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","8.95","8.95","8.95","N/A","N/A","N/A","8.95","8.95","N/A","8.95","8.95","8.95","8.95","8.95","8.95","8.95","8.95","8.95","8.95"
"5","N/A","EPOETIN ALFA-EPBX 10,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","12.98","12.98","12.98","N/A","N/A","N/A","12.98","12.98","N/A","12.98","12.98","12.98","12.98","12.98","12.98","12.98","12.98","12.98","12.98"
"5","N/A","EPOETIN ALFA-EPBX 2,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","7.26","7.26","7.26","N/A","N/A","N/A","7.26","7.26","N/A","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26","7.26"
"5","N/A","EPOETIN ALFA-EPBX 2,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","5.81","5.81","5.81","N/A","N/A","N/A","5.81","5.81","N/A","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81"
"5","N/A","EPOETIN ALFA-EPBX 3,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","7.56","7.56","7.56","N/A","N/A","N/A","7.56","7.56","N/A","7.56","7.56","7.56","7.56","7.56","7.56","7.56","7.56","7.56","7.56"
"5","N/A","EPOETIN ALFA-EPBX 3,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","6.22","6.22","6.22","N/A","N/A","N/A","6.22","6.22","N/A","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22"
"5","N/A","EPOETIN ALFA-EPBX 4,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","5.83","5.83","5.83","N/A","N/A","N/A","5.83","5.83","N/A","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83"
"5","N/A","EPOETIN ALFA-EPBX 4,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","26.47","26.47","26.47","N/A","N/A","N/A","26.47","26.47","N/A","26.47","26.47","26.47","26.47","26.47","26.47","26.47","26.47","26.47","26.47"
"5","N/A","EPOETIN ALFA-EPBX 40,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","26.10","26.10","26.10","N/A","N/A","N/A","26.10","26.10","N/A","26.10","26.10","26.10","26.10","26.10","26.10","26.10","26.10","26.10","26.10"
"5","N/A","EPOETIN ALFA-EPBX 40,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","26.47","26.47","26.47","N/A","N/A","N/A","26.47","26.47","N/A","26.47","26.47","26.47","26.47","26.47","26.47","26.47","26.47","26.47","26.47"
"5","N/A","EPTIFIBATIDE 20,000 MCG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","101.41","101.41","101.41","N/A","N/A","N/A","101.41","101.41","N/A","101.41","101.41","101.41","101.41","101.41","101.41","101.41","101.41","101.41","101.41"
"5","N/A","EPTIFIBATIDE 75,000 MCG/100 ML SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","40.00","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","ERIBULIN 1 MG/2 ML (0.5 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","288.91","288.91","288.91","N/A","N/A","N/A","288.91","288.91","N/A","288.91","288.91","288.91","288.91","288.91","288.91","288.91","288.91","288.91","288.91"
"5","N/A","ERTAPENEM 1 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","133.62","133.62","133.62","N/A","N/A","N/A","133.62","133.62","N/A","133.62","133.62","133.62","133.62","133.62","133.62","133.62","133.62","133.62","133.62"
"5","N/A","ERTAPENEM 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","122.00","122.00","122.00","N/A","N/A","N/A","122.00","122.00","N/A","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00"
"5","N/A","ERTAPENEM 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","120.14","120.14","120.14","N/A","N/A","N/A","120.14","120.14","N/A","120.14","120.14","120.14","120.14","120.14","120.14","120.14","120.14","120.14","120.14"
"5","N/A","ERYTHROMYCIN LACTOBIONATE 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","196.33","196.33","196.33","N/A","N/A","N/A","196.33","196.33","N/A","196.33","196.33","196.33","196.33","196.33","196.33","196.33","196.33","196.33","196.33"
"5","N/A","ESMOLOL 100 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","10.79","10.79","10.79","N/A","N/A","N/A","10.79","10.79","N/A","10.79","10.79","10.79","10.79","10.79","10.79","10.79","10.79","10.79","10.79"
"5","N/A","ESMOLOL 2.5 G IN 250 ML 0.9% NACL 2,500 MG/250 ML SOLP 250 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","1122.60","1122.60","1122.60","N/A","N/A","N/A","1122.60","1122.60","N/A","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60"
"5","N/A","ESMOLOL 2.5 G IN 250 ML 0.9% NACL 250 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","1122.60","1122.60","1122.60","N/A","N/A","N/A","1122.60","1122.60","N/A","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60","1122.60"
"5","N/A","ETHACRYNATE SODIUM (ETHACRYNIC ACID) 50 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","7020.53","7020.53","7020.53","N/A","N/A","N/A","7020.53","7020.53","N/A","7020.53","7020.53","7020.53","7020.53","7020.53","7020.53","7020.53","7020.53","7020.53","7020.53"
"5","N/A","ETHANOL (ETHYL ALCOHOL) 98 % SOLN","N/A","N/A","0250","N/A","N/A","1072.22","1072.22","1072.22","N/A","N/A","N/A","1072.22","1072.22","N/A","1072.22","1072.22","1072.22","1072.22","1072.22","1072.22","1072.22","1072.22","1072.22","1072.22"
"5","N/A","ETHIODIZED OIL 480 MG IODINE/ML OIL","N/A","N/A","0250","N/A","N/A","2580.94","2580.94","2580.94","N/A","N/A","N/A","2580.94","2580.94","N/A","2580.94","2580.94","2580.94","2580.94","2580.94","2580.94","2580.94","2580.94","2580.94","2580.94"
"5","N/A","ETHYL CHLORIDE (OMNICELL DOSE CHARGE) 100 % AERO.SPRAY","N/A","N/A","0250","N/A","N/A","1.96","1.96","1.96","N/A","N/A","N/A","1.96","1.96","N/A","1.96","1.96","1.96","1.96","1.96","1.96","1.96","1.96","1.96","1.96"
"5","N/A","ETHYL CHLORIDE 100 % AERO.SPRAY 103.5 ML SQUEEZ BTL","N/A","N/A","0250","N/A","N/A","84.32","84.32","84.32","N/A","N/A","N/A","84.32","84.32","N/A","84.32","84.32","84.32","84.32","84.32","84.32","84.32","84.32","84.32","84.32"
"5","N/A","ETOMIDATE 20 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","14.79","14.79","14.79","N/A","N/A","N/A","14.79","14.79","N/A","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79"
"5","N/A","ETONOGESTREL 68 MG IMPLANT","N/A","N/A","0250","N/A","N/A","1374.19","1374.19","1374.19","N/A","N/A","N/A","1374.19","1374.19","N/A","1374.19","1374.19","1374.19","1374.19","1374.19","1374.19","1374.19","1374.19","1374.19","1374.19"
"5","N/A","ETOPOSIDE 100 MG/5ML SOLN 25 ML VIAL","N/A","N/A","0250","N/A","N/A","1.82","1.82","1.82","N/A","N/A","N/A","1.82","1.82","N/A","1.82","1.82","1.82","1.82","1.82","1.82","1.82","1.82","1.82","1.82"
"5","N/A","ETOPOSIDE 100 MG/5ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","2.25","2.25","2.25","N/A","N/A","N/A","2.25","2.25","N/A","2.25","2.25","2.25","2.25","2.25","2.25","2.25","2.25","2.25","2.25"
"5","N/A","ETOPOSIDE 100 MG/5ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","2.25","2.25","2.25","N/A","N/A","N/A","2.25","2.25","N/A","2.25","2.25","2.25","2.25","2.25","2.25","2.25","2.25","2.25","2.25"
"5","N/A","FAM-TRASTUZUMAB DERUXTECN-NXKI 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","32.43","32.43","32.43","N/A","N/A","N/A","32.43","32.43","N/A","32.43","32.43","32.43","32.43","32.43","32.43","32.43","32.43","32.43","32.43"
"5","N/A","FAMOTIDINE (PF) 20 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","7.98","7.98","7.98","N/A","N/A","N/A","7.98","7.98","N/A","7.98","7.98","7.98","7.98","7.98","7.98","7.98","7.98","7.98","7.98"
"5","N/A","FAMOTIDINE 20 MG/2 ML SOLN 2 ML SYRINGE","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","FAT EMUL-SOY-MCT-OLIV-FISH OIL 20 % EMUL","N/A","N/A","0250","N/A","N/A","0.25","0.25","0.25","N/A","N/A","N/A","0.25","0.25","N/A","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25"
"5","N/A","FENTANYL 2500 MCG/50 ML SOLN","N/A","N/A","0250","N/A","N/A","1.71","1.71","1.71","N/A","N/A","N/A","1.71","1.71","N/A","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71"
"5","N/A","FENTANYL CITRATE (PF) 100 MCG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","FENTANYL CITRATE (PF) 100 MCG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","FENTANYL CITRATE (PF) 100 MCG/2 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","2.64","2.64","2.64","N/A","N/A","N/A","2.64","2.64","N/A","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64"
"5","N/A","FENTANYL CITRATE (PF) 100 MCG/2 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","1.82","1.82","1.82","N/A","N/A","N/A","1.82","1.82","N/A","1.82","1.82","1.82","1.82","1.82","1.82","1.82","1.82","1.82","1.82"
"5","N/A","FENTANYL CITRATE (PF) 100 MCG/2 ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","1.71","1.71","1.71","N/A","N/A","N/A","1.71","1.71","N/A","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71"
"5","N/A","FENTANYL CITRATE (PF) 1000MCG/20ML","N/A","N/A","0250","N/A","N/A","7.33","7.33","7.33","N/A","N/A","N/A","7.33","7.33","N/A","7.33","7.33","7.33","7.33","7.33","7.33","7.33","7.33","7.33","7.33"
"5","N/A","FENTANYL CITRATE (PF) 1000MCG/20ML 20 ML AMPUL","N/A","N/A","0250","N/A","N/A","1.53","1.53","1.53","N/A","N/A","N/A","1.53","1.53","N/A","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53"
"5","N/A","FENTANYL CITRATE (PF) 250 MCG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","3.76","3.76","3.76","N/A","N/A","N/A","3.76","3.76","N/A","3.76","3.76","3.76","3.76","3.76","3.76","3.76","3.76","3.76","3.76"
"5","N/A","FENTANYL CITRATE (PF) 250 MCG/5 ML SOLN 5 ML AMPUL","N/A","N/A","0250","N/A","N/A","3.97","3.97","3.97","N/A","N/A","N/A","3.97","3.97","N/A","3.97","3.97","3.97","3.97","3.97","3.97","3.97","3.97","3.97","3.97"
"5","N/A","FENTANYL CITRATE (PF) 250 MCG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","2.07","2.07","2.07","N/A","N/A","N/A","2.07","2.07","N/A","2.07","2.07","2.07","2.07","2.07","2.07","2.07","2.07","2.07","2.07"
"5","N/A","FENTANYL CITRATE (PF) 2500 MCG/ 50 ML 50 ML VIAL","N/A","N/A","0250","N/A","N/A","1.71","1.71","1.71","N/A","N/A","N/A","1.71","1.71","N/A","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71","1.71"
"5","N/A","FENTANYL CITRATE IN NS (PF) 10 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","3.23","3.23","3.23","N/A","N/A","N/A","3.23","3.23","N/A","3.23","3.23","3.23","3.23","3.23","3.23","3.23","3.23","3.23","3.23"
"5","N/A","FERRIC CARBOXYMALTOSE 50 MG IRON/ML SOLN 15 ML VIAL","N/A","N/A","0250","N/A","N/A","3.68","3.68","3.68","N/A","N/A","N/A","3.68","3.68","N/A","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68"
"5","N/A","FERRIC DERISOMALTOSE 100 MG IRON/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","59.14","59.14","59.14","N/A","N/A","N/A","59.14","59.14","N/A","59.14","59.14","59.14","59.14","59.14","59.14","59.14","59.14","59.14","59.14"
"5","N/A","FERRIC SUBSULFATE 259 MG/G SOLN 8 G BOTTLE","N/A","N/A","0250","N/A","N/A","29.71","29.71","29.71","N/A","N/A","N/A","29.71","29.71","N/A","29.71","29.71","29.71","29.71","29.71","29.71","29.71","29.71","29.71","29.71"
"5","N/A","FERUMOXYTOL (ESRD OP USE ONLY) 510 MG/17 ML (30 MG/ML) SOLN 17 ML VIAL","N/A","N/A","0250","N/A","N/A","5.25","5.25","5.25","N/A","N/A","N/A","5.25","5.25","N/A","5.25","5.25","5.25","5.25","5.25","5.25","5.25","5.25","5.25","5.25"
"5","N/A","FERUMOXYTOL (NON-ESRD OP USE ONLY) 510 MG/17 ML (30 MG /ML) SOLN 17 ML VIAL","N/A","N/A","0250","N/A","N/A","5.35","5.35","5.35","N/A","N/A","N/A","5.35","5.35","N/A","5.35","5.35","5.35","5.35","5.35","5.35","5.35","5.35","5.35","5.35"
"5","N/A","FIBRIN SEALANT COMPONENT 10 ML SYR","N/A","N/A","0250","N/A","N/A","1520.58","1520.58","1520.58","N/A","N/A","N/A","1520.58","1520.58","N/A","1520.58","1520.58","1520.58","1520.58","1520.58","1520.58","1520.58","1520.58","1520.58","1520.58"
"5","N/A","FIBRIN SEALANT COMPONENT 2 ML SYR","N/A","N/A","0250","N/A","N/A","368.29","368.29","368.29","N/A","N/A","N/A","368.29","368.29","N/A","368.29","368.29","368.29","368.29","368.29","368.29","368.29","368.29","368.29","368.29"
"5","N/A","FIBRINOGEN CONCENTRATE 1 GRAM (900MG-1,300MG) RECON.SOLN.","N/A","N/A","0250","N/A","N/A","3.10","3.10","3.10","N/A","N/A","N/A","3.10","3.10","N/A","3.10","3.10","3.10","3.10","3.10","3.10","3.10","3.10","3.10","3.10"
"5","N/A","FIBRINOGEN-THROMBIN (HUM PLAS) 4.8 X 4.8 CM PTMD","N/A","N/A","0250","N/A","N/A","1043.76","1043.76","1043.76","N/A","N/A","N/A","1043.76","1043.76","N/A","1043.76","1043.76","1043.76","1043.76","1043.76","1043.76","1043.76","1043.76","1043.76","1043.76"
"5","N/A","FIBRINOGEN/THROMBIN (HUM PLAS) 9.5 X 4.8 CM PTMD","N/A","N/A","0250","N/A","N/A","1770.68","1770.68","1770.68","N/A","N/A","N/A","1770.68","1770.68","N/A","1770.68","1770.68","1770.68","1770.68","1770.68","1770.68","1770.68","1770.68","1770.68","1770.68"
"5","N/A","FILGRASTIM 300 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","2.52","2.52","2.52","N/A","N/A","N/A","2.52","2.52","N/A","2.52","2.52","2.52","2.52","2.52","2.52","2.52","2.52","2.52","2.52"
"5","N/A","FILGRASTIM 480 MCG/1.6 ML SOLN","N/A","N/A","0250","N/A","N/A","2.51","2.51","2.51","N/A","N/A","N/A","2.51","2.51","N/A","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51"
"5","N/A","FILGRASTIM-SNDZ 300 MCG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","2.19","2.19","2.19","N/A","N/A","N/A","2.19","2.19","N/A","2.19","2.19","2.19","2.19","2.19","2.19","2.19","2.19","2.19","2.19"
"5","N/A","FILGRASTIM-SNDZ 480 MCG/0.8 ML SYR","N/A","N/A","0250","N/A","N/A","2.19","2.19","2.19","N/A","N/A","N/A","2.19","2.19","N/A","2.19","2.19","2.19","2.19","2.19","2.19","2.19","2.19","2.19","2.19"
"5","N/A","FLU VAC QS2020 65UP-ADJMF59C(PF) 60 MCG (15 MCG X 4)/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","126.92","126.92","126.92","N/A","N/A","N/A","126.92","126.92","N/A","126.92","126.92","126.92","126.92","126.92","126.92","126.92","126.92","126.92","126.92"
"5","N/A","FLU VACCINE QS2020-21 6MOS UP(PF) 60 MCG (15 MCG X 4)/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","39.73","39.73","39.73","N/A","N/A","N/A","39.73","39.73","N/A","39.73","39.73","39.73","39.73","39.73","39.73","39.73","39.73","39.73","39.73"
"5","N/A","FLUCONAZOLE 2 MG/ML IVPB","N/A","N/A","0250","N/A","N/A","14.40","14.40","14.40","N/A","N/A","N/A","14.40","14.40","N/A","14.40","14.40","14.40","14.40","14.40","14.40","14.40","14.40","14.40","14.40"
"5","N/A","FLUCONAZOLE 200 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","20.72","20.72","20.72","N/A","N/A","N/A","20.72","20.72","N/A","20.72","20.72","20.72","20.72","20.72","20.72","20.72","20.72","20.72","20.72"
"5","N/A","FLUCONAZOLE 400 MG/200 ML IVPB","N/A","N/A","0250","N/A","N/A","16.80","16.80","16.80","N/A","N/A","N/A","16.80","16.80","N/A","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80"
"5","N/A","FLUDARABINE 50 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","522.00","522.00","522.00","N/A","N/A","N/A","522.00","522.00","N/A","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00"
"5","N/A","FLUMAZENIL 0.5 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","FLUORESCEIN 1 MG STRIP","N/A","N/A","0250","N/A","N/A","0.97","0.97","0.97","N/A","N/A","N/A","0.97","0.97","N/A","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97"
"5","N/A","FLUORESCEIN 500 MG/5 ML (10 %) SOLN","N/A","N/A","0250","N/A","N/A","115.73","115.73","115.73","N/A","N/A","N/A","115.73","115.73","N/A","115.73","115.73","115.73","115.73","115.73","115.73","115.73","115.73","115.73","115.73"
"5","N/A","FLUOROURACIL 1 GRAM/20 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","7.23","7.23","7.23","N/A","N/A","N/A","7.23","7.23","N/A","7.23","7.23","7.23","7.23","7.23","7.23","7.23","7.23","7.23","7.23"
"5","N/A","FLUOROURACIL 5 GRAM/100 ML SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","10.71","10.71","10.71","N/A","N/A","N/A","10.71","10.71","N/A","10.71","10.71","10.71","10.71","10.71","10.71","10.71","10.71","10.71","10.71"
"5","N/A","FLUOROURACIL 500 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","7.76","7.76","7.76","N/A","N/A","N/A","7.76","7.76","N/A","7.76","7.76","7.76","7.76","7.76","7.76","7.76","7.76","7.76","7.76"
"5","N/A","FLUPHENAZINE DECANOATE 25 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","74.39","74.39","74.39","N/A","N/A","N/A","74.39","74.39","N/A","74.39","74.39","74.39","74.39","74.39","74.39","74.39","74.39","74.39","74.39"
"5","N/A","FOSAPREPITANT 150 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","1.14","1.14","1.14","N/A","N/A","N/A","1.14","1.14","N/A","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14","1.14"
"5","N/A","FOSCARNET 24 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","4.53","4.53","4.53","N/A","N/A","N/A","4.53","4.53","N/A","4.53","4.53","4.53","4.53","4.53","4.53","4.53","4.53","4.53","4.53"
"5","N/A","FOSCARNET 24 MG/ML SOLN 250 ML BOTTLE","N/A","N/A","0250","N/A","N/A","189.30","189.30","189.30","N/A","N/A","N/A","189.30","189.30","N/A","189.30","189.30","189.30","189.30","189.30","189.30","189.30","189.30","189.30","189.30"
"5","N/A","FOSPHENYTOIN 100 MG PE/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","40.01","40.01","40.01","N/A","N/A","N/A","40.01","40.01","N/A","40.01","40.01","40.01","40.01","40.01","40.01","40.01","40.01","40.01","40.01"
"5","N/A","FOSPHENYTOIN 500 MG PE/10 ML SOLN","N/A","N/A","0250","N/A","N/A","24.01","24.01","24.01","N/A","N/A","N/A","24.01","24.01","N/A","24.01","24.01","24.01","24.01","24.01","24.01","24.01","24.01","24.01","24.01"
"5","N/A","FOSPHENYTOIN 500 MG PE/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","12.97","12.97","12.97","N/A","N/A","N/A","12.97","12.97","N/A","12.97","12.97","12.97","12.97","12.97","12.97","12.97","12.97","12.97","12.97"
"5","N/A","FOSPHENYTOIN 500 MG PE/10 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","40.01","40.01","40.01","N/A","N/A","N/A","40.01","40.01","N/A","40.01","40.01","40.01","40.01","40.01","40.01","40.01","40.01","40.01","40.01"
"5","N/A","FULVESTRANT 250 MG/5 ML SYR","N/A","N/A","0250","N/A","N/A","120.23","120.23","120.23","N/A","N/A","N/A","120.23","120.23","N/A","120.23","120.23","120.23","120.23","120.23","120.23","120.23","120.23","120.23","120.23"
"5","N/A","FUROSEMIDE 10 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","4.71","4.71","4.71","N/A","N/A","N/A","4.71","4.71","N/A","4.71","4.71","4.71","4.71","4.71","4.71","4.71","4.71","4.71","4.71"
"5","N/A","FUROSEMIDE 10 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","2.14","2.14","2.14","N/A","N/A","N/A","2.14","2.14","N/A","2.14","2.14","2.14","2.14","2.14","2.14","2.14","2.14","2.14","2.14"
"5","N/A","FUROSEMIDE 10 MG/ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","9.94","9.94","9.94","N/A","N/A","N/A","9.94","9.94","N/A","9.94","9.94","9.94","9.94","9.94","9.94","9.94","9.94","9.94","9.94"
"5","N/A","FUROSEMIDE 10 MG/ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","3.49","3.49","3.49","N/A","N/A","N/A","3.49","3.49","N/A","3.49","3.49","3.49","3.49","3.49","3.49","3.49","3.49","3.49","3.49"
"5","N/A","GANCICLOVIR 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","227.80","227.80","227.80","N/A","N/A","N/A","227.80","227.80","N/A","227.80","227.80","227.80","227.80","227.80","227.80","227.80","227.80","227.80","227.80"
"5","N/A","GELATIN ADSORBABLE 100 SPONGE","N/A","N/A","0250","N/A","N/A","100.48","100.48","100.48","N/A","N/A","N/A","100.48","100.48","N/A","100.48","100.48","100.48","100.48","100.48","100.48","100.48","100.48","100.48","100.48"
"5","N/A","GEMCITABINE 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","23.83","23.83","23.83","N/A","N/A","N/A","23.83","23.83","N/A","23.83","23.83","23.83","23.83","23.83","23.83","23.83","23.83","23.83","23.83"
"5","N/A","GEMCITABINE 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","22.75","22.75","22.75","N/A","N/A","N/A","22.75","22.75","N/A","22.75","22.75","22.75","22.75","22.75","22.75","22.75","22.75","22.75","22.75"
"5","N/A","GEMCITABINE 1 GRAM/26.3 ML (38 MG/ML) SOLN 26.3 ML VIAL","N/A","N/A","0250","N/A","N/A","21.52","21.52","21.52","N/A","N/A","N/A","21.52","21.52","N/A","21.52","21.52","21.52","21.52","21.52","21.52","21.52","21.52","21.52","21.52"
"5","N/A","GEMCITABINE 200 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","25.25","25.25","25.25","N/A","N/A","N/A","25.25","25.25","N/A","25.25","25.25","25.25","25.25","25.25","25.25","25.25","25.25","25.25","25.25"
"5","N/A","GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONC) RECON.SOLN.","N/A","N/A","0250","N/A","N/A","270.65","270.65","270.65","N/A","N/A","N/A","270.65","270.65","N/A","270.65","270.65","270.65","270.65","270.65","270.65","270.65","270.65","270.65","270.65"
"5","N/A","GENTAMICIN 0.3 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","7.75","7.75","7.75","N/A","N/A","N/A","7.75","7.75","N/A","7.75","7.75","7.75","7.75","7.75","7.75","7.75","7.75","7.75","7.75"
"5","N/A","GENTAMICIN 10 MG/ML","N/A","N/A","0250","N/A","N/A","28.37","28.37","28.37","N/A","N/A","N/A","28.37","28.37","N/A","28.37","28.37","28.37","28.37","28.37","28.37","28.37","28.37","28.37","28.37"
"5","N/A","GENTAMICIN 80 MG/2 ML","N/A","N/A","0250","N/A","N/A","8.65","8.65","8.65","N/A","N/A","N/A","8.65","8.65","N/A","8.65","8.65","8.65","8.65","8.65","8.65","8.65","8.65","8.65","8.65"
"5","N/A","GENTAMICIN 80 MG/2 ML 2 ML VIAL","N/A","N/A","0250","N/A","N/A","1.45","1.45","1.45","N/A","N/A","N/A","1.45","1.45","N/A","1.45","1.45","1.45","1.45","1.45","1.45","1.45","1.45","1.45","1.45"
"5","N/A","GENTAMICIN 80 MG/2 ML 20 ML VIAL","N/A","N/A","0250","N/A","N/A","2.79","2.79","2.79","N/A","N/A","N/A","2.79","2.79","N/A","2.79","2.79","2.79","2.79","2.79","2.79","2.79","2.79","2.79","2.79"
"5","N/A","GENTAMICIN 80 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","18.46","18.46","18.46","N/A","N/A","N/A","18.46","18.46","N/A","18.46","18.46","18.46","18.46","18.46","18.46","18.46","18.46","18.46","18.46"
"5","N/A","GENTAMICIN 80 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","6.59","6.59","6.59","N/A","N/A","N/A","6.59","6.59","N/A","6.59","6.59","6.59","6.59","6.59","6.59","6.59","6.59","6.59","6.59"
"5","N/A","GENTAMICIN 80 MG/2 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","5.57","5.57","5.57","N/A","N/A","N/A","5.57","5.57","N/A","5.57","5.57","5.57","5.57","5.57","5.57","5.57","5.57","5.57","5.57"
"5","N/A","GENTAMICIN SULFATE (PED) (PF) 20 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","9.65","9.65","9.65","N/A","N/A","N/A","9.65","9.65","N/A","9.65","9.65","9.65","9.65","9.65","9.65","9.65","9.65","9.65","9.65"
"5","N/A","GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","411.84","411.84","411.84","N/A","N/A","N/A","411.84","411.84","N/A","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84"
"5","N/A","GLUCAGON (HUMAN RECOMBINANT) 1 MG/ML RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","411.84","411.84","411.84","N/A","N/A","N/A","411.84","411.84","N/A","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84"
"5","N/A","GLUCAGON 1 MG/ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","411.84","411.84","411.84","N/A","N/A","N/A","411.84","411.84","N/A","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84"
"5","N/A","GLUCAGON 1 MG/ML RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","411.84","411.84","411.84","N/A","N/A","N/A","411.84","411.84","N/A","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84","411.84"
"5","N/A","GLYCOPYRROLATE 0.2 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","18.15","18.15","18.15","N/A","N/A","N/A","18.15","18.15","N/A","18.15","18.15","18.15","18.15","18.15","18.15","18.15","18.15","18.15","18.15"
"5","N/A","GOLIMUMAB 12.5 MG/ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","94.63","94.63","94.63","N/A","N/A","N/A","94.63","94.63","N/A","94.63","94.63","94.63","94.63","94.63","94.63","94.63","94.63","94.63","94.63"
"5","N/A","GOSERELIN 10.8 MG IMPLANT","N/A","N/A","0250","N/A","N/A","977.40","977.40","977.40","N/A","N/A","N/A","977.40","977.40","N/A","977.40","977.40","977.40","977.40","977.40","977.40","977.40","977.40","977.40","977.40"
"5","N/A","GOSERELIN 3.6 MG IMPLANT","N/A","N/A","0250","N/A","N/A","1675.54","1675.54","1675.54","N/A","N/A","N/A","1675.54","1675.54","N/A","1675.54","1675.54","1675.54","1675.54","1675.54","1675.54","1675.54","1675.54","1675.54","1675.54"
"5","N/A","GRANISETRON (PF) 1 MG/ML (1 ML) SOLN","N/A","N/A","0250","N/A","N/A","3.57","3.57","3.57","N/A","N/A","N/A","3.57","3.57","N/A","3.57","3.57","3.57","3.57","3.57","3.57","3.57","3.57","3.57","3.57"
"5","N/A","GRANISETRON HCL (PF) 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","3.55","3.55","3.55","N/A","N/A","N/A","3.55","3.55","N/A","3.55","3.55","3.55","3.55","3.55","3.55","3.55","3.55","3.55","3.55"
"5","N/A","HAEMOPHILUS B POLY CONJ-TET TOX-PF VAC 10 MCG/0.5 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","40.52","40.52","40.52","N/A","N/A","N/A","40.52","40.52","N/A","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52"
"5","N/A","HALOPERIDOL 5 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","9.65","9.65","9.65","N/A","N/A","N/A","9.65","9.65","N/A","9.65","9.65","9.65","9.65","9.65","9.65","9.65","9.65","9.65","9.65"
"5","N/A","HALOPERIDOL 5 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","8.25","8.25","8.25","N/A","N/A","N/A","8.25","8.25","N/A","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25"
"5","N/A","HALOPERIDOL DECANOATE 50 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","64.69","64.69","64.69","N/A","N/A","N/A","64.69","64.69","N/A","64.69","64.69","64.69","64.69","64.69","64.69","64.69","64.69","64.69","64.69"
"5","N/A","HALOPERIDOL IV 5 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","7.97","7.97","7.97","N/A","N/A","N/A","7.97","7.97","N/A","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97"
"5","N/A","HCHG ERX PHARMACY (UBC 250)","N/A","N/A","0250","N/A","N/A","11.71","11.71","11.71","N/A","N/A","N/A","11.71","11.71","N/A","11.71","11.71","11.71","11.71","11.71","11.71","11.71","11.71","11.71","11.71"
"5","N/A","HEPARIN (1000 UNITS/ML) 1,000 UNITS/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","1.88","1.88","1.88","N/A","N/A","N/A","1.88","1.88","N/A","1.88","1.88","1.88","1.88","1.88","1.88","1.88","1.88","1.88","1.88"
"5","N/A","HEPARIN (1000 UNITS/ML) 1000 UNITS/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","1.99","1.99","1.99","N/A","N/A","N/A","1.99","1.99","N/A","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99"
"5","N/A","HEPARIN 1000 UNITS/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","1.91","1.91","1.91","N/A","N/A","N/A","1.91","1.91","N/A","1.91","1.91","1.91","1.91","1.91","1.91","1.91","1.91","1.91","1.91"
"5","N/A","HEPARIN 10000 UNITS/10 ML 10 ML VIAL","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","HEPARIN 25,000 UNITS/250 ML 1/2NS 25,000 UNIT/250 ML SOLP","N/A","N/A","0250","N/A","N/A","2.89","2.89","2.89","N/A","N/A","N/A","2.89","2.89","N/A","2.89","2.89","2.89","2.89","2.89","2.89","2.89","2.89","2.89","2.89"
"5","N/A","HEPARIN 25,000 UNITS/250 ML 1/2NS 25,000 UNIT/250 ML SOLP 250 ML BAG","N/A","N/A","0250","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HEPARIN 25,000 UNITS/250 ML IN 1/2 NS 100 UNIT/ML SOLP 250 ML BAG","N/A","N/A","0250","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HEPARIN 25,000 UNITS/250 ML IN 1/2 NS 100 UNITS/ML SOLP","N/A","N/A","0250","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HEPARIN 25,000 UNITS/250 ML IN 1/2 NS 100 UNITS/ML SOLP 250 ML BAG","N/A","N/A","0250","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HEPARIN 25,000 UNITS/250 ML IN 1/2NS 100 UNITS/ML SOLP","N/A","N/A","0250","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HEPARIN 25,000 UNITS/250 ML IN 1/2NS 100 UNITS/ML SOLP 250 ML BAG","N/A","N/A","0250","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HEPARIN 5,000 UNIT/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","1.62","1.62","1.62","N/A","N/A","N/A","1.62","1.62","N/A","1.62","1.62","1.62","1.62","1.62","1.62","1.62","1.62","1.62","1.62"
"5","N/A","HEPARIN 5,000 UNIT/0.5 ML SYR 0.5 ML SYRINGE","N/A","N/A","0250","N/A","N/A","1.59","1.59","1.59","N/A","N/A","N/A","1.59","1.59","N/A","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59"
"5","N/A","HEPARIN 5,000 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","1.60","1.60","1.60","N/A","N/A","N/A","1.60","1.60","N/A","1.60","1.60","1.60","1.60","1.60","1.60","1.60","1.60","1.60","1.60"
"5","N/A","HEPARIN LOCK FLUSH 500 UNIT/5 ML SOLN","N/A","N/A","0250","N/A","N/A","0.17","0.17","0.17","N/A","N/A","N/A","0.17","0.17","N/A","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17"
"5","N/A","HEPARIN LOCK FLUSH 500 UNIT/5 ML SYR","N/A","N/A","0250","N/A","N/A","0.16","0.16","0.16","N/A","N/A","N/A","0.16","0.16","N/A","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16"
"5","N/A","HEPARIN PORCINE 1000 UNIT/ML 1000 UNITS/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","17.45","17.45","17.45","N/A","N/A","N/A","17.45","17.45","N/A","17.45","17.45","17.45","17.45","17.45","17.45","17.45","17.45","17.45","17.45"
"5","N/A","HEPARIN, PORCINE (PF) 1,000 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","12.48","12.48","12.48","N/A","N/A","N/A","12.48","12.48","N/A","12.48","12.48","12.48","12.48","12.48","12.48","12.48","12.48","12.48","12.48"
"5","N/A","HEPATITIS A AND B VACCINE (PF) 720-20 EL UNIT-MCG/ML SYR","N/A","N/A","0250","N/A","N/A","258.30","258.30","258.30","N/A","N/A","N/A","258.30","258.30","N/A","258.30","258.30","258.30","258.30","258.30","258.30","258.30","258.30","258.30","258.30"
"5","N/A","HEPATITIS B IMMUNE GLOBULIN (NEONATAL) 110 UNIT/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","212.28","212.28","212.28","N/A","N/A","N/A","212.28","212.28","N/A","212.28","212.28","212.28","212.28","212.28","212.28","212.28","212.28","212.28","212.28"
"5","N/A","HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML (5 ML) SOLN","N/A","N/A","0250","N/A","N/A","203.61","203.61","203.61","N/A","N/A","N/A","203.61","203.61","N/A","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61"
"5","N/A","HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML(5 ML) SOLN","N/A","N/A","0250","N/A","N/A","203.61","203.61","203.61","N/A","N/A","N/A","203.61","203.61","N/A","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61"
"5","N/A","HEPATITIS B IMMUNE GLOBULIN-MALTOSE >312 UNIT/ML(5 ML) SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","203.61","203.61","203.61","N/A","N/A","N/A","203.61","203.61","N/A","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61","203.61"
"5","N/A","HEPATITIS B VIRUS VACCINE RECOMNBINANT 5 MCG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","57.91","57.91","57.91","N/A","N/A","N/A","57.91","57.91","N/A","57.91","57.91","57.91","57.91","57.91","57.91","57.91","57.91","57.91","57.91"
"5","N/A","HETASTARCH IN NORMAL SALINE 6 % SOLN","N/A","N/A","0250","N/A","N/A","36.00","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A","HYALURONATE SOD, CROSS-LINKED 30 MG/3 ML SYR","N/A","N/A","0250","N/A","N/A","2760.00","2760.00","2760.00","N/A","N/A","N/A","2760.00","2760.00","N/A","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00"
"5","N/A","HYALURONATE SODIUM, STABILIZED 60 MG/3 ML SYR","N/A","N/A","0250","N/A","N/A","39.00","39.00","39.00","N/A","N/A","N/A","39.00","39.00","N/A","39.00","39.00","39.00","39.00","39.00","39.00","39.00","39.00","39.00","39.00"
"5","N/A","HYALURONIDASE (OVINE) 200 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","1.05","1.05","1.05","N/A","N/A","N/A","1.05","1.05","N/A","1.05","1.05","1.05","1.05","1.05","1.05","1.05","1.05","1.05","1.05"
"5","N/A","HYALURONIDASE RECOMBINANT (HUMAN) 150 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","0.89","0.89","0.89","N/A","N/A","N/A","0.89","0.89","N/A","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89"
"5","N/A","HYDRALAZINE 20 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","29.75","29.75","29.75","N/A","N/A","N/A","29.75","29.75","N/A","29.75","29.75","29.75","29.75","29.75","29.75","29.75","29.75","29.75","29.75"
"5","N/A","HYDRALAZINE 20 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","26.80","26.80","26.80","N/A","N/A","N/A","26.80","26.80","N/A","26.80","26.80","26.80","26.80","26.80","26.80","26.80","26.80","26.80","26.80"
"5","N/A","HYDROCORTISONE SODIUM SUCCINATE (PF) 100 MG/2 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","37.02","37.02","37.02","N/A","N/A","N/A","37.02","37.02","N/A","37.02","37.02","37.02","37.02","37.02","37.02","37.02","37.02","37.02","37.02"
"5","N/A","HYDROCORTISONE SODIUM SUCCINATE 250 MG/2 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","27.39","27.39","27.39","N/A","N/A","N/A","27.39","27.39","N/A","27.39","27.39","27.39","27.39","27.39","27.39","27.39","27.39","27.39","27.39"
"5","N/A","HYDROMORPHONE 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","9.43","9.43","9.43","N/A","N/A","N/A","9.43","9.43","N/A","9.43","9.43","9.43","9.43","9.43","9.43","9.43","9.43","9.43","9.43"
"5","N/A","HYDROMORPHONE 1 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","8.64","8.64","8.64","N/A","N/A","N/A","8.64","8.64","N/A","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64"
"5","N/A","HYDROMORPHONE 1 MG/ML SYR","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","HYDROMORPHONE HP (PF) 10 MG/ML SOLN 1 ML AMPUL","N/A","N/A","0250","N/A","N/A","2.30","2.30","2.30","N/A","N/A","N/A","2.30","2.30","N/A","2.30","2.30","2.30","2.30","2.30","2.30","2.30","2.30","2.30","2.30"
"5","N/A","HYDROMORPHONE HP (PF) 10 MG/ML SOLN 5 ML AMPUL","N/A","N/A","0250","N/A","N/A","1.81","1.81","1.81","N/A","N/A","N/A","1.81","1.81","N/A","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81"
"5","N/A","HYDROMORPHONE HP (PF) 10 MG/ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","1.81","1.81","1.81","N/A","N/A","N/A","1.81","1.81","N/A","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81"
"5","N/A","HYDROXYPROGESTERONE CAPROATE 250 MG/ML (1 ML) OIL","N/A","N/A","0250","N/A","N/A","65.52","65.52","65.52","N/A","N/A","N/A","65.52","65.52","N/A","65.52","65.52","65.52","65.52","65.52","65.52","65.52","65.52","65.52","65.52"
"5","N/A","HYDROXYUREA 500 MG CAP","N/A","N/A","0250","N/A","N/A","1.35","1.35","1.35","N/A","N/A","N/A","1.35","1.35","N/A","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35"
"5","N/A","HYDROXYUREA 500 MG CAP 1 EACH BOTTLE","N/A","N/A","0250","N/A","N/A","1.35","1.35","1.35","N/A","N/A","N/A","1.35","1.35","N/A","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35"
"5","N/A","HYDROXYZINE 50 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","25.64","25.64","25.64","N/A","N/A","N/A","25.64","25.64","N/A","25.64","25.64","25.64","25.64","25.64","25.64","25.64","25.64","25.64","25.64"
"5","N/A","HYLAN G-F 20 48 MG/6 ML SYR","N/A","N/A","0250","N/A","N/A","68.48","68.48","68.48","N/A","N/A","N/A","68.48","68.48","N/A","68.48","68.48","68.48","68.48","68.48","68.48","68.48","68.48","68.48","68.48"
"5","N/A","HYPROMELLOSE (GONIOSCOPIC) 2.5 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","8.06","8.06","8.06","N/A","N/A","N/A","8.06","8.06","N/A","8.06","8.06","8.06","8.06","8.06","8.06","8.06","8.06","8.06","8.06"
"5","N/A","HYPROMELLOSE (GONIOSCOPIC) 2.5 % DROP 15 ML DROP BTL","N/A","N/A","0250","N/A","N/A","42.30","42.30","42.30","N/A","N/A","N/A","42.30","42.30","N/A","42.30","42.30","42.30","42.30","42.30","42.30","42.30","42.30","42.30","42.30"
"5","N/A","IDARUBICIN 10 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","160.66","160.66","160.66","N/A","N/A","N/A","160.66","160.66","N/A","160.66","160.66","160.66","160.66","160.66","160.66","160.66","160.66","160.66","160.66"
"5","N/A","IDARUCIZUMAB 2.5 GRAM/50 ML SOLN","N/A","N/A","0250","N/A","N/A","5135.16","5135.16","5135.16","N/A","N/A","N/A","5135.16","5135.16","N/A","5135.16","5135.16","5135.16","5135.16","5135.16","5135.16","5135.16","5135.16","5135.16","5135.16"
"5","N/A","IFOSFAMIDE 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","88.18","88.18","88.18","N/A","N/A","N/A","88.18","88.18","N/A","88.18","88.18","88.18","88.18","88.18","88.18","88.18","88.18","88.18","88.18"
"5","N/A","IFOSFAMIDE 3 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","85.98","85.98","85.98","N/A","N/A","N/A","85.98","85.98","N/A","85.98","85.98","85.98","85.98","85.98","85.98","85.98","85.98","85.98","85.98"
"5","N/A","IMIPENEM/CILASTATIN 500 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","32.86","32.86","32.86","N/A","N/A","N/A","32.86","32.86","N/A","32.86","32.86","32.86","32.86","32.86","32.86","32.86","32.86","32.86","32.86"
"5","N/A","IMIPENEM/CILASTATIN 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","31.42","31.42","31.42","N/A","N/A","N/A","31.42","31.42","N/A","31.42","31.42","31.42","31.42","31.42","31.42","31.42","31.42","31.42","31.42"
"5","N/A","IMMUN GLOB G(IGG)-GLY-IGA OV50 10% 10 % SOLN","N/A","N/A","0250","N/A","N/A","128.50","128.50","128.50","N/A","N/A","N/A","128.50","128.50","N/A","128.50","128.50","128.50","128.50","128.50","128.50","128.50","128.50","128.50","128.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) (10 GM) 10 % 10 % SOLN","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 % INJ","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 % INJ 100 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 % INJ 200 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 % INJ 400 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10 % 10 % INJ 50 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10% 10 % INJ","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10% 10 % INJ 200 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) (IGG) 10% 10 % INJ 50 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10 % (40 G/400 ML) VIAL INJ","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10 % (40 G/400 ML) VIAL INJ 400 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (10 G/100 ML) VIAL INJ","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (10 G/100 ML) VIAL INJ 100 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (10 G/100 ML) VIAL INJ 200 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (20 G/200 ML) VIAL INJ","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (20 G/200 ML) VIAL INJ 200 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (20 G/200 ML) VIAL INJ 400 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (5 G/50 ML) VIAL INJ","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (5 G/50 ML) VIAL INJ 100 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (5 G/50 ML) VIAL INJ 200 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (5 G/50 ML) VIAL INJ 400 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","IMMUNE GLOBULIN (HUMAN) 10% (5 G/50 ML) VIAL INJ 50 ML VIAL","N/A","N/A","0250","N/A","N/A","130.50","130.50","130.50","N/A","N/A","N/A","130.50","130.50","N/A","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50","130.50"
"5","N/A","INDIGOTINDISULFONATE 40 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","17.28","17.28","17.28","N/A","N/A","N/A","17.28","17.28","N/A","17.28","17.28","17.28","17.28","17.28","17.28","17.28","17.28","17.28","17.28"
"5","N/A","INDOCYANINE GREEN 25 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","232.27","232.27","232.27","N/A","N/A","N/A","232.27","232.27","N/A","232.27","232.27","232.27","232.27","232.27","232.27","232.27","232.27","232.27","232.27"
"5","N/A","INFLIXIMAB 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","280.28","280.28","280.28","N/A","N/A","N/A","280.28","280.28","N/A","280.28","280.28","280.28","280.28","280.28","280.28","280.28","280.28","280.28","280.28"
"5","N/A","INFLIXIMAB-DYYB 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","227.11","227.11","227.11","N/A","N/A","N/A","227.11","227.11","N/A","227.11","227.11","227.11","227.11","227.11","227.11","227.11","227.11","227.11","227.11"
"5","N/A","IPILIMUMAB 50 MG/10 ML (5 MG/ML) SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","279.51","279.51","279.51","N/A","N/A","N/A","279.51","279.51","N/A","279.51","279.51","279.51","279.51","279.51","279.51","279.51","279.51","279.51","279.51"
"5","N/A","IPRATROPIUM BROMIDE 0.02 % SOLN","N/A","N/A","0250","N/A","N/A","1.00","1.00","1.00","N/A","N/A","N/A","1.00","1.00","N/A","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00","1.00"
"5","N/A","IRINOTECAN 100 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","14.73","14.73","14.73","N/A","N/A","N/A","14.73","14.73","N/A","14.73","14.73","14.73","14.73","14.73","14.73","14.73","14.73","14.73","14.73"
"5","N/A","IRINOTECAN LIPOSOMAL 4.3 MG/ML DISP","N/A","N/A","0250","N/A","N/A","137.97","137.97","137.97","N/A","N/A","N/A","137.97","137.97","N/A","137.97","137.97","137.97","137.97","137.97","137.97","137.97","137.97","137.97","137.97"
"5","N/A","IRINOTECAN LIPOSOMAL 4.3 MG/ML DISP 10 ML VIAL","N/A","N/A","0250","N/A","N/A","138.01","138.01","138.01","N/A","N/A","N/A","138.01","138.01","N/A","138.01","138.01","138.01","138.01","138.01","138.01","138.01","138.01","138.01","138.01"
"5","N/A","IRON SUCROSE 100 MG/5 ML IRON SOLN","N/A","N/A","0250","N/A","N/A","1.24","1.24","1.24","N/A","N/A","N/A","1.24","1.24","N/A","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24"
"5","N/A","IRON SUCROSE 100 MG/5 ML IRON SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","1.24","1.24","1.24","N/A","N/A","N/A","1.24","1.24","N/A","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24"
"5","N/A","IRON SUCROSE 100 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","1.23","1.23","1.23","N/A","N/A","N/A","1.23","1.23","N/A","1.23","1.23","1.23","1.23","1.23","1.23","1.23","1.23","1.23","1.23"
"5","N/A","ISAVUCONAZONIUM SULFATE 372 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","2.08","2.08","2.08","N/A","N/A","N/A","2.08","2.08","N/A","2.08","2.08","2.08","2.08","2.08","2.08","2.08","2.08","2.08","2.08"
"5","N/A","ISOPROTERENOL 1 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","1440.00","1440.00","1440.00","N/A","N/A","N/A","1440.00","1440.00","N/A","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00"
"5","N/A","ISOPROTERENOL 1 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","1440.00","1440.00","1440.00","N/A","N/A","N/A","1440.00","1440.00","N/A","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00","1440.00"
"5","N/A","ISOSULFAN BLUE 1 % SOLN","N/A","N/A","0250","N/A","N/A","85.71","85.71","85.71","N/A","N/A","N/A","85.71","85.71","N/A","85.71","85.71","85.71","85.71","85.71","85.71","85.71","85.71","85.71","85.71"
"5","N/A","KETAMINE 100 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","KETAMINE 100 MG/2 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","19.49","19.49","19.49","N/A","N/A","N/A","19.49","19.49","N/A","19.49","19.49","19.49","19.49","19.49","19.49","19.49","19.49","19.49","19.49"
"5","N/A","KETAMINE 100 MG/2 ML SOLN 2 ML SYRINGE","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","KETAMINE 500 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","32.02","32.02","32.02","N/A","N/A","N/A","32.02","32.02","N/A","32.02","32.02","32.02","32.02","32.02","32.02","32.02","32.02","32.02","32.02"
"5","N/A","KETOROLAC 0.4 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","26.76","26.76","26.76","N/A","N/A","N/A","26.76","26.76","N/A","26.76","26.76","26.76","26.76","26.76","26.76","26.76","26.76","26.76","26.76"
"5","N/A","KETOROLAC 0.4 % DROP 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","133.78","133.78","133.78","N/A","N/A","N/A","133.78","133.78","N/A","133.78","133.78","133.78","133.78","133.78","133.78","133.78","133.78","133.78","133.78"
"5","N/A","KETOROLAC 15 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","8.42","8.42","8.42","N/A","N/A","N/A","8.42","8.42","N/A","8.42","8.42","8.42","8.42","8.42","8.42","8.42","8.42","8.42","8.42"
"5","N/A","KETOROLAC 30 MG/ML (1 ML) SOLN","N/A","N/A","0250","N/A","N/A","5.93","5.93","5.93","N/A","N/A","N/A","5.93","5.93","N/A","5.93","5.93","5.93","5.93","5.93","5.93","5.93","5.93","5.93","5.93"
"5","N/A","KETOROLAC 60 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","4.19","4.19","4.19","N/A","N/A","N/A","4.19","4.19","N/A","4.19","4.19","4.19","4.19","4.19","4.19","4.19","4.19","4.19","4.19"
"5","N/A","LABETALOL 20 MG/4 ML SOLN","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LABETALOL 20 MG/4 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","20.02","20.02","20.02","N/A","N/A","N/A","20.02","20.02","N/A","20.02","20.02","20.02","20.02","20.02","20.02","20.02","20.02","20.02","20.02"
"5","N/A","LABETALOL 5 MG/ML SYR","N/A","N/A","0250","N/A","N/A","17.68","17.68","17.68","N/A","N/A","N/A","17.68","17.68","N/A","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68"
"5","N/A","LACOSAMIDE 200 MG/20 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","0.96","0.96","0.96","N/A","N/A","N/A","0.96","0.96","N/A","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96"
"5","N/A","LANREOTIDE 120 MG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","104.45","104.45","104.45","N/A","N/A","N/A","104.45","104.45","N/A","104.45","104.45","104.45","104.45","104.45","104.45","104.45","104.45","104.45","104.45"
"5","N/A","LANREOTIDE 90 MG/0.3 ML SYR","N/A","N/A","0250","N/A","N/A","118.10","118.10","118.10","N/A","N/A","N/A","118.10","118.10","N/A","118.10","118.10","118.10","118.10","118.10","118.10","118.10","118.10","118.10","118.10"
"5","N/A","LEUCOVORIN 20 MG/ML RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","6.54","6.54","6.54","N/A","N/A","N/A","6.54","6.54","N/A","6.54","6.54","6.54","6.54","6.54","6.54","6.54","6.54","6.54","6.54"
"5","N/A","LEUCOVORIN 350 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","6.50","6.50","6.50","N/A","N/A","N/A","6.50","6.50","N/A","6.50","6.50","6.50","6.50","6.50","6.50","6.50","6.50","6.50","6.50"
"5","N/A","LEUPROLIDE 7.5 MG SYKT","N/A","N/A","0250","N/A","N/A","2344.43","2344.43","2344.43","N/A","N/A","N/A","2344.43","2344.43","N/A","2344.43","2344.43","2344.43","2344.43","2344.43","2344.43","2344.43","2344.43","2344.43","2344.43"
"5","N/A","LEUPROLIDE ACETATE (1 MONTH) 7.5 MG (1 MONTH) SYR","N/A","N/A","0250","N/A","N/A","1084.06","1084.06","1084.06","N/A","N/A","N/A","1084.06","1084.06","N/A","1084.06","1084.06","1084.06","1084.06","1084.06","1084.06","1084.06","1084.06","1084.06","1084.06"
"5","N/A","LEUPROLIDE ACETATE (3 MONTH) 22.5 MG SYKT","N/A","N/A","0250","N/A","N/A","2794.43","2794.43","2794.43","N/A","N/A","N/A","2794.43","2794.43","N/A","2794.43","2794.43","2794.43","2794.43","2794.43","2794.43","2794.43","2794.43","2794.43","2794.43"
"5","N/A","LEUPROLIDE ACETATE (4 MONTH) 30 MG SYKT","N/A","N/A","0250","N/A","N/A","2378.13","2378.13","2378.13","N/A","N/A","N/A","2378.13","2378.13","N/A","2378.13","2378.13","2378.13","2378.13","2378.13","2378.13","2378.13","2378.13","2378.13","2378.13"
"5","N/A","LEUPROLIDE ACETATE 22.5 MG SYR","N/A","N/A","0250","N/A","N/A","632.37","632.37","632.37","N/A","N/A","N/A","632.37","632.37","N/A","632.37","632.37","632.37","632.37","632.37","632.37","632.37","632.37","632.37","632.37"
"5","N/A","LEUPROLIDE ACETATE 3.75 MG SYKT","N/A","N/A","0250","N/A","N/A","1997.04","1997.04","1997.04","N/A","N/A","N/A","1997.04","1997.04","N/A","1997.04","1997.04","1997.04","1997.04","1997.04","1997.04","1997.04","1997.04","1997.04","1997.04"
"5","N/A","LEUPROLIDE ACETATE 45 MG SYR","N/A","N/A","0250","N/A","N/A","632.36","632.36","632.36","N/A","N/A","N/A","632.36","632.36","N/A","632.36","632.36","632.36","632.36","632.36","632.36","632.36","632.36","632.36","632.36"
"5","N/A","LEVALBUTEROL HCL 0.63 MG/3 ML NEBU","N/A","N/A","0250","N/A","N/A","3.84","3.84","3.84","N/A","N/A","N/A","3.84","3.84","N/A","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84"
"5","N/A","LEVALBUTEROL HCL 1.25 MG/3 ML NEBU","N/A","N/A","0250","N/A","N/A","3.84","3.84","3.84","N/A","N/A","N/A","3.84","3.84","N/A","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84","3.84"
"5","N/A","LEVETIRACETAM 1,000 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","0.67","0.67","0.67","N/A","N/A","N/A","0.67","0.67","N/A","0.67","0.67","0.67","0.67","0.67","0.67","0.67","0.67","0.67","0.67"
"5","N/A","LEVETIRACETAM 500 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","1.63","1.63","1.63","N/A","N/A","N/A","1.63","1.63","N/A","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63"
"5","N/A","LEVETIRACETAM 500MG/5ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","0.35","0.35","0.35","N/A","N/A","N/A","0.35","0.35","N/A","0.35","0.35","0.35","0.35","0.35","0.35","0.35","0.35","0.35","0.35"
"5","N/A","LEVOCARNITINE 1000 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","79.49","79.49","79.49","N/A","N/A","N/A","79.49","79.49","N/A","79.49","79.49","79.49","79.49","79.49","79.49","79.49","79.49","79.49","79.49"
"5","N/A","LEVOFLOXACIN 500 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","10.00","10.00","10.00","N/A","N/A","N/A","10.00","10.00","N/A","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00"
"5","N/A","LEVOFLOXACIN IN D5W 750 MG/150 ML IVPB","N/A","N/A","0250","N/A","N/A","6.67","6.67","6.67","N/A","N/A","N/A","6.67","6.67","N/A","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67"
"5","N/A","LEVONORGESTREL 20 MCG/24 HOURS (6 YRS) 52 MG IUD","N/A","N/A","0250","N/A","N/A","1382.98","1382.98","1382.98","N/A","N/A","N/A","1382.98","1382.98","N/A","1382.98","1382.98","1382.98","1382.98","1382.98","1382.98","1382.98","1382.98","1382.98","1382.98"
"5","N/A","LEVONORGESTREL 20.1 MCG/24 HRS (6 YRS) 52 MG IUD","N/A","N/A","0250","N/A","N/A","1888.49","1888.49","1888.49","N/A","N/A","N/A","1888.49","1888.49","N/A","1888.49","1888.49","1888.49","1888.49","1888.49","1888.49","1888.49","1888.49","1888.49","1888.49"
"5","N/A","LEVONORGESTREL 52 MG (20MCG/DAY) IUD","N/A","N/A","0250","N/A","N/A","1334.92","1334.92","1334.92","N/A","N/A","N/A","1334.92","1334.92","N/A","1334.92","1334.92","1334.92","1334.92","1334.92","1334.92","1334.92","1334.92","1334.92","1334.92"
"5","N/A","LEVOTHYROXINE 100 MCG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","138.03","138.03","138.03","N/A","N/A","N/A","138.03","138.03","N/A","138.03","138.03","138.03","138.03","138.03","138.03","138.03","138.03","138.03","138.03"
"5","N/A","LEVOTHYROXINE 100 MCG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","143.19","143.19","143.19","N/A","N/A","N/A","143.19","143.19","N/A","143.19","143.19","143.19","143.19","143.19","143.19","143.19","143.19","143.19","143.19"
"5","N/A","LEVOTHYROXINE 20 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","266.07","266.07","266.07","N/A","N/A","N/A","266.07","266.07","N/A","266.07","266.07","266.07","266.07","266.07","266.07","266.07","266.07","266.07","266.07"
"5","N/A","LEVOTHYROXINE 20 MCG/ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","266.07","266.07","266.07","N/A","N/A","N/A","266.07","266.07","N/A","266.07","266.07","266.07","266.07","266.07","266.07","266.07","266.07","266.07","266.07"
"5","N/A","LIDOCAINE (PF) 100 MG/5 ML (2 %) SYR","N/A","N/A","0250","N/A","N/A","13.80","13.80","13.80","N/A","N/A","N/A","13.80","13.80","N/A","13.80","13.80","13.80","13.80","13.80","13.80","13.80","13.80","13.80","13.80"
"5","N/A","LIDOCAINE (PF) 100 MG/5 ML (2 %) SYR 5 ML SYRINGE","N/A","N/A","0250","N/A","N/A","13.80","13.80","13.80","N/A","N/A","N/A","13.80","13.80","N/A","13.80","13.80","13.80","13.80","13.80","13.80","13.80","13.80","13.80","13.80"
"5","N/A","LIDOCAINE (PF) 20 MG/ML (2 %) SOLN","N/A","N/A","0250","N/A","N/A","7.79","7.79","7.79","N/A","N/A","N/A","7.79","7.79","N/A","7.79","7.79","7.79","7.79","7.79","7.79","7.79","7.79","7.79","7.79"
"5","N/A","LIDOCAINE (PF) 3.5 % GEL 1 ML TUBE","N/A","N/A","0250","N/A","N/A","51.00","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","LIDOCAINE 1 G IN D5W 250 ML 4 MG/ML SOLP","N/A","N/A","0250","N/A","N/A","0.20","0.20","0.20","N/A","N/A","N/A","0.20","0.20","N/A","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20"
"5","N/A","LIDOCAINE 1 G IN D5W 250 ML 4MG/ML(0.4%) SOLP","N/A","N/A","0250","N/A","N/A","0.21","0.21","0.21","N/A","N/A","N/A","0.21","0.21","N/A","0.21","0.21","0.21","0.21","0.21","0.21","0.21","0.21","0.21","0.21"
"5","N/A","LIDOCAINE 2 % GEL 10 ML SYRINGE","N/A","N/A","0250","N/A","N/A","15.39","15.39","15.39","N/A","N/A","N/A","15.39","15.39","N/A","15.39","15.39","15.39","15.39","15.39","15.39","15.39","15.39","15.39","15.39"
"5","N/A","LIDOCAINE 2 % JELL 30 ML TUBE","N/A","N/A","0250","N/A","N/A","256.68","256.68","256.68","N/A","N/A","N/A","256.68","256.68","N/A","256.68","256.68","256.68","256.68","256.68","256.68","256.68","256.68","256.68","256.68"
"5","N/A","LIDOCAINE 2 % JELL 5 ML TUBE","N/A","N/A","0250","N/A","N/A","16.80","16.80","16.80","N/A","N/A","N/A","16.80","16.80","N/A","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80"
"5","N/A","LIDOCAINE 4 % 4 % SOLN","N/A","N/A","0250","N/A","N/A","3.93","3.93","3.93","N/A","N/A","N/A","3.93","3.93","N/A","3.93","3.93","3.93","3.93","3.93","3.93","3.93","3.93","3.93","3.93"
"5","N/A","LIDOCAINE 4 % SOLN 50 ML BOTTLE","N/A","N/A","0250","N/A","N/A","95.95","95.95","95.95","N/A","N/A","N/A","95.95","95.95","N/A","95.95","95.95","95.95","95.95","95.95","95.95","95.95","95.95","95.95","95.95"
"5","N/A","LIDOCAINE HCL (FOR INHALATION) 2% INJ","N/A","N/A","0250","N/A","N/A","7.97","7.97","7.97","N/A","N/A","N/A","7.97","7.97","N/A","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97","7.97"
"5","N/A","LIDOCAINE HCL (FOR INHALATION) 4 %","N/A","N/A","0250","N/A","N/A","10.44","10.44","10.44","N/A","N/A","N/A","10.44","10.44","N/A","10.44","10.44","10.44","10.44","10.44","10.44","10.44","10.44","10.44","10.44"
"5","N/A","LIDOCAINE HCL (LOCAL ANESTH. PRES-FREE) 4% (40 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","10.44","10.44","10.44","N/A","N/A","N/A","10.44","10.44","N/A","10.44","10.44","10.44","10.44","10.44","10.44","10.44","10.44","10.44","10.44"
"5","N/A","LIDOCAINE HCL (LOCAL ANESTH.) (PF) 5 MG/ML (0.5 %) SOLN","N/A","N/A","0250","N/A","N/A","30.24","30.24","30.24","N/A","N/A","N/A","30.24","30.24","N/A","30.24","30.24","30.24","30.24","30.24","30.24","30.24","30.24","30.24","30.24"
"5","N/A","LIDOCAINE HCL (LOCAL ANESTH.) (PF) 5 MG/ML (0.5 %) SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","30.24","30.24","30.24","N/A","N/A","N/A","30.24","30.24","N/A","30.24","30.24","30.24","30.24","30.24","30.24","30.24","30.24","30.24","30.24"
"5","N/A","LIDOCAINE HCL (LOCAL ANESTH.) 1 % SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","19.62","19.62","19.62","N/A","N/A","N/A","19.62","19.62","N/A","19.62","19.62","19.62","19.62","19.62","19.62","19.62","19.62","19.62","19.62"
"5","N/A","LIDOCAINE HCL (LOCAL ANESTH.) 5 MG/ML (0.5 %) SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LIDOCAINE HCL (LOCAL ANESTH.) MDV 0.5% INJ 50 ML VIAL","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LIDOCAINE HCL (LOCAL ANESTHETIC) 1 % (10 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","7.55","7.55","7.55","N/A","N/A","N/A","7.55","7.55","N/A","7.55","7.55","7.55","7.55","7.55","7.55","7.55","7.55","7.55","7.55"
"5","N/A","LIDOCAINE HCL (PF) 2 % (20 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","7.23","7.23","7.23","N/A","N/A","N/A","7.23","7.23","N/A","7.23","7.23","7.23","7.23","7.23","7.23","7.23","7.23","7.23","7.23"
"5","N/A","LIDOCAINE HCL (PF) 2 % (20 MG/ML) SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","5.37","5.37","5.37","N/A","N/A","N/A","5.37","5.37","N/A","5.37","5.37","5.37","5.37","5.37","5.37","5.37","5.37","5.37","5.37"
"5","N/A","LIDOCAINE HCL (PF) 2 % SOLN","N/A","N/A","0250","N/A","N/A","6.83","6.83","6.83","N/A","N/A","N/A","6.83","6.83","N/A","6.83","6.83","6.83","6.83","6.83","6.83","6.83","6.83","6.83","6.83"
"5","N/A","LIDOCAINE HCL 1 % SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LIDOCAINE HCL 10 MG/ML (1%) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","19.17","19.17","19.17","N/A","N/A","N/A","19.17","19.17","N/A","19.17","19.17","19.17","19.17","19.17","19.17","19.17","19.17","19.17","19.17"
"5","N/A","LIDOCAINE HCL 10 MG/ML (1%) SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LIDOCAINE HCL 20 MG/ML (2 %) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","19.53","19.53","19.53","N/A","N/A","N/A","19.53","19.53","N/A","19.53","19.53","19.53","19.53","19.53","19.53","19.53","19.53","19.53","19.53"
"5","N/A","LIDOCAINE HCL PF (LOCAL ANESTH.) 1 % SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 SOLN","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LIDOCAINE-EPINEPHRINE 0.5 %-1:200,000 SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","17.68","17.68","17.68","N/A","N/A","N/A","17.68","17.68","N/A","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68","17.68"
"5","N/A","LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","12.92","12.92","12.92","N/A","N/A","N/A","12.92","12.92","N/A","12.92","12.92","12.92","12.92","12.92","12.92","12.92","12.92","12.92","12.92"
"5","N/A","LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","19.49","19.49","19.49","N/A","N/A","N/A","19.49","19.49","N/A","19.49","19.49","19.49","19.49","19.49","19.49","19.49","19.49","19.49","19.49"
"5","N/A","LIDOCAINE-EPINEPHRINE 1 %-1:100,000 SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LIDOCAINE-EPINEPHRINE 2 %-1:100,000 CRTG 1.7 ML CARTRIDGE","N/A","N/A","0250","N/A","N/A","2.49","2.49","2.49","N/A","N/A","N/A","2.49","2.49","N/A","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49"
"5","N/A","LIDOCAINE-EPINEPHRINE 2 %-1:100,000 SOLN","N/A","N/A","0250","N/A","N/A","19.91","19.91","19.91","N/A","N/A","N/A","19.91","19.91","N/A","19.91","19.91","19.91","19.91","19.91","19.91","19.91","19.91","19.91","19.91"
"5","N/A","LIDOCAINE-EPINEPHRINE 2 %-1:100,000 SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LIDOCAINE-EPINEPHRINE 2 %-1:200,000 SOLN","N/A","N/A","0250","N/A","N/A","37.73","37.73","37.73","N/A","N/A","N/A","37.73","37.73","N/A","37.73","37.73","37.73","37.73","37.73","37.73","37.73","37.73","37.73","37.73"
"5","N/A","LIDOCAINE-EPINEPHRINE 2 %-1:200,000 SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","37.73","37.73","37.73","N/A","N/A","N/A","37.73","37.73","N/A","37.73","37.73","37.73","37.73","37.73","37.73","37.73","37.73","37.73","37.73"
"5","N/A","LIDOCAINE4%/EPINEPHRINE 0.1%/TETRACAINE 0.05%SODIUM METABISULFATE(LETS) 4 %-1:1,000 -0.5 % SOLN","N/A","N/A","0250","N/A","N/A","8.01","8.01","8.01","N/A","N/A","N/A","8.01","8.01","N/A","8.01","8.01","8.01","8.01","8.01","8.01","8.01","8.01","8.01","8.01"
"5","N/A","LINEZOLID IN DEXTROSE 5% 600 MG/300 ML IVPB","N/A","N/A","0250","N/A","N/A","38.16","38.16","38.16","N/A","N/A","N/A","38.16","38.16","N/A","38.16","38.16","38.16","38.16","38.16","38.16","38.16","38.16","38.16","38.16"
"5","N/A","LORAZEPAM 2 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","7.30","7.30","7.30","N/A","N/A","N/A","7.30","7.30","N/A","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30"
"5","N/A","LORAZEPAM 2 MG/ML SYR","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","LORAZEPAM 40 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","1.72","1.72","1.72","N/A","N/A","N/A","1.72","1.72","N/A","1.72","1.72","1.72","1.72","1.72","1.72","1.72","1.72","1.72","1.72"
"5","N/A","LURBINECTEDIN 4 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","232.16","232.16","232.16","N/A","N/A","N/A","232.16","232.16","N/A","232.16","232.16","232.16","232.16","232.16","232.16","232.16","232.16","232.16","232.16"
"5","N/A","LUSPATERCEPT-AAMT 25 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","48.34","48.34","48.34","N/A","N/A","N/A","48.34","48.34","N/A","48.34","48.34","48.34","48.34","48.34","48.34","48.34","48.34","48.34","48.34"
"5","N/A","LYMPHOCYTE,ANTI-THYMO IMM GLOB (HORSE) 50 MG/ML SOLN 5 ML AMPUL","N/A","N/A","0250","N/A","N/A","5496.76","5496.76","5496.76","N/A","N/A","N/A","5496.76","5496.76","N/A","5496.76","5496.76","5496.76","5496.76","5496.76","5496.76","5496.76","5496.76","5496.76","5496.76"
"5","N/A","MAGNESIUM SULFATE 20 GRAM/500 ML (4 %) SOLP","N/A","N/A","0250","N/A","N/A","0.50","0.50","0.50","N/A","N/A","N/A","0.50","0.50","N/A","0.50","0.50","0.50","0.50","0.50","0.50","0.50","0.50","0.50","0.50"
"5","N/A","MAGNESIUM SULFATE 4 MEQ/ML (50 %) SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","2.52","2.52","2.52","N/A","N/A","N/A","2.52","2.52","N/A","2.52","2.52","2.52","2.52","2.52","2.52","2.52","2.52","2.52","2.52"
"5","N/A","MAGNESIUM SULFATE 4 MEQ/ML (50 %) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","2.58","2.58","2.58","N/A","N/A","N/A","2.58","2.58","N/A","2.58","2.58","2.58","2.58","2.58","2.58","2.58","2.58","2.58","2.58"
"5","N/A","MAGNESIUM SULFATE 4 MEQ/ML (50%) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","1.15","1.15","1.15","N/A","N/A","N/A","1.15","1.15","N/A","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15"
"5","N/A","MAGNESIUM SULFATE IN D5W 100 ML IV PREMIX 1 G/100 ML IVPB","N/A","N/A","0250","N/A","N/A","10.00","10.00","10.00","N/A","N/A","N/A","10.00","10.00","N/A","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00"
"5","N/A","MAGNESIUM SULFATE IV PREMIX 2 GRAM/50 ML (4 %) IVPB","N/A","N/A","0250","N/A","N/A","10.05","10.05","10.05","N/A","N/A","N/A","10.05","10.05","N/A","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05"
"5","N/A","MAGNESIUM SULFATE IV PREMIX 2 GRAM/50 ML (4 %) IVPB 50 ML BAG","N/A","N/A","0250","N/A","N/A","10.05","10.05","10.05","N/A","N/A","N/A","10.05","10.05","N/A","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05"
"5","N/A","MAGNESIUM SULFATE IV PREMIX 2 GRAM/50 ML IVPB","N/A","N/A","0250","N/A","N/A","10.05","10.05","10.05","N/A","N/A","N/A","10.05","10.05","N/A","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05","10.05"
"5","N/A","MANNITOL 20 % SOLP 500 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","45.60","45.60","45.60","N/A","N/A","N/A","45.60","45.60","N/A","45.60","45.60","45.60","45.60","45.60","45.60","45.60","45.60","45.60","45.60"
"5","N/A","MANNITOL 25 % SOLN","N/A","N/A","0250","N/A","N/A","6.59","6.59","6.59","N/A","N/A","N/A","6.59","6.59","N/A","6.59","6.59","6.59","6.59","6.59","6.59","6.59","6.59","6.59","6.59"
"5","N/A","MEASLES,MUMPS&RUBELLA VACCINE (PF) 1,000-12,500 TCID50/0.5 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","192.60","192.60","192.60","N/A","N/A","N/A","192.60","192.60","N/A","192.60","192.60","192.60","192.60","192.60","192.60","192.60","192.60","192.60","192.60"
"5","N/A","MEDROXYPROGESTERONE ACE (CONTRACEP) 150 MG/ML SUSP","N/A","N/A","0250","N/A","N/A","0.72","0.72","0.72","N/A","N/A","N/A","0.72","0.72","N/A","0.72","0.72","0.72","0.72","0.72","0.72","0.72","0.72","0.72","0.72"
"5","N/A","MENINGOCOCAL VACCINE A,C,Y,W135 DIP (PF) 10-5 MCG/0.5 ML KIT","N/A","N/A","0250","N/A","N/A","329.63","329.63","329.63","N/A","N/A","N/A","329.63","329.63","N/A","329.63","329.63","329.63","329.63","329.63","329.63","329.63","329.63","329.63","329.63"
"5","N/A","MENINGOCOCCAL B VACCINE,4-COMP 50-50-50-25 MCG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","428.40","428.40","428.40","N/A","N/A","N/A","428.40","428.40","N/A","428.40","428.40","428.40","428.40","428.40","428.40","428.40","428.40","428.40","428.40"
"5","N/A","MEPERIDINE (PF) 25 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","9.01","9.01","9.01","N/A","N/A","N/A","9.01","9.01","N/A","9.01","9.01","9.01","9.01","9.01","9.01","9.01","9.01","9.01","9.01"
"5","N/A","MEPERIDINE (PF) 25 MG/ML SYR","N/A","N/A","0250","N/A","N/A","14.36","14.36","14.36","N/A","N/A","N/A","14.36","14.36","N/A","14.36","14.36","14.36","14.36","14.36","14.36","14.36","14.36","14.36","14.36"
"5","N/A","MEPERIDINE (PF) 50 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","9.61","9.61","9.61","N/A","N/A","N/A","9.61","9.61","N/A","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61","9.61"
"5","N/A","MEPERIDINE 50 MG/ML SYR","N/A","N/A","0250","N/A","N/A","14.84","14.84","14.84","N/A","N/A","N/A","14.84","14.84","N/A","14.84","14.84","14.84","14.84","14.84","14.84","14.84","14.84","14.84","14.84"
"5","N/A","MEPIVACAINE (PF) 15 MG/ML (1.5 %) SOLN","N/A","N/A","0250","N/A","N/A","4.56","4.56","4.56","N/A","N/A","N/A","4.56","4.56","N/A","4.56","4.56","4.56","4.56","4.56","4.56","4.56","4.56","4.56","4.56"
"5","N/A","MEPIVACAINE (PF) 15 MG/ML (1.5 %) SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","MEPOLIZUMAB 100 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","43.38","43.38","43.38","N/A","N/A","N/A","43.38","43.38","N/A","43.38","43.38","43.38","43.38","43.38","43.38","43.38","43.38","43.38","43.38"
"5","N/A","MEROPENEM 0.5 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","MEROPENEM 0.5 G RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","MEROPENEM 0.5 G RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","MEROPENEM 1 G / 100 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","MEROPENEM 1 GRAM RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","MEROPENEM 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","4.80","4.80","4.80","N/A","N/A","N/A","4.80","4.80","N/A","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80","4.80"
"5","N/A","MESNA 1000 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","15.85","15.85","15.85","N/A","N/A","N/A","15.85","15.85","N/A","15.85","15.85","15.85","15.85","15.85","15.85","15.85","15.85","15.85","15.85"
"5","N/A","METHOHEXITAL 100 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","38.26","38.26","38.26","N/A","N/A","N/A","38.26","38.26","N/A","38.26","38.26","38.26","38.26","38.26","38.26","38.26","38.26","38.26","38.26"
"5","N/A","METHOTREXATE 2.5 MG TABLET","N/A","N/A","0250","N/A","N/A","1.84","1.84","1.84","N/A","N/A","N/A","1.84","1.84","N/A","1.84","1.84","1.84","1.84","1.84","1.84","1.84","1.84","1.84","1.84"
"5","N/A","METHOTREXATE NA (PRESERV FREE) 1000 MG/40 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","1.25","1.25","1.25","N/A","N/A","N/A","1.25","1.25","N/A","1.25","1.25","1.25","1.25","1.25","1.25","1.25","1.25","1.25","1.25"
"5","N/A","METHOTREXATE NA (PRESERV FREE) 1000 MG/40 ML SOLN 40 ML VIAL","N/A","N/A","0250","N/A","N/A","0.41","0.41","0.41","N/A","N/A","N/A","0.41","0.41","N/A","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41"
"5","N/A","METHOTREXATE NA (PRESERV FREE) 50 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","1.60","1.60","1.60","N/A","N/A","N/A","1.60","1.60","N/A","1.60","1.60","1.60","1.60","1.60","1.60","1.60","1.60","1.60","1.60"
"5","N/A","METHYLENE BLUE (ANTIDOTE) 1 % SOLN","N/A","N/A","0250","N/A","N/A","4.31","4.31","4.31","N/A","N/A","N/A","4.31","4.31","N/A","4.31","4.31","4.31","4.31","4.31","4.31","4.31","4.31","4.31","4.31"
"5","N/A","METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) SOLN","N/A","N/A","0250","N/A","N/A","11.42","11.42","11.42","N/A","N/A","N/A","11.42","11.42","N/A","11.42","11.42","11.42","11.42","11.42","11.42","11.42","11.42","11.42","11.42"
"5","N/A","METHYLENE BLUE (ANTIDOTE) 5 MG/ML (0.5 %) SOLN 10 ML AMPUL","N/A","N/A","0250","N/A","N/A","11.42","11.42","11.42","N/A","N/A","N/A","11.42","11.42","N/A","11.42","11.42","11.42","11.42","11.42","11.42","11.42","11.42","11.42","11.42"
"5","N/A","METHYLERGONOVINE 0.2 MG/ML (1 ML) SOLN","N/A","N/A","0250","N/A","N/A","49.51","49.51","49.51","N/A","N/A","N/A","49.51","49.51","N/A","49.51","49.51","49.51","49.51","49.51","49.51","49.51","49.51","49.51","49.51"
"5","N/A","METHYLPREDNISOLONE 16 MG TABLET","N/A","N/A","0250","N/A","N/A","1.70","1.70","1.70","N/A","N/A","N/A","1.70","1.70","N/A","1.70","1.70","1.70","1.70","1.70","1.70","1.70","1.70","1.70","1.70"
"5","N/A","METHYLPREDNISOLONE 4 MG TABLET","N/A","N/A","0250","N/A","N/A","0.78","0.78","0.78","N/A","N/A","N/A","0.78","0.78","N/A","0.78","0.78","0.78","0.78","0.78","0.78","0.78","0.78","0.78","0.78"
"5","N/A","METHYLPREDNISOLONE 4 TABLET","N/A","N/A","0250","N/A","N/A","0.93","0.93","0.93","N/A","N/A","N/A","0.93","0.93","N/A","0.93","0.93","0.93","0.93","0.93","0.93","0.93","0.93","0.93","0.93"
"5","N/A","METHYLPREDNISOLONE ACETATE 40 MG/ML SUSP","N/A","N/A","0250","N/A","N/A","24.62","24.62","24.62","N/A","N/A","N/A","24.62","24.62","N/A","24.62","24.62","24.62","24.62","24.62","24.62","24.62","24.62","24.62","24.62"
"5","N/A","METHYLPREDNISOLONE ACETATE 80 MG/ML SUSP","N/A","N/A","0250","N/A","N/A","44.24","44.24","44.24","N/A","N/A","N/A","44.24","44.24","N/A","44.24","44.24","44.24","44.24","44.24","44.24","44.24","44.24","44.24","44.24"
"5","N/A","METHYLPREDNISOLONE SOD SUC(PF) 1,000 MG/8 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","17.89","17.89","17.89","N/A","N/A","N/A","17.89","17.89","N/A","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89"
"5","N/A","METHYLPREDNISOLONE SOD SUC(PF) 1,000 MG/8 ML RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","17.89","17.89","17.89","N/A","N/A","N/A","17.89","17.89","N/A","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89"
"5","N/A","METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","23.37","23.37","23.37","N/A","N/A","N/A","23.37","23.37","N/A","23.37","23.37","23.37","23.37","23.37","23.37","23.37","23.37","23.37","23.37"
"5","N/A","METHYLPREDNISOLONE SOD SUC(PF) 125 MG/2 ML RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","23.37","23.37","23.37","N/A","N/A","N/A","23.37","23.37","N/A","23.37","23.37","23.37","23.37","23.37","23.37","23.37","23.37","23.37","23.37"
"5","N/A","METHYLPREDNISOLONE SOD SUC(PF) 40 MG/ML RECON.SOLN.","N/A","N/A","0250","N/A","N/A","14.52","14.52","14.52","N/A","N/A","N/A","14.52","14.52","N/A","14.52","14.52","14.52","14.52","14.52","14.52","14.52","14.52","14.52","14.52"
"5","N/A","METHYLPREDNISOLONE SODIUM SUCC 500 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","14.57","14.57","14.57","N/A","N/A","N/A","14.57","14.57","N/A","14.57","14.57","14.57","14.57","14.57","14.57","14.57","14.57","14.57","14.57"
"5","N/A","METHYLPREDNISOLONE SODIUM SUCC 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","14.57","14.57","14.57","N/A","N/A","N/A","14.57","14.57","N/A","14.57","14.57","14.57","14.57","14.57","14.57","14.57","14.57","14.57","14.57"
"5","N/A","METOCLOPRAMIDE 10 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","7.99","7.99","7.99","N/A","N/A","N/A","7.99","7.99","N/A","7.99","7.99","7.99","7.99","7.99","7.99","7.99","7.99","7.99","7.99"
"5","N/A","METOCLOPRAMIDE 10 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","4.27","4.27","4.27","N/A","N/A","N/A","4.27","4.27","N/A","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27"
"5","N/A","METOPROLOL 5 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","7.58","7.58","7.58","N/A","N/A","N/A","7.58","7.58","N/A","7.58","7.58","7.58","7.58","7.58","7.58","7.58","7.58","7.58","7.58"
"5","N/A","METRONIDAZOLE 500 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","METRONIDAZOLE IVPB","N/A","N/A","0250","N/A","N/A","0.20","0.20","0.20","N/A","N/A","N/A","0.20","0.20","N/A","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20"
"5","N/A","MICAFUNGIN 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","4.49","4.49","4.49","N/A","N/A","N/A","4.49","4.49","N/A","4.49","4.49","4.49","4.49","4.49","4.49","4.49","4.49","4.49","4.49"
"5","N/A","MIDAZOLAM (PF) 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","2.18","2.18","2.18","N/A","N/A","N/A","2.18","2.18","N/A","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18"
"5","N/A","MIDAZOLAM (PF) IN NORMAL SALINE 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","44.92","44.92","44.92","N/A","N/A","N/A","44.92","44.92","N/A","44.92","44.92","44.92","44.92","44.92","44.92","44.92","44.92","44.92","44.92"
"5","N/A","MIDAZOLAM 2 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","4.41","4.41","4.41","N/A","N/A","N/A","4.41","4.41","N/A","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41"
"5","N/A","MIDAZOLAM 5 MG/ML 5 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","5.50","5.50","5.50","N/A","N/A","N/A","5.50","5.50","N/A","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50"
"5","N/A","MIDAZOLAM HC IN NORMAL SALINE 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","45.36","45.36","45.36","N/A","N/A","N/A","45.36","45.36","N/A","45.36","45.36","45.36","45.36","45.36","45.36","45.36","45.36","45.36","45.36"
"5","N/A","MIDAZOLAM HCL IN NORMAL SALINE 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","0.44","0.44","0.44","N/A","N/A","N/A","0.44","0.44","N/A","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44"
"5","N/A","MIDAZOLAM IN NORMAL SALINE 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","0.44","0.44","0.44","N/A","N/A","N/A","0.44","0.44","N/A","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44"
"5","N/A","MIDAZOLAM INJ 5 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","2.24","2.24","2.24","N/A","N/A","N/A","2.24","2.24","N/A","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24"
"5","N/A","MIDAZOLAM INJ 5 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","0.33","0.33","0.33","N/A","N/A","N/A","0.33","0.33","N/A","0.33","0.33","0.33","0.33","0.33","0.33","0.33","0.33","0.33","0.33"
"5","N/A","MILRINONE 20 MG/20 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","5.51","5.51","5.51","N/A","N/A","N/A","5.51","5.51","N/A","5.51","5.51","5.51","5.51","5.51","5.51","5.51","5.51","5.51","5.51"
"5","N/A","MILRINONE 200 MCG/ML","N/A","N/A","0250","N/A","N/A","9.12","9.12","9.12","N/A","N/A","N/A","9.12","9.12","N/A","9.12","9.12","9.12","9.12","9.12","9.12","9.12","9.12","9.12","9.12"
"5","N/A","MILRINONE IN 5 % DEXTROSE 20 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","9.14","9.14","9.14","N/A","N/A","N/A","9.14","9.14","N/A","9.14","9.14","9.14","9.14","9.14","9.14","9.14","9.14","9.14","9.14"
"5","N/A","MITOMYCIN 1.2 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","288.53","288.53","288.53","N/A","N/A","N/A","288.53","288.53","N/A","288.53","288.53","288.53","288.53","288.53","288.53","288.53","288.53","288.53","288.53"
"5","N/A","MITOMYCIN 20 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","379.19","379.19","379.19","N/A","N/A","N/A","379.19","379.19","N/A","379.19","379.19","379.19","379.19","379.19","379.19","379.19","379.19","379.19","379.19"
"5","N/A","MITOMYCIN 20 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","379.19","379.19","379.19","N/A","N/A","N/A","379.19","379.19","N/A","379.19","379.19","379.19","379.19","379.19","379.19","379.19","379.19","379.19","379.19"
"5","N/A","MITOMYCIN 5 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","583.85","583.85","583.85","N/A","N/A","N/A","583.85","583.85","N/A","583.85","583.85","583.85","583.85","583.85","583.85","583.85","583.85","583.85","583.85"
"5","N/A","MORPHINE (PF) 1 MG/ML IN 0.9 % NACL 100 ML 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","20.40","20.40","20.40","N/A","N/A","N/A","20.40","20.40","N/A","20.40","20.40","20.40","20.40","20.40","20.40","20.40","20.40","20.40","20.40"
"5","N/A","MORPHINE (PRESERVATIVE FREE) 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","69.51","69.51","69.51","N/A","N/A","N/A","69.51","69.51","N/A","69.51","69.51","69.51","69.51","69.51","69.51","69.51","69.51","69.51","69.51"
"5","N/A","MORPHINE (PRESERVATIVE FREE) 1 MG/ML SOLN 10 ML AMPUL","N/A","N/A","0250","N/A","N/A","69.51","69.51","69.51","N/A","N/A","N/A","69.51","69.51","N/A","69.51","69.51","69.51","69.51","69.51","69.51","69.51","69.51","69.51","69.51"
"5","N/A","MORPHINE 1 MG/ML IN 100 ML NS 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","5.50","5.50","5.50","N/A","N/A","N/A","5.50","5.50","N/A","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50"
"5","N/A","MORPHINE 2 MG/ML SYR","N/A","N/A","0250","N/A","N/A","8.03","8.03","8.03","N/A","N/A","N/A","8.03","8.03","N/A","8.03","8.03","8.03","8.03","8.03","8.03","8.03","8.03","8.03","8.03"
"5","N/A","MORPHINE 4 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","8.19","8.19","8.19","N/A","N/A","N/A","8.19","8.19","N/A","8.19","8.19","8.19","8.19","8.19","8.19","8.19","8.19","8.19","8.19"
"5","N/A","MORPHINE 50 MG/ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","0.80","0.80","0.80","N/A","N/A","N/A","0.80","0.80","N/A","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80"
"5","N/A","MORPHINE 8 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","8.42","8.42","8.42","N/A","N/A","N/A","8.42","8.42","N/A","8.42","8.42","8.42","8.42","8.42","8.42","8.42","8.42","8.42","8.42"
"5","N/A","MORPHINE SULFATE 1 MG/ML IN 100 NS 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","3.12","3.12","3.12","N/A","N/A","N/A","3.12","3.12","N/A","3.12","3.12","3.12","3.12","3.12","3.12","3.12","3.12","3.12","3.12"
"5","N/A","MORPHINE SULFATE 10 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","MORPHINE SULFATE 10 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","5.56","5.56","5.56","N/A","N/A","N/A","5.56","5.56","N/A","5.56","5.56","5.56","5.56","5.56","5.56","5.56","5.56","5.56","5.56"
"5","N/A","MOXIFLOXACIN 0.5 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","139.44","139.44","139.44","N/A","N/A","N/A","139.44","139.44","N/A","139.44","139.44","139.44","139.44","139.44","139.44","139.44","139.44","139.44","139.44"
"5","N/A","MOXIFLOXACIN 0.5 % DROP 3 ML DROP BTL","N/A","N/A","0250","N/A","N/A","417.89","417.89","417.89","N/A","N/A","N/A","417.89","417.89","N/A","417.89","417.89","417.89","417.89","417.89","417.89","417.89","417.89","417.89","417.89"
"5","N/A","MOXIFLOXACIN 400 MG/250 ML IVPB","N/A","N/A","0250","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","MVI, ADULT NO.4 WITH VIT K 3,300 UNIT- 150 MCG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","24.29","24.29","24.29","N/A","N/A","N/A","24.29","24.29","N/A","24.29","24.29","24.29","24.29","24.29","24.29","24.29","24.29","24.29","24.29"
"5","N/A","MYCOPHENOLATE 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","186.13","186.13","186.13","N/A","N/A","N/A","186.13","186.13","N/A","186.13","186.13","186.13","186.13","186.13","186.13","186.13","186.13","186.13","186.13"
"5","N/A","MYCOPHENOLATE 500 MG RECON.SOLN. 4 EACH VIAL","N/A","N/A","0250","N/A","N/A","259.15","259.15","259.15","N/A","N/A","N/A","259.15","259.15","N/A","259.15","259.15","259.15","259.15","259.15","259.15","259.15","259.15","259.15","259.15"
"5","N/A","MYCOPHENOLATE MOFETIL 200 MG/ML SUSR","N/A","N/A","0250","N/A","N/A","22.36","22.36","22.36","N/A","N/A","N/A","22.36","22.36","N/A","22.36","22.36","22.36","22.36","22.36","22.36","22.36","22.36","22.36","22.36"
"5","N/A","MYCOPHENOLATE MOFETIL 250 MG CAP","N/A","N/A","0250","N/A","N/A","1.17","1.17","1.17","N/A","N/A","N/A","1.17","1.17","N/A","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17"
"5","N/A","MYCOPHENOLATE MOFETIL 500 MG TABLET","N/A","N/A","0250","N/A","N/A","0.86","0.86","0.86","N/A","N/A","N/A","0.86","0.86","N/A","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86"
"5","N/A","MYCOPHENOLATE SODIUM (MYFORTIC) 360 MG TAB DR EC","N/A","N/A","0250","N/A","N/A","3.71","3.71","3.71","N/A","N/A","N/A","3.71","3.71","N/A","3.71","3.71","3.71","3.71","3.71","3.71","3.71","3.71","3.71","3.71"
"5","N/A","MYCOPHENOLATE SODIUM 180 MG TAB DR EC","N/A","N/A","0250","N/A","N/A","12.89","12.89","12.89","N/A","N/A","N/A","12.89","12.89","N/A","12.89","12.89","12.89","12.89","12.89","12.89","12.89","12.89","12.89","12.89"
"5","N/A","NA CHONDROIT SULF/NA HYALURON 4-3 % (40-30 MG/ML) SYR","N/A","N/A","0250","N/A","N/A","500.03","500.03","500.03","N/A","N/A","N/A","500.03","500.03","N/A","500.03","500.03","500.03","500.03","500.03","500.03","500.03","500.03","500.03","500.03"
"5","N/A","NA FERRIC GLUC CPLX IN SUCROSE 62.5 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","15.26","15.26","15.26","N/A","N/A","N/A","15.26","15.26","N/A","15.26","15.26","15.26","15.26","15.26","15.26","15.26","15.26","15.26","15.26"
"5","N/A","NA HYALUR & NA CHOND/NA HYALUR 0.4/0.35 ML SYR","N/A","N/A","0250","N/A","N/A","665.83","665.83","665.83","N/A","N/A","N/A","665.83","665.83","N/A","665.83","665.83","665.83","665.83","665.83","665.83","665.83","665.83","665.83","665.83"
"5","N/A","NAFCILLIN 1 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","28.03","28.03","28.03","N/A","N/A","N/A","28.03","28.03","N/A","28.03","28.03","28.03","28.03","28.03","28.03","28.03","28.03","28.03","28.03"
"5","N/A","NAFCILLIN SODIUM 2 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","54.48","54.48","54.48","N/A","N/A","N/A","54.48","54.48","N/A","54.48","54.48","54.48","54.48","54.48","54.48","54.48","54.48","54.48","54.48"
"5","N/A","NALOXONE 0.4 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","31.87","31.87","31.87","N/A","N/A","N/A","31.87","31.87","N/A","31.87","31.87","31.87","31.87","31.87","31.87","31.87","31.87","31.87","31.87"
"5","N/A","NALOXONE 2 MG/2 ML SYR","N/A","N/A","0250","N/A","N/A","39.60","39.60","39.60","N/A","N/A","N/A","39.60","39.60","N/A","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60"
"5","N/A","NALOXONE 2 MG/2 ML SYR 2 ML SYRINGE","N/A","N/A","0250","N/A","N/A","39.60","39.60","39.60","N/A","N/A","N/A","39.60","39.60","N/A","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60"
"5","N/A","NATALIZUMAB 300 MG/15 ML SOLN 15 ML VIAL","N/A","N/A","0250","N/A","N/A","58.09","58.09","58.09","N/A","N/A","N/A","58.09","58.09","N/A","58.09","58.09","58.09","58.09","58.09","58.09","58.09","58.09","58.09","58.09"
"5","N/A","NEOMYCIN-POLYMYXIN B GU 40-200,000 MG-UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","26.22","26.22","26.22","N/A","N/A","N/A","26.22","26.22","N/A","26.22","26.22","26.22","26.22","26.22","26.22","26.22","26.22","26.22","26.22"
"5","N/A","NEOMYCIN-POLYMYXIN B GU 40-200,000 MG-UNIT/ML SOLN 1 ML AMPUL","N/A","N/A","0250","N/A","N/A","26.22","26.22","26.22","N/A","N/A","N/A","26.22","26.22","N/A","26.22","26.22","26.22","26.22","26.22","26.22","26.22","26.22","26.22","26.22"
"5","N/A","NEOMYCIN/POLY B/GRAM 1.75-10K-0.025 MG-UNIT-MG/ML DROP 10 ML DROP BTL","N/A","N/A","0250","N/A","N/A","122.52","122.52","122.52","N/A","N/A","N/A","122.52","122.52","N/A","122.52","122.52","122.52","122.52","122.52","122.52","122.52","122.52","122.52","122.52"
"5","N/A","NEOMYCIN/POLYMYXIN/DEXAMETH 3.5 MG/G/10,000 UNIT/G/1 % OINT 3.5 G TUBE","N/A","N/A","0250","N/A","N/A","43.21","43.21","43.21","N/A","N/A","N/A","43.21","43.21","N/A","43.21","43.21","43.21","43.21","43.21","43.21","43.21","43.21","43.21","43.21"
"5","N/A","NEOMYCIN/POLYMYXIN/DEXAMETH 3.5 MG/ML/10,000 UNIT/ML /0.1 % DRPS 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","43.20","43.20","43.20","N/A","N/A","N/A","43.20","43.20","N/A","43.20","43.20","43.20","43.20","43.20","43.20","43.20","43.20","43.20","43.20"
"5","N/A","NEOSTIGMINE METHYLSULFATE 1 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","2.20","2.20","2.20","N/A","N/A","N/A","2.20","2.20","N/A","2.20","2.20","2.20","2.20","2.20","2.20","2.20","2.20","2.20","2.20"
"5","N/A","NEOSTIGMINE METHYLSULFATE 3 MG/3 ML (1 MG/ML) SYR","N/A","N/A","0250","N/A","N/A","7.80","7.80","7.80","N/A","N/A","N/A","7.80","7.80","N/A","7.80","7.80","7.80","7.80","7.80","7.80","7.80","7.80","7.80","7.80"
"5","N/A","NICARDIPINE 25 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","61.25","61.25","61.25","N/A","N/A","N/A","61.25","61.25","N/A","61.25","61.25","61.25","61.25","61.25","61.25","61.25","61.25","61.25","61.25"
"5","N/A","NICARDIPINE 25 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","61.25","61.25","61.25","N/A","N/A","N/A","61.25","61.25","N/A","61.25","61.25","61.25","61.25","61.25","61.25","61.25","61.25","61.25","61.25"
"5","N/A","NITROGLYCERIN 200 MCG/ML IN D5W 250 ML 200 MCG/ML SOLN 250 ML BOTTLE","N/A","N/A","0250","N/A","N/A","46.20","46.20","46.20","N/A","N/A","N/A","46.20","46.20","N/A","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20"
"5","N/A","NITROGLYCERIN 200 MCG/ML IN D5W 250 ML 50 MG/250 ML (0.2 MG/ML) SOLN 250 ML BOTTLE","N/A","N/A","0250","N/A","N/A","46.20","46.20","46.20","N/A","N/A","N/A","46.20","46.20","N/A","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20"
"5","N/A","NITROGLYCERIN IN D5W 100 MCG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","NITROGLYCERIN IN D5W 1000 MCG/5 ML","N/A","N/A","0250","N/A","N/A","8.64","8.64","8.64","N/A","N/A","N/A","8.64","8.64","N/A","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64"
"5","N/A","NITROGLYCERIN IN D5W 1000 MCG/5 ML 250 ML BOTTLE","N/A","N/A","0250","N/A","N/A","46.20","46.20","46.20","N/A","N/A","N/A","46.20","46.20","N/A","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20"
"5","N/A","NITROGLYCERIN IN D5W 1000 MCG/5 ML 5 ML SYRINGE","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","NITROPRUSSIDE 50 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","192.00","192.00","192.00","N/A","N/A","N/A","192.00","192.00","N/A","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00"
"5","N/A","NIVOLUMAB 100 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","64.95","64.95","64.95","N/A","N/A","N/A","64.95","64.95","N/A","64.95","64.95","64.95","64.95","64.95","64.95","64.95","64.95","64.95","64.95"
"5","N/A","NIVOLUMAB 240 MG/24 ML SOLN 24 ML VIAL","N/A","N/A","0250","N/A","N/A","60.36","60.36","60.36","N/A","N/A","N/A","60.36","60.36","N/A","60.36","60.36","60.36","60.36","60.36","60.36","60.36","60.36","60.36","60.36"
"5","N/A","NIVOLUMAB 40 MG/4 ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","66.14","66.14","66.14","N/A","N/A","N/A","66.14","66.14","N/A","66.14","66.14","66.14","66.14","66.14","66.14","66.14","66.14","66.14","66.14"
"5","N/A","NOREPINEPHRINE 4 MG/4 ML SOLN","N/A","N/A","0250","N/A","N/A","46.25","46.25","46.25","N/A","N/A","N/A","46.25","46.25","N/A","46.25","46.25","46.25","46.25","46.25","46.25","46.25","46.25","46.25","46.25"
"5","N/A","NOREPINEPHRINE 4 MG/4 ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","45.82","45.82","45.82","N/A","N/A","N/A","45.82","45.82","N/A","45.82","45.82","45.82","45.82","45.82","45.82","45.82","45.82","45.82","45.82"
"5","N/A","NOREPINEPHRINE NS 8 MG/250 ML (32 MCG/ML) SOLN","N/A","N/A","0250","N/A","N/A","59.31","59.31","59.31","N/A","N/A","N/A","59.31","59.31","N/A","59.31","59.31","59.31","59.31","59.31","59.31","59.31","59.31","59.31","59.31"
"5","N/A","NS KCL 20 MEQ/L SOLP","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","NS KCL 20 MEQ/L SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","NS KCL 40 MEQ/L SOLP","N/A","N/A","0250","N/A","N/A","1.08","1.08","1.08","N/A","N/A","N/A","1.08","1.08","N/A","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08"
"5","N/A","OBINUTUZUMAB 1,000 MG/40 ML SOLN 40 ML VIAL","N/A","N/A","0250","N/A","N/A","163.50","163.50","163.50","N/A","N/A","N/A","163.50","163.50","N/A","163.50","163.50","163.50","163.50","163.50","163.50","163.50","163.50","163.50","163.50"
"5","N/A","OCRELIZUMAB 30 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","77.78","77.78","77.78","N/A","N/A","N/A","77.78","77.78","N/A","77.78","77.78","77.78","77.78","77.78","77.78","77.78","77.78","77.78","77.78"
"5","N/A","OCRELIZUMAB 30 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","75.83","75.83","75.83","N/A","N/A","N/A","75.83","75.83","N/A","75.83","75.83","75.83","75.83","75.83","75.83","75.83","75.83","75.83","75.83"
"5","N/A","OCTREOTIDE,MICROSPHERES 10 MG SSRR","N/A","N/A","0250","N/A","N/A","455.71","455.71","455.71","N/A","N/A","N/A","455.71","455.71","N/A","455.71","455.71","455.71","455.71","455.71","455.71","455.71","455.71","455.71","455.71"
"5","N/A","OCTREOTIDE,MICROSPHERES 20 MG SSRR","N/A","N/A","0250","N/A","N/A","298.53","298.53","298.53","N/A","N/A","N/A","298.53","298.53","N/A","298.53","298.53","298.53","298.53","298.53","298.53","298.53","298.53","298.53","298.53"
"5","N/A","SUTURE STRATAFIX SIZE 1 VIOLET 36X36CM","N/A","N/A","0272","N/A","N/A","67.57","67.57","67.57","N/A","N/A","N/A","67.57","67.57","N/A","67.57","67.57","67.57","67.57","67.57","67.57","67.57","67.57","67.57","67.57"
"5","N/A","SUTURE STRATAFIX SPIRAL PGA-PCL UNDYED 2-0 36X36CM","N/A","N/A","0272","N/A","N/A","77.09","77.09","77.09","N/A","N/A","N/A","77.09","77.09","N/A","77.09","77.09","77.09","77.09","77.09","77.09","77.09","77.09","77.09","77.09"
"5","N/A","SUTURE SUPRAMID 3-0 WHT 12"","N/A","N/A","0272","N/A","N/A","46.75","46.75","46.75","N/A","N/A","N/A","46.75","46.75","N/A","46.75","46.75","46.75","46.75","46.75","46.75","46.75","46.75","46.75","46.75"
"5","N/A","SUTURE SUPRAMID 4-0 PS-5 12" WHT","N/A","N/A","0272","N/A","N/A","42.35","42.35","42.35","N/A","N/A","N/A","42.35","42.35","N/A","42.35","42.35","42.35","42.35","42.35","42.35","42.35","42.35","42.35","42.35"
"5","N/A","SUTURE SURGIDAC 0 ES-9 NDL 48"","N/A","N/A","0272","N/A","N/A","45.04","45.04","45.04","N/A","N/A","N/A","45.04","45.04","N/A","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04"
"5","N/A","SUTURE SURGIDAC 2-0 GREEN 48"","N/A","N/A","0272","N/A","N/A","68.94","68.94","68.94","N/A","N/A","N/A","68.94","68.94","N/A","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94","68.94"
"5","N/A","SUTURE TAPE FIBERLINK 0.9MM WHITE/BLACK","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","SUTURE TAPE IMPLANT SYSTEM","N/A","N/A","0272","N/A","N/A","4933.50","4933.50","4933.50","N/A","N/A","N/A","4933.50","4933.50","N/A","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50"
"5","N/A","SUTURE TENSIONER CUTTER 2-0/0 FIBERWIRE SUTURE","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","SUTURE TICRON 0 GS-21 18" BLU","N/A","N/A","0272","N/A","N/A","81.28","81.28","81.28","N/A","N/A","N/A","81.28","81.28","N/A","81.28","81.28","81.28","81.28","81.28","81.28","81.28","81.28","81.28","81.28"
"5","N/A","SUTURE TIGERLINK 2 26" WHT BLK","N/A","N/A","0272","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","SUTURE TIGERLOOP 2 STR 20 WHT GRN","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","SUTURE TIGERWIRE 2 38" BLK WHITE","N/A","N/A","0272","N/A","N/A","75.90","75.90","75.90","N/A","N/A","N/A","75.90","75.90","N/A","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90"
"5","N/A","SUTURE TIGERWIRE 2 TPR 38" WHT BLK","N/A","N/A","0272","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","SUTURE V-LOC 180 0 ES-9 6" GRN","N/A","N/A","0272","N/A","N/A","122.79","122.79","122.79","N/A","N/A","N/A","122.79","122.79","N/A","122.79","122.79","122.79","122.79","122.79","122.79","122.79","122.79","122.79","122.79"
"5","N/A","SUTURE V-LOC 180 0 GS-21 12" GRN","N/A","N/A","0272","N/A","N/A","99.05","99.05","99.05","N/A","N/A","N/A","99.05","99.05","N/A","99.05","99.05","99.05","99.05","99.05","99.05","99.05","99.05","99.05","99.05"
"5","N/A","SUTURE V-LOC 180 0 GS-21 24" GRN","N/A","N/A","0272","N/A","N/A","134.76","134.76","134.76","N/A","N/A","N/A","134.76","134.76","N/A","134.76","134.76","134.76","134.76","134.76","134.76","134.76","134.76","134.76","134.76"
"5","N/A","SUTURE V-LOC 180 0 GS-21 9" GRN","N/A","N/A","0272","N/A","N/A","88.00","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","SUTURE V-LOC 180 3-0 GREEN 6"","N/A","N/A","0272","N/A","N/A","122.79","122.79","122.79","N/A","N/A","N/A","122.79","122.79","N/A","122.79","122.79","122.79","122.79","122.79","122.79","122.79","122.79","122.79","122.79"
"5","N/A","SUTURE V-LOC 180 ABS 2-0 V-20 12" GRN","N/A","N/A","0272","N/A","N/A","95.85","95.85","95.85","N/A","N/A","N/A","95.85","95.85","N/A","95.85","95.85","95.85","95.85","95.85","95.85","95.85","95.85","95.85","95.85"
"5","N/A","SUTURE V-LOC 90 2-0 GS-22 6" VIO","N/A","N/A","0272","N/A","N/A","89.92","89.92","89.92","N/A","N/A","N/A","89.92","89.92","N/A","89.92","89.92","89.92","89.92","89.92","89.92","89.92","89.92","89.92","89.92"
"5","N/A","SUTURE V-LOC 90 2-0 GS-22 9" VIO","N/A","N/A","0272","N/A","N/A","93.36","93.36","93.36","N/A","N/A","N/A","93.36","93.36","N/A","93.36","93.36","93.36","93.36","93.36","93.36","93.36","93.36","93.36","93.36"
"5","N/A","SUTURE V-LOC 90 3-0 CV-23 6" VIO","N/A","N/A","0272","N/A","N/A","91.97","91.97","91.97","N/A","N/A","N/A","91.97","91.97","N/A","91.97","91.97","91.97","91.97","91.97","91.97","91.97","91.97","91.97","91.97"
"5","N/A","SUTURE V-LOC 90 3-0 GU-46 6" VIO","N/A","N/A","0272","N/A","N/A","101.30","101.30","101.30","N/A","N/A","N/A","101.30","101.30","N/A","101.30","101.30","101.30","101.30","101.30","101.30","101.30","101.30","101.30","101.30"
"5","N/A","SUTURE V-LOC 90 3-0 V-20 23CM 9" VIO","N/A","N/A","0272","N/A","N/A","91.47","91.47","91.47","N/A","N/A","N/A","91.47","91.47","N/A","91.47","91.47","91.47","91.47","91.47","91.47","91.47","91.47","91.47","91.47"
"5","N/A","SUTURE V-LOC 90 3-0 V-20 6" VIO","N/A","N/A","0272","N/A","N/A","91.46","91.46","91.46","N/A","N/A","N/A","91.46","91.46","N/A","91.46","91.46","91.46","91.46","91.46","91.46","91.46","91.46","91.46","91.46"
"5","N/A","SUTURE V-LOC 90 4-0 P-12 18" UDY","N/A","N/A","0272","N/A","N/A","119.19","119.19","119.19","N/A","N/A","N/A","119.19","119.19","N/A","119.19","119.19","119.19","119.19","119.19","119.19","119.19","119.19","119.19","119.19"
"5","N/A","SUTURE V-LOC 90 ASB 4-0 12"","N/A","N/A","0272","N/A","N/A","91.81","91.81","91.81","N/A","N/A","N/A","91.81","91.81","N/A","91.81","91.81","91.81","91.81","91.81","91.81","91.81","91.81","91.81","91.81"
"5","N/A","SUTURE VICRYL 0 18" VIO","N/A","N/A","0272","N/A","N/A","486.09","486.09","486.09","N/A","N/A","N/A","486.09","486.09","N/A","486.09","486.09","486.09","486.09","486.09","486.09","486.09","486.09","486.09","486.09"
"5","N/A","SUTURE VICRYL 0 CP 36" VIO","N/A","N/A","0272","N/A","N/A","6.92","6.92","6.92","N/A","N/A","N/A","6.92","6.92","N/A","6.92","6.92","6.92","6.92","6.92","6.92","6.92","6.92","6.92","6.92"
"5","N/A","SUTURE VICRYL 0 CT-1 18" UDY","N/A","N/A","0272","N/A","N/A","42.77","42.77","42.77","N/A","N/A","N/A","42.77","42.77","N/A","42.77","42.77","42.77","42.77","42.77","42.77","42.77","42.77","42.77","42.77"
"5","N/A","SUTURE VICRYL 0 CT-1 18" VIO","N/A","N/A","0272","N/A","N/A","42.06","42.06","42.06","N/A","N/A","N/A","42.06","42.06","N/A","42.06","42.06","42.06","42.06","42.06","42.06","42.06","42.06","42.06","42.06"
"5","N/A","SUTURE VICRYL 0 CT-1 27" VIOLET","N/A","N/A","0272","N/A","N/A","28.43","28.43","28.43","N/A","N/A","N/A","28.43","28.43","N/A","28.43","28.43","28.43","28.43","28.43","28.43","28.43","28.43","28.43","28.43"
"5","N/A","SUTURE VICRYL 0 CT-1 36" VIO","N/A","N/A","0272","N/A","N/A","5.90","5.90","5.90","N/A","N/A","N/A","5.90","5.90","N/A","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90"
"5","N/A","SUTURE VICRYL 0 CT-2 27" UDY","N/A","N/A","0272","N/A","N/A","5.84","5.84","5.84","N/A","N/A","N/A","5.84","5.84","N/A","5.84","5.84","5.84","5.84","5.84","5.84","5.84","5.84","5.84","5.84"
"5","N/A","SUTURE VICRYL 0 CT-2 27" VIO","N/A","N/A","0272","N/A","N/A","5.66","5.66","5.66","N/A","N/A","N/A","5.66","5.66","N/A","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66"
"5","N/A","SUTURE VICRYL 0 P-CUT 18" VIO","N/A","N/A","0272","N/A","N/A","28.89","28.89","28.89","N/A","N/A","N/A","28.89","28.89","N/A","28.89","28.89","28.89","28.89","28.89","28.89","28.89","28.89","28.89","28.89"
"5","N/A","SUTURE VICRYL 0 TIES 54" VIO","N/A","N/A","0272","N/A","N/A","8.16","8.16","8.16","N/A","N/A","N/A","8.16","8.16","N/A","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16"
"5","N/A","SUTURE VICRYL 0 UR-5 27" VIO","N/A","N/A","0272","N/A","N/A","7.05","7.05","7.05","N/A","N/A","N/A","7.05","7.05","N/A","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05"
"5","N/A","SUTURE VICRYL 0 UR-6 27" VIO","N/A","N/A","0272","N/A","N/A","6.84","6.84","6.84","N/A","N/A","N/A","6.84","6.84","N/A","6.84","6.84","6.84","6.84","6.84","6.84","6.84","6.84","6.84","6.84"
"5","N/A","SUTURE VICRYL 1 CP-1 36" VIO","N/A","N/A","0272","N/A","N/A","7.14","7.14","7.14","N/A","N/A","N/A","7.14","7.14","N/A","7.14","7.14","7.14","7.14","7.14","7.14","7.14","7.14","7.14","7.14"
"5","N/A","SUTURE VICRYL 1 CTX 36" PLUS UDY","N/A","N/A","0272","N/A","N/A","7.18","7.18","7.18","N/A","N/A","N/A","7.18","7.18","N/A","7.18","7.18","7.18","7.18","7.18","7.18","7.18","7.18","7.18","7.18"
"5","N/A","SUTURE VICRYL 1 CTX 36" UDY","N/A","N/A","0272","N/A","N/A","6.16","6.16","6.16","N/A","N/A","N/A","6.16","6.16","N/A","6.16","6.16","6.16","6.16","6.16","6.16","6.16","6.16","6.16","6.16"
"5","N/A","SUTURE VICRYL 10-0 CS160-6 12" VIOLET","N/A","N/A","0272","N/A","N/A","76.14","76.14","76.14","N/A","N/A","N/A","76.14","76.14","N/A","76.14","76.14","76.14","76.14","76.14","76.14","76.14","76.14","76.14","76.14"
"5","N/A","SUTURE VICRYL 2 TP-1 27" VIO","N/A","N/A","0272","N/A","N/A","52.45","52.45","52.45","N/A","N/A","N/A","52.45","52.45","N/A","52.45","52.45","52.45","52.45","52.45","52.45","52.45","52.45","52.45","52.45"
"5","N/A","SUTURE VICRYL 2-0 CP 27" VIO","N/A","N/A","0272","N/A","N/A","7.00","7.00","7.00","N/A","N/A","N/A","7.00","7.00","N/A","7.00","7.00","7.00","7.00","7.00","7.00","7.00","7.00","7.00","7.00"
"5","N/A","SUTURE VICRYL 2-0 CP-1 36" VIO","N/A","N/A","0272","N/A","N/A","6.72","6.72","6.72","N/A","N/A","N/A","6.72","6.72","N/A","6.72","6.72","6.72","6.72","6.72","6.72","6.72","6.72","6.72","6.72"
"5","N/A","SUTURE VICRYL 2-0 CT-1 18" UDY","N/A","N/A","0272","N/A","N/A","41.63","41.63","41.63","N/A","N/A","N/A","41.63","41.63","N/A","41.63","41.63","41.63","41.63","41.63","41.63","41.63","41.63","41.63","41.63"
"5","N/A","SUTURE VICRYL 2-0 CT-1 18" VIO","N/A","N/A","0272","N/A","N/A","42.02","42.02","42.02","N/A","N/A","N/A","42.02","42.02","N/A","42.02","42.02","42.02","42.02","42.02","42.02","42.02","42.02","42.02","42.02"
"5","N/A","SUTURE VICRYL 2-0 CT-1 36" VIO","N/A","N/A","0272","N/A","N/A","5.90","5.90","5.90","N/A","N/A","N/A","5.90","5.90","N/A","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90"
"5","N/A","SUTURE VICRYL 2-0 CT-1 36" VIO PLUS","N/A","N/A","0272","N/A","N/A","6.88","6.88","6.88","N/A","N/A","N/A","6.88","6.88","N/A","6.88","6.88","6.88","6.88","6.88","6.88","6.88","6.88","6.88","6.88"
"5","N/A","SUTURE VICRYL 2-0 CT-2 18" VIO","N/A","N/A","0272","N/A","N/A","41.40","41.40","41.40","N/A","N/A","N/A","41.40","41.40","N/A","41.40","41.40","41.40","41.40","41.40","41.40","41.40","41.40","41.40","41.40"
"5","N/A","SUTURE VICRYL 2-0 CT-2 27" VIO","N/A","N/A","0272","N/A","N/A","5.66","5.66","5.66","N/A","N/A","N/A","5.66","5.66","N/A","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66"
"5","N/A","SUTURE VICRYL 2-0 CT-2 UNDYED 27"","N/A","N/A","0272","N/A","N/A","5.97","5.97","5.97","N/A","N/A","N/A","5.97","5.97","N/A","5.97","5.97","5.97","5.97","5.97","5.97","5.97","5.97","5.97","5.97"
"5","N/A","SUTURE VICRYL 2-0 P-CUT 18" VIO","N/A","N/A","0272","N/A","N/A","28.44","28.44","28.44","N/A","N/A","N/A","28.44","28.44","N/A","28.44","28.44","28.44","28.44","28.44","28.44","28.44","28.44","28.44","28.44"
"5","N/A","SUTURE VICRYL 2-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","5.53","5.53","5.53","N/A","N/A","N/A","5.53","5.53","N/A","5.53","5.53","5.53","5.53","5.53","5.53","5.53","5.53","5.53","5.53"
"5","N/A","SUTURE VICRYL 2-0 SH 27" VIO","N/A","N/A","0272","N/A","N/A","5.60","5.60","5.60","N/A","N/A","N/A","5.60","5.60","N/A","5.60","5.60","5.60","5.60","5.60","5.60","5.60","5.60","5.60","5.60"
"5","N/A","SUTURE VICRYL 2-0 UR-5 27" VIO","N/A","N/A","0272","N/A","N/A","7.05","7.05","7.05","N/A","N/A","N/A","7.05","7.05","N/A","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05"
"5","N/A","SUTURE VICRYL 2-0 UR-6 27" VIO","N/A","N/A","0272","N/A","N/A","6.93","6.93","6.93","N/A","N/A","N/A","6.93","6.93","N/A","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93"
"5","N/A","SUTURE VICRYL 3-0 CP-1 36" VIO","N/A","N/A","0272","N/A","N/A","6.92","6.92","6.92","N/A","N/A","N/A","6.92","6.92","N/A","6.92","6.92","6.92","6.92","6.92","6.92","6.92","6.92","6.92","6.92"
"5","N/A","SUTURE VICRYL 3-0 CT-1 36" VIO","N/A","N/A","0272","N/A","N/A","5.98","5.98","5.98","N/A","N/A","N/A","5.98","5.98","N/A","5.98","5.98","5.98","5.98","5.98","5.98","5.98","5.98","5.98","5.98"
"5","N/A","SUTURE VICRYL 3-0 CT-2 27" UDY","N/A","N/A","0272","N/A","N/A","5.81","5.81","5.81","N/A","N/A","N/A","5.81","5.81","N/A","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81","5.81"
"5","N/A","SUTURE VICRYL 3-0 FS 18" VIOLET","N/A","N/A","0272","N/A","N/A","748.01","748.01","748.01","N/A","N/A","N/A","748.01","748.01","N/A","748.01","748.01","748.01","748.01","748.01","748.01","748.01","748.01","748.01","748.01"
"5","N/A","SUTURE VICRYL 3-0 P-CUT 18" VIO","N/A","N/A","0272","N/A","N/A","28.47","28.47","28.47","N/A","N/A","N/A","28.47","28.47","N/A","28.47","28.47","28.47","28.47","28.47","28.47","28.47","28.47","28.47","28.47"
"5","N/A","SUTURE VICRYL 3-0 PS-2 18" UDY","N/A","N/A","0272","N/A","N/A","14.54","14.54","14.54","N/A","N/A","N/A","14.54","14.54","N/A","14.54","14.54","14.54","14.54","14.54","14.54","14.54","14.54","14.54","14.54"
"5","N/A","SUTURE VICRYL 3-0 RB-1 18" VIO","N/A","N/A","0272","N/A","N/A","42.46","42.46","42.46","N/A","N/A","N/A","42.46","42.46","N/A","42.46","42.46","42.46","42.46","42.46","42.46","42.46","42.46","42.46","42.46"
"5","N/A","SUTURE VICRYL 3-0 RB-1 27" UDY","N/A","N/A","0272","N/A","N/A","6.31","6.31","6.31","N/A","N/A","N/A","6.31","6.31","N/A","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31"
"5","N/A","SUTURE VICRYL 3-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","6.21","6.21","6.21","N/A","N/A","N/A","6.21","6.21","N/A","6.21","6.21","6.21","6.21","6.21","6.21","6.21","6.21","6.21","6.21"
"5","N/A","SUTURE VICRYL 3-0 SH 18" UDY","N/A","N/A","0272","N/A","N/A","42.34","42.34","42.34","N/A","N/A","N/A","42.34","42.34","N/A","42.34","42.34","42.34","42.34","42.34","42.34","42.34","42.34","42.34","42.34"
"5","N/A","SUTURE VICRYL 3-0 SH 18" VIO","N/A","N/A","0272","N/A","N/A","41.44","41.44","41.44","N/A","N/A","N/A","41.44","41.44","N/A","41.44","41.44","41.44","41.44","41.44","41.44","41.44","41.44","41.44","41.44"
"5","N/A","SUTURE VICRYL 3-0 SH 27" UDY","N/A","N/A","0272","N/A","N/A","5.54","5.54","5.54","N/A","N/A","N/A","5.54","5.54","N/A","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54"
"5","N/A","SUTURE VICRYL 3-0 SH 27" VIO","N/A","N/A","0272","N/A","N/A","5.54","5.54","5.54","N/A","N/A","N/A","5.54","5.54","N/A","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54","5.54"
"5","N/A","SUTURE VICRYL 3-0 V-34 36" VIO","N/A","N/A","0272","N/A","N/A","9.23","9.23","9.23","N/A","N/A","N/A","9.23","9.23","N/A","9.23","9.23","9.23","9.23","9.23","9.23","9.23","9.23","9.23","9.23"
"5","N/A","SUTURE VICRYL 3-0 X-1 18" VIO","N/A","N/A","0272","N/A","N/A","61.47","61.47","61.47","N/A","N/A","N/A","61.47","61.47","N/A","61.47","61.47","61.47","61.47","61.47","61.47","61.47","61.47","61.47","61.47"
"5","N/A","SUTURE VICRYL 3-0 X-1 27" VIO","N/A","N/A","0272","N/A","N/A","7.83","7.83","7.83","N/A","N/A","N/A","7.83","7.83","N/A","7.83","7.83","7.83","7.83","7.83","7.83","7.83","7.83","7.83","7.83"
"5","N/A","SUTURE VICRYL 4-0 CT-1 27" VIO","N/A","N/A","0272","N/A","N/A","5.72","5.72","5.72","N/A","N/A","N/A","5.72","5.72","N/A","5.72","5.72","5.72","5.72","5.72","5.72","5.72","5.72","5.72","5.72"
"5","N/A","SUTURE VICRYL 4-0 FS-1 27" UDY","N/A","N/A","0272","N/A","N/A","7.93","7.93","7.93","N/A","N/A","N/A","7.93","7.93","N/A","7.93","7.93","7.93","7.93","7.93","7.93","7.93","7.93","7.93","7.93"
"5","N/A","SUTURE VICRYL 4-0 KS 27" UDY","N/A","N/A","0272","N/A","N/A","7.81","7.81","7.81","N/A","N/A","N/A","7.81","7.81","N/A","7.81","7.81","7.81","7.81","7.81","7.81","7.81","7.81","7.81","7.81"
"5","N/A","SUTURE VICRYL 4-0 P-2 18" UNDYED","N/A","N/A","0272","N/A","N/A","19.19","19.19","19.19","N/A","N/A","N/A","19.19","19.19","N/A","19.19","19.19","19.19","19.19","19.19","19.19","19.19","19.19","19.19","19.19"
"5","N/A","SUTURE VICRYL 4-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","16.28","16.28","16.28","N/A","N/A","N/A","16.28","16.28","N/A","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28"
"5","N/A","SUTURE VICRYL 4-0 PC-1 18" UDY","N/A","N/A","0272","N/A","N/A","16.28","16.28","16.28","N/A","N/A","N/A","16.28","16.28","N/A","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28"
"5","N/A","SUTURE VICRYL 4-0 PC-3 18" UDY","N/A","N/A","0272","N/A","N/A","16.28","16.28","16.28","N/A","N/A","N/A","16.28","16.28","N/A","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28","16.28"
"5","N/A","SUTURE VICRYL 4-0 PS-2 18" UDY","N/A","N/A","0272","N/A","N/A","14.65","14.65","14.65","N/A","N/A","N/A","14.65","14.65","N/A","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65"
"5","N/A","SUTURE VICRYL 4-0 RB-1 18" UDY","N/A","N/A","0272","N/A","N/A","48.93","48.93","48.93","N/A","N/A","N/A","48.93","48.93","N/A","48.93","48.93","48.93","48.93","48.93","48.93","48.93","48.93","48.93","48.93"
"5","N/A","SUTURE VICRYL 4-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","5.77","5.77","5.77","N/A","N/A","N/A","5.77","5.77","N/A","5.77","5.77","5.77","5.77","5.77","5.77","5.77","5.77","5.77","5.77"
"5","N/A","SUTURE VICRYL 4-0 SH 18" VIO","N/A","N/A","0272","N/A","N/A","41.94","41.94","41.94","N/A","N/A","N/A","41.94","41.94","N/A","41.94","41.94","41.94","41.94","41.94","41.94","41.94","41.94","41.94","41.94"
"5","N/A","SUTURE VICRYL 4-0 SH 27" VIO","N/A","N/A","0272","N/A","N/A","5.83","5.83","5.83","N/A","N/A","N/A","5.83","5.83","N/A","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83","5.83"
"5","N/A","SUTURE VICRYL 4-0 SH NDL UNDYED","N/A","N/A","0272","N/A","N/A","5.61","5.61","5.61","N/A","N/A","N/A","5.61","5.61","N/A","5.61","5.61","5.61","5.61","5.61","5.61","5.61","5.61","5.61","5.61"
"5","N/A","SUTURE VICRYL 4-0 TF 18" VIO","N/A","N/A","0272","N/A","N/A","58.12","58.12","58.12","N/A","N/A","N/A","58.12","58.12","N/A","58.12","58.12","58.12","58.12","58.12","58.12","58.12","58.12","58.12","58.12"
"5","N/A","SUTURE VICRYL 5-0 P-3 18" UDY","N/A","N/A","0272","N/A","N/A","16.43","16.43","16.43","N/A","N/A","N/A","16.43","16.43","N/A","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43"
"5","N/A","SUTURE VICRYL 5-0 PS-3 18" UDY","N/A","N/A","0272","N/A","N/A","14.79","14.79","14.79","N/A","N/A","N/A","14.79","14.79","N/A","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79","14.79"
"5","N/A","SUTURE VICRYL 5-0 RB-1 27" VIO","N/A","N/A","0272","N/A","N/A","5.79","5.79","5.79","N/A","N/A","N/A","5.79","5.79","N/A","5.79","5.79","5.79","5.79","5.79","5.79","5.79","5.79","5.79","5.79"
"5","N/A","SUTURE VICRYL 5-0 S-14 12" VIO","N/A","N/A","0272","N/A","N/A","53.08","53.08","53.08","N/A","N/A","N/A","53.08","53.08","N/A","53.08","53.08","53.08","53.08","53.08","53.08","53.08","53.08","53.08","53.08"
"5","N/A","SUTURE VICRYL 5-0 S-24 12" VIO","N/A","N/A","0272","N/A","N/A","53.08","53.08","53.08","N/A","N/A","N/A","53.08","53.08","N/A","53.08","53.08","53.08","53.08","53.08","53.08","53.08","53.08","53.08","53.08"
"5","N/A","SUTURE VICRYL 6-0 P-1 18" UDY","N/A","N/A","0272","N/A","N/A","16.41","16.41","16.41","N/A","N/A","N/A","16.41","16.41","N/A","16.41","16.41","16.41","16.41","16.41","16.41","16.41","16.41","16.41","16.41"
"5","N/A","SUTURE VICRYL 6-0 S-14 18" UDY","N/A","N/A","0272","N/A","N/A","54.14","54.14","54.14","N/A","N/A","N/A","54.14","54.14","N/A","54.14","54.14","54.14","54.14","54.14","54.14","54.14","54.14","54.14","54.14"
"5","N/A","SUTURE VICRYL 6-0 S-24 12" VIO","N/A","N/A","0272","N/A","N/A","52.78","52.78","52.78","N/A","N/A","N/A","52.78","52.78","N/A","52.78","52.78","52.78","52.78","52.78","52.78","52.78","52.78","52.78","52.78"
"5","N/A","SUTURE VICRYL 6-0 S-29 18" VIO","N/A","N/A","0272","N/A","N/A","52.99","52.99","52.99","N/A","N/A","N/A","52.99","52.99","N/A","52.99","52.99","52.99","52.99","52.99","52.99","52.99","52.99","52.99","52.99"
"5","N/A","SUTURE VICRYL 7-0 TG140-8 18" VIO","N/A","N/A","0272","N/A","N/A","50.04","50.04","50.04","N/A","N/A","N/A","50.04","50.04","N/A","50.04","50.04","50.04","50.04","50.04","50.04","50.04","50.04","50.04","50.04"
"5","N/A","SUTURE VICRYL 7-0 TG160-8 18" VIO","N/A","N/A","0272","N/A","N/A","50.65","50.65","50.65","N/A","N/A","N/A","50.65","50.65","N/A","50.65","50.65","50.65","50.65","50.65","50.65","50.65","50.65","50.65","50.65"
"5","N/A","SUTURE VICRYL 8-0 BV130-5 5" VIO","N/A","N/A","0272","N/A","N/A","60.43","60.43","60.43","N/A","N/A","N/A","60.43","60.43","N/A","60.43","60.43","60.43","60.43","60.43","60.43","60.43","60.43","60.43","60.43"
"5","N/A","SUTURE VICRYL 8-0 TG140-8 8" VIO","N/A","N/A","0272","N/A","N/A","53.47","53.47","53.47","N/A","N/A","N/A","53.47","53.47","N/A","53.47","53.47","53.47","53.47","53.47","53.47","53.47","53.47","53.47","53.47"
"5","N/A","SUTURE VICRYL 9-0 TG140-8 12" VIO","N/A","N/A","0272","N/A","N/A","53.44","53.44","53.44","N/A","N/A","N/A","53.44","53.44","N/A","53.44","53.44","53.44","53.44","53.44","53.44","53.44","53.44","53.44","53.44"
"5","N/A","SUTURE VICRYL PLUS 0 CT-2 8-18"","N/A","N/A","0272","N/A","N/A","49.00","49.00","49.00","N/A","N/A","N/A","49.00","49.00","N/A","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00"
"5","N/A","SUTURE VICRYL PLUS 2-0 CT-1 27" UDY","N/A","N/A","0272","N/A","N/A","47.34","47.34","47.34","N/A","N/A","N/A","47.34","47.34","N/A","47.34","47.34","47.34","47.34","47.34","47.34","47.34","47.34","47.34","47.34"
"5","N/A","SUTURE VLOC 2-0 ES-9 NDL 180 10MM","N/A","N/A","0272","N/A","N/A","143.42","143.42","143.42","N/A","N/A","N/A","143.42","143.42","N/A","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42"
"5","N/A","SUTURE VLOC 2-0 PBT 8"","N/A","N/A","0272","N/A","N/A","143.42","143.42","143.42","N/A","N/A","N/A","143.42","143.42","N/A","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42","143.42"
"5","N/A","SUTURE XBRAID S NON-NDL WHITE/BLUE #2","N/A","N/A","0272","N/A","N/A","94.05","94.05","94.05","N/A","N/A","N/A","94.05","94.05","N/A","94.05","94.05","94.05","94.05","94.05","94.05","94.05","94.05","94.05","94.05"
"5","N/A","SUTURE XBRAID WHITE/BLACK SZ 2 NON-NEEDLED","N/A","N/A","0272","N/A","N/A","108.90","108.90","108.90","N/A","N/A","N/A","108.90","108.90","N/A","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90","108.90"
"5","N/A","SUTURE XBRAIT BLUE CO-BRAID 1.2MM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","SWITCH PERFUSION ARISS 13"","N/A","N/A","0272","N/A","N/A","130.85","130.85","130.85","N/A","N/A","N/A","130.85","130.85","N/A","130.85","130.85","130.85","130.85","130.85","130.85","130.85","130.85","130.85","130.85"
"5","N/A","SWITCH SELECTOR ANT/RET","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","SYRINGE BLOOD COLLECTION ACP 2 CAP STL","N/A","N/A","0272","N/A","N/A","495.00","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","SYRINGE CONTROL ANGIO RSVR 8ML","N/A","N/A","0272","N/A","N/A","33.53","33.53","33.53","N/A","N/A","N/A","33.53","33.53","N/A","33.53","33.53","33.53","33.53","33.53","33.53","33.53","33.53","33.53","33.53"
"5","N/A","SYRINGE EPIDURAL LUER S/T LOR 7ML","N/A","N/A","0272","N/A","N/A","4.61","4.61","4.61","N/A","N/A","N/A","4.61","4.61","N/A","4.61","4.61","4.61","4.61","4.61","4.61","4.61","4.61","4.61","4.61"
"5","N/A","SYRINGE INFLATION SYS ALLIANCE II 60ML","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","SYRINGE INFLATION/DEFLATION VASC BAND DISP","N/A","N/A","0272","N/A","N/A","5.28","5.28","5.28","N/A","N/A","N/A","5.28","5.28","N/A","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28","5.28"
"5","N/A","SYRINGE INJECTOR MEDRAD ARTERION CLR","N/A","N/A","0272","N/A","N/A","27.31","27.31","27.31","N/A","N/A","N/A","27.31","27.31","N/A","27.31","27.31","27.31","27.31","27.31","27.31","27.31","27.31","27.31","27.31"
"5","N/A","SYRINGE LUER LOCK 1/10ML GRAD 1ML","N/A","N/A","0272","N/A","N/A","0.49","0.49","0.49","N/A","N/A","N/A","0.49","0.49","N/A","0.49","0.49","0.49","0.49","0.49","0.49","0.49","0.49","0.49","0.49"
"5","N/A","SYRINGE LUER LOCK MEDALLION RED 3ML","N/A","N/A","0272","N/A","N/A","6.40","6.40","6.40","N/A","N/A","N/A","6.40","6.40","N/A","6.40","6.40","6.40","6.40","6.40","6.40","6.40","6.40","6.40","6.40"
"5","N/A","SYRINGE TUBERCULIN S/T GRAD 1ML","N/A","N/A","0272","N/A","N/A","0.17","0.17","0.17","N/A","N/A","N/A","0.17","0.17","N/A","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17"
"5","N/A","SYS FXTN SPEEDBRIDGE ACH MIDSUBSTANCE","N/A","N/A","0272","N/A","N/A","3217.50","3217.50","3217.50","N/A","N/A","N/A","3217.50","3217.50","N/A","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50"
"5","N/A","SYSTEM ACCESS PEDICLE I-PAS III","N/A","N/A","0272","N/A","N/A","1089.00","1089.00","1089.00","N/A","N/A","N/A","1089.00","1089.00","N/A","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00"
"5","N/A","SYSTEM ACCESS WATCHMAN TRUSEAL DBL CRV 14F","N/A","N/A","0272","N/A","N/A","3300.00","3300.00","3300.00","N/A","N/A","N/A","3300.00","3300.00","N/A","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00"
"5","N/A","SYSTEM AEROBIKA OPEP THERAPY","N/A","N/A","0272","N/A","N/A","144.97","144.97","144.97","N/A","N/A","N/A","144.97","144.97","N/A","144.97","144.97","144.97","144.97","144.97","144.97","144.97","144.97","144.97","144.97"
"5","N/A","SYSTEM BENDING ROD DIGITZER ARRAY","N/A","N/A","0272","N/A","N/A","7227.00","7227.00","7227.00","N/A","N/A","N/A","7227.00","7227.00","N/A","7227.00","7227.00","7227.00","7227.00","7227.00","7227.00","7227.00","7227.00","7227.00","7227.00"
"5","N/A","SYSTEM BIOPSY NEEDLE FINE SHARK CORE 22G","N/A","N/A","0272","N/A","N/A","1531.20","1531.20","1531.20","N/A","N/A","N/A","1531.20","1531.20","N/A","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20"
"5","N/A","SYSTEM BONE CEMENT FEMUR COMPRESSOR CAP","N/A","N/A","0272","N/A","N/A","475.20","475.20","475.20","N/A","N/A","N/A","475.20","475.20","N/A","475.20","475.20","475.20","475.20","475.20","475.20","475.20","475.20","475.20","475.20"
"5","N/A","SYSTEM CARTRIDGE CEMENT MIXING","N/A","N/A","0272","N/A","N/A","329.34","329.34","329.34","N/A","N/A","N/A","329.34","329.34","N/A","329.34","329.34","329.34","329.34","329.34","329.34","329.34","329.34","329.34","329.34"
"5","N/A","SYSTEM CLEANSING IRRISEPT","N/A","N/A","0272","N/A","N/A","228.44","228.44","228.44","N/A","N/A","N/A","228.44","228.44","N/A","228.44","228.44","228.44","228.44","228.44","228.44","228.44","228.44","228.44","228.44"
"5","N/A","SYSTEM COMPRESSION FEM FEMOSTOP GLD","N/A","N/A","0272","N/A","N/A","326.70","326.70","326.70","N/A","N/A","N/A","326.70","326.70","N/A","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70","326.70"
"5","N/A","SYSTEM DELIVERY AMPLATZER 45 DEG 8F 80CM","N/A","N/A","0272","N/A","N/A","3036.00","3036.00","3036.00","N/A","N/A","N/A","3036.00","3036.00","N/A","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00"
"5","N/A","SYSTEM DELIVERY AMPLATZER 45 DEG 9F 80CM","N/A","N/A","0272","N/A","N/A","3036.00","3036.00","3036.00","N/A","N/A","N/A","3036.00","3036.00","N/A","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00"
"5","N/A","SYSTEM DELIVERY AMPLATZER TORQVUE 180 DEG 8F 80CM","N/A","N/A","0272","N/A","N/A","3036.00","3036.00","3036.00","N/A","N/A","N/A","3036.00","3036.00","N/A","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00"
"5","N/A","SYSTEM DELIVERY AMPLATZER TREVISIO 45 DEG 9F 80CM","N/A","N/A","0272","N/A","N/A","3036.00","3036.00","3036.00","N/A","N/A","N/A","3036.00","3036.00","N/A","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00","3036.00"
"5","N/A","SYSTEM DELIVERY CATH ADVANIX RX 10FR","N/A","N/A","0272","N/A","N/A","267.89","267.89","267.89","N/A","N/A","N/A","267.89","267.89","N/A","267.89","267.89","267.89","267.89","267.89","267.89","267.89","267.89","267.89","267.89"
"5","N/A","SYSTEM DELIVERY ELECTRODE EMBLEM S-ICD","N/A","N/A","0272","N/A","N/A","3300.00","3300.00","3300.00","N/A","N/A","N/A","3300.00","3300.00","N/A","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00"
"5","N/A","SYSTEM DELIVERY EVOLUT PRO+ 23/26/29MM","N/A","N/A","0272","N/A","N/A","6963.00","6963.00","6963.00","N/A","N/A","N/A","6963.00","6963.00","N/A","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00"
"5","N/A","SYSTEM DELIVERY EVOLUT PRO+ 34MM","N/A","N/A","0272","N/A","N/A","6963.00","6963.00","6963.00","N/A","N/A","N/A","6963.00","6963.00","N/A","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00","6963.00"
"5","N/A","SYSTEM DELIVERY MED GAS ANGIASSIST","N/A","N/A","0272","N/A","N/A","313.50","313.50","313.50","N/A","N/A","N/A","313.50","313.50","N/A","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50","313.50"
"5","N/A","SYSTEM DETACH INZONE ANYERYSUM 2.0","N/A","N/A","0272","N/A","N/A","676.50","676.50","676.50","N/A","N/A","N/A","676.50","676.50","N/A","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50","676.50"
"5","N/A","SYSTEM DILATION BALLOON TRACT 14MM","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","SYSTEM DILATION BALLOON TRACT 16MM","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","SYSTEM EMBOLIZATION FILTERWIRE EZ 300CM","N/A","N/A","0272","N/A","N/A","5245.35","5245.35","5245.35","N/A","N/A","N/A","5245.35","5245.35","N/A","5245.35","5245.35","5245.35","5245.35","5245.35","5245.35","5245.35","5245.35","5245.35","5245.35"
"5","N/A","SYSTEM EMBOLIZATION LIQ ONYX 18 1.5ML","N/A","N/A","0272","N/A","N/A","7342.50","7342.50","7342.50","N/A","N/A","N/A","7342.50","7342.50","N/A","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50"
"5","N/A","SYSTEM EMBOLIZATION LIQ ONYX 34 1.5ML","N/A","N/A","0272","N/A","N/A","7342.50","7342.50","7342.50","N/A","N/A","N/A","7342.50","7342.50","N/A","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50","7342.50"
"5","N/A","SYSTEM ENTERAL ACCESS DILATION 18F","N/A","N/A","0272","N/A","N/A","317.46","317.46","317.46","N/A","N/A","N/A","317.46","317.46","N/A","317.46","317.46","317.46","317.46","317.46","317.46","317.46","317.46","317.46","317.46"
"5","N/A","SYSTEM ENTERAL ACS DIL 24F","N/A","N/A","0272","N/A","N/A","317.46","317.46","317.46","N/A","N/A","N/A","317.46","317.46","N/A","317.46","317.46","317.46","317.46","317.46","317.46","317.46","317.46","317.46","317.46"
"5","N/A","SYSTEM EXTRACTION KII ALEXIS","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SYSTEM FAT PROCESSING REVOLVE","N/A","N/A","0272","N/A","N/A","1633.50","1633.50","1633.50","N/A","N/A","N/A","1633.50","1633.50","N/A","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50","1633.50"
"5","N/A","SYSTEM FIRST ENTRY KII 11X100MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SYSTEM FIRST ENTRY KII 12X100MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SYSTEM FIRST ENTRY KII 12X150MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","SYSTEM FIRST ENTRY KII 5X100MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","SYSTEM FIRST ENTRY KII 5X150MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","SYSTEM HARVEST VASOVIEW HEMOPRO 2","N/A","N/A","0272","N/A","N/A","4249.58","4249.58","4249.58","N/A","N/A","N/A","4249.58","4249.58","N/A","4249.58","4249.58","4249.58","4249.58","4249.58","4249.58","4249.58","4249.58","4249.58","4249.58"
"5","N/A","SYSTEM INFLATION 1 STOPCOCK","N/A","N/A","0272","N/A","N/A","339.31","339.31","339.31","N/A","N/A","N/A","339.31","339.31","N/A","339.31","339.31","339.31","339.31","339.31","339.31","339.31","339.31","339.31","339.31"
"5","N/A","SYSTEM KOH-HYSTERECTOMY LF 3.5CM","N/A","N/A","0272","N/A","N/A","400.29","400.29","400.29","N/A","N/A","N/A","400.29","400.29","N/A","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29"
"5","N/A","SYSTEM KOH-HYSTERECTOMY LF 3CM","N/A","N/A","0272","N/A","N/A","400.29","400.29","400.29","N/A","N/A","N/A","400.29","400.29","N/A","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29"
"5","N/A","SYSTEM KOH-HYSTERECTOMY LF 4CM","N/A","N/A","0272","N/A","N/A","400.29","400.29","400.29","N/A","N/A","N/A","400.29","400.29","N/A","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29","400.29"
"5","N/A","SYSTEM LOADING ENVEO PRO+ 23/26/29MM","N/A","N/A","0272","N/A","N/A","1287.00","1287.00","1287.00","N/A","N/A","N/A","1287.00","1287.00","N/A","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00"
"5","N/A","SYSTEM LOADING ENVEO PRO+ 34MM","N/A","N/A","0272","N/A","N/A","1287.00","1287.00","1287.00","N/A","N/A","N/A","1287.00","1287.00","N/A","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00"
"5","N/A","SYSTEM MONITOR DRNG EXT DUET","N/A","N/A","0272","N/A","N/A","766.66","766.66","766.66","N/A","N/A","N/A","766.66","766.66","N/A","766.66","766.66","766.66","766.66","766.66","766.66","766.66","766.66","766.66","766.66"
"5","N/A","SYSTEM NAV6 EMBOSHIELD 7.2MMX190CM","N/A","N/A","0272","N/A","N/A","6435.00","6435.00","6435.00","N/A","N/A","N/A","6435.00","6435.00","N/A","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00"
"5","N/A","SYSTEM NEGATIVE PRESSURE PREVENA AXIOFORM 29X28CM","N/A","N/A","0272","N/A","N/A","2475.00","2475.00","2475.00","N/A","N/A","N/A","2475.00","2475.00","N/A","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00"
"5","N/A","SYSTEM NEGATIVE PRESSURE PREVENA PLUS","N/A","N/A","0272","N/A","N/A","1767.15","1767.15","1767.15","N/A","N/A","N/A","1767.15","1767.15","N/A","1767.15","1767.15","1767.15","1767.15","1767.15","1767.15","1767.15","1767.15","1767.15","1767.15"
"5","N/A","SYSTEM PANNUS RETENTION STL 4 PADS","N/A","N/A","0272","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","SYSTEM PAP KT MANOMETER EZPAP","N/A","N/A","0272","N/A","N/A","69.09","69.09","69.09","N/A","N/A","N/A","69.09","69.09","N/A","69.09","69.09","69.09","69.09","69.09","69.09","69.09","69.09","69.09","69.09"
"5","N/A","SYSTEM PEG PULL PONSKY 28FR","N/A","N/A","0272","N/A","N/A","369.96","369.96","369.96","N/A","N/A","N/A","369.96","369.96","N/A","369.96","369.96","369.96","369.96","369.96","369.96","369.96","369.96","369.96","369.96"
"5","N/A","SYSTEM PINNING ATTUNE SOLO","N/A","N/A","0272","N/A","N/A","1646.70","1646.70","1646.70","N/A","N/A","N/A","1646.70","1646.70","N/A","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70","1646.70"
"5","N/A","SYSTEM PREVENA PEEL + PL 13CM","N/A","N/A","0272","N/A","N/A","1470.15","1470.15","1470.15","N/A","N/A","N/A","1470.15","1470.15","N/A","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15","1470.15"
"5","N/A","SYSTEM PREVENA RESTOR ARTHRO-FORM","N/A","N/A","0272","N/A","N/A","2475.00","2475.00","2475.00","N/A","N/A","N/A","2475.00","2475.00","N/A","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00"
"5","N/A","SYSTEM RECESSION GASTROC ENDOBLADE","N/A","N/A","0272","N/A","N/A","2953.50","2953.50","2953.50","N/A","N/A","N/A","2953.50","2953.50","N/A","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50","2953.50"
"5","N/A","SYSTEM REMOVAL BONE CEMENT OSCAR","N/A","N/A","0272","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","SYSTEM REPAIR MENISCAL PRO NOVOSTITCH 2-0","N/A","N/A","0272","N/A","N/A","1798.50","1798.50","1798.50","N/A","N/A","N/A","1798.50","1798.50","N/A","1798.50","1798.50","1798.50","1798.50","1798.50","1798.50","1798.50","1798.50","1798.50","1798.50"
"5","N/A","SYSTEM SMOKE EVAC SEECLEAR 30"","N/A","N/A","0272","N/A","N/A","110.19","110.19","110.19","N/A","N/A","N/A","110.19","110.19","N/A","110.19","110.19","110.19","110.19","110.19","110.19","110.19","110.19","110.19","110.19"
"5","N/A","SYSTEM SMOKE FILTRATION LAPAROSHIELD","N/A","N/A","0272","N/A","N/A","67.52","67.52","67.52","N/A","N/A","N/A","67.52","67.52","N/A","67.52","67.52","67.52","67.52","67.52","67.52","67.52","67.52","67.52","67.52"
"5","N/A","SYSTEM SPECTRA OPTIA APHERESIS","N/A","N/A","0272","N/A","N/A","917.53","917.53","917.53","N/A","N/A","N/A","917.53","917.53","N/A","917.53","917.53","917.53","917.53","917.53","917.53","917.53","917.53","917.53","917.53"
"5","N/A","SYSTEM SPINAL MOUNTAINEER OC","N/A","N/A","0272","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","SYSTEM STOOL MGMT DIGNISHIELD","N/A","N/A","0272","N/A","N/A","492.36","492.36","492.36","N/A","N/A","N/A","492.36","492.36","N/A","492.36","492.36","492.36","492.36","492.36","492.36","492.36","492.36","492.36","492.36"
"5","N/A","SYSTEM SURGICAL OMNI","N/A","N/A","0272","N/A","N/A","5276.70","5276.70","5276.70","N/A","N/A","N/A","5276.70","5276.70","N/A","5276.70","5276.70","5276.70","5276.70","5276.70","5276.70","5276.70","5276.70","5276.70","5276.70"
"5","N/A","SYSTEM VACUUM DEL KIWI OMNICUP","N/A","N/A","0272","N/A","N/A","123.01","123.01","123.01","N/A","N/A","N/A","123.01","123.01","N/A","123.01","123.01","123.01","123.01","123.01","123.01","123.01","123.01","123.01","123.01"
"5","N/A","SYSTEM VOYANT LATERAL LONG","N/A","N/A","0272","N/A","N/A","7095.00","7095.00","7095.00","N/A","N/A","N/A","7095.00","7095.00","N/A","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00"
"5","N/A","SYSTEM VOYANT LATERAL MEDIUM","N/A","N/A","0272","N/A","N/A","7230.30","7230.30","7230.30","N/A","N/A","N/A","7230.30","7230.30","N/A","7230.30","7230.30","7230.30","7230.30","7230.30","7230.30","7230.30","7230.30","7230.30","7230.30"
"5","N/A","SYSTEM VOYANT LATERAL SHORT","N/A","N/A","0272","N/A","N/A","7185.20","7185.20","7185.20","N/A","N/A","N/A","7185.20","7185.20","N/A","7185.20","7185.20","7185.20","7185.20","7185.20","7185.20","7185.20","7185.20","7185.20","7185.20"
"5","N/A","SYSTEM WOUND CT CLOSESURE","N/A","N/A","0272","N/A","N/A","445.50","445.50","445.50","N/A","N/A","N/A","445.50","445.50","N/A","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50"
"5","N/A","SYSTEM WOUND CT CLOSESURE XL","N/A","N/A","0272","N/A","N/A","580.80","580.80","580.80","N/A","N/A","N/A","580.80","580.80","N/A","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80","580.80"
"5","N/A","TAK THREADED BB-TAK","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","TAKS HOLDING PLATE","N/A","N/A","0272","N/A","N/A","277.20","277.20","277.20","N/A","N/A","N/A","277.20","277.20","N/A","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20","277.20"
"5","N/A","TAP SCREW FOR 3.5MM GLD 110MM","N/A","N/A","0272","N/A","N/A","392.04","392.04","392.04","N/A","N/A","N/A","392.04","392.04","N/A","392.04","392.04","392.04","392.04","392.04","392.04","392.04","392.04","392.04","392.04"
"5","N/A","TAP SCREW HEX COUPLING 230MM","N/A","N/A","0272","N/A","N/A","799.29","799.29","799.29","N/A","N/A","N/A","799.29","799.29","N/A","799.29","799.29","799.29","799.29","799.29","799.29","799.29","799.29","799.29","799.29"
"5","N/A","TAP SPINAL VIPER 2 CANNULATED S-D 7MM","N/A","N/A","0272","N/A","N/A","1627.69","1627.69","1627.69","N/A","N/A","N/A","1627.69","1627.69","N/A","1627.69","1627.69","1627.69","1627.69","1627.69","1627.69","1627.69","1627.69","1627.69","1627.69"
"5","N/A","TAP SPINAL VUEPOINT II OCCIPITAL STR 4.5MM","N/A","N/A","0272","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","TAP SURGICAL 4.5X245MM F/CORTEX SCREW","N/A","N/A","0272","N/A","N/A","983.17","983.17","983.17","N/A","N/A","N/A","983.17","983.17","N/A","983.17","983.17","983.17","983.17","983.17","983.17","983.17","983.17","983.17","983.17"
"5","N/A","TAPE MEASURING RADPQ 30CM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","TAPE SUTURE FIBERLINK W/LOOP WHT/BLU 1.3MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","TAPE SUTURE MENISCUS REPAIR NDLS 2-0 MINI","N/A","N/A","0272","N/A","N/A","379.50","379.50","379.50","N/A","N/A","N/A","379.50","379.50","N/A","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50","379.50"
"5","N/A","TAPE SUTURE W/TAILS BLACK/BLUE/WHITE 1.3MM","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","TAPE SUTURE W/TAILS WHITE/BLUE 1.3MM","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","TAPE UMBILICAL CTN 1/8X30"","N/A","N/A","0272","N/A","N/A","5.85","5.85","5.85","N/A","N/A","N/A","5.85","5.85","N/A","5.85","5.85","5.85","5.85","5.85","5.85","5.85","5.85","5.85","5.85"
"5","N/A","TEMPLATE FOR MANDIBULAR PLATE 26H 2.0 (KLSMAR)","N/A","N/A","0272","N/A","N/A","203.28","203.28","203.28","N/A","N/A","N/A","203.28","203.28","N/A","203.28","203.28","203.28","203.28","203.28","203.28","203.28","203.28","203.28","203.28"
"5","N/A","TEMPLATE RECONSTRUCTION AL 26 H 2/2.5MM","N/A","N/A","0272","N/A","N/A","328.19","328.19","328.19","N/A","N/A","N/A","328.19","328.19","N/A","328.19","328.19","328.19","328.19","328.19","328.19","328.19","328.19","328.19","328.19"
"5","N/A","TEMPLATE SIZING NEUROPACE CRANIECTOMY","N/A","N/A","0272","N/A","N/A","1237.50","1237.50","1237.50","N/A","N/A","N/A","1237.50","1237.50","N/A","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50","1237.50"
"5","N/A","TEMPLATEMANDIBLEFX","N/A","N/A","0272","N/A","N/A","134.48","134.48","134.48","N/A","N/A","N/A","134.48","134.48","N/A","134.48","134.48","134.48","134.48","134.48","134.48","134.48","134.48","134.48","134.48"
"5","N/A","TIP ABLATION SONOPET LARGE DIAMETER STR","N/A","N/A","0272","N/A","N/A","2047.11","2047.11","2047.11","N/A","N/A","N/A","2047.11","2047.11","N/A","2047.11","2047.11","2047.11","2047.11","2047.11","2047.11","2047.11","2047.11","2047.11","2047.11"
"5","N/A","TIP ABLATION SONOPET MICRO DIAMETER STR","N/A","N/A","0272","N/A","N/A","2553.54","2553.54","2553.54","N/A","N/A","N/A","2553.54","2553.54","N/A","2553.54","2553.54","2553.54","2553.54","2553.54","2553.54","2553.54","2553.54","2553.54","2553.54"
"5","N/A","TIP ABLATION SPETZLER/BARRACUDA LRG","N/A","N/A","0272","N/A","N/A","2253.45","2253.45","2253.45","N/A","N/A","N/A","2253.45","2253.45","N/A","2253.45","2253.45","2253.45","2253.45","2253.45","2253.45","2253.45","2253.45","2253.45","2253.45"
"5","N/A","TIP APPLICATOR GASLESS 25CM","N/A","N/A","0272","N/A","N/A","312.03","312.03","312.03","N/A","N/A","N/A","312.03","312.03","N/A","312.03","312.03","312.03","312.03","312.03","312.03","312.03","312.03","312.03","312.03"
"5","N/A","TIP APPLICATOR STD BIOGLUE 6CM","N/A","N/A","0272","N/A","N/A","38.36","38.36","38.36","N/A","N/A","N/A","38.36","38.36","N/A","38.36","38.36","38.36","38.36","38.36","38.36","38.36","38.36","38.36","38.36"
"5","N/A","TIP ASPIRATION SMOKE CUT TO FIT CLR","N/A","N/A","0272","N/A","N/A","51.48","51.48","51.48","N/A","N/A","N/A","51.48","51.48","N/A","51.48","51.48","51.48","51.48","51.48","51.48","51.48","51.48","51.48","51.48"
"5","N/A","TIP BACKFLUSH SOFT GRSHBR 25GA","N/A","N/A","0272","N/A","N/A","290.40","290.40","290.40","N/A","N/A","N/A","290.40","290.40","N/A","290.40","290.40","290.40","290.40","290.40","290.40","290.40","290.40","290.40","290.40"
"5","N/A","TIP COLONSCOPE ENDOCUFF VISION ADULT LRG GRN 11.2","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","TIP COLONSCOPE ENDOCUFF VISION PEDS SM SZ 3 PRPL 10.4","N/A","N/A","0272","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","TIP MANIPULATOR UTERINE 5.1X6","N/A","N/A","0272","N/A","N/A","167.58","167.58","167.58","N/A","N/A","N/A","167.58","167.58","N/A","167.58","167.58","167.58","167.58","167.58","167.58","167.58","167.58","167.58","167.58"
"5","N/A","TIP MANIPULATOR UTERINE 6.7X10","N/A","N/A","0272","N/A","N/A","195.10","195.10","195.10","N/A","N/A","N/A","195.10","195.10","N/A","195.10","195.10","195.10","195.10","195.10","195.10","195.10","195.10","195.10","195.10"
"5","N/A","TIP MANIPULATOR UTERINE 6.7X6","N/A","N/A","0272","N/A","N/A","180.99","180.99","180.99","N/A","N/A","N/A","180.99","180.99","N/A","180.99","180.99","180.99","180.99","180.99","180.99","180.99","180.99","180.99","180.99"
"5","N/A","TIP MANIPULATOR UTERINE 6.7X8","N/A","N/A","0272","N/A","N/A","195.10","195.10","195.10","N/A","N/A","N/A","195.10","195.10","N/A","195.10","195.10","195.10","195.10","195.10","195.10","195.10","195.10","195.10","195.10"
"5","N/A","TIP MINI-FLARED 30 DEG KELMAN","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","TIP SCALPEL BONE BLUNT 10MM","N/A","N/A","0272","N/A","N/A","1336.50","1336.50","1336.50","N/A","N/A","N/A","1336.50","1336.50","N/A","1336.50","1336.50","1336.50","1336.50","1336.50","1336.50","1336.50","1336.50","1336.50","1336.50"
"5","N/A","TIP SCISSOR MONOPOLAR CRVD","N/A","N/A","0272","N/A","N/A","396.00","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","TIP SPRAY EXT STER PROGEL 11"","N/A","N/A","0272","N/A","N/A","281.21","281.21","281.21","N/A","N/A","N/A","281.21","281.21","N/A","281.21","281.21","281.21","281.21","281.21","281.21","281.21","281.21","281.21","281.21"
"5","N/A","TIP SPRAY EXTENDED PROGEL 11" STL","N/A","N/A","0272","N/A","N/A","362.76","362.76","362.76","N/A","N/A","N/A","362.76","362.76","N/A","362.76","362.76","362.76","362.76","362.76","362.76","362.76","362.76","362.76","362.76"
"5","N/A","TIP SPRAY EXTENDED PROGEL 6" STL","N/A","N/A","0272","N/A","N/A","458.70","458.70","458.70","N/A","N/A","N/A","458.70","458.70","N/A","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70","458.70"
"5","N/A","TIP SUCTION BOVIE CNTRL 10FR 6"","N/A","N/A","0272","N/A","N/A","32.67","32.67","32.67","N/A","N/A","N/A","32.67","32.67","N/A","32.67","32.67","32.67","32.67","32.67","32.67","32.67","32.67","32.67","32.67"
"5","N/A","TIP SUCTION FEATHERVAC STAPES SEAT","N/A","N/A","0272","N/A","N/A","742.50","742.50","742.50","N/A","N/A","N/A","742.50","742.50","N/A","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50"
"5","N/A","TIP SUCTION MINI PNT 2SH 9FR","N/A","N/A","0272","N/A","N/A","42.60","42.60","42.60","N/A","N/A","N/A","42.60","42.60","N/A","42.60","42.60","42.60","42.60","42.60","42.60","42.60","42.60","42.60","42.60"
"5","N/A","TONG TRACTION LARGE 3.5" 2/PK","N/A","N/A","0272","N/A","N/A","3395.70","3395.70","3395.70","N/A","N/A","N/A","3395.70","3395.70","N/A","3395.70","3395.70","3395.70","3395.70","3395.70","3395.70","3395.70","3395.70","3395.70","3395.70"
"5","N/A","TOOL ACTIVATION REMVL OF SLV","N/A","N/A","0272","N/A","N/A","296.01","296.01","296.01","N/A","N/A","N/A","296.01","296.01","N/A","296.01","296.01","296.01","296.01","296.01","296.01","296.01","296.01","296.01","296.01"
"5","N/A","TOOL DISSECTING LEGEND 25.4MM METAL CUTTER","N/A","N/A","0272","N/A","N/A","605.88","605.88","605.88","N/A","N/A","N/A","605.88","605.88","N/A","605.88","605.88","605.88","605.88","605.88","605.88","605.88","605.88","605.88","605.88"
"5","N/A","TOOL TUNNELER ROD HNDL DBS","N/A","N/A","0272","N/A","N/A","462.00","462.00","462.00","N/A","N/A","N/A","462.00","462.00","N/A","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00","462.00"
"5","N/A","TOURNIQUET PREHOSPITAL CAT ORNG 33"","N/A","N/A","0272","N/A","N/A","118.77","118.77","118.77","N/A","N/A","N/A","118.77","118.77","N/A","118.77","118.77","118.77","118.77","118.77","118.77","118.77","118.77","118.77","118.77"
"5","N/A","TOURNIQUET VASCULAR RING SI LF GRN LG","N/A","N/A","0272","N/A","N/A","10.39","10.39","10.39","N/A","N/A","N/A","10.39","10.39","N/A","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39"
"5","N/A","TOURNIQUET VASCULAR RING SI LF ORNG MD","N/A","N/A","0272","N/A","N/A","10.39","10.39","10.39","N/A","N/A","N/A","10.39","10.39","N/A","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39"
"5","N/A","TOURNIQUET VASCULAR RING SI LF YEL SM","N/A","N/A","0272","N/A","N/A","10.39","10.39","10.39","N/A","N/A","N/A","10.39","10.39","N/A","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39","10.39"
"5","N/A","TRACKER INSTRUMENT FOR FUSION SYS","N/A","N/A","0272","N/A","N/A","581.63","581.63","581.63","N/A","N/A","N/A","581.63","581.63","N/A","581.63","581.63","581.63","581.63","581.63","581.63","581.63","581.63","581.63","581.63"
"5","N/A","TRACKER PATIENT FOR FUSION SYS","N/A","N/A","0272","N/A","N/A","745.36","745.36","745.36","N/A","N/A","N/A","745.36","745.36","N/A","745.36","745.36","745.36","745.36","745.36","745.36","745.36","745.36","745.36","745.36"
"5","N/A","TRAP MUCUS DELEE VLV 10FR 20ML","N/A","N/A","0272","N/A","N/A","5.91","5.91","5.91","N/A","N/A","N/A","5.91","5.91","N/A","5.91","5.91","5.91","5.91","5.91","5.91","5.91","5.91","5.91","5.91"
"5","N/A","TRAY ADDITIONAL FX 10/3 KPT1004","N/A","N/A","0272","N/A","N/A","7781.40","7781.40","7781.40","N/A","N/A","N/A","7781.40","7781.40","N/A","7781.40","7781.40","7781.40","7781.40","7781.40","7781.40","7781.40","7781.40","7781.40","7781.40"
"5","N/A","TRAY AMNIOCENTESIS 20GX3.5"","N/A","N/A","0272","N/A","N/A","84.50","84.50","84.50","N/A","N/A","N/A","84.50","84.50","N/A","84.50","84.50","84.50","84.50","84.50","84.50","84.50","84.50","84.50","84.50"
"5","N/A","TRAY ANESTHESIA LOCAL UNIV BLOCK","N/A","N/A","0272","N/A","N/A","52.88","52.88","52.88","N/A","N/A","N/A","52.88","52.88","N/A","52.88","52.88","52.88","52.88","52.88","52.88","52.88","52.88","52.88","52.88"
"5","N/A","TRAY ARTHROGRAM STD 60ML","N/A","N/A","0272","N/A","N/A","35.74","35.74","35.74","N/A","N/A","N/A","35.74","35.74","N/A","35.74","35.74","35.74","35.74","35.74","35.74","35.74","35.74","35.74","35.74"
"5","N/A","TRAY BIOPSY BN MARROW","N/A","N/A","0272","N/A","N/A","74.09","74.09","74.09","N/A","N/A","N/A","74.09","74.09","N/A","74.09","74.09","74.09","74.09","74.09","74.09","74.09","74.09","74.09","74.09"
"5","N/A","TRAY BONE MARROW PROCESSING ANGEL","N/A","N/A","0272","N/A","N/A","3234.00","3234.00","3234.00","N/A","N/A","N/A","3234.00","3234.00","N/A","3234.00","3234.00","3234.00","3234.00","3234.00","3234.00","3234.00","3234.00","3234.00","3234.00"
"5","N/A","TRAY CATHETER POWERPICC PROVENA MAX BARRIER DL 4F","N/A","N/A","0272","N/A","N/A","609.51","609.51","609.51","N/A","N/A","N/A","609.51","609.51","N/A","609.51","609.51","609.51","609.51","609.51","609.51","609.51","609.51","609.51","609.51"
"5","N/A","TRAY CATHETER POWERPICC PROVENA MAX BARRIER SL 3F","N/A","N/A","0272","N/A","N/A","642.04","642.04","642.04","N/A","N/A","N/A","642.04","642.04","N/A","642.04","642.04","642.04","642.04","642.04","642.04","642.04","642.04","642.04","642.04"
"5","N/A","TRAY CATHETER POWERPICC PROVENA MAX BARRIER SL 4F","N/A","N/A","0272","N/A","N/A","464.57","464.57","464.57","N/A","N/A","N/A","464.57","464.57","N/A","464.57","464.57","464.57","464.57","464.57","464.57","464.57","464.57","464.57","464.57"
"5","N/A","TRAY CIRCUMCISION 143","N/A","N/A","0272","N/A","N/A","76.28","76.28","76.28","N/A","N/A","N/A","76.28","76.28","N/A","76.28","76.28","76.28","76.28","76.28","76.28","76.28","76.28","76.28","76.28"
"5","N/A","TRAY EPIDURAL TUOHY 18GX3.5"","N/A","N/A","0272","N/A","N/A","78.89","78.89","78.89","N/A","N/A","N/A","78.89","78.89","N/A","78.89","78.89","78.89","78.89","78.89","78.89","78.89","78.89","78.89","78.89"
"5","N/A","TRAY EPIDURAL TUOHY 20GAX3.5"","N/A","N/A","0272","N/A","N/A","56.19","56.19","56.19","N/A","N/A","N/A","56.19","56.19","N/A","56.19","56.19","56.19","56.19","56.19","56.19","56.19","56.19","56.19","56.19"
"5","N/A","TRAY FRACTURE ADD KYPHON 15/3 IBT","N/A","N/A","0272","N/A","N/A","9421.50","9421.50","9421.50","N/A","N/A","N/A","9421.50","9421.50","N/A","9421.50","9421.50","9421.50","9421.50","9421.50","9421.50","9421.50","9421.50","9421.50","9421.50"
"5","N/A","TRAY FRACTURE KPHPK KPT1505","N/A","N/A","0272","N/A","N/A","14249.40","14249.40","14249.40","N/A","N/A","N/A","14249.40","14249.40","N/A","14249.40","14249.40","14249.40","14249.40","14249.40","14249.40","14249.40","14249.40","14249.40","14249.40"
"5","N/A","TRAY FRACTURE KYPHON 15/3 IBT","N/A","N/A","0272","N/A","N/A","14250.50","14250.50","14250.50","N/A","N/A","N/A","14250.50","14250.50","N/A","14250.50","14250.50","14250.50","14250.50","14250.50","14250.50","14250.50","14250.50","14250.50","14250.50"
"5","N/A","TRAY FULL SPECTRUM 5 LUMEN 10F 032X20CM","N/A","N/A","0272","N/A","N/A","412.50","412.50","412.50","N/A","N/A","N/A","412.50","412.50","N/A","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50","412.50"
"5","N/A","TRAY INCISION AND DRAINAGE","N/A","N/A","0272","N/A","N/A","28.22","28.22","28.22","N/A","N/A","N/A","28.22","28.22","N/A","28.22","28.22","28.22","28.22","28.22","28.22","28.22","28.22","28.22","28.22"
"5","N/A","TRAY IRRIGATION PISTON SYR 70ML","N/A","N/A","0272","N/A","N/A","3.19","3.19","3.19","N/A","N/A","N/A","3.19","3.19","N/A","3.19","3.19","3.19","3.19","3.19","3.19","3.19","3.19","3.19","3.19"
"5","N/A","TRAY LACERATION QUEENS","N/A","N/A","0272","N/A","N/A","41.88","41.88","41.88","N/A","N/A","N/A","41.88","41.88","N/A","41.88","41.88","41.88","41.88","41.88","41.88","41.88","41.88","41.88","41.88"
"5","N/A","TRAY LUMBAR PUNCTURE LF ADLT STD 20GX3.5"","N/A","N/A","0272","N/A","N/A","30.14","30.14","30.14","N/A","N/A","N/A","30.14","30.14","N/A","30.14","30.14","30.14","30.14","30.14","30.14","30.14","30.14","30.14","30.14"
"5","N/A","TRAY LUMBAR PUNCTURE NDL PEDI STD 22GX1.5"","N/A","N/A","0272","N/A","N/A","30.69","30.69","30.69","N/A","N/A","N/A","30.69","30.69","N/A","30.69","30.69","30.69","30.69","30.69","30.69","30.69","30.69","30.69","30.69"
"5","N/A","TRAY SPINAL 1ST FX 10/3MM","N/A","N/A","0272","N/A","N/A","11724.90","11724.90","11724.90","N/A","N/A","N/A","11724.90","11724.90","N/A","11724.90","11724.90","11724.90","11724.90","11724.90","11724.90","11724.90","11724.90","11724.90","11724.90"
"5","N/A","TRAY SURGICAL PROCEDURE H/S 5F","N/A","N/A","0272","N/A","N/A","203.78","203.78","203.78","N/A","N/A","N/A","203.78","203.78","N/A","203.78","203.78","203.78","203.78","203.78","203.78","203.78","203.78","203.78","203.78"
"5","N/A","TRAY SUTURE REMOVAL W/ FRCP","N/A","N/A","0272","N/A","N/A","16.42","16.42","16.42","N/A","N/A","N/A","16.42","16.42","N/A","16.42","16.42","16.42","16.42","16.42","16.42","16.42","16.42","16.42","16.42"
"5","N/A","TRAY TEMPORARY PACE 5FR 110CM","N/A","N/A","0272","N/A","N/A","724.97","724.97","724.97","N/A","N/A","N/A","724.97","724.97","N/A","724.97","724.97","724.97","724.97","724.97","724.97","724.97","724.97","724.97","724.97"
"5","N/A","TRAY UMBILICAL VESSEL W/O CATH","N/A","N/A","0272","N/A","N/A","156.49","156.49","156.49","N/A","N/A","N/A","156.49","156.49","N/A","156.49","156.49","156.49","156.49","156.49","156.49","156.49","156.49","156.49","156.49"
"5","N/A","TRAY URETHRAL COLL BG 1000ML 14F","N/A","N/A","0272","N/A","N/A","7.03","7.03","7.03","N/A","N/A","N/A","7.03","7.03","N/A","7.03","7.03","7.03","7.03","7.03","7.03","7.03","7.03","7.03","7.03"
"5","N/A","TREPHINE VACUUM RADIAL BRRN 7MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","TREPHINE VACUUM RADIAL BRRN 8.25MM","N/A","N/A","0272","N/A","N/A","244.20","244.20","244.20","N/A","N/A","N/A","244.20","244.20","N/A","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20"
"5","N/A","TREPHINE VACUUM RADIAL BRRN 8MM","N/A","N/A","0272","N/A","N/A","257.40","257.40","257.40","N/A","N/A","N/A","257.40","257.40","N/A","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40","257.40"
"5","N/A","TROCAR ACCESS Z THRD KII 5X55MM","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","TROCAR BALLOON SYS GELPORT 12X100","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","TROCAR BALLOON SYS GELPORT 12X130","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","TROCAR BLADED Z KII 11X100MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","TROCAR BLADED Z KII 12X100MM","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","TROCAR BLADED Z KII 5X100MM","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","TROCAR ENDOSCOPIC ACS GELPOINT MINI","N/A","N/A","0272","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","TROCAR ENDOSCOPIC SHT VERSAPORT 5MM","N/A","N/A","0272","N/A","N/A","77.99","77.99","77.99","N/A","N/A","N/A","77.99","77.99","N/A","77.99","77.99","77.99","77.99","77.99","77.99","77.99","77.99","77.99","77.99"
"5","N/A","TROCAR FIRST ENTRY FIOS 11X100MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","TROCAR FIRST ENTRY FIOS 12X100MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","TROCAR FIRST ENTRY FIOS 12X150MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","TROCAR FIRST ENTRY FIOS 5X100MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","TROCAR FIRST ENTRY FIOS 5X75MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","TROCAR FIXATION KII OPTICAL ACCESS 15X150MM","N/A","N/A","0272","N/A","N/A","198.00","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","TROCAR FIXATION OPTICAL 5MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","TROCAR LAPAROSCOPIC KII SEAL BLUNT TIP 12X100MM","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","TROCAR LAPAROSCOPIC OPT KII 8X100MM","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","TROCAR LAPAROSCOPIC THRD KII 15MM","N/A","N/A","0272","N/A","N/A","160.05","160.05","160.05","N/A","N/A","N/A","160.05","160.05","N/A","160.05","160.05","160.05","160.05","160.05","160.05","160.05","160.05","160.05","160.05"
"5","N/A","TROCAR LAPAROSCOPIC VERSASTEP PLUS W/ SLEEVE 12MM","N/A","N/A","0272","N/A","N/A","190.25","190.25","190.25","N/A","N/A","N/A","190.25","190.25","N/A","190.25","190.25","190.25","190.25","190.25","190.25","190.25","190.25","190.25","190.25"
"5","N/A","TROCAR OPTICAL NON BLD Z KII 12X60","N/A","N/A","0272","N/A","N/A","95.70","95.70","95.70","N/A","N/A","N/A","95.70","95.70","N/A","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70","95.70"
"5","N/A","TROCAR SPLIT UNI-SHUNT 10CM","N/A","N/A","0272","N/A","N/A","1122.97","1122.97","1122.97","N/A","N/A","N/A","1122.97","1122.97","N/A","1122.97","1122.97","1122.97","1122.97","1122.97","1122.97","1122.97","1122.97","1122.97","1122.97"
"5","N/A","TROCAR THORACIC N/COND SLV 15MM","N/A","N/A","0272","N/A","N/A","47.62","47.62","47.62","N/A","N/A","N/A","47.62","47.62","N/A","47.62","47.62","47.62","47.62","47.62","47.62","47.62","47.62","47.62","47.62"
"5","N/A","TROCAR THORACIC RND 10/12X75MM","N/A","N/A","0272","N/A","N/A","218.17","218.17","218.17","N/A","N/A","N/A","218.17","218.17","N/A","218.17","218.17","218.17","218.17","218.17","218.17","218.17","218.17","218.17","218.17"
"5","N/A","TROCAR TIP BLUNT 10MM","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","TROCAR TIP BLUNT 12MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","TROCAR TRANSANAL GELPOINT PATH","N/A","N/A","0272","N/A","N/A","2722.50","2722.50","2722.50","N/A","N/A","N/A","2722.50","2722.50","N/A","2722.50","2722.50","2722.50","2722.50","2722.50","2722.50","2722.50","2722.50","2722.50","2722.50"
"5","N/A","TROCAR VERSAPORT V2 BLADELESS 5MM","N/A","N/A","0272","N/A","N/A","75.90","75.90","75.90","N/A","N/A","N/A","75.90","75.90","N/A","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90"
"5","N/A","TUBE ASPIRATION PS LUKI DISP STER 8ML","N/A","N/A","0272","N/A","N/A","10.78","10.78","10.78","N/A","N/A","N/A","10.78","10.78","N/A","10.78","10.78","10.78","10.78","10.78","10.78","10.78","10.78","10.78","10.78"
"5","N/A","TUBE ENDOTRACHEAL CUFD LASER-SHIELD II 6","N/A","N/A","0272","N/A","N/A","215.73","215.73","215.73","N/A","N/A","N/A","215.73","215.73","N/A","215.73","215.73","215.73","215.73","215.73","215.73","215.73","215.73","215.73","215.73"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE 4.5MM","N/A","N/A","0272","N/A","N/A","4.99","4.99","4.99","N/A","N/A","N/A","4.99","4.99","N/A","4.99","4.99","4.99","4.99","4.99","4.99","4.99","4.99","4.99","4.99"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE 5.5MM","N/A","N/A","0272","N/A","N/A","4.35","4.35","4.35","N/A","N/A","N/A","4.35","4.35","N/A","4.35","4.35","4.35","4.35","4.35","4.35","4.35","4.35","4.35","4.35"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE HVT 6.5MM","N/A","N/A","0272","N/A","N/A","4.27","4.27","4.27","N/A","N/A","N/A","4.27","4.27","N/A","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE HVT 6MM","N/A","N/A","0272","N/A","N/A","4.27","4.27","4.27","N/A","N/A","N/A","4.27","4.27","N/A","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE HVT 7.5MM","N/A","N/A","0272","N/A","N/A","4.27","4.27","4.27","N/A","N/A","N/A","4.27","4.27","N/A","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE HVT 7MM","N/A","N/A","0272","N/A","N/A","4.27","4.27","4.27","N/A","N/A","N/A","4.27","4.27","N/A","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE HVT 8.5MM","N/A","N/A","0272","N/A","N/A","4.26","4.26","4.26","N/A","N/A","N/A","4.26","4.26","N/A","4.26","4.26","4.26","4.26","4.26","4.26","4.26","4.26","4.26","4.26"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUR EYE HVT 8MM","N/A","N/A","0272","N/A","N/A","4.26","4.26","4.26","N/A","N/A","N/A","4.26","4.26","N/A","4.26","4.26","4.26","4.26","4.26","4.26","4.26","4.26","4.26","4.26"
"5","N/A","TUBE ENDOTRACHEAL CUFD MUREYE 5MM","N/A","N/A","0272","N/A","N/A","4.99","4.99","4.99","N/A","N/A","N/A","4.99","4.99","N/A","4.99","4.99","4.99","4.99","4.99","4.99","4.99","4.99","4.99","4.99"
"5","N/A","TUBE ENDOTRACHEAL CUFD TAPERGUARD 7.5MM","N/A","N/A","0272","N/A","N/A","97.35","97.35","97.35","N/A","N/A","N/A","97.35","97.35","N/A","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35"
"5","N/A","TUBE ENDOTRACHEAL CUFD TAPERGUARD 7MM","N/A","N/A","0272","N/A","N/A","96.70","96.70","96.70","N/A","N/A","N/A","96.70","96.70","N/A","96.70","96.70","96.70","96.70","96.70","96.70","96.70","96.70","96.70","96.70"
"5","N/A","TUBE ENDOTRACHEAL CUFD TAPERGUARD 8.5MM","N/A","N/A","0272","N/A","N/A","97.35","97.35","97.35","N/A","N/A","N/A","97.35","97.35","N/A","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35"
"5","N/A","TUBE ENDOTRACHEAL CUFD TAPERGUARD 8MM","N/A","N/A","0272","N/A","N/A","97.35","97.35","97.35","N/A","N/A","N/A","97.35","97.35","N/A","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35","97.35"
"5","N/A","TUBE ENDOTRACHEAL CUFFED CURVED 6MM","N/A","N/A","0272","N/A","N/A","59.43","59.43","59.43","N/A","N/A","N/A","59.43","59.43","N/A","59.43","59.43","59.43","59.43","59.43","59.43","59.43","59.43","59.43","59.43"
"5","N/A","TUBE ENDOTRACHEAL CUFFED CURVED 7MM","N/A","N/A","0272","N/A","N/A","59.43","59.43","59.43","N/A","N/A","N/A","59.43","59.43","N/A","59.43","59.43","59.43","59.43","59.43","59.43","59.43","59.43","59.43","59.43"
"5","N/A","TUBE ENDOTRACHEAL EMG 7MM","N/A","N/A","0272","N/A","N/A","869.55","869.55","869.55","N/A","N/A","N/A","869.55","869.55","N/A","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55"
"5","N/A","TUBE ENDOTRACHEAL EMG NV 6MM","N/A","N/A","0272","N/A","N/A","869.55","869.55","869.55","N/A","N/A","N/A","869.55","869.55","N/A","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55","869.55"
"5","N/A","TUBE ENDOTRACHEAL ORAL CUFD PRFRM 4MM","N/A","N/A","0272","N/A","N/A","15.74","15.74","15.74","N/A","N/A","N/A","15.74","15.74","N/A","15.74","15.74","15.74","15.74","15.74","15.74","15.74","15.74","15.74","15.74"
"5","N/A","TUBE ENDOTRACHEAL ORAL CUFD PRFRM 6.5MM","N/A","N/A","0272","N/A","N/A","12.34","12.34","12.34","N/A","N/A","N/A","12.34","12.34","N/A","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34"
"5","N/A","TUBE ENDOTRACHEAL ORAL CUFD PRFRM 7.5MM","N/A","N/A","0272","N/A","N/A","12.34","12.34","12.34","N/A","N/A","N/A","12.34","12.34","N/A","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34","12.34"
"5","N/A","TUBE ENDOTRACHEAL ORAL CUFD PRFRM 7MM","N/A","N/A","0272","N/A","N/A","12.01","12.01","12.01","N/A","N/A","N/A","12.01","12.01","N/A","12.01","12.01","12.01","12.01","12.01","12.01","12.01","12.01","12.01","12.01"
"5","N/A","TUBE ENDOTRACHEAL TRIVANTAGE 6MM","N/A","N/A","0272","N/A","N/A","1292.93","1292.93","1292.93","N/A","N/A","N/A","1292.93","1292.93","N/A","1292.93","1292.93","1292.93","1292.93","1292.93","1292.93","1292.93","1292.93","1292.93","1292.93"
"5","N/A","TUBE ENDOTRACHEAL TRIVANTAGE 7MM","N/A","N/A","0272","N/A","N/A","1294.12","1294.12","1294.12","N/A","N/A","N/A","1294.12","1294.12","N/A","1294.12","1294.12","1294.12","1294.12","1294.12","1294.12","1294.12","1294.12","1294.12","1294.12"
"5","N/A","TUBE ENDOTRACHEAL TRIVANTAGE 8MM","N/A","N/A","0272","N/A","N/A","1290.40","1290.40","1290.40","N/A","N/A","N/A","1290.40","1290.40","N/A","1290.40","1290.40","1290.40","1290.40","1290.40","1290.40","1290.40","1290.40","1290.40","1290.40"
"5","N/A","TUBE ENDOTRACHEAL VIVASIGHT 35F","N/A","N/A","0272","N/A","N/A","878.11","878.11","878.11","N/A","N/A","N/A","878.11","878.11","N/A","878.11","878.11","878.11","878.11","878.11","878.11","878.11","878.11","878.11","878.11"
"5","N/A","TUBE ENDOTRACHEAL VIVASIGHT 37F","N/A","N/A","0272","N/A","N/A","880.98","880.98","880.98","N/A","N/A","N/A","880.98","880.98","N/A","880.98","880.98","880.98","880.98","880.98","880.98","880.98","880.98","880.98","880.98"
"5","N/A","TUBE ENDOTRACHEAL VIVASIGHT 39F","N/A","N/A","0272","N/A","N/A","879.45","879.45","879.45","N/A","N/A","N/A","879.45","879.45","N/A","879.45","879.45","879.45","879.45","879.45","879.45","879.45","879.45","879.45","879.45"
"5","N/A","TUBE ENDOTRACHEAL VIVASIGHT 41F","N/A","N/A","0272","N/A","N/A","858.00","858.00","858.00","N/A","N/A","N/A","858.00","858.00","N/A","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00","858.00"
"5","N/A","TUBE ESOPHAGEAL ENSOETM THERMAL REGULATE","N/A","N/A","0272","N/A","N/A","2637.53","2637.53","2637.53","N/A","N/A","N/A","2637.53","2637.53","N/A","2637.53","2637.53","2637.53","2637.53","2637.53","2637.53","2637.53","2637.53","2637.53","2637.53"
"5","N/A","TUBE EXTENSION SHORT MALE/FEMALE LL 5CM","N/A","N/A","0272","N/A","N/A","63.36","63.36","63.36","N/A","N/A","N/A","63.36","63.36","N/A","63.36","63.36","63.36","63.36","63.36","63.36","63.36","63.36","63.36","63.36"
"5","N/A","TUBE F/ MAXVIEW SYSTEM 18X40MM","N/A","N/A","0272","N/A","N/A","7095.00","7095.00","7095.00","N/A","N/A","N/A","7095.00","7095.00","N/A","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00"
"5","N/A","TUBE F/ MAXVIEW SYSTEM 18X50MM","N/A","N/A","0272","N/A","N/A","7095.00","7095.00","7095.00","N/A","N/A","N/A","7095.00","7095.00","N/A","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00"
"5","N/A","TUBE F/ MAXVIEW SYSTEM 18X60MM","N/A","N/A","0272","N/A","N/A","7095.00","7095.00","7095.00","N/A","N/A","N/A","7095.00","7095.00","N/A","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00"
"5","N/A","TUBE F/ MAXVIEW SYSTEM 18X70MM","N/A","N/A","0272","N/A","N/A","7095.00","7095.00","7095.00","N/A","N/A","N/A","7095.00","7095.00","N/A","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00"
"5","N/A","TUBE F/ MAXVIEW SYSTEM 18X80MM","N/A","N/A","0272","N/A","N/A","7095.07","7095.07","7095.07","N/A","N/A","N/A","7095.07","7095.07","N/A","7095.07","7095.07","7095.07","7095.07","7095.07","7095.07","7095.07","7095.07","7095.07","7095.07"
"5","N/A","TUBE FEEDING ENTERAL W/STYLET CORFLO 8F 109CM","N/A","N/A","0272","N/A","N/A","43.01","43.01","43.01","N/A","N/A","N/A","43.01","43.01","N/A","43.01","43.01","43.01","43.01","43.01","43.01","43.01","43.01","43.01","43.01"
"5","N/A","TUBE FEEDING JEJ PULL 12FR 35"","N/A","N/A","0272","N/A","N/A","286.74","286.74","286.74","N/A","N/A","N/A","286.74","286.74","N/A","286.74","286.74","286.74","286.74","286.74","286.74","286.74","286.74","286.74","286.74"
"5","N/A","TUBE FEEDING W/ STYLET N/S 10FR 43"","N/A","N/A","0272","N/A","N/A","192.19","192.19","192.19","N/A","N/A","N/A","192.19","192.19","N/A","192.19","192.19","192.19","192.19","192.19","192.19","192.19","192.19","192.19","192.19"
"5","N/A","TUBE FEEDING W/ STYLET N/S 10FR 55"","N/A","N/A","0272","N/A","N/A","195.62","195.62","195.62","N/A","N/A","N/A","195.62","195.62","N/A","195.62","195.62","195.62","195.62","195.62","195.62","195.62","195.62","195.62","195.62"
"5","N/A","TUBE FEEDING W/ STYLET PEDI 6FR 36"","N/A","N/A","0272","N/A","N/A","59.60","59.60","59.60","N/A","N/A","N/A","59.60","59.60","N/A","59.60","59.60","59.60","59.60","59.60","59.60","59.60","59.60","59.60","59.60"
"5","N/A","TUBE GASTROSTOMY 2 FLOW PVC 8FR 60CM","N/A","N/A","0272","N/A","N/A","27.39","27.39","27.39","N/A","N/A","N/A","27.39","27.39","N/A","27.39","27.39","27.39","27.39","27.39","27.39","27.39","27.39","27.39","27.39"
"5","N/A","TUBE GASTROSTOMY BOLUS 14F 3-5ML","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY BOLUS 16F 3-5ML","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY BOLUS 18FR 7-10ML","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY BOLUS 20FR 7-10ML","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY BOLUS 22FR 7-10ML","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY BOLUS 24FR 7-10ML","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 14F 4CM","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 14FR 2.5","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 14FR 3.5","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 14FR 3CM","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 14FR 4.5","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 14FR 5CM","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 18F 2.5CM","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 18F 3CM","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 18FR 3.5","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 18FR 4.5","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 18FR 4CM","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY KT MIC-KEY 24F 2.5CM","N/A","N/A","0272","N/A","N/A","303.73","303.73","303.73","N/A","N/A","N/A","303.73","303.73","N/A","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73","303.73"
"5","N/A","TUBE GASTROSTOMY MIC 18F 7-10ML","N/A","N/A","0272","N/A","N/A","104.38","104.38","104.38","N/A","N/A","N/A","104.38","104.38","N/A","104.38","104.38","104.38","104.38","104.38","104.38","104.38","104.38","104.38","104.38"
"5","N/A","TUBE GASTROSTOMY MIC STD 22F","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY MIC STD 28F 7-10 ML","N/A","N/A","0272","N/A","N/A","101.57","101.57","101.57","N/A","N/A","N/A","101.57","101.57","N/A","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57","101.57"
"5","N/A","TUBE GASTROSTOMY STR ENDOVIVE 18FR","N/A","N/A","0272","N/A","N/A","116.82","116.82","116.82","N/A","N/A","N/A","116.82","116.82","N/A","116.82","116.82","116.82","116.82","116.82","116.82","116.82","116.82","116.82","116.82"
"5","N/A","TUBE GASTROSTOMY STR ENDOVIVE 20FR","N/A","N/A","0272","N/A","N/A","116.82","116.82","116.82","N/A","N/A","N/A","116.82","116.82","N/A","116.82","116.82","116.82","116.82","116.82","116.82","116.82","116.82","116.82","116.82"
"5","N/A","TUBE JEJUNOSTOMY KT MIC 16FR 7-10ML 45CM","N/A","N/A","0272","N/A","N/A","737.88","737.88","737.88","N/A","N/A","N/A","737.88","737.88","N/A","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88"
"5","N/A","TUBE JEJUNOSTOMY KT MIC 18FR 7-10ML 45CM","N/A","N/A","0272","N/A","N/A","737.88","737.88","737.88","N/A","N/A","N/A","737.88","737.88","N/A","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88"
"5","N/A","TUBE JEJUNOSTOMY KT MIC 22FR 7-10ML 45CM","N/A","N/A","0272","N/A","N/A","737.88","737.88","737.88","N/A","N/A","N/A","737.88","737.88","N/A","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88","737.88"
"5","N/A","TUBE JEJUNOSTOMY SI MIC 12F 3-5ML","N/A","N/A","0272","N/A","N/A","428.67","428.67","428.67","N/A","N/A","N/A","428.67","428.67","N/A","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67"
"5","N/A","TUBE JEJUNOSTOMY SI MIC 14FR 7-10ML","N/A","N/A","0272","N/A","N/A","428.67","428.67","428.67","N/A","N/A","N/A","428.67","428.67","N/A","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67"
"5","N/A","TUBE NASOGASTRIC 11 EYE DL 14F 48"","N/A","N/A","0272","N/A","N/A","11.87","11.87","11.87","N/A","N/A","N/A","11.87","11.87","N/A","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87"
"5","N/A","TUBE NASOGASTRIC 11 EYE DL 18F 48"","N/A","N/A","0272","N/A","N/A","11.87","11.87","11.87","N/A","N/A","N/A","11.87","11.87","N/A","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87","11.87"
"5","N/A","TUBE NASOGASTRIC 4 LUM MINNESOTA 18FR","N/A","N/A","0272","N/A","N/A","1489.95","1489.95","1489.95","N/A","N/A","N/A","1489.95","1489.95","N/A","1489.95","1489.95","1489.95","1489.95","1489.95","1489.95","1489.95","1489.95","1489.95","1489.95"
"5","N/A","TUBE NASOGASTRIC DL 10FR 36"","N/A","N/A","0272","N/A","N/A","3.41","3.41","3.41","N/A","N/A","N/A","3.41","3.41","N/A","3.41","3.41","3.41","3.41","3.41","3.41","3.41","3.41","3.41","3.41"
"5","N/A","TUBE NASOGASTRIC FD 2 EYE INF 5FR 36","N/A","N/A","0272","N/A","N/A","4.44","4.44","4.44","N/A","N/A","N/A","4.44","4.44","N/A","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44"
"5","N/A","TUBE NASOGASTRIC FD 2 EYE INF 8FR 15","N/A","N/A","0272","N/A","N/A","4.44","4.44","4.44","N/A","N/A","N/A","4.44","4.44","N/A","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44"
"5","N/A","TUBE NASOGASTRIC FD 2 EYE INF 8FR 42","N/A","N/A","0272","N/A","N/A","4.44","4.44","4.44","N/A","N/A","N/A","4.44","4.44","N/A","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44"
"5","N/A","TUBE NASOGASTRIC SI SALEM SUMP 10F 36"","N/A","N/A","0272","N/A","N/A","42.25","42.25","42.25","N/A","N/A","N/A","42.25","42.25","N/A","42.25","42.25","42.25","42.25","42.25","42.25","42.25","42.25","42.25","42.25"
"5","N/A","TUBE NASOGASTRIC SI SALEM SUMP 14F 48"","N/A","N/A","0272","N/A","N/A","43.41","43.41","43.41","N/A","N/A","N/A","43.41","43.41","N/A","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41"
"5","N/A","TUBE NASOGASTRIC SI SALEM SUMP 16F 48"","N/A","N/A","0272","N/A","N/A","43.41","43.41","43.41","N/A","N/A","N/A","43.41","43.41","N/A","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41"
"5","N/A","TUBE NASOGASTRIC SI SALEM SUMP 18F 48"","N/A","N/A","0272","N/A","N/A","43.41","43.41","43.41","N/A","N/A","N/A","43.41","43.41","N/A","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41","43.41"
"5","N/A","TUBE NASOGASTRIC STYLET WTD 10F 43"","N/A","N/A","0272","N/A","N/A","26.35","26.35","26.35","N/A","N/A","N/A","26.35","26.35","N/A","26.35","26.35","26.35","26.35","26.35","26.35","26.35","26.35","26.35","26.35"
"5","N/A","TUBE NASOGASTRIC STYLET WTD 12FR 43"","N/A","N/A","0272","N/A","N/A","25.94","25.94","25.94","N/A","N/A","N/A","25.94","25.94","N/A","25.94","25.94","25.94","25.94","25.94","25.94","25.94","25.94","25.94","25.94"
"5","N/A","TUBE NASOJEJUNAL WTD 12F 60"","N/A","N/A","0272","N/A","N/A","116.01","116.01","116.01","N/A","N/A","N/A","116.01","116.01","N/A","116.01","116.01","116.01","116.01","116.01","116.01","116.01","116.01","116.01","116.01"
"5","N/A","TUBE NERVE STIM MICROTARGETING","N/A","N/A","0272","N/A","N/A","692.34","692.34","692.34","N/A","N/A","N/A","692.34","692.34","N/A","692.34","692.34","692.34","692.34","692.34","692.34","692.34","692.34","692.34","692.34"
"5","N/A","TUBE RECTAL MOLDED LTX 20F 20"","N/A","N/A","0272","N/A","N/A","23.80","23.80","23.80","N/A","N/A","N/A","23.80","23.80","N/A","23.80","23.80","23.80","23.80","23.80","23.80","23.80","23.80","23.80","23.80"
"5","N/A","TUBE RECTAL MOLDED LTX 24F 20"","N/A","N/A","0272","N/A","N/A","23.17","23.17","23.17","N/A","N/A","N/A","23.17","23.17","N/A","23.17","23.17","23.17","23.17","23.17","23.17","23.17","23.17","23.17","23.17"
"5","N/A","TUBE RECTAL MOLDED LTX 28F 20"","N/A","N/A","0272","N/A","N/A","24.67","24.67","24.67","N/A","N/A","N/A","24.67","24.67","N/A","24.67","24.67","24.67","24.67","24.67","24.67","24.67","24.67","24.67","24.67"
"5","N/A","TUBE RECTAL MOLDED LTX 30F 20"","N/A","N/A","0272","N/A","N/A","23.80","23.80","23.80","N/A","N/A","N/A","23.80","23.80","N/A","23.80","23.80","23.80","23.80","23.80","23.80","23.80","23.80","23.80","23.80"
"5","N/A","TUBE SPLINTING SI CTD 13.2X1320","N/A","N/A","0272","N/A","N/A","826.51","826.51","826.51","N/A","N/A","N/A","826.51","826.51","N/A","826.51","826.51","826.51","826.51","826.51","826.51","826.51","826.51","826.51","826.51"
"5","N/A","TUBE SUCTION FRAZIER 9F","N/A","N/A","0272","N/A","N/A","1037.67","1037.67","1037.67","N/A","N/A","N/A","1037.67","1037.67","N/A","1037.67","1037.67","1037.67","1037.67","1037.67","1037.67","1037.67","1037.67","1037.67","1037.67"
"5","N/A","TUBE SUCTION INSUFFLATOR","N/A","N/A","0272","N/A","N/A","90.57","90.57","90.57","N/A","N/A","N/A","90.57","90.57","N/A","90.57","90.57","90.57","90.57","90.57","90.57","90.57","90.57","90.57","90.57"
"5","N/A","TUBE TRACHEOSTOMY BIVONA ADLT 6X110MM","N/A","N/A","0272","N/A","N/A","556.42","556.42","556.42","N/A","N/A","N/A","556.42","556.42","N/A","556.42","556.42","556.42","556.42","556.42","556.42","556.42","556.42","556.42","556.42"
"5","N/A","TUBE TRACHEOSTOMY CANN FEN SHILEY SZ 4","N/A","N/A","0272","N/A","N/A","131.31","131.31","131.31","N/A","N/A","N/A","131.31","131.31","N/A","131.31","131.31","131.31","131.31","131.31","131.31","131.31","131.31","131.31","131.31"
"5","N/A","TUBE TRACHEOSTOMY CUFD CANN FEN 79MM","N/A","N/A","0272","N/A","N/A","130.13","130.13","130.13","N/A","N/A","N/A","130.13","130.13","N/A","130.13","130.13","130.13","130.13","130.13","130.13","130.13","130.13","130.13","130.13"
"5","N/A","TUBE TRACHEOSTOMY CUFD DISP CANN 8","N/A","N/A","0272","N/A","N/A","127.01","127.01","127.01","N/A","N/A","N/A","127.01","127.01","N/A","127.01","127.01","127.01","127.01","127.01","127.01","127.01","127.01","127.01","127.01"
"5","N/A","TUBE TRACHEOSTOMY CUFD DISTAL EXTN 6MM","N/A","N/A","0272","N/A","N/A","208.18","208.18","208.18","N/A","N/A","N/A","208.18","208.18","N/A","208.18","208.18","208.18","208.18","208.18","208.18","208.18","208.18","208.18","208.18"
"5","N/A","TUBE TRACHEOSTOMY CUFD DISTAL EXTN 8MM","N/A","N/A","0272","N/A","N/A","197.70","197.70","197.70","N/A","N/A","N/A","197.70","197.70","N/A","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70"
"5","N/A","TUBE TRACHEOSTOMY CUFD DISTAL XLT 5","N/A","N/A","0272","N/A","N/A","210.74","210.74","210.74","N/A","N/A","N/A","210.74","210.74","N/A","210.74","210.74","210.74","210.74","210.74","210.74","210.74","210.74","210.74","210.74"
"5","N/A","TUBE TRACHEOSTOMY CUFD FEN SHILEY SZ 6","N/A","N/A","0272","N/A","N/A","130.60","130.60","130.60","N/A","N/A","N/A","130.60","130.60","N/A","130.60","130.60","130.60","130.60","130.60","130.60","130.60","130.60","130.60","130.60"
"5","N/A","TUBE TRACHEOSTOMY CUFD OBT SHILEY SZ 4","N/A","N/A","0272","N/A","N/A","124.61","124.61","124.61","N/A","N/A","N/A","124.61","124.61","N/A","124.61","124.61","124.61","124.61","124.61","124.61","124.61","124.61","124.61","124.61"
"5","N/A","TUBE TRACHEOSTOMY CUFD PROX 8MM","N/A","N/A","0272","N/A","N/A","197.70","197.70","197.70","N/A","N/A","N/A","197.70","197.70","N/A","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70"
"5","N/A","TUBE TRACHEOSTOMY CUFD PROX EXTN 6MM","N/A","N/A","0272","N/A","N/A","214.64","214.64","214.64","N/A","N/A","N/A","214.64","214.64","N/A","214.64","214.64","214.64","214.64","214.64","214.64","214.64","214.64","214.64","214.64"
"5","N/A","TUBE TRACHEOSTOMY CUFD SGL CANN 6","N/A","N/A","0272","N/A","N/A","92.11","92.11","92.11","N/A","N/A","N/A","92.11","92.11","N/A","92.11","92.11","92.11","92.11","92.11","92.11","92.11","92.11","92.11","92.11"
"5","N/A","TUBE TRACHEOSTOMY CUFD SHILEY SZ 6","N/A","N/A","0272","N/A","N/A","125.62","125.62","125.62","N/A","N/A","N/A","125.62","125.62","N/A","125.62","125.62","125.62","125.62","125.62","125.62","125.62","125.62","125.62","125.62"
"5","N/A","TUBE TRACHEOSTOMY LARYTUBE 10/55 15X55MM","N/A","N/A","0272","N/A","N/A","445.50","445.50","445.50","N/A","N/A","N/A","445.50","445.50","N/A","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50"
"5","N/A","TUBE TRACHEOSTOMY LARYTUBE 8/27 9.5X12MM","N/A","N/A","0272","N/A","N/A","445.50","445.50","445.50","N/A","N/A","N/A","445.50","445.50","N/A","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50"
"5","N/A","TUBE TRACHEOSTOMY SHILEY CANNULA INNER FLEX 7.5MM","N/A","N/A","0272","N/A","N/A","10.63","10.63","10.63","N/A","N/A","N/A","10.63","10.63","N/A","10.63","10.63","10.63","10.63","10.63","10.63","10.63","10.63","10.63","10.63"
"5","N/A","TUBE TRACHEOSTOMY SHILEY CANNULA INNER FLEX 7MM","N/A","N/A","0272","N/A","N/A","10.60","10.60","10.60","N/A","N/A","N/A","10.60","10.60","N/A","10.60","10.60","10.60","10.60","10.60","10.60","10.60","10.60","10.60","10.60"
"5","N/A","TUBE TRACHEOSTOMY SHILEY CANNULA INNER FLEX 8.5MM","N/A","N/A","0272","N/A","N/A","10.93","10.93","10.93","N/A","N/A","N/A","10.93","10.93","N/A","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93"
"5","N/A","TUBE TRACHEOSTOMY SHILEY FLEX CUFF ADLT 6.5MM","N/A","N/A","0272","N/A","N/A","146.52","146.52","146.52","N/A","N/A","N/A","146.52","146.52","N/A","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52"
"5","N/A","TUBE TRACHEOSTOMY SHILEY FLEX CUFF ADLT 7.5MM","N/A","N/A","0272","N/A","N/A","146.52","146.52","146.52","N/A","N/A","N/A","146.52","146.52","N/A","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52"
"5","N/A","TUBE TRACHEOSTOMY SHILEY FLEX CUFF ADLT 8.5MM","N/A","N/A","0272","N/A","N/A","146.52","146.52","146.52","N/A","N/A","N/A","146.52","146.52","N/A","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52","146.52"
"5","N/A","TUBE TRACHEOSTOMY UNCFD DISTAL XLT 5","N/A","N/A","0272","N/A","N/A","197.70","197.70","197.70","N/A","N/A","N/A","197.70","197.70","N/A","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70","197.70"
"5","N/A","TUBE TRACHEOSTOMY UNCFD DISTAL XLT 6MM","N/A","N/A","0272","N/A","N/A","200.31","200.31","200.31","N/A","N/A","N/A","200.31","200.31","N/A","200.31","200.31","200.31","200.31","200.31","200.31","200.31","200.31","200.31","200.31"
"5","N/A","TUBE TRACHEOSTOMY UNCFD FEN SHILEY SZ 4","N/A","N/A","0272","N/A","N/A","142.25","142.25","142.25","N/A","N/A","N/A","142.25","142.25","N/A","142.25","142.25","142.25","142.25","142.25","142.25","142.25","142.25","142.25","142.25"
"5","N/A","TUBE TRACHEOSTOMY UNCFD FEN SZ 6","N/A","N/A","0272","N/A","N/A","142.25","142.25","142.25","N/A","N/A","N/A","142.25","142.25","N/A","142.25","142.25","142.25","142.25","142.25","142.25","142.25","142.25","142.25","142.25"
"5","N/A","TUBE TRACHEOSTOMY UNCFD PEDI 3.5","N/A","N/A","0272","N/A","N/A","112.93","112.93","112.93","N/A","N/A","N/A","112.93","112.93","N/A","112.93","112.93","112.93","112.93","112.93","112.93","112.93","112.93","112.93","112.93"
"5","N/A","TUBE TRACHEOSTOMY UNCFD PEDI 4.5MM","N/A","N/A","0272","N/A","N/A","108.93","108.93","108.93","N/A","N/A","N/A","108.93","108.93","N/A","108.93","108.93","108.93","108.93","108.93","108.93","108.93","108.93","108.93","108.93"
"5","N/A","TUBING ASPIRATION RIPTIDE LARGE BORE","N/A","N/A","0272","N/A","N/A","729.30","729.30","729.30","N/A","N/A","N/A","729.30","729.30","N/A","729.30","729.30","729.30","729.30","729.30","729.30","729.30","729.30","729.30","729.30"
"5","N/A","TUBING ASPIRATION SET 12'","N/A","N/A","0272","N/A","N/A","42.90","42.90","42.90","N/A","N/A","N/A","42.90","42.90","N/A","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90","42.90"
"5","N/A","TUBING AUTOFUSE DISP","N/A","N/A","0272","N/A","N/A","38.94","38.94","38.94","N/A","N/A","N/A","38.94","38.94","N/A","38.94","38.94","38.94","38.94","38.94","38.94","38.94","38.94","38.94","38.94"
"5","N/A","TUBING BLOOD ADMIN PLUMSET 200 MICRON 110"","N/A","N/A","0272","N/A","N/A","30.82","30.82","30.82","N/A","N/A","N/A","30.82","30.82","N/A","30.82","30.82","30.82","30.82","30.82","30.82","30.82","30.82","30.82","30.82"
"5","N/A","TUBING BLOOD WARMER ASTOTHERM 50'","N/A","N/A","0272","N/A","N/A","51.71","51.71","51.71","N/A","N/A","N/A","51.71","51.71","N/A","51.71","51.71","51.71","51.71","51.71","51.71","51.71","51.71","51.71","51.71"
"5","N/A","TUBING FLUID MANAGEMENT ST INFLOW","N/A","N/A","0272","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","TUBING FLUID MANAGEMENT ST OUTFLOW","N/A","N/A","0272","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","TUBING FLUID MGMT ST INFLOW/OUTFLOW","N/A","N/A","0272","N/A","N/A","398.06","398.06","398.06","N/A","N/A","N/A","398.06","398.06","N/A","398.06","398.06","398.06","398.06","398.06","398.06","398.06","398.06","398.06","398.06"
"5","N/A","TUBING FOLEY CATHETER EXTERNAL 8.5"","N/A","N/A","0272","N/A","N/A","5.05","5.05","5.05","N/A","N/A","N/A","5.05","5.05","N/A","5.05","5.05","5.05","5.05","5.05","5.05","5.05","5.05","5.05","5.05"
"5","N/A","TUBING GAS SAMPLING KT LOW FLOW BLU","N/A","N/A","0272","N/A","N/A","72.93","72.93","72.93","N/A","N/A","N/A","72.93","72.93","N/A","72.93","72.93","72.93","72.93","72.93","72.93","72.93","72.93","72.93","72.93"
"5","N/A","TUBING HYDRA IRRIGATION 24HR F/OLYMPUS PUMP","N/A","N/A","0272","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","TUBING INJECTING W/Y CONNECT","N/A","N/A","0272","N/A","N/A","39.60","39.60","39.60","N/A","N/A","N/A","39.60","39.60","N/A","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60"
"5","N/A","TUBING INSUFFLATION F/UHI","N/A","N/A","0272","N/A","N/A","64.91","64.91","64.91","N/A","N/A","N/A","64.91","64.91","N/A","64.91","64.91","64.91","64.91","64.91","64.91","64.91","64.91","64.91","64.91"
"5","N/A","TUBING IRRIGATION BONE SCALPEL SET ST DISP","N/A","N/A","0272","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","TUBING IRRIGATION INTEGRATED 10","N/A","N/A","0272","N/A","N/A","171.60","171.60","171.60","N/A","N/A","N/A","171.60","171.60","N/A","171.60","171.60","171.60","171.60","171.60","171.60","171.60","171.60","171.60","171.60"
"5","N/A","TUBING LAVAGE ST CLAMP 0.357"X8.5","N/A","N/A","0272","N/A","N/A","683.10","683.10","683.10","N/A","N/A","N/A","683.10","683.10","N/A","683.10","683.10","683.10","683.10","683.10","683.10","683.10","683.10","683.10","683.10"
"5","N/A","TUBING PUMP ARTHRO LL STER 16'","N/A","N/A","0272","N/A","N/A","201.30","201.30","201.30","N/A","N/A","N/A","201.30","201.30","N/A","201.30","201.30","201.30","201.30","201.30","201.30","201.30","201.30","201.30","201.30"
"5","N/A","TUBING SMOKE EVAC PNEUMOCLEAR","N/A","N/A","0272","N/A","N/A","142.99","142.99","142.99","N/A","N/A","N/A","142.99","142.99","N/A","142.99","142.99","142.99","142.99","142.99","142.99","142.99","142.99","142.99","142.99"
"5","N/A","TUBING URODYNAMIC CYSTO-AID 30"","N/A","N/A","0272","N/A","N/A","90.42","90.42","90.42","N/A","N/A","N/A","90.42","90.42","N/A","90.42","90.42","90.42","90.42","90.42","90.42","90.42","90.42","90.42","90.42"
"5","N/A","TUNNELER VAGUS NERVE DISP","N/A","N/A","0272","N/A","N/A","1602.70","1602.70","1602.70","N/A","N/A","N/A","1602.70","1602.70","N/A","1602.70","1602.70","1602.70","1602.70","1602.70","1602.70","1602.70","1602.70","1602.70","1602.70"
"5","N/A","UNIT IRRIGATION PUMP SGL HAND PC CS","N/A","N/A","0272","N/A","N/A","136.37","136.37","136.37","N/A","N/A","N/A","136.37","136.37","N/A","136.37","136.37","136.37","136.37","136.37","136.37","136.37","136.37","136.37","136.37"
"5","N/A","URETEROSCOPE FLEXIBLE LITHOVUE STD SGL USE","N/A","N/A","0272","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","URETEROSCOPE LITHOVUE EMPOWER STD FLEXIBLE","N/A","N/A","0272","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","USE #00005044 ELECTRODE PATIENT RET NON REM ADLT 9'","N/A","N/A","0272","N/A","N/A","7.56","7.56","7.56","N/A","N/A","N/A","7.56","7.56","N/A","7.56","7.56","7.56","7.56","7.56","7.56","7.56","7.56","7.56","7.56"
"5","N/A","USE #00115874 GUIDEWIRE ROSEN HEP 035 2X260CM","N/A","N/A","0272","N/A","N/A","55.28","55.28","55.28","N/A","N/A","N/A","55.28","55.28","N/A","55.28","55.28","55.28","55.28","55.28","55.28","55.28","55.28","55.28","55.28"
"5","N/A","USE #00121690 ADHESIVE SURGICAL SKIN AFFIX 0.35ML","N/A","N/A","0272","N/A","N/A","33.46","33.46","33.46","N/A","N/A","N/A","33.46","33.46","N/A","33.46","33.46","33.46","33.46","33.46","33.46","33.46","33.46","33.46","33.46"
"5","N/A","USE #00121691 ADHESIVE DERMABOND ADVANCED 0.7ML","N/A","N/A","0272","N/A","N/A","59.01","59.01","59.01","N/A","N/A","N/A","59.01","59.01","N/A","59.01","59.01","59.01","59.01","59.01","59.01","59.01","59.01","59.01","59.01"
"5","N/A","USE #00121691 ADHESIVE SKIN DERMABOND 0.36ML","N/A","N/A","0272","N/A","N/A","31.41","31.41","31.41","N/A","N/A","N/A","31.41","31.41","N/A","31.41","31.41","31.41","31.41","31.41","31.41","31.41","31.41","31.41","31.41"
"5","N/A","USE #00122919 DEVICE FXTN RELOAD 3X10-TACK RELIATACK STD","N/A","N/A","0272","N/A","N/A","1881.30","1881.30","1881.30","N/A","N/A","N/A","1881.30","1881.30","N/A","1881.30","1881.30","1881.30","1881.30","1881.30","1881.30","1881.30","1881.30","1881.30","1881.30"
"5","N/A","USE #00123687 ELECTRODE ROLLERBALL 24FR","N/A","N/A","0272","N/A","N/A","214.80","214.80","214.80","N/A","N/A","N/A","214.80","214.80","N/A","214.80","214.80","214.80","214.80","214.80","214.80","214.80","214.80","214.80","214.80"
"5","N/A","USE #00123688 ELECTRODE LOOP CUTTING 24FR","N/A","N/A","0272","N/A","N/A","198.89","198.89","198.89","N/A","N/A","N/A","198.89","198.89","N/A","198.89","198.89","198.89","198.89","198.89","198.89","198.89","198.89","198.89","198.89"
"5","N/A","USE #00123689 DEVICE FIXATION 3X8-TACK 1X5-TACK RELIATACK","N/A","N/A","0272","N/A","N/A","1912.35","1912.35","1912.35","N/A","N/A","N/A","1912.35","1912.35","N/A","1912.35","1912.35","1912.35","1912.35","1912.35","1912.35","1912.35","1912.35","1912.35","1912.35"
"5","N/A","USE #00124096 FLOSEAL MATRIX SEALANT 5ML","N/A","N/A","0272","N/A","N/A","529.02","529.02","529.02","N/A","N/A","N/A","529.02","529.02","N/A","529.02","529.02","529.02","529.02","529.02","529.02","529.02","529.02","529.02","529.02"
"5","N/A","USE #00124312 DEVICE FIXATION RELOAD 10-TCK RELIATACK STD","N/A","N/A","0272","N/A","N/A","508.56","508.56","508.56","N/A","N/A","N/A","508.56","508.56","N/A","508.56","508.56","508.56","508.56","508.56","508.56","508.56","508.56","508.56","508.56"
"5","N/A","USE #00124603 SENSOR OXIMETER FORE-SIGHT LG","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","USE #00125056 TUBE NASOGASTRIC FD 2 EYE INF 5FR 15","N/A","N/A","0272","N/A","N/A","4.44","4.44","4.44","N/A","N/A","N/A","4.44","4.44","N/A","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44"
"5","N/A","USE #00127169 BARRIER CONVEX TAPE FLXTD 2.25","N/A","N/A","0272","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","USE #00127170 BARRIER CONVEX TAPE FLXTD 2.75","N/A","N/A","0272","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","USE #00127290 CLIP HEMOSTASIS INSTINCT 16X230CM","N/A","N/A","0272","N/A","N/A","769.56","769.56","769.56","N/A","N/A","N/A","769.56","769.56","N/A","769.56","769.56","769.56","769.56","769.56","769.56","769.56","769.56","769.56","769.56"
"5","N/A","USE #00127336 AIRWAY LARYNGEAL LMA UNQ ADLT 5","N/A","N/A","0272","N/A","N/A","20.34","20.34","20.34","N/A","N/A","N/A","20.34","20.34","N/A","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34"
"5","N/A","USE #00127360 TUBE TRACHEOSTOMY CUFD OBT SHILEY SZ 4","N/A","N/A","0272","N/A","N/A","119.80","119.80","119.80","N/A","N/A","N/A","119.80","119.80","N/A","119.80","119.80","119.80","119.80","119.80","119.80","119.80","119.80","119.80","119.80"
"5","N/A","USE #00127361 TUBE TRACHEOSTOMY CUFD SHILEY SZ 6","N/A","N/A","0272","N/A","N/A","124.33","124.33","124.33","N/A","N/A","N/A","124.33","124.33","N/A","124.33","124.33","124.33","124.33","124.33","124.33","124.33","124.33","124.33","124.33"
"5","N/A","USE #00127362 TUBE TRACHEOSTOMY CUFD DISP CANN 8","N/A","N/A","0272","N/A","N/A","131.70","131.70","131.70","N/A","N/A","N/A","131.70","131.70","N/A","131.70","131.70","131.70","131.70","131.70","131.70","131.70","131.70","131.70","131.70"
"5","N/A","USE #00127388 TUBE TRACHEOSTOMY UNCFD PEDI 4.5MM","N/A","N/A","0272","N/A","N/A","112.93","112.93","112.93","N/A","N/A","N/A","112.93","112.93","N/A","112.93","112.93","112.93","112.93","112.93","112.93","112.93","112.93","112.93","112.93"
"5","N/A","USE #00127432 INTRODUCER TRACHEOSTOMY ST RHINO 24/26/28","N/A","N/A","0272","N/A","N/A","953.70","953.70","953.70","N/A","N/A","N/A","953.70","953.70","N/A","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70","953.70"
"5","N/A","USE #00127542 CATHETER PUREWICK EXTERNAL FEMALE","N/A","N/A","0272","N/A","N/A","22.04","22.04","22.04","N/A","N/A","N/A","22.04","22.04","N/A","22.04","22.04","22.04","22.04","22.04","22.04","22.04","22.04","22.04","22.04"
"5","N/A","USE #00127743 GUIDEWIRE FIXED CORE BSN STR 035 150","N/A","N/A","0272","N/A","N/A","44.55","44.55","44.55","N/A","N/A","N/A","44.55","44.55","N/A","44.55","44.55","44.55","44.55","44.55","44.55","44.55","44.55","44.55","44.55"
"5","N/A","USE #00127819 CURETTE VACUUM F-TIP VACURETTE 6","N/A","N/A","0272","N/A","N/A","15.69","15.69","15.69","N/A","N/A","N/A","15.69","15.69","N/A","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69","15.69"
"5","N/A","USE #00128011 ELEVIEW 10ML","N/A","N/A","0272","N/A","N/A","267.30","267.30","267.30","N/A","N/A","N/A","267.30","267.30","N/A","267.30","267.30","267.30","267.30","267.30","267.30","267.30","267.30","267.30","267.30"
"5","N/A","USE #122976 SHIELD EYE AL RUB SAFE-EDGE","N/A","N/A","0272","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","VALVE DRAIN CHEST COOK","N/A","N/A","0272","N/A","N/A","214.50","214.50","214.50","N/A","N/A","N/A","214.50","214.50","N/A","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50","214.50"
"5","N/A","VALVE FEEDING ENTRL DL LOPEZ","N/A","N/A","0272","N/A","N/A","6.27","6.27","6.27","N/A","N/A","N/A","6.27","6.27","N/A","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27"
"5","N/A","VALVE HEMOSTASIS GUARDIAN2 NC 8F","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","VALVE PEEP ADJ CHILD 30MM","N/A","N/A","0272","N/A","N/A","8.17","8.17","8.17","N/A","N/A","N/A","8.17","8.17","N/A","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17"
"5","N/A","VALVE SPEAKING PMV AQUA 22X15MM","N/A","N/A","0272","N/A","N/A","230.34","230.34","230.34","N/A","N/A","N/A","230.34","230.34","N/A","230.34","230.34","230.34","230.34","230.34","230.34","230.34","230.34","230.34","230.34"
"5","N/A","VALVE SPEAKING PMV PUR 15X23MM","N/A","N/A","0272","N/A","N/A","230.34","230.34","230.34","N/A","N/A","N/A","230.34","230.34","N/A","230.34","230.34","230.34","230.34","230.34","230.34","230.34","230.34","230.34","230.34"
"5","N/A","VALVE SUCTION BRONCHOSCOPE 4.8MM","N/A","N/A","0272","N/A","N/A","34.59","34.59","34.59","N/A","N/A","N/A","34.59","34.59","N/A","34.59","34.59","34.59","34.59","34.59","34.59","34.59","34.59","34.59","34.59"
"5","N/A","VALVE SUCTION SCP W/ CVR 4.8MM","N/A","N/A","0272","N/A","N/A","14.52","14.52","14.52","N/A","N/A","N/A","14.52","14.52","N/A","14.52","14.52","14.52","14.52","14.52","14.52","14.52","14.52","14.52","14.52"
"5","N/A","VESSEL LOOP MAXI YELLOW STL 2/PK","N/A","N/A","0272","N/A","N/A","6.86","6.86","6.86","N/A","N/A","N/A","6.86","6.86","N/A","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86"
"5","N/A","VESSEL LOOP MINI RED STL 2/PK","N/A","N/A","0272","N/A","N/A","6.86","6.86","6.86","N/A","N/A","N/A","6.86","6.86","N/A","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86","6.86"
"5","N/A","WAND AMBIENT HIPVAC IFS 50","N/A","N/A","0272","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","WAND ELECTROSURGICAL COBLATOR PROCISE MINI SM LARYNX 1","N/A","N/A","0272","N/A","N/A","2488.20","2488.20","2488.20","N/A","N/A","N/A","2488.20","2488.20","N/A","2488.20","2488.20","2488.20","2488.20","2488.20","2488.20","2488.20","2488.20","2488.20","2488.20"
"5","N/A","WAND ELECTROSURGICAL TURBINATOR COBLATION II","N/A","N/A","0272","N/A","N/A","891.00","891.00","891.00","N/A","N/A","N/A","891.00","891.00","N/A","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00","891.00"
"5","N/A","WAND EZ PROCISE COBLATOR II","N/A","N/A","0272","N/A","N/A","950.40","950.40","950.40","N/A","N/A","N/A","950.40","950.40","N/A","950.40","950.40","950.40","950.40","950.40","950.40","950.40","950.40","950.40","950.40"
"5","N/A","WAND HALO COBLATOR","N/A","N/A","0272","N/A","N/A","1069.20","1069.20","1069.20","N/A","N/A","N/A","1069.20","1069.20","N/A","1069.20","1069.20","1069.20","1069.20","1069.20","1069.20","1069.20","1069.20","1069.20","1069.20"
"5","N/A","WAND PLASMA FLAT PROCISE MAX","N/A","N/A","0272","N/A","N/A","970.20","970.20","970.20","N/A","N/A","N/A","970.20","970.20","N/A","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20","970.20"
"5","N/A","WAND PLASMA RIGID RFX ULTRA 45","N/A","N/A","0272","N/A","N/A","835.71","835.71","835.71","N/A","N/A","N/A","835.71","835.71","N/A","835.71","835.71","835.71","835.71","835.71","835.71","835.71","835.71","835.71","835.71"
"5","N/A","WAND PLASMA W/ SALINE LINE 6"","N/A","N/A","0272","N/A","N/A","900.90","900.90","900.90","N/A","N/A","N/A","900.90","900.90","N/A","900.90","900.90","900.90","900.90","900.90","900.90","900.90","900.90","900.90","900.90"
"5","N/A","WAND RADIOFREQUENCY 50 MULTIVAC IFS 3.75MM","N/A","N/A","0272","N/A","N/A","526.85","526.85","526.85","N/A","N/A","N/A","526.85","526.85","N/A","526.85","526.85","526.85","526.85","526.85","526.85","526.85","526.85","526.85","526.85"
"5","N/A","WAND RADIOFREQUENCY MICRODEB TOPAZ","N/A","N/A","0272","N/A","N/A","1619.08","1619.08","1619.08","N/A","N/A","N/A","1619.08","1619.08","N/A","1619.08","1619.08","1619.08","1619.08","1619.08","1619.08","1619.08","1619.08","1619.08","1619.08"
"5","N/A","WAND RADIOFREQUENCY SUPER TURBOVAC 90 IFS","N/A","N/A","0272","N/A","N/A","495.00","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","WAND SUCTION RIGID FLT TIP 22FR","N/A","N/A","0272","N/A","N/A","42.60","42.60","42.60","N/A","N/A","N/A","42.60","42.60","N/A","42.60","42.60","42.60","42.60","42.60","42.60","42.60","42.60","42.60","42.60"
"5","N/A","WAND SUCTION TURBOVAC 90 IFS 3.75","N/A","N/A","0272","N/A","N/A","519.75","519.75","519.75","N/A","N/A","N/A","519.75","519.75","N/A","519.75","519.75","519.75","519.75","519.75","519.75","519.75","519.75","519.75","519.75"
"5","N/A","WAND TURBOVAC XL 90","N/A","N/A","0272","N/A","N/A","1155.00","1155.00","1155.00","N/A","N/A","N/A","1155.00","1155.00","N/A","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00"
"5","N/A","WAX BONE 2.5 GRAMS","N/A","N/A","0272","N/A","N/A","16.43","16.43","16.43","N/A","N/A","N/A","16.43","16.43","N/A","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43","16.43"
"5","N/A","WIRE CERCLAGE PRECUT 0.5X175MM","N/A","N/A","0272","N/A","N/A","336.60","336.60","336.60","N/A","N/A","N/A","336.60","336.60","N/A","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60","336.60"
"5","N/A","WIRE COMPRESSION 1.6X150MM","N/A","N/A","0272","N/A","N/A","145.20","145.20","145.20","N/A","N/A","N/A","145.20","145.20","N/A","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20","145.20"
"5","N/A","WIRE COMPRESSION 2.8X200MM 20MM THREAD","N/A","N/A","0272","N/A","N/A","205.43","205.43","205.43","N/A","N/A","N/A","205.43","205.43","N/A","205.43","205.43","205.43","205.43","205.43","205.43","205.43","205.43","205.43","205.43"
"5","N/A","WIRE COMPRESSION LCP 10MM 2.8X200MM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","WIRE COMPRESSION LCP 15MM 2.8X200MM","N/A","N/A","0272","N/A","N/A","205.43","205.43","205.43","N/A","N/A","N/A","205.43","205.43","N/A","205.43","205.43","205.43","205.43","205.43","205.43","205.43","205.43","205.43","205.43"
"5","N/A","WIRE COMPRESSION THRD 15MM 1.6X150MM","N/A","N/A","0272","N/A","N/A","136.95","136.95","136.95","N/A","N/A","N/A","136.95","136.95","N/A","136.95","136.95","136.95","136.95","136.95","136.95","136.95","136.95","136.95","136.95"
"5","N/A","WIRE FIXATION TROCAR TIP 1.25X150MM","N/A","N/A","0272","N/A","N/A","138.27","138.27","138.27","N/A","N/A","N/A","138.27","138.27","N/A","138.27","138.27","138.27","138.27","138.27","138.27","138.27","138.27","138.27","138.27"
"5","N/A","WIRE GUIDE 2.2MMX28"","N/A","N/A","0272","N/A","N/A","531.30","531.30","531.30","N/A","N/A","N/A","531.30","531.30","N/A","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30"
"5","N/A","WIRE K COLAG SGL TROCAR .045X5"","N/A","N/A","0272","N/A","N/A","375.38","375.38","375.38","N/A","N/A","N/A","375.38","375.38","N/A","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38"
"5","N/A","WIRE K COLAG SGL TROCAR .062X5"","N/A","N/A","0272","N/A","N/A","375.38","375.38","375.38","N/A","N/A","N/A","375.38","375.38","N/A","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38"
"5","N/A","WIRE K DRILL TIP 2.0X150MM","N/A","N/A","0272","N/A","N/A","280.83","280.83","280.83","N/A","N/A","N/A","280.83","280.83","N/A","280.83","280.83","280.83","280.83","280.83","280.83","280.83","280.83","280.83","280.83"
"5","N/A","WIRE K FIXATION PERI-LOC 1.6X150MM","N/A","N/A","0272","N/A","N/A","109.03","109.03","109.03","N/A","N/A","N/A","109.03","109.03","N/A","109.03","109.03","109.03","109.03","109.03","109.03","109.03","109.03","109.03","109.03"
"5","N/A","WIRE K FIXATION W/DRILL TIP 2.0X315MM","N/A","N/A","0272","N/A","N/A","295.68","295.68","295.68","N/A","N/A","N/A","295.68","295.68","N/A","295.68","295.68","295.68","295.68","295.68","295.68","295.68","295.68","295.68","295.68"
"5","N/A","WIRE K GORILLA SGL ENDED TROC TIP SMOOTH 2.0X150MM","N/A","N/A","0272","N/A","N/A","75.08","75.08","75.08","N/A","N/A","N/A","75.08","75.08","N/A","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08"
"5","N/A","WIRE K PARAGON SMOOTH 1.4X150MM","N/A","N/A","0272","N/A","N/A","75.08","75.08","75.08","N/A","N/A","N/A","75.08","75.08","N/A","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08"
"5","N/A","WIRE K PHANTOM BLUNT SS 1.5X350MM","N/A","N/A","0272","N/A","N/A","376.20","376.20","376.20","N/A","N/A","N/A","376.20","376.20","N/A","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20","376.20"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 1.2X150MM","N/A","N/A","0272","N/A","N/A","75.08","75.08","75.08","N/A","N/A","N/A","75.08","75.08","N/A","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 1.6X150MM","N/A","N/A","0272","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 2.3X230MM","N/A","N/A","0272","N/A","N/A","75.08","75.08","75.08","N/A","N/A","N/A","75.08","75.08","N/A","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08"
"5","N/A","WIRE K TEMP FIX STD TIP 1.5X127MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","WIRE K TEMP FIX W/TROCAR TIP 2.0X150MM","N/A","N/A","0272","N/A","N/A","110.88","110.88","110.88","N/A","N/A","N/A","110.88","110.88","N/A","110.88","110.88","110.88","110.88","110.88","110.88","110.88","110.88","110.88","110.88"
"5","N/A","WIRE KIRSCHNER 3.2X450MM","N/A","N/A","0272","N/A","N/A","607.00","607.00","607.00","N/A","N/A","N/A","607.00","607.00","N/A","607.00","607.00","607.00","607.00","607.00","607.00","607.00","607.00","607.00","607.00"
"5","N/A","WIRE KIRSCHNER BEVEL TIP NIT PRECEPT","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","WIRE KIRSCHNER FIXATION TEMP W/ STOP 2.0X150MM","N/A","N/A","0272","N/A","N/A","443.52","443.52","443.52","N/A","N/A","N/A","443.52","443.52","N/A","443.52","443.52","443.52","443.52","443.52","443.52","443.52","443.52","443.52","443.52"
"5","N/A","WIRE KIRSCHNER SS 1.6MM","N/A","N/A","0272","N/A","N/A","102.56","102.56","102.56","N/A","N/A","N/A","102.56","102.56","N/A","102.56","102.56","102.56","102.56","102.56","102.56","102.56","102.56","102.56","102.56"
"5","N/A","WIRE KIRSCHNER STD 1.5X127MM","N/A","N/A","0272","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","WIRE KIRSCHNER THRD SS LG STOP 1.25X150","N/A","N/A","0272","N/A","N/A","547.80","547.80","547.80","N/A","N/A","N/A","547.80","547.80","N/A","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80"
"5","N/A","WIRE KIRSCHNER THRD SS SM STOP 1.25X150","N/A","N/A","0272","N/A","N/A","547.80","547.80","547.80","N/A","N/A","N/A","547.80","547.80","N/A","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80"
"5","N/A","WIRE KIRSCHNER TROCAR 1END SS 1.25X150","N/A","N/A","0272","N/A","N/A","27.66","27.66","27.66","N/A","N/A","N/A","27.66","27.66","N/A","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66"
"5","N/A","WIRE KIRSCHNER TROCAR 1END SS 1.6X150","N/A","N/A","0272","N/A","N/A","27.66","27.66","27.66","N/A","N/A","N/A","27.66","27.66","N/A","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66"
"5","N/A","WIRE KIRSCHNER TROCAR 1END SS 2X150MM","N/A","N/A","0272","N/A","N/A","27.66","27.66","27.66","N/A","N/A","N/A","27.66","27.66","N/A","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66"
"5","N/A","WIRE KIRSCHNER W/ 5MM TRD TIP SS 1.6X150MM","N/A","N/A","0272","N/A","N/A","52.31","52.31","52.31","N/A","N/A","N/A","52.31","52.31","N/A","52.31","52.31","52.31","52.31","52.31","52.31","52.31","52.31","52.31","52.31"
"5","N/A","WIRE KIRSCHNER W/ TROCAR POINT SS 0.8X70MM","N/A","N/A","0272","N/A","N/A","24.10","24.10","24.10","N/A","N/A","N/A","24.10","24.10","N/A","24.10","24.10","24.10","24.10","24.10","24.10","24.10","24.10","24.10","24.10"
"5","N/A","WIRE KIRSCHNER W/ TROCAR TIP SS 1.0X150MM","N/A","N/A","0272","N/A","N/A","27.66","27.66","27.66","N/A","N/A","N/A","27.66","27.66","N/A","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66"
"5","N/A","WIRE LOCALIZATION GHIATA 20GX5CM NDL","N/A","N/A","0272","N/A","N/A","57.71","57.71","57.71","N/A","N/A","N/A","57.71","57.71","N/A","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71"
"5","N/A","WIRE LOCALIZATION GHIATA 20GX7CM NDL","N/A","N/A","0272","N/A","N/A","57.71","57.71","57.71","N/A","N/A","N/A","57.71","57.71","N/A","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71"
"5","N/A","WIRE LOCALIZATION GHIATA 20GX9CM NDL","N/A","N/A","0272","N/A","N/A","57.71","57.71","57.71","N/A","N/A","N/A","57.71","57.71","N/A","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71"
"5","N/A","WIRE OLIVE .062X3"","N/A","N/A","0272","N/A","N/A","525.53","525.53","525.53","N/A","N/A","N/A","525.53","525.53","N/A","525.53","525.53","525.53","525.53","525.53","525.53","525.53","525.53","525.53","525.53"
"5","N/A","WIRE OLIVE COLINK","N/A","N/A","0272","N/A","N/A","375.38","375.38","375.38","N/A","N/A","N/A","375.38","375.38","N/A","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38","375.38"
"5","N/A","WIRE OLIVE HALF SMOOTH LRG 1.6X80MM","N/A","N/A","0272","N/A","N/A","308.55","308.55","308.55","N/A","N/A","N/A","308.55","308.55","N/A","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55"
"5","N/A","WIRE OLIVE HALF SMOOTH LRG 1.6X92MM","N/A","N/A","0272","N/A","N/A","308.55","308.55","308.55","N/A","N/A","N/A","308.55","308.55","N/A","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55","308.55"
"5","N/A","WIRE PLATE REDUCTION TRD TIP W/LRG STOP SS 1.25X150MM","N/A","N/A","0272","N/A","N/A","547.80","547.80","547.80","N/A","N/A","N/A","547.80","547.80","N/A","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80","547.80"
"5","N/A","WIRELIGATUREBLUNT0.5X160MM","N/A","N/A","0272","N/A","N/A","26.93","26.93","26.93","N/A","N/A","N/A","26.93","26.93","N/A","26.93","26.93","26.93","26.93","26.93","26.93","26.93","26.93","26.93","26.93"
"5","N/A","WRAP SPECIMEN 23-1/2X16-1/2" ORANGE","N/A","N/A","0272","N/A","N/A","7.37","7.37","7.37","N/A","N/A","N/A","7.37","7.37","N/A","7.37","7.37","7.37","7.37","7.37","7.37","7.37","7.37","7.37","7.37"
"5","N/A","WRENCH SPANNER HOFFMANN II EXFIX 5MM","N/A","N/A","0272","N/A","N/A","870.87","870.87","870.87","N/A","N/A","N/A","870.87","870.87","N/A","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87","870.87"
"5","N/A","WRENCH SURGICAL SHORT 60 MM","N/A","N/A","0272","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","WRENCH SURGICAL TORQUE","N/A","N/A","0272","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","Z-SAMPLER ENDOMETRIAL","N/A","N/A","0272","N/A","N/A","25.08","25.08","25.08","N/A","N/A","N/A","25.08","25.08","N/A","25.08","25.08","25.08","25.08","25.08","25.08","25.08","25.08","25.08","25.08"
"5","N/A","BELT RIB PREMIUM FEMALE UNIV 6X40"","N/A","N/A","0274","N/A","N/A","17.95","17.95","17.95","N/A","N/A","N/A","17.95","17.95","N/A","17.95","17.95","17.95","17.95","17.95","17.95","17.95","17.95","17.95","17.95"
"5","N/A","BINDER ABDOMINAL 3 PANEL 2XL 9"","N/A","N/A","0274","N/A","N/A","19.24","19.24","19.24","N/A","N/A","N/A","19.24","19.24","N/A","19.24","19.24","19.24","19.24","19.24","19.24","19.24","19.24","19.24","19.24"
"5","N/A","BINDER ABDOMINAL 3 PANEL SM MD 9"","N/A","N/A","0274","N/A","N/A","20.79","20.79","20.79","N/A","N/A","N/A","20.79","20.79","N/A","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79"
"5","N/A","BINDER ABDOMINAL 4 PANEL LG XL 12"","N/A","N/A","0274","N/A","N/A","20.79","20.79","20.79","N/A","N/A","N/A","20.79","20.79","N/A","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79"
"5","N/A","BOOT CAST FLEX SOLE ROCKER 11X4.75" MED","N/A","N/A","0274","N/A","N/A","16.83","16.83","16.83","N/A","N/A","N/A","16.83","16.83","N/A","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83","16.83"
"5","N/A","BOOT CAST ROCKER 12.5X5.25" LRG BLK","N/A","N/A","0274","N/A","N/A","12.51","12.51","12.51","N/A","N/A","N/A","12.51","12.51","N/A","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51"
"5","N/A","BOOT CAST ROCKER SM 9.25X4.25"","N/A","N/A","0274","N/A","N/A","12.51","12.51","12.51","N/A","N/A","N/A","12.51","12.51","N/A","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51","12.51"
"5","N/A","BOOT HEELIFT GLIDE ULTRA SZ BARIATRIC","N/A","N/A","0274","N/A","N/A","238.01","238.01","238.01","N/A","N/A","N/A","238.01","238.01","N/A","238.01","238.01","238.01","238.01","238.01","238.01","238.01","238.01","238.01","238.01"
"5","N/A","BOOT WALKER STD SAMSON XL","N/A","N/A","0274","N/A","N/A","100.19","100.19","100.19","N/A","N/A","N/A","100.19","100.19","N/A","100.19","100.19","100.19","100.19","100.19","100.19","100.19","100.19","100.19","100.19"
"5","N/A","BRACE BACK LSO VISTA LO PRO SZ 26-60"","N/A","N/A","0274","N/A","N/A","709.50","709.50","709.50","N/A","N/A","N/A","709.50","709.50","N/A","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50"
"5","N/A","BRACE BACK TLSO VISTA SZ 26-70"","N/A","N/A","0274","N/A","N/A","851.40","851.40","851.40","N/A","N/A","N/A","851.40","851.40","N/A","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40","851.40"
"5","N/A","BRACE COOL X-ACT ROM POST-OP","N/A","N/A","0274","N/A","N/A","317.00","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","BRACE KNEE T SCP UNIV 30.5"","N/A","N/A","0274","N/A","N/A","268.22","268.22","268.22","N/A","N/A","N/A","268.22","268.22","N/A","268.22","268.22","268.22","268.22","268.22","268.22","268.22","268.22","268.22","268.22"
"5","N/A","BRACE KNEE TELESCOPING IROM","N/A","N/A","0274","N/A","N/A","254.57","254.57","254.57","N/A","N/A","N/A","254.57","254.57","N/A","254.57","254.57","254.57","254.57","254.57","254.57","254.57","254.57","254.57","254.57"
"5","N/A","COLLAR CERVICAL ASP BACK ADLT LGE 13-25"","N/A","N/A","0274","N/A","N/A","90.09","90.09","90.09","N/A","N/A","N/A","90.09","90.09","N/A","90.09","90.09","90.09","90.09","90.09","90.09","90.09","90.09","90.09","90.09"
"5","N/A","COLLAR CERVICAL LGE 5X21-1/2"","N/A","N/A","0274","N/A","N/A","24.42","24.42","24.42","N/A","N/A","N/A","24.42","24.42","N/A","24.42","24.42","24.42","24.42","24.42","24.42","24.42","24.42","24.42","24.42"
"5","N/A","COLLAR CERVICAL LO CONTUR 3X22"","N/A","N/A","0274","N/A","N/A","7.39","7.39","7.39","N/A","N/A","N/A","7.39","7.39","N/A","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39"
"5","N/A","COLLAR CERVICAL MED 2X22"","N/A","N/A","0274","N/A","N/A","21.71","21.71","21.71","N/A","N/A","N/A","21.71","21.71","N/A","21.71","21.71","21.71","21.71","21.71","21.71","21.71","21.71","21.71","21.71"
"5","N/A","COLLAR CERVICAL MED 4X20-1/2"","N/A","N/A","0274","N/A","N/A","7.59","7.59","7.59","N/A","N/A","N/A","7.59","7.59","N/A","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59"
"5","N/A","COLLAR CERVICAL MED XLONG 4X22"","N/A","N/A","0274","N/A","N/A","7.59","7.59","7.59","N/A","N/A","N/A","7.59","7.59","N/A","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59"
"5","N/A","COLLAR CERVICAL SM 3X16-1/2"","N/A","N/A","0274","N/A","N/A","7.59","7.59","7.59","N/A","N/A","N/A","7.59","7.59","N/A","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59","7.59"
"5","N/A","COLLAR CERVICAL SM XLNG 3X19"","N/A","N/A","0274","N/A","N/A","22.07","22.07","22.07","N/A","N/A","N/A","22.07","22.07","N/A","22.07","22.07","22.07","22.07","22.07","22.07","22.07","22.07","22.07","22.07"
"5","N/A","COLLAR CERVICAL VISTA CTO POST 2 THORACIC ADJ","N/A","N/A","0274","N/A","N/A","594.00","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","COLLAR W/PAD PEDIATRIC 3-6 YRS 37-48" PD5","N/A","N/A","0274","N/A","N/A","86.63","86.63","86.63","N/A","N/A","N/A","86.63","86.63","N/A","86.63","86.63","86.63","86.63","86.63","86.63","86.63","86.63","86.63","86.63"
"5","N/A","COLLAR W/PADS VISTA TX THORACIC EXT 6 IN 1 SZ","N/A","N/A","0274","N/A","N/A","187.11","187.11","187.11","N/A","N/A","N/A","187.11","187.11","N/A","187.11","187.11","187.11","187.11","187.11","187.11","187.11","187.11","187.11","187.11"
"5","N/A","HCHG PROSTHETIC/ORTHOTIC SUPPLY","N/A","N/A","0274","N/A","N/A","20.40","20.40","20.40","N/A","N/A","N/A","20.40","20.40","N/A","20.40","20.40","20.40","20.40","20.40","20.40","20.40","20.40","20.40","20.40"
"5","N/A","IMMOBILIZER KNEE POST OP LG 20"","N/A","N/A","0274","N/A","N/A","35.48","35.48","35.48","N/A","N/A","N/A","35.48","35.48","N/A","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48"
"5","N/A","IMMOBILIZER KNEE POST OP MD 20"","N/A","N/A","0274","N/A","N/A","35.51","35.51","35.51","N/A","N/A","N/A","35.51","35.51","N/A","35.51","35.51","35.51","35.51","35.51","35.51","35.51","35.51","35.51","35.51"
"5","N/A","IMMOBILIZER KNEE POST OP SM 20"","N/A","N/A","0274","N/A","N/A","35.48","35.48","35.48","N/A","N/A","N/A","35.48","35.48","N/A","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48"
"5","N/A","IMMOBILIZER KNEE POST OP XL 20"","N/A","N/A","0274","N/A","N/A","35.48","35.48","35.48","N/A","N/A","N/A","35.48","35.48","N/A","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48","35.48"
"5","N/A","IMMOBILIZER SHOULDER HOOK + LOOP LG","N/A","N/A","0274","N/A","N/A","19.70","19.70","19.70","N/A","N/A","N/A","19.70","19.70","N/A","19.70","19.70","19.70","19.70","19.70","19.70","19.70","19.70","19.70","19.70"
"5","N/A","IMMOBILIZER SHOULDER HOOK + LOOP MD","N/A","N/A","0274","N/A","N/A","19.70","19.70","19.70","N/A","N/A","N/A","19.70","19.70","N/A","19.70","19.70","19.70","19.70","19.70","19.70","19.70","19.70","19.70","19.70"
"5","N/A","IMMOBILIZER SHOULDER METAL BUCKLE LG","N/A","N/A","0274","N/A","N/A","12.44","12.44","12.44","N/A","N/A","N/A","12.44","12.44","N/A","12.44","12.44","12.44","12.44","12.44","12.44","12.44","12.44","12.44","12.44"
"5","N/A","IMMOBILIZER SHOULDER METAL BUCKLE MD","N/A","N/A","0274","N/A","N/A","12.44","12.44","12.44","N/A","N/A","N/A","12.44","12.44","N/A","12.44","12.44","12.44","12.44","12.44","12.44","12.44","12.44","12.44","12.44"
"5","N/A","IMMOBILIZER SHOULDER MUSLIN 7X13.5" SM","N/A","N/A","0274","N/A","N/A","15.11","15.11","15.11","N/A","N/A","N/A","15.11","15.11","N/A","15.11","15.11","15.11","15.11","15.11","15.11","15.11","15.11","15.11","15.11"
"5","N/A","IMMOBILIZER SHOULDER W/FOAM STRAP 10X20" XLGE","N/A","N/A","0274","N/A","N/A","15.51","15.51","15.51","N/A","N/A","N/A","15.51","15.51","N/A","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51"
"5","N/A","IMMOBILIZER SHOULDER W/FOAM STRAP 8X15" MED","N/A","N/A","0274","N/A","N/A","15.51","15.51","15.51","N/A","N/A","N/A","15.51","15.51","N/A","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51"
"5","N/A","IMMOBILIZER SHOULDER W/FOAM STRAP 9X18" LGE","N/A","N/A","0274","N/A","N/A","15.51","15.51","15.51","N/A","N/A","N/A","15.51","15.51","N/A","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51"
"5","N/A","PILLOW ABDUCTION LG LEG W/ STRAPS","N/A","N/A","0274","N/A","N/A","56.96","56.96","56.96","N/A","N/A","N/A","56.96","56.96","N/A","56.96","56.96","56.96","56.96","56.96","56.96","56.96","56.96","56.96","56.96"
"5","N/A","PROSTHESIS VOICE DUAL VALVE LARGE FLANGE 20F 10MM","N/A","N/A","0274","N/A","N/A","1617.00","1617.00","1617.00","N/A","N/A","N/A","1617.00","1617.00","N/A","1617.00","1617.00","1617.00","1617.00","1617.00","1617.00","1617.00","1617.00","1617.00","1617.00"
"5","N/A","PROSTHESIS VOICE INDWELLING DUAL VALVE 20F 6MM","N/A","N/A","0274","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","PROSTHESIS VOICE INDWELLING DUAL VALVE 20F 8MM","N/A","N/A","0274","N/A","N/A","1518.00","1518.00","1518.00","N/A","N/A","N/A","1518.00","1518.00","N/A","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00","1518.00"
"5","N/A","PROSTHESIS VOICE INDWELLING N/S 20F 8MM","N/A","N/A","0274","N/A","N/A","841.50","841.50","841.50","N/A","N/A","N/A","841.50","841.50","N/A","841.50","841.50","841.50","841.50","841.50","841.50","841.50","841.50","841.50","841.50"
"5","N/A","PROSTHESIS VOICE INDWL ADVANTAGE SILICONE N/S 20F 10MM","N/A","N/A","0274","N/A","N/A","1287.00","1287.00","1287.00","N/A","N/A","N/A","1287.00","1287.00","N/A","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00"
"5","N/A","SLING ORTHO ULTRASLING III ER 15 DEG MED RT","N/A","N/A","0274","N/A","N/A","185.72","185.72","185.72","N/A","N/A","N/A","185.72","185.72","N/A","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72"
"5","N/A","SLING ORTHOPEDIC ULTRASLING III ER 15D MED LT","N/A","N/A","0274","N/A","N/A","185.72","185.72","185.72","N/A","N/A","N/A","185.72","185.72","N/A","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72"
"5","N/A","SLING ORTHOPEDIC ULTRASLING III ER FOAM 15D LRG 13"+ LT","N/A","N/A","0274","N/A","N/A","185.72","185.72","185.72","N/A","N/A","N/A","185.72","185.72","N/A","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72","185.72"
"5","N/A","SLING SHOULDER SLINGSHOT NEUT LG","N/A","N/A","0274","N/A","N/A","170.05","170.05","170.05","N/A","N/A","N/A","170.05","170.05","N/A","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05"
"5","N/A","SLING SHOULDER SLINGSHOT NEUT MD","N/A","N/A","0274","N/A","N/A","170.05","170.05","170.05","N/A","N/A","N/A","170.05","170.05","N/A","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05"
"5","N/A","SLING SHOULDER SLINGSHOT NEUT SM","N/A","N/A","0274","N/A","N/A","170.05","170.05","170.05","N/A","N/A","N/A","170.05","170.05","N/A","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05","170.05"
"5","N/A","WALKER LEG SHT ADJ STRAP LG","N/A","N/A","0274","N/A","N/A","85.37","85.37","85.37","N/A","N/A","N/A","85.37","85.37","N/A","85.37","85.37","85.37","85.37","85.37","85.37","85.37","85.37","85.37","85.37"
"5","N/A","WALKER LEG SHT ADJ STRAP MD","N/A","N/A","0274","N/A","N/A","85.70","85.70","85.70","N/A","N/A","N/A","85.70","85.70","N/A","85.70","85.70","85.70","85.70","85.70","85.70","85.70","85.70","85.70","85.70"
"5","N/A","WALKER LEG SHT ADJ STRAP SM","N/A","N/A","0274","N/A","N/A","85.37","85.37","85.37","N/A","N/A","N/A","85.37","85.37","N/A","85.37","85.37","85.37","85.37","85.37","85.37","85.37","85.37","85.37","85.37"
"5","N/A","DEFIBRILLATOR VISIONIST X4 CRT-P IS-1/IS4","N/A","N/A","0275","N/A","N/A","21787.50","21787.50","21787.50","N/A","N/A","N/A","21787.50","21787.50","N/A","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50"
"5","N/A","HCHG OPTIME PACEMAKER","N/A","N/A","0275","N/A","N/A","8300.00","8300.00","8300.00","N/A","N/A","N/A","8300.00","8300.00","N/A","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00"
"5","N/A","LEAD ATTAIN ABILITY QUAD MRI 78CM","N/A","N/A","0275","N/A","N/A","9835.50","9835.50","9835.50","N/A","N/A","N/A","9835.50","9835.50","N/A","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50"
"5","N/A","LEAD ATTAIN ABILITY QUAD MRI 88CM","N/A","N/A","0275","N/A","N/A","9835.50","9835.50","9835.50","N/A","N/A","N/A","9835.50","9835.50","N/A","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50","9835.50"
"5","N/A","LEAD ATTAIN PERFORMA 78CM","N/A","N/A","0275","N/A","N/A","8300.00","8300.00","8300.00","N/A","N/A","N/A","8300.00","8300.00","N/A","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00"
"5","N/A","LEAD ATTAIN PERFORMA QUADRIPOLAR OFFSET 459888","N/A","N/A","0275","N/A","N/A","8300.00","8300.00","8300.00","N/A","N/A","N/A","8300.00","8300.00","N/A","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00"
"5","N/A","LEAD ICD ACUITY X4 QUAD PASSIVE 95CM","N/A","N/A","0275","N/A","N/A","7055.00","7055.00","7055.00","N/A","N/A","N/A","7055.00","7055.00","N/A","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00"
"5","N/A","LEAD ICD LV ACUITY X4 SPIRAL L 86CM","N/A","N/A","0275","N/A","N/A","7055.00","7055.00","7055.00","N/A","N/A","N/A","7055.00","7055.00","N/A","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00"
"5","N/A","LEAD ICD QUADRIPOLAR ACUITY X4 3D 86CM","N/A","N/A","0275","N/A","N/A","7055.00","7055.00","7055.00","N/A","N/A","N/A","7055.00","7055.00","N/A","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00"
"5","N/A","LEAD ICD QUADRIPOLAR ACUITY X4 86CM","N/A","N/A","0275","N/A","N/A","7055.00","7055.00","7055.00","N/A","N/A","N/A","7055.00","7055.00","N/A","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00"
"5","N/A","LEAD ICD QUADRIPOLAR ACUITY X4 95CM","N/A","N/A","0275","N/A","N/A","7055.00","7055.00","7055.00","N/A","N/A","N/A","7055.00","7055.00","N/A","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00","7055.00"
"5","N/A","LEAD QUADRIPOLAR QUARTET 86CM","N/A","N/A","0275","N/A","N/A","8300.00","8300.00","8300.00","N/A","N/A","N/A","8300.00","8300.00","N/A","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00"
"5","N/A","LEAD SENTUS PROMRI OTW QP L-85/49","N/A","N/A","0275","N/A","N/A","8300.00","8300.00","8300.00","N/A","N/A","N/A","8300.00","8300.00","N/A","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00"
"5","N/A","LEAD SENTUS PROMRI OTW QP S-85/49","N/A","N/A","0275","N/A","N/A","8300.00","8300.00","8300.00","N/A","N/A","N/A","8300.00","8300.00","N/A","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00","8300.00"
"5","N/A","PACEMAKER CARDIAC VISIONIST IS-1","N/A","N/A","0275","N/A","N/A","21787.50","21787.50","21787.50","N/A","N/A","N/A","21787.50","21787.50","N/A","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50"
"5","N/A","PACEMAKER EDORA 8 DR-T PROMRI W/HM","N/A","N/A","0275","N/A","N/A","21787.50","21787.50","21787.50","N/A","N/A","N/A","21787.50","21787.50","N/A","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50","21787.50"
"5","N/A","PACEMAKER PERCEPTA MRI CRT-P","N/A","N/A","0275","N/A","N/A","29647.60","29647.60","29647.60","N/A","N/A","N/A","29647.60","29647.60","N/A","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60"
"5","N/A","PACEMAKER PERCEPTA MRI QUAD CRT-P","N/A","N/A","0275","N/A","N/A","29647.60","29647.60","29647.60","N/A","N/A","N/A","29647.60","29647.60","N/A","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60","29647.60"
"5","N/A","LENS INTRAOCULAR AC PMMA MTA4U0 12.5","N/A","N/A","0276","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","LENS INTRAOCULAR AC PMMA MTA4U0 21.0","N/A","N/A","0276","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX PC ACR TFNT30 24.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL ACR TFAT00 19.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFAT00 18.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFAT00 19.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFAT00 20.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFAT00 20.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFAT00 22.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
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"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFAT30 31.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
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"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFAT60 16.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 10.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 13.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 14.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 15.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 15.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 16.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 17.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 17.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 18.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 18.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 19.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 19.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 20.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 20.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 21.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 21.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 22.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 22.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 23.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 7.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 10.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 11.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 12.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 13.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 14.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 15.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 16.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 20.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 21.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 21.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 22.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT30 9.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT40 11.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","OCTREOTIDE,MICROSPHERES 30 MG SSRR","N/A","N/A","0250","N/A","N/A","298.02","298.02","298.02","N/A","N/A","N/A","298.02","298.02","N/A","298.02","298.02","298.02","298.02","298.02","298.02","298.02","298.02","298.02","298.02"
"5","N/A","OLANZAPINE 10 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","79.68","79.68","79.68","N/A","N/A","N/A","79.68","79.68","N/A","79.68","79.68","79.68","79.68","79.68","79.68","79.68","79.68","79.68","79.68"
"5","N/A","OLANZAPINE 10 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","80.74","80.74","80.74","N/A","N/A","N/A","80.74","80.74","N/A","80.74","80.74","80.74","80.74","80.74","80.74","80.74","80.74","80.74","80.74"
"5","N/A","OMALIZUMAB 150 MG/ML SYR","N/A","N/A","0250","N/A","N/A","91.76","91.76","91.76","N/A","N/A","N/A","91.76","91.76","N/A","91.76","91.76","91.76","91.76","91.76","91.76","91.76","91.76","91.76","91.76"
"5","N/A","OMALIZUMAB 150 MG/ML SYR 1 ML SYRINGE","N/A","N/A","0250","N/A","N/A","91.52","91.52","91.52","N/A","N/A","N/A","91.52","91.52","N/A","91.52","91.52","91.52","91.52","91.52","91.52","91.52","91.52","91.52","91.52"
"5","N/A","ONABOTULINUMTOXIN A 200 UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","4.53","4.53","4.53","N/A","N/A","N/A","4.53","4.53","N/A","4.53","4.53","4.53","4.53","4.53","4.53","4.53","4.53","4.53","4.53"
"5","N/A","ONDANSETRON 4 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","1.96","1.96","1.96","N/A","N/A","N/A","1.96","1.96","N/A","1.96","1.96","1.96","1.96","1.96","1.96","1.96","1.96","1.96","1.96"
"5","N/A","ONDANSETRON 4 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","0.57","0.57","0.57","N/A","N/A","N/A","0.57","0.57","N/A","0.57","0.57","0.57","0.57","0.57","0.57","0.57","0.57","0.57","0.57"
"5","N/A","ONDANSETRON 4 MG/2 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","1.35","1.35","1.35","N/A","N/A","N/A","1.35","1.35","N/A","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35"
"5","N/A","OXACILLIN 2 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","6.75","6.75","6.75","N/A","N/A","N/A","6.75","6.75","N/A","6.75","6.75","6.75","6.75","6.75","6.75","6.75","6.75","6.75","6.75"
"5","N/A","OXALIPLATIN 100 MG/20 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","1.20","1.20","1.20","N/A","N/A","N/A","1.20","1.20","N/A","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20"
"5","N/A","OXALIPLATIN 50 MG/10 ML (5 MG/ML) SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","1.20","1.20","1.20","N/A","N/A","N/A","1.20","1.20","N/A","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20","1.20"
"5","N/A","OXYTOCIN 10 UNITS/ML SOLN","N/A","N/A","0250","N/A","N/A","4.16","4.16","4.16","N/A","N/A","N/A","4.16","4.16","N/A","4.16","4.16","4.16","4.16","4.16","4.16","4.16","4.16","4.16","4.16"
"5","N/A","OXYTOCIN 10 UNITS/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","7.20","7.20","7.20","N/A","N/A","N/A","7.20","7.20","N/A","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20","7.20"
"5","N/A","OXYTOCIN IN NORMAL SALINE 30 UNIT/500 ML SOLN","N/A","N/A","0250","N/A","N/A","15.68","15.68","15.68","N/A","N/A","N/A","15.68","15.68","N/A","15.68","15.68","15.68","15.68","15.68","15.68","15.68","15.68","15.68","15.68"
"5","N/A","PACLITAXEL 6 MG/ML CONC 16.7 ML VIAL","N/A","N/A","0250","N/A","N/A","0.93","0.93","0.93","N/A","N/A","N/A","0.93","0.93","N/A","0.93","0.93","0.93","0.93","0.93","0.93","0.93","0.93","0.93","0.93"
"5","N/A","PACLITAXEL 6 MG/ML CONC 50 ML VIAL","N/A","N/A","0250","N/A","N/A","0.91","0.91","0.91","N/A","N/A","N/A","0.91","0.91","N/A","0.91","0.91","0.91","0.91","0.91","0.91","0.91","0.91","0.91","0.91"
"5","N/A","PACLITAXEL PROTEIN BOUND 100 MG SUSR","N/A","N/A","0250","N/A","N/A","35.38","35.38","35.38","N/A","N/A","N/A","35.38","35.38","N/A","35.38","35.38","35.38","35.38","35.38","35.38","35.38","35.38","35.38","35.38"
"5","N/A","PACLITAXEL PROTEIN BOUND 100 MG SUSR 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","35.37","35.37","35.37","N/A","N/A","N/A","35.37","35.37","N/A","35.37","35.37","35.37","35.37","35.37","35.37","35.37","35.37","35.37","35.37"
"5","N/A","PALIPERIDONE PALMITATE 117 MG/0.75 ML SYR","N/A","N/A","0250","N/A","N/A","17.43","17.43","17.43","N/A","N/A","N/A","17.43","17.43","N/A","17.43","17.43","17.43","17.43","17.43","17.43","17.43","17.43","17.43","17.43"
"5","N/A","PALIPERIDONE PALMITATE 156 MG/ML (1 ML) SYR","N/A","N/A","0250","N/A","N/A","17.20","17.20","17.20","N/A","N/A","N/A","17.20","17.20","N/A","17.20","17.20","17.20","17.20","17.20","17.20","17.20","17.20","17.20","17.20"
"5","N/A","PALIPERIDONE PALMITATE 234 MG/1.5 ML SYR","N/A","N/A","0250","N/A","N/A","17.08","17.08","17.08","N/A","N/A","N/A","17.08","17.08","N/A","17.08","17.08","17.08","17.08","17.08","17.08","17.08","17.08","17.08","17.08"
"5","N/A","PALIPERIDONE PALMITATE 78 MG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","16.78","16.78","16.78","N/A","N/A","N/A","16.78","16.78","N/A","16.78","16.78","16.78","16.78","16.78","16.78","16.78","16.78","16.78","16.78"
"5","N/A","PALONOSETRON 0.25 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","26.09","26.09","26.09","N/A","N/A","N/A","26.09","26.09","N/A","26.09","26.09","26.09","26.09","26.09","26.09","26.09","26.09","26.09","26.09"
"5","N/A","PAMIDRONATE 30 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","63.23","63.23","63.23","N/A","N/A","N/A","63.23","63.23","N/A","63.23","63.23","63.23","63.23","63.23","63.23","63.23","63.23","63.23","63.23"
"5","N/A","PANITUMUMAB 100 MG/5 ML (20 MG/ML) SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","317.64","317.64","317.64","N/A","N/A","N/A","317.64","317.64","N/A","317.64","317.64","317.64","317.64","317.64","317.64","317.64","317.64","317.64","317.64"
"5","N/A","PANITUMUMAB 400 MG/20 ML (20 MG/ML) SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","324.07","324.07","324.07","N/A","N/A","N/A","324.07","324.07","N/A","324.07","324.07","324.07","324.07","324.07","324.07","324.07","324.07","324.07","324.07"
"5","N/A","PANTOPRAZOLE 40 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","14.71","14.71","14.71","N/A","N/A","N/A","14.71","14.71","N/A","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71","14.71"
"5","N/A","PANTOPRAZOLE 40 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","14.44","14.44","14.44","N/A","N/A","N/A","14.44","14.44","N/A","14.44","14.44","14.44","14.44","14.44","14.44","14.44","14.44","14.44","14.44"
"5","N/A","PARICALCITOL 2 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","5.91","5.91","5.91","N/A","N/A","N/A","5.91","5.91","N/A","5.91","5.91","5.91","5.91","5.91","5.91","5.91","5.91","5.91","5.91"
"5","N/A","PARICALCITOL 5 MCG/ML SOLN","N/A","N/A","0250","N/A","N/A","7.28","7.28","7.28","N/A","N/A","N/A","7.28","7.28","N/A","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28"
"5","N/A","PATIROMER CALCIUM SORBITEX 8.4 GRAM PWPK","N/A","N/A","0250","N/A","N/A","71.84","71.84","71.84","N/A","N/A","N/A","71.84","71.84","N/A","71.84","71.84","71.84","71.84","71.84","71.84","71.84","71.84","71.84","71.84"
"5","N/A","PCC 1 INTERNATIONAL UNIT CHARGE 500 UNIT (400-620 UNIT) KIT","N/A","N/A","0250","N/A","N/A","6.29","6.29","6.29","N/A","N/A","N/A","6.29","6.29","N/A","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29"
"5","N/A","PCC 1 INTERNATIONAL UNIT CHARGE 500 UNIT (400-620 UNIT) KIT 1 EACH KIT","N/A","N/A","0250","N/A","N/A","6.29","6.29","6.29","N/A","N/A","N/A","6.29","6.29","N/A","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29"
"5","N/A","PCC 1000U 1 INTERNATIONAL UNIT CHARGE 1,000 UNIT ( 800-1,240 UNIT) KIT","N/A","N/A","0250","N/A","N/A","6.29","6.29","6.29","N/A","N/A","N/A","6.29","6.29","N/A","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29"
"5","N/A","PCC 1000U 1 INTERNATIONAL UNIT CHARGE 1,000 UNIT ( 800-1,240 UNIT) KIT 1 EACH KIT","N/A","N/A","0250","N/A","N/A","6.29","6.29","6.29","N/A","N/A","N/A","6.29","6.29","N/A","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29"
"5","N/A","PCC 1000U 1 INTERNATIONAL UNIT CHARGE 1,000 UNIT ( 800-1,240 UNIT) KIT 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","6.29","6.29","6.29","N/A","N/A","N/A","6.29","6.29","N/A","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29","6.29"
"5","N/A","PED DOPAMINE DRIP 400 MG/250 ML SOLN","N/A","N/A","0250","N/A","N/A","29.40","29.40","29.40","N/A","N/A","N/A","29.40","29.40","N/A","29.40","29.40","29.40","29.40","29.40","29.40","29.40","29.40","29.40","29.40"
"5","N/A","PEDI MORPHINE 2 MG/ML SYR","N/A","N/A","0250","N/A","N/A","8.64","8.64","8.64","N/A","N/A","N/A","8.64","8.64","N/A","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64","8.64"
"5","N/A","PEGASPARGASE 3750 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","27259.40","27259.40","27259.40","N/A","N/A","N/A","27259.40","27259.40","N/A","27259.40","27259.40","27259.40","27259.40","27259.40","27259.40","27259.40","27259.40","27259.40","27259.40"
"5","N/A","PEGFILGRASTIM 6 MG/0.6 ML SYIN","N/A","N/A","0250","N/A","N/A","8686.53","8686.53","8686.53","N/A","N/A","N/A","8686.53","8686.53","N/A","8686.53","8686.53","8686.53","8686.53","8686.53","8686.53","8686.53","8686.53","8686.53","8686.53"
"5","N/A","PEGFILGRASTIM 6 MG/0.6ML SYR","N/A","N/A","0250","N/A","N/A","8723.49","8723.49","8723.49","N/A","N/A","N/A","8723.49","8723.49","N/A","8723.49","8723.49","8723.49","8723.49","8723.49","8723.49","8723.49","8723.49","8723.49","8723.49"
"5","N/A","PEGFILGRASTIM-CBQV 6 MG/0.6 ML SYR","N/A","N/A","0250","N/A","N/A","487.08","487.08","487.08","N/A","N/A","N/A","487.08","487.08","N/A","487.08","487.08","487.08","487.08","487.08","487.08","487.08","487.08","487.08","487.08"
"5","N/A","PEMBROLIZUMAB 100 MG/4 ML (25 MG/ML) SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","64.46","64.46","64.46","N/A","N/A","N/A","64.46","64.46","N/A","64.46","64.46","64.46","64.46","64.46","64.46","64.46","64.46","64.46","64.46"
"5","N/A","PEMETREXED 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","134.71","134.71","134.71","N/A","N/A","N/A","134.71","134.71","N/A","134.71","134.71","134.71","134.71","134.71","134.71","134.71","134.71","134.71","134.71"
"5","N/A","PEMETREXED 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","134.64","134.64","134.64","N/A","N/A","N/A","134.64","134.64","N/A","134.64","134.64","134.64","134.64","134.64","134.64","134.64","134.64","134.64","134.64"
"5","N/A","PENICILLIN G BENZATHINE 1,200,000 UNIT/2 ML SYR","N/A","N/A","0250","N/A","N/A","34.50","34.50","34.50","N/A","N/A","N/A","34.50","34.50","N/A","34.50","34.50","34.50","34.50","34.50","34.50","34.50","34.50","34.50","34.50"
"5","N/A","PENICILLIN G BENZATHINE 600,000 UNIT/ML SYR","N/A","N/A","0250","N/A","N/A","39.84","39.84","39.84","N/A","N/A","N/A","39.84","39.84","N/A","39.84","39.84","39.84","39.84","39.84","39.84","39.84","39.84","39.84","39.84"
"5","N/A","PENICILLIN G K 2.5 MILLION UNITS/100 ML NS IVPB IVPB","N/A","N/A","0250","N/A","N/A","6.40","6.40","6.40","N/A","N/A","N/A","6.40","6.40","N/A","6.40","6.40","6.40","6.40","6.40","6.40","6.40","6.40","6.40","6.40"
"5","N/A","PENICILLIN G SODIUM 5 MILLION UNIT RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","110.59","110.59","110.59","N/A","N/A","N/A","110.59","110.59","N/A","110.59","110.59","110.59","110.59","110.59","110.59","110.59","110.59","110.59","110.59"
"5","N/A","PENICILLIN GK 20 MILLION UNIT RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","3.66","3.66","3.66","N/A","N/A","N/A","3.66","3.66","N/A","3.66","3.66","3.66","3.66","3.66","3.66","3.66","3.66","3.66","3.66"
"5","N/A","PENTOBARBITAL 50 MG/ML 50 ML VIAL","N/A","N/A","0250","N/A","N/A","108.34","108.34","108.34","N/A","N/A","N/A","108.34","108.34","N/A","108.34","108.34","108.34","108.34","108.34","108.34","108.34","108.34","108.34","108.34"
"5","N/A","PENTOBARBITAL 50 MG/ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","145.23","145.23","145.23","N/A","N/A","N/A","145.23","145.23","N/A","145.23","145.23","145.23","145.23","145.23","145.23","145.23","145.23","145.23","145.23"
"5","N/A","PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML SUSP","N/A","N/A","0250","N/A","N/A","318.76","318.76","318.76","N/A","N/A","N/A","318.76","318.76","N/A","318.76","318.76","318.76","318.76","318.76","318.76","318.76","318.76","318.76","318.76"
"5","N/A","PERFLUTREN LIPID MICROSPHERES 1.1 MG/ML SUSP 2 ML VIAL","N/A","N/A","0250","N/A","N/A","318.76","318.76","318.76","N/A","N/A","N/A","318.76","318.76","N/A","318.76","318.76","318.76","318.76","318.76","318.76","318.76","318.76","318.76","318.76"
"5","N/A","PERIPHERAL LINE CLINIMIX 4.25/5 FORMULA PN","N/A","N/A","0250","N/A","N/A","280.00","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","PERTUZUMAB 420 MG/14 ML (30 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","23.14","23.14","23.14","N/A","N/A","N/A","23.14","23.14","N/A","23.14","23.14","23.14","23.14","23.14","23.14","23.14","23.14","23.14","23.14"
"5","N/A","PERTUZUMAB 420 MG/14 ML (30 MG/ML) SOLN 14 ML VIAL","N/A","N/A","0250","N/A","N/A","23.04","23.04","23.04","N/A","N/A","N/A","23.04","23.04","N/A","23.04","23.04","23.04","23.04","23.04","23.04","23.04","23.04","23.04","23.04"
"5","N/A","PHENOBARBITAL SODIUM 130 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","138.02","138.02","138.02","N/A","N/A","N/A","138.02","138.02","N/A","138.02","138.02","138.02","138.02","138.02","138.02","138.02","138.02","138.02","138.02"
"5","N/A","PHENOBARBITAL SODIUM 130 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","138.02","138.02","138.02","N/A","N/A","N/A","138.02","138.02","N/A","138.02","138.02","138.02","138.02","138.02","138.02","138.02","138.02","138.02","138.02"
"5","N/A","PHENTOLAMINE 5 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","1069.98","1069.98","1069.98","N/A","N/A","N/A","1069.98","1069.98","N/A","1069.98","1069.98","1069.98","1069.98","1069.98","1069.98","1069.98","1069.98","1069.98","1069.98"
"5","N/A","PHENYLEPHRINE 10 MG/1 ML SOLN","N/A","N/A","0250","N/A","N/A","8.05","8.05","8.05","N/A","N/A","N/A","8.05","8.05","N/A","8.05","8.05","8.05","8.05","8.05","8.05","8.05","8.05","8.05","8.05"
"5","N/A","PHENYLEPHRINE 10 MG/1 ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","7.82","7.82","7.82","N/A","N/A","N/A","7.82","7.82","N/A","7.82","7.82","7.82","7.82","7.82","7.82","7.82","7.82","7.82","7.82"
"5","N/A","PHENYLEPHRINE HCL 10 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","19.47","19.47","19.47","N/A","N/A","N/A","19.47","19.47","N/A","19.47","19.47","19.47","19.47","19.47","19.47","19.47","19.47","19.47","19.47"
"5","N/A","PHENYLEPHRINE HCL 10 % DROP 5 ML DROP BTL","N/A","N/A","0250","N/A","N/A","96.00","96.00","96.00","N/A","N/A","N/A","96.00","96.00","N/A","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00"
"5","N/A","PHENYLEPHRINE HCL 2.5 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","39.07","39.07","39.07","N/A","N/A","N/A","39.07","39.07","N/A","39.07","39.07","39.07","39.07","39.07","39.07","39.07","39.07","39.07","39.07"
"5","N/A","PHENYLEPHRINE HCL 2.5 % DROP 2 ML DROP BTL","N/A","N/A","0250","N/A","N/A","78.00","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","PHENYLEPHRINE HCL IN NS (PF) 20 MG/250 ML (80 MCG/ML) SOLN","N/A","N/A","0250","N/A","N/A","106.80","106.80","106.80","N/A","N/A","N/A","106.80","106.80","N/A","106.80","106.80","106.80","106.80","106.80","106.80","106.80","106.80","106.80","106.80"
"5","N/A","PHENYLEPHRINE HCL IN NS 1 MG/10 ML (100 MCG/ML) SYR","N/A","N/A","0250","N/A","N/A","2.35","2.35","2.35","N/A","N/A","N/A","2.35","2.35","N/A","2.35","2.35","2.35","2.35","2.35","2.35","2.35","2.35","2.35","2.35"
"5","N/A","PHENYTOIN 100 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","1.52","1.52","1.52","N/A","N/A","N/A","1.52","1.52","N/A","1.52","1.52","1.52","1.52","1.52","1.52","1.52","1.52","1.52","1.52"
"5","N/A","PHYTONADIONE (VITAMIN K1) 1 MG/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","54.00","54.00","54.00","N/A","N/A","N/A","54.00","54.00","N/A","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00"
"5","N/A","PHYTONADIONE 10 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","11.60","11.60","11.60","N/A","N/A","N/A","11.60","11.60","N/A","11.60","11.60","11.60","11.60","11.60","11.60","11.60","11.60","11.60","11.60"
"5","N/A","PHYTONADIONE 10 MG/ML SOLN 1 ML AMPUL","N/A","N/A","0250","N/A","N/A","10.80","10.80","10.80","N/A","N/A","N/A","10.80","10.80","N/A","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80","10.80"
"5","N/A","PILOCARPINE HCL 2 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","12.91","12.91","12.91","N/A","N/A","N/A","12.91","12.91","N/A","12.91","12.91","12.91","12.91","12.91","12.91","12.91","12.91","12.91","12.91"
"5","N/A","PILOCARPINE HCL 2 % DROP 15 ML DROP BTL","N/A","N/A","0250","N/A","N/A","193.58","193.58","193.58","N/A","N/A","N/A","193.58","193.58","N/A","193.58","193.58","193.58","193.58","193.58","193.58","193.58","193.58","193.58","193.58"
"5","N/A","PIPERACILLIN-TAZOBACTAM IN DEXTROSE (ISO-OSMOTIC) 4.5 GRAM/100 ML IVPB","N/A","N/A","0250","N/A","N/A","15.06","15.06","15.06","N/A","N/A","N/A","15.06","15.06","N/A","15.06","15.06","15.06","15.06","15.06","15.06","15.06","15.06","15.06","15.06"
"5","N/A","PIPERACILLIN/TAZOBACTAM PREMIX 2.25 G/50ML IVPB","N/A","N/A","0250","N/A","N/A","18.12","18.12","18.12","N/A","N/A","N/A","18.12","18.12","N/A","18.12","18.12","18.12","18.12","18.12","18.12","18.12","18.12","18.12","18.12"
"5","N/A","PIPERACILLIN/TAZOBACTAM PREMIX 3.375 G/50ML IVPB","N/A","N/A","0250","N/A","N/A","16.08","16.08","16.08","N/A","N/A","N/A","16.08","16.08","N/A","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08"
"5","N/A","PIPERACILLIN/TAZOBACTAM PREMIX 3.375 G/50ML IVPB 50 ML BAG","N/A","N/A","0250","N/A","N/A","16.08","16.08","16.08","N/A","N/A","N/A","16.08","16.08","N/A","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08","16.08"
"5","N/A","PNEUMOC 13-VAL CONJ-DIP CR(PF) 0.5 ML SYR","N/A","N/A","0250","N/A","N/A","470.64","470.64","470.64","N/A","N/A","N/A","470.64","470.64","N/A","470.64","470.64","470.64","470.64","470.64","470.64","470.64","470.64","470.64","470.64"
"5","N/A","PNEUMOCOCCAL 23-VACIPS VACCINE 25 MCG/0.5 ML SOLN","N/A","N/A","0250","N/A","N/A","265.09","265.09","265.09","N/A","N/A","N/A","265.09","265.09","N/A","265.09","265.09","265.09","265.09","265.09","265.09","265.09","265.09","265.09","265.09"
"5","N/A","POLATUZUMAB VEDOTIN-PIIQ 140 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","150.00","150.00","150.00","N/A","N/A","N/A","150.00","150.00","N/A","150.00","150.00","150.00","150.00","150.00","150.00","150.00","150.00","150.00","150.00"
"5","N/A","POTASSIUM & SODIUM PHOSPHATES 280-160-250 MG PKT","N/A","N/A","0250","N/A","N/A","1.31","1.31","1.31","N/A","N/A","N/A","1.31","1.31","N/A","1.31","1.31","1.31","1.31","1.31","1.31","1.31","1.31","1.31","1.31"
"5","N/A","POTASSIUM ACETATE 40 MEQ/20 ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","8.21","8.21","8.21","N/A","N/A","N/A","8.21","8.21","N/A","8.21","8.21","8.21","8.21","8.21","8.21","8.21","8.21","8.21","8.21"
"5","N/A","POTASSIUM CHLORIDE (0.1 MEQ/ML) PERIPHERAL LINE 10 MEQ/100 ML IVPB","N/A","N/A","0250","N/A","N/A","4.00","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","POTASSIUM CHLORIDE (0.4 MEQ/ML) 20 MEQ/ 50 ML IVPB","N/A","N/A","0250","N/A","N/A","2.02","2.02","2.02","N/A","N/A","N/A","2.02","2.02","N/A","2.02","2.02","2.02","2.02","2.02","2.02","2.02","2.02","2.02","2.02"
"5","N/A","POTASSIUM CHLORIDE (0.4 MEQ/ML) CENTRAL LINE 20 MEQ/50 ML IVPB","N/A","N/A","0250","N/A","N/A","2.00","2.00","2.00","N/A","N/A","N/A","2.00","2.00","N/A","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00","2.00"
"5","N/A","POTASSIUM CHLORIDE (10 MEQ/100ML) 10 MEQ/100 ML IVPB","N/A","N/A","0250","N/A","N/A","4.00","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","POTASSIUM CHLORIDE 20 MEQ/100 ML IVPB","N/A","N/A","0250","N/A","N/A","2.03","2.03","2.03","N/A","N/A","N/A","2.03","2.03","N/A","2.03","2.03","2.03","2.03","2.03","2.03","2.03","2.03","2.03","2.03"
"5","N/A","POTASSIUM CHLORIDE 2MEQ/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","0.81","0.81","0.81","N/A","N/A","N/A","0.81","0.81","N/A","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81"
"5","N/A","POTASSIUM CHLORIDE 2MEQ/ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","0.71","0.71","0.71","N/A","N/A","N/A","0.71","0.71","N/A","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71"
"5","N/A","POTASSIUM CHLORIDE 2MEQ/ML SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","0.58","0.58","0.58","N/A","N/A","N/A","0.58","0.58","N/A","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58"
"5","N/A","POTASSIUM CHLORIDE CENTRAL LINE 20 MEQ/50 ML IVPB","N/A","N/A","0250","N/A","N/A","1.98","1.98","1.98","N/A","N/A","N/A","1.98","1.98","N/A","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98"
"5","N/A","POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML IVPB","N/A","N/A","0250","N/A","N/A","3.99","3.99","3.99","N/A","N/A","N/A","3.99","3.99","N/A","3.99","3.99","3.99","3.99","3.99","3.99","3.99","3.99","3.99","3.99"
"5","N/A","POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML IVPB 100 ML BAG","N/A","N/A","0250","N/A","N/A","4.00","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","POTASSIUM CHLORIDE IN WATER 10 MEQ/100 ML IVPB 100 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","4.00","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","POTASSIUM CHLORIDE IN WATER 20 MEQ/100 ML IVPB","N/A","N/A","0250","N/A","N/A","1.99","1.99","1.99","N/A","N/A","N/A","1.99","1.99","N/A","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99"
"5","N/A","POTASSIUM PHOSPHATE M-/D-BASIC 45 MMOLE/15 ML SOLN 15 ML VIAL","N/A","N/A","0250","N/A","N/A","35.14","35.14","35.14","N/A","N/A","N/A","35.14","35.14","N/A","35.14","35.14","35.14","35.14","35.14","35.14","35.14","35.14","35.14","35.14"
"5","N/A","POVIDONE/IODINE 5 % SOLN 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","POVIDONE/IODINE 5 % SOLN 30 ML BOTTLE","N/A","N/A","0250","N/A","N/A","33.92","33.92","33.92","N/A","N/A","N/A","33.92","33.92","N/A","33.92","33.92","33.92","33.92","33.92","33.92","33.92","33.92","33.92","33.92"
"5","N/A","PREDNISOLONE 1 % DRPS 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","75.55","75.55","75.55","N/A","N/A","N/A","75.55","75.55","N/A","75.55","75.55","75.55","75.55","75.55","75.55","75.55","75.55","75.55","75.55"
"5","N/A","PREDNISONE 1 MG TABLET","N/A","N/A","0250","N/A","N/A","0.51","0.51","0.51","N/A","N/A","N/A","0.51","0.51","N/A","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51"
"5","N/A","PREDNISONE 10 MG TABLET","N/A","N/A","0250","N/A","N/A","0.09","0.09","0.09","N/A","N/A","N/A","0.09","0.09","N/A","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09"
"5","N/A","PREDNISONE 2.5 MG TABLET","N/A","N/A","0250","N/A","N/A","0.32","0.32","0.32","N/A","N/A","N/A","0.32","0.32","N/A","0.32","0.32","0.32","0.32","0.32","0.32","0.32","0.32","0.32","0.32"
"5","N/A","PREDNISONE 20 MG TABLET","N/A","N/A","0250","N/A","N/A","0.03","0.03","0.03","N/A","N/A","N/A","0.03","0.03","N/A","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03"
"5","N/A","PREDNISONE 5 MG TABLET","N/A","N/A","0250","N/A","N/A","0.19","0.19","0.19","N/A","N/A","N/A","0.19","0.19","N/A","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19"
"5","N/A","PREDNISONE 5 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","1.49","1.49","1.49","N/A","N/A","N/A","1.49","1.49","N/A","1.49","1.49","1.49","1.49","1.49","1.49","1.49","1.49","1.49","1.49"
"5","N/A","PREDNISONE 50 MG TABLET","N/A","N/A","0250","N/A","N/A","0.02","0.02","0.02","N/A","N/A","N/A","0.02","0.02","N/A","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02"
"5","N/A","PROCAINAMIDE 1000 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","208.35","208.35","208.35","N/A","N/A","N/A","208.35","208.35","N/A","208.35","208.35","208.35","208.35","208.35","208.35","208.35","208.35","208.35","208.35"
"5","N/A","PROCHLORPERAZINE EDISYLATE 5 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","44.40","44.40","44.40","N/A","N/A","N/A","44.40","44.40","N/A","44.40","44.40","44.40","44.40","44.40","44.40","44.40","44.40","44.40","44.40"
"5","N/A","PROCHLORPERAZINE EDISYLATE 5 MG/ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","44.40","44.40","44.40","N/A","N/A","N/A","44.40","44.40","N/A","44.40","44.40","44.40","44.40","44.40","44.40","44.40","44.40","44.40","44.40"
"5","N/A","PROMETHAZINE 25 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","PROMETHAZINE 25 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","PROMETHAZINE 50 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","PROPARACAINE HCL 0.5 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","PROPARACAINE HCL 0.5 % DROP 15 ML DROP BTL","N/A","N/A","0250","N/A","N/A","84.22","84.22","84.22","N/A","N/A","N/A","84.22","84.22","N/A","84.22","84.22","84.22","84.22","84.22","84.22","84.22","84.22","84.22","84.22"
"5","N/A","PROPOFOL 10 MG/ML EMUL","N/A","N/A","0250","N/A","N/A","0.74","0.74","0.74","N/A","N/A","N/A","0.74","0.74","N/A","0.74","0.74","0.74","0.74","0.74","0.74","0.74","0.74","0.74","0.74"
"5","N/A","PROPOFOL 1000 MG/100 ML EMUL","N/A","N/A","0250","N/A","N/A","0.71","0.71","0.71","N/A","N/A","N/A","0.71","0.71","N/A","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71"
"5","N/A","PROPOFOL 500 MG/50 ML EMUL","N/A","N/A","0250","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","PROPRANOLOL 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","21.69","21.69","21.69","N/A","N/A","N/A","21.69","21.69","N/A","21.69","21.69","21.69","21.69","21.69","21.69","21.69","21.69","21.69","21.69"
"5","N/A","PROTAMINE 50 MG/5 ML SOLN","N/A","N/A","0250","N/A","N/A","4.25","4.25","4.25","N/A","N/A","N/A","4.25","4.25","N/A","4.25","4.25","4.25","4.25","4.25","4.25","4.25","4.25","4.25","4.25"
"5","N/A","PRUCALOPRIDE 1 MG TABLET","N/A","N/A","0250","N/A","N/A","34.93","34.93","34.93","N/A","N/A","N/A","34.93","34.93","N/A","34.93","34.93","34.93","34.93","34.93","34.93","34.93","34.93","34.93","34.93"
"5","N/A","PYRIDOXINE (VITAMIN B6) 100 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","36.48","36.48","36.48","N/A","N/A","N/A","36.48","36.48","N/A","36.48","36.48","36.48","36.48","36.48","36.48","36.48","36.48","36.48","36.48"
"5","N/A","PYRIDOXINE (VITAMIN B6) 100 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","39.36","39.36","39.36","N/A","N/A","N/A","39.36","39.36","N/A","39.36","39.36","39.36","39.36","39.36","39.36","39.36","39.36","39.36","39.36"
"5","N/A","RACEPINEPHRINE HCL 2.25 % NEBU","N/A","N/A","0250","N/A","N/A","2.88","2.88","2.88","N/A","N/A","N/A","2.88","2.88","N/A","2.88","2.88","2.88","2.88","2.88","2.88","2.88","2.88","2.88","2.88"
"5","N/A","RAMUCIRUMAB 10 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","144.90","144.90","144.90","N/A","N/A","N/A","144.90","144.90","N/A","144.90","144.90","144.90","144.90","144.90","144.90","144.90","144.90","144.90","144.90"
"5","N/A","RAMUCIRUMAB 10 MG/ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","147.22","147.22","147.22","N/A","N/A","N/A","147.22","147.22","N/A","147.22","147.22","147.22","147.22","147.22","147.22","147.22","147.22","147.22","147.22"
"5","N/A","RASBURICASE 1.5 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","432.85","432.85","432.85","N/A","N/A","N/A","432.85","432.85","N/A","432.85","432.85","432.85","432.85","432.85","432.85","432.85","432.85","432.85","432.85"
"5","N/A","RASBURICASE 1.5 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","428.34","428.34","428.34","N/A","N/A","N/A","428.34","428.34","N/A","428.34","428.34","428.34","428.34","428.34","428.34","428.34","428.34","428.34","428.34"
"5","N/A","RAVULIZUMAB-CWVZ 10 MG/ML SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","298.85","298.85","298.85","N/A","N/A","N/A","298.85","298.85","N/A","298.85","298.85","298.85","298.85","298.85","298.85","298.85","298.85","298.85","298.85"
"5","N/A","RAVULIZUMAB-CWVZ 100 MG/ML SOLN 11 ML VIAL","N/A","N/A","0250","N/A","N/A","298.85","298.85","298.85","N/A","N/A","N/A","298.85","298.85","N/A","298.85","298.85","298.85","298.85","298.85","298.85","298.85","298.85","298.85","298.85"
"5","N/A","REGADENOSON 0.4 MG/5 ML SYR","N/A","N/A","0250","N/A","N/A","145.78","145.78","145.78","N/A","N/A","N/A","145.78","145.78","N/A","145.78","145.78","145.78","145.78","145.78","145.78","145.78","145.78","145.78","145.78"
"5","N/A","REMDESIVIR LYOPHILIZED (EUA) 100 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","782.06","782.06","782.06","N/A","N/A","N/A","782.06","782.06","N/A","782.06","782.06","782.06","782.06","782.06","782.06","782.06","782.06","782.06","782.06"
"5","N/A","REMIFENTANIL HCL 2 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","294.76","294.76","294.76","N/A","N/A","N/A","294.76","294.76","N/A","294.76","294.76","294.76","294.76","294.76","294.76","294.76","294.76","294.76","294.76"
"5","N/A","REMIFENTANIL HCL 2 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","294.20","294.20","294.20","N/A","N/A","N/A","294.20","294.20","N/A","294.20","294.20","294.20","294.20","294.20","294.20","294.20","294.20","294.20","294.20"
"5","N/A","REVEFENACIN 175 MCG/3 ML NEBU","N/A","N/A","0250","N/A","N/A","89.13","89.13","89.13","N/A","N/A","N/A","89.13","89.13","N/A","89.13","89.13","89.13","89.13","89.13","89.13","89.13","89.13","89.13","89.13"
"5","N/A","RIFAMPIN 600 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","428.55","428.55","428.55","N/A","N/A","N/A","428.55","428.55","N/A","428.55","428.55","428.55","428.55","428.55","428.55","428.55","428.55","428.55","428.55"
"5","N/A","RIMABOTULINUMTOXIN TYPE B 10,000 UNIT/2 ML SOLN","N/A","N/A","0250","N/A","N/A","27.89","27.89","27.89","N/A","N/A","N/A","27.89","27.89","N/A","27.89","27.89","27.89","27.89","27.89","27.89","27.89","27.89","27.89","27.89"
"5","N/A","RISPERIDONE MICROSPHERES 25 MG/2 ML SSRR","N/A","N/A","0250","N/A","N/A","24.41","24.41","24.41","N/A","N/A","N/A","24.41","24.41","N/A","24.41","24.41","24.41","24.41","24.41","24.41","24.41","24.41","24.41","24.41"
"5","N/A","RISPERIDONE MICROSPHERES 37.5 MG/2 ML SSRR","N/A","N/A","0250","N/A","N/A","25.00","25.00","25.00","N/A","N/A","N/A","25.00","25.00","N/A","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00"
"5","N/A","RISPERIDONE MICROSPHERES 50 MG/2 ML SSRR","N/A","N/A","0250","N/A","N/A","14.92","14.92","14.92","N/A","N/A","N/A","14.92","14.92","N/A","14.92","14.92","14.92","14.92","14.92","14.92","14.92","14.92","14.92","14.92"
"5","N/A","RITUXIMAB 10 MG/ML CONC 10 ML VIAL","N/A","N/A","0250","N/A","N/A","224.96","224.96","224.96","N/A","N/A","N/A","224.96","224.96","N/A","224.96","224.96","224.96","224.96","224.96","224.96","224.96","224.96","224.96","224.96"
"5","N/A","RITUXIMAB 10 MG/ML CONC 50 ML VIAL","N/A","N/A","0250","N/A","N/A","224.53","224.53","224.53","N/A","N/A","N/A","224.53","224.53","N/A","224.53","224.53","224.53","224.53","224.53","224.53","224.53","224.53","224.53","224.53"
"5","N/A","RITUXIMAB-ABBS 10 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","202.93","202.93","202.93","N/A","N/A","N/A","202.93","202.93","N/A","202.93","202.93","202.93","202.93","202.93","202.93","202.93","202.93","202.93","202.93"
"5","N/A","RITUXIMAB-ABBS 10 MG/ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","202.93","202.93","202.93","N/A","N/A","N/A","202.93","202.93","N/A","202.93","202.93","202.93","202.93","202.93","202.93","202.93","202.93","202.93","202.93"
"5","N/A","RITUXIMAB-HYALURONIDASE,HUMAN 1400 MG/11.7 ML (120 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","112.77","112.77","112.77","N/A","N/A","N/A","112.77","112.77","N/A","112.77","112.77","112.77","112.77","112.77","112.77","112.77","112.77","112.77","112.77"
"5","N/A","ROCURONIUM 50 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","13.89","13.89","13.89","N/A","N/A","N/A","13.89","13.89","N/A","13.89","13.89","13.89","13.89","13.89","13.89","13.89","13.89","13.89","13.89"
"5","N/A","ROMIPLOSTIM 125 MCG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","109.18","109.18","109.18","N/A","N/A","N/A","109.18","109.18","N/A","109.18","109.18","109.18","109.18","109.18","109.18","109.18","109.18","109.18","109.18"
"5","N/A","ROMIPLOSTIM 125 MCG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","104.98","104.98","104.98","N/A","N/A","N/A","104.98","104.98","N/A","104.98","104.98","104.98","104.98","104.98","104.98","104.98","104.98","104.98","104.98"
"5","N/A","ROMIPLOSTIM 250 MCG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","115.62","115.62","115.62","N/A","N/A","N/A","115.62","115.62","N/A","115.62","115.62","115.62","115.62","115.62","115.62","115.62","115.62","115.62","115.62"
"5","N/A","ROMOSOZUMAB-AQQG 105 MG/1.17 ML SYR","N/A","N/A","0250","N/A","N/A","15.64","15.64","15.64","N/A","N/A","N/A","15.64","15.64","N/A","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64","15.64"
"5","N/A","ROMOSOZUMAB-AQQG 210MG/2.34ML ( 105MG/1.17MLX2) SYR","N/A","N/A","0250","N/A","N/A","15.22","15.22","15.22","N/A","N/A","N/A","15.22","15.22","N/A","15.22","15.22","15.22","15.22","15.22","15.22","15.22","15.22","15.22","15.22"
"5","N/A","ROPIVACAINE (PF) 5 MG/ML (0.5 %) SOLN","N/A","N/A","0250","N/A","N/A","0.45","0.45","0.45","N/A","N/A","N/A","0.45","0.45","N/A","0.45","0.45","0.45","0.45","0.45","0.45","0.45","0.45","0.45","0.45"
"5","N/A","ROPIVACAINE (PF) 5 MG/ML (0.5 %) SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","0.45","0.45","0.45","N/A","N/A","N/A","0.45","0.45","N/A","0.45","0.45","0.45","0.45","0.45","0.45","0.45","0.45","0.45","0.45"
"5","N/A","ROPIVACAINE 10 MG/ML (1 %) SOLN","N/A","N/A","0250","N/A","N/A","0.28","0.28","0.28","N/A","N/A","N/A","0.28","0.28","N/A","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28"
"5","N/A","SACITUZUMAB GOVITECAN-HZIY 180 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","40.05","40.05","40.05","N/A","N/A","N/A","40.05","40.05","N/A","40.05","40.05","40.05","40.05","40.05","40.05","40.05","40.05","40.05","40.05"
"5","N/A","SACITUZUMAB GOVITECAN-HZIY 180 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","40.31","40.31","40.31","N/A","N/A","N/A","40.31","40.31","N/A","40.31","40.31","40.31","40.31","40.31","40.31","40.31","40.31","40.31","40.31"
"5","N/A","SECUKINUMAB 150 MG/ML PEN INJECTOR 1 ML SYRINGE","N/A","N/A","0250","N/A","N/A","3879.01","3879.01","3879.01","N/A","N/A","N/A","3879.01","3879.01","N/A","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01"
"5","N/A","SECUKINUMAB 150 MG/ML SYR","N/A","N/A","0250","N/A","N/A","3879.01","3879.01","3879.01","N/A","N/A","N/A","3879.01","3879.01","N/A","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01","3879.01"
"5","N/A","SILDENAFIL (PULM.HYPERTENSION) 10 MG/12.5 ML SOLN","N/A","N/A","0250","N/A","N/A","444.00","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","SILODOSIN 4 MG CAP","N/A","N/A","0250","N/A","N/A","4.00","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","SILVER NITRATE 75-25 % STICK","N/A","N/A","0250","N/A","N/A","1.43","1.43","1.43","N/A","N/A","N/A","1.43","1.43","N/A","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43"
"5","N/A","SILVER NITRATE 75-25 % STICK 1 EACH PACKET","N/A","N/A","0250","N/A","N/A","1.46","1.46","1.46","N/A","N/A","N/A","1.46","1.46","N/A","1.46","1.46","1.46","1.46","1.46","1.46","1.46","1.46","1.46","1.46"
"5","N/A","SINCALIDE 5 MCG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","200.22","200.22","200.22","N/A","N/A","N/A","200.22","200.22","N/A","200.22","200.22","200.22","200.22","200.22","200.22","200.22","200.22","200.22","200.22"
"5","N/A","SIROLIMUS 1 MG TABLET","N/A","N/A","0250","N/A","N/A","76.00","76.00","76.00","N/A","N/A","N/A","76.00","76.00","N/A","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00"
"5","N/A","SODIUM BICARBONATE 1 MEQ/ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","23.40","23.40","23.40","N/A","N/A","N/A","23.40","23.40","N/A","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40"
"5","N/A","SODIUM BICARBONATE 4.2 % (0.5 MEQ/ML) SYR","N/A","N/A","0250","N/A","N/A","27.24","27.24","27.24","N/A","N/A","N/A","27.24","27.24","N/A","27.24","27.24","27.24","27.24","27.24","27.24","27.24","27.24","27.24","27.24"
"5","N/A","SODIUM BICARBONATE 50 MEQ/50 ML 50 MEQ/50 ML SOLN","N/A","N/A","0250","N/A","N/A","23.40","23.40","23.40","N/A","N/A","N/A","23.40","23.40","N/A","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40"
"5","N/A","SODIUM BICARBONATE 50 MEQ/50 ML SOLN","N/A","N/A","0250","N/A","N/A","23.40","23.40","23.40","N/A","N/A","N/A","23.40","23.40","N/A","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40"
"5","N/A","SODIUM BICARBONATE 50 MEQ/50 ML SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","23.40","23.40","23.40","N/A","N/A","N/A","23.40","23.40","N/A","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40","23.40"
"5","N/A","SODIUM BICARBONATE 8.4 % (1 MEQ/ML) SYR","N/A","N/A","0250","N/A","N/A","27.84","27.84","27.84","N/A","N/A","N/A","27.84","27.84","N/A","27.84","27.84","27.84","27.84","27.84","27.84","27.84","27.84","27.84","27.84"
"5","N/A","SODIUM CHLORIDE 0.45% 0.45 % SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.45% 0.45 % SOLP 500 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 %","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 0.9% SOLP 100 ML BAG","N/A","N/A","0250","N/A","N/A","0.20","0.20","0.20","N/A","N/A","N/A","0.20","0.20","N/A","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20"
"5","N/A","SODIUM CHLORIDE 0.9 % 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 100 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 150 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 25 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 250 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 250 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 50 ML BAG","N/A","N/A","0250","N/A","N/A","19.87","19.87","19.87","N/A","N/A","N/A","19.87","19.87","N/A","19.87","19.87","19.87","19.87","19.87","19.87","19.87","19.87","19.87","19.87"
"5","N/A","SODIUM CHLORIDE 0.9 % 500 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % 500 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLN","N/A","N/A","0250","N/A","N/A","3.07","3.07","3.07","N/A","N/A","N/A","3.07","3.07","N/A","3.07","3.07","3.07","3.07","3.07","3.07","3.07","3.07","3.07","3.07"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","5.51","5.51","5.51","N/A","N/A","N/A","5.51","5.51","N/A","5.51","5.51","5.51","5.51","5.51","5.51","5.51","5.51","5.51","5.51"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLN 50 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP","N/A","N/A","0250","N/A","N/A","17.89","17.89","17.89","N/A","N/A","N/A","17.89","17.89","N/A","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89","17.89"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","19.53","19.53","19.53","N/A","N/A","N/A","19.53","19.53","N/A","19.53","19.53","19.53","19.53","19.53","19.53","19.53","19.53","19.53","19.53"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 100 ML BAG","N/A","N/A","0250","N/A","N/A","19.77","19.77","19.77","N/A","N/A","N/A","19.77","19.77","N/A","19.77","19.77","19.77","19.77","19.77","19.77","19.77","19.77","19.77","19.77"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 150 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","10.54","10.54","10.54","N/A","N/A","N/A","10.54","10.54","N/A","10.54","10.54","10.54","10.54","10.54","10.54","10.54","10.54","10.54","10.54"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 25 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 250 ML BAG","N/A","N/A","0250","N/A","N/A","19.94","19.94","19.94","N/A","N/A","N/A","19.94","19.94","N/A","19.94","19.94","19.94","19.94","19.94","19.94","19.94","19.94","19.94","19.94"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 250 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","19.84","19.84","19.84","N/A","N/A","N/A","19.84","19.84","N/A","19.84","19.84","19.84","19.84","19.84","19.84","19.84","19.84","19.84","19.84"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 50 ML BAG","N/A","N/A","0250","N/A","N/A","19.99","19.99","19.99","N/A","N/A","N/A","19.99","19.99","N/A","19.99","19.99","19.99","19.99","19.99","19.99","19.99","19.99","19.99","19.99"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 50 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 500 ML BAG","N/A","N/A","0250","N/A","N/A","19.96","19.96","19.96","N/A","N/A","N/A","19.96","19.96","N/A","19.96","19.96","19.96","19.96","19.96","19.96","19.96","19.96","19.96","19.96"
"5","N/A","SODIUM CHLORIDE 0.9 % SOLP 500 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9%","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9% 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9% 1,000 ML FLEX CONT","N/A","N/A","0250","N/A","N/A","19.88","19.88","19.88","N/A","N/A","N/A","19.88","19.88","N/A","19.88","19.88","19.88","19.88","19.88","19.88","19.88","19.88","19.88","19.88"
"5","N/A","SODIUM CHLORIDE 0.9% 100 ML BAG","N/A","N/A","0250","N/A","N/A","22.20","22.20","22.20","N/A","N/A","N/A","22.20","22.20","N/A","22.20","22.20","22.20","22.20","22.20","22.20","22.20","22.20","22.20","22.20"
"5","N/A","SODIUM CHLORIDE 0.9% 250 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SODIUM CHLORIDE 0.9% 500 ML BAG","N/A","N/A","0250","N/A","N/A","19.07","19.07","19.07","N/A","N/A","N/A","19.07","19.07","N/A","19.07","19.07","19.07","19.07","19.07","19.07","19.07","19.07","19.07","19.07"
"5","N/A","SODIUM CHLORIDE 2.5 MEQ/ML SOLP 40 ML VIAL","N/A","N/A","0250","N/A","N/A","0.13","0.13","0.13","N/A","N/A","N/A","0.13","0.13","N/A","0.13","0.13","0.13","0.13","0.13","0.13","0.13","0.13","0.13","0.13"
"5","N/A","SODIUM CHLORIDE 23.4% 4 MEQ/ML SOLP","N/A","N/A","0250","N/A","N/A","0.36","0.36","0.36","N/A","N/A","N/A","0.36","0.36","N/A","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36"
"5","N/A","SODIUM CHLORIDE 3 % NEBU","N/A","N/A","0250","N/A","N/A","1.80","1.80","1.80","N/A","N/A","N/A","1.80","1.80","N/A","1.80","1.80","1.80","1.80","1.80","1.80","1.80","1.80","1.80","1.80"
"5","N/A","SODIUM CHLORIDE 3 % SOLP","N/A","N/A","0250","N/A","N/A","0.07","0.07","0.07","N/A","N/A","N/A","0.07","0.07","N/A","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07"
"5","N/A","SODIUM CHLORIDE 3% SOLP","N/A","N/A","0250","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","SODIUM CHLORIDE 4 MEQ/ML 4 MEQ/ML SOLP 30 ML VIAL","N/A","N/A","0250","N/A","N/A","0.41","0.41","0.41","N/A","N/A","N/A","0.41","0.41","N/A","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41"
"5","N/A","SODIUM CHLORIDE PRESERVATIVE FREE 0.9% SOLN","N/A","N/A","0250","N/A","N/A","3.54","3.54","3.54","N/A","N/A","N/A","3.54","3.54","N/A","3.54","3.54","3.54","3.54","3.54","3.54","3.54","3.54","3.54","3.54"
"5","N/A","SODIUM CHLORIDE PRESERVATIVE FREE 0.9% SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","2.18","2.18","2.18","N/A","N/A","N/A","2.18","2.18","N/A","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18","2.18"
"5","N/A","SODIUM CITRATE FLUSH (ANTICOAGULANT) SYR","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","SODIUM HYALURONATE (VISCOSUP) 10 MG/ML SYR","N/A","N/A","0250","N/A","N/A","552.72","552.72","552.72","N/A","N/A","N/A","552.72","552.72","N/A","552.72","552.72","552.72","552.72","552.72","552.72","552.72","552.72","552.72","552.72"
"5","N/A","SODIUM HYALURONATE (VISCOSUP) 10 MG/ML(MW 2.4 -3.6 MILLION) SYR","N/A","N/A","0250","N/A","N/A","815.83","815.83","815.83","N/A","N/A","N/A","815.83","815.83","N/A","815.83","815.83","815.83","815.83","815.83","815.83","815.83","815.83","815.83","815.83"
"5","N/A","SODIUM HYALURONATE 10 MG/ML SYR","N/A","N/A","0250","N/A","N/A","242.41","242.41","242.41","N/A","N/A","N/A","242.41","242.41","N/A","242.41","242.41","242.41","242.41","242.41","242.41","242.41","242.41","242.41","242.41"
"5","N/A","SODIUM HYALURONATE 30 MG/2 ML SYR","N/A","N/A","0250","N/A","N/A","1147.20","1147.20","1147.20","N/A","N/A","N/A","1147.20","1147.20","N/A","1147.20","1147.20","1147.20","1147.20","1147.20","1147.20","1147.20","1147.20","1147.20","1147.20"
"5","N/A","SODIUM HYPOCHLORITE 2,880 ML BOTTLE","N/A","N/A","0250","N/A","N/A","0.02","0.02","0.02","N/A","N/A","N/A","0.02","0.02","N/A","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02"
"5","N/A","SODIUM PHOSPHATE 150 MMOLE/50 ML SOLN 15 ML VIAL","N/A","N/A","0250","N/A","N/A","77.61","77.61","77.61","N/A","N/A","N/A","77.61","77.61","N/A","77.61","77.61","77.61","77.61","77.61","77.61","77.61","77.61","77.61","77.61"
"5","N/A","SODIUM THIOSULFATE 12.5 GRAM/50 ML (250 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","256.80","256.80","256.80","N/A","N/A","N/A","256.80","256.80","N/A","256.80","256.80","256.80","256.80","256.80","256.80","256.80","256.80","256.80","256.80"
"5","N/A","STERILE TALC 4 GRAM SUSR 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","336.00","336.00","336.00","N/A","N/A","N/A","336.00","336.00","N/A","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00"
"5","N/A","STERILE TALC 4G (0.4G/SEC) AEROSOL PWD 1 EACH CANISTER","N/A","N/A","0250","N/A","N/A","10.08","10.08","10.08","N/A","N/A","N/A","10.08","10.08","N/A","10.08","10.08","10.08","10.08","10.08","10.08","10.08","10.08","10.08","10.08"
"5","N/A","SUCCINYLCHOLINE 200 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","4.60","4.60","4.60","N/A","N/A","N/A","4.60","4.60","N/A","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60"
"5","N/A","SUCCINYLCHOLINE 200 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","4.60","4.60","4.60","N/A","N/A","N/A","4.60","4.60","N/A","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60","4.60"
"5","N/A","SUCCINYLCHOLINE-SOD CL,ISO(PF) 200 MG/10 ML (20 MG/ML) SYR","N/A","N/A","0250","N/A","N/A","5.69","5.69","5.69","N/A","N/A","N/A","5.69","5.69","N/A","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69"
"5","N/A","SUGAMMADEX 100 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","281.70","281.70","281.70","N/A","N/A","N/A","281.70","281.70","N/A","281.70","281.70","281.70","281.70","281.70","281.70","281.70","281.70","281.70","281.70"
"5","N/A","SUMATRIPTAN SUCCINATE 6 MG/0.5 ML SOLN","N/A","N/A","0250","N/A","N/A","60.00","60.00","60.00","N/A","N/A","N/A","60.00","60.00","N/A","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00"
"5","N/A","TACROLIMUS 0.5 MG CAP","N/A","N/A","0250","N/A","N/A","3.35","3.35","3.35","N/A","N/A","N/A","3.35","3.35","N/A","3.35","3.35","3.35","3.35","3.35","3.35","3.35","3.35","3.35","3.35"
"5","N/A","TACROLIMUS 1 MG CAP","N/A","N/A","0250","N/A","N/A","6.22","6.22","6.22","N/A","N/A","N/A","6.22","6.22","N/A","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22","6.22"
"5","N/A","TACROLIMUS 1 MG TAB SR 24H","N/A","N/A","0250","N/A","N/A","3.35","3.35","3.35","N/A","N/A","N/A","3.35","3.35","N/A","3.35","3.35","3.35","3.35","3.35","3.35","3.35","3.35","3.35","3.35"
"5","N/A","TACROLIMUS 5 MG CAP","N/A","N/A","0250","N/A","N/A","5.74","5.74","5.74","N/A","N/A","N/A","5.74","5.74","N/A","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74"
"5","N/A","TACROLIMUS 5 MG CAP 100 EACH BLIST PACK","N/A","N/A","0250","N/A","N/A","14.30","14.30","14.30","N/A","N/A","N/A","14.30","14.30","N/A","14.30","14.30","14.30","14.30","14.30","14.30","14.30","14.30","14.30","14.30"
"5","N/A","TACROLIMUS 5 MG CAP 100 EACH BOTTLE","N/A","N/A","0250","N/A","N/A","1.66","1.66","1.66","N/A","N/A","N/A","1.66","1.66","N/A","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66"
"5","N/A","TACROLIMUS 5 MG/ML SOLN 1 ML AMPUL","N/A","N/A","0250","N/A","N/A","498.99","498.99","498.99","N/A","N/A","N/A","498.99","498.99","N/A","498.99","498.99","498.99","498.99","498.99","498.99","498.99","498.99","498.99","498.99"
"5","N/A","TACROLIMUS XL 0.5 MG CAP SR 24HR","N/A","N/A","0250","N/A","N/A","5.66","5.66","5.66","N/A","N/A","N/A","5.66","5.66","N/A","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66","5.66"
"5","N/A","TACROLIMUS XL 1 MG CAP SR 24HR","N/A","N/A","0250","N/A","N/A","1.15","1.15","1.15","N/A","N/A","N/A","1.15","1.15","N/A","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15"
"5","N/A","TACROLIMUS XL 5 MG CAP SR 24HR","N/A","N/A","0250","N/A","N/A","1.15","1.15","1.15","N/A","N/A","N/A","1.15","1.15","N/A","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15"
"5","N/A","TACROLIMUS XR 0.75 MG TAB SR 24H","N/A","N/A","0250","N/A","N/A","3.27","3.27","3.27","N/A","N/A","N/A","3.27","3.27","N/A","3.27","3.27","3.27","3.27","3.27","3.27","3.27","3.27","3.27","3.27"
"5","N/A","TAFASITAMAB-CXIX 200 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","16.80","16.80","16.80","N/A","N/A","N/A","16.80","16.80","N/A","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80","16.80"
"5","N/A","TELAVANCIN 750 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","14.98","14.98","14.98","N/A","N/A","N/A","14.98","14.98","N/A","14.98","14.98","14.98","14.98","14.98","14.98","14.98","14.98","14.98","14.98"
"5","N/A","TEMOZOLOMIDE 100 MG CAP","N/A","N/A","0250","N/A","N/A","9.17","9.17","9.17","N/A","N/A","N/A","9.17","9.17","N/A","9.17","9.17","9.17","9.17","9.17","9.17","9.17","9.17","9.17","9.17"
"5","N/A","TEMOZOLOMIDE 20 MG CAP","N/A","N/A","0250","N/A","N/A","4.69","4.69","4.69","N/A","N/A","N/A","4.69","4.69","N/A","4.69","4.69","4.69","4.69","4.69","4.69","4.69","4.69","4.69","4.69"
"5","N/A","TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FINAL) RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","72.23","72.23","72.23","N/A","N/A","N/A","72.23","72.23","N/A","72.23","72.23","72.23","72.23","72.23","72.23","72.23","72.23","72.23","72.23"
"5","N/A","TEMSIROLIMUS 30 MG/3 ML (10 MG/ML) (FINAL) RECON.SOLN. 1 EACH VIAL/KIT","N/A","N/A","0250","N/A","N/A","99.59","99.59","99.59","N/A","N/A","N/A","99.59","99.59","N/A","99.59","99.59","99.59","99.59","99.59","99.59","99.59","99.59","99.59","99.59"
"5","N/A","TENECTEPLASE 50 MG KIT","N/A","N/A","0250","N/A","N/A","174.13","174.13","174.13","N/A","N/A","N/A","174.13","174.13","N/A","174.13","174.13","174.13","174.13","174.13","174.13","174.13","174.13","174.13","174.13"
"5","N/A","TENECTEPLASE 50 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","176.74","176.74","176.74","N/A","N/A","N/A","176.74","176.74","N/A","176.74","176.74","176.74","176.74","176.74","176.74","176.74","176.74","176.74","176.74"
"5","N/A","TERBUTALINE 1 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","12.65","12.65","12.65","N/A","N/A","N/A","12.65","12.65","N/A","12.65","12.65","12.65","12.65","12.65","12.65","12.65","12.65","12.65","12.65"
"5","N/A","TESTOSTERONE CYPIONATE 200 MG/ML OIL","N/A","N/A","0250","N/A","N/A","0.22","0.22","0.22","N/A","N/A","N/A","0.22","0.22","N/A","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22"
"5","N/A","TETANUS IMMUNE GLOBULIN (PF) 250 UNIT SYR","N/A","N/A","0250","N/A","N/A","1335.36","1335.36","1335.36","N/A","N/A","N/A","1335.36","1335.36","N/A","1335.36","1335.36","1335.36","1335.36","1335.36","1335.36","1335.36","1335.36","1335.36","1335.36"
"5","N/A","TETANUS-DIPHTHERIA TOXOIDS-TD (PF) 5-2 LF UNIT/0.5 ML SYR","N/A","N/A","0250","N/A","N/A","83.14","83.14","83.14","N/A","N/A","N/A","83.14","83.14","N/A","83.14","83.14","83.14","83.14","83.14","83.14","83.14","83.14","83.14","83.14"
"5","N/A","TETANUS-DIPHTHERIA TOXOIDS-TD 2-2 LF UNIT/0.5 ML SUSP","N/A","N/A","0250","N/A","N/A","62.11","62.11","62.11","N/A","N/A","N/A","62.11","62.11","N/A","62.11","62.11","62.11","62.11","62.11","62.11","62.11","62.11","62.11","62.11"
"5","N/A","TETRACAINE 1 % (10 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","182.27","182.27","182.27","N/A","N/A","N/A","182.27","182.27","N/A","182.27","182.27","182.27","182.27","182.27","182.27","182.27","182.27","182.27","182.27"
"5","N/A","TETRACAINE 1 % (10 MG/ML) SOLN 2 ML AMPUL","N/A","N/A","0250","N/A","N/A","182.27","182.27","182.27","N/A","N/A","N/A","182.27","182.27","N/A","182.27","182.27","182.27","182.27","182.27","182.27","182.27","182.27","182.27","182.27"
"5","N/A","TETRACAINE HCL (PF) 0.5 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","THIAMINE 200 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","11.94","11.94","11.94","N/A","N/A","N/A","11.94","11.94","N/A","11.94","11.94","11.94","11.94","11.94","11.94","11.94","11.94","11.94","11.94"
"5","N/A","THIAMINE 200 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","11.94","11.94","11.94","N/A","N/A","N/A","11.94","11.94","N/A","11.94","11.94","11.94","11.94","11.94","11.94","11.94","11.94","11.94","11.94"
"5","N/A","THIOTEPA 15 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","1680.00","1680.00","1680.00","N/A","N/A","N/A","1680.00","1680.00","N/A","1680.00","1680.00","1680.00","1680.00","1680.00","1680.00","1680.00","1680.00","1680.00","1680.00"
"5","N/A","THROMB,HM-FIBRIN-APROTIN,S-CA 4 ML SYR","N/A","N/A","0250","N/A","N/A","614.60","614.60","614.60","N/A","N/A","N/A","614.60","614.60","N/A","614.60","614.60","614.60","614.60","614.60","614.60","614.60","614.60","614.60","614.60"
"5","N/A","THROMBIN (RECOMBINANT) 5,000 UNIT RECON.SOLN.","N/A","N/A","0250","N/A","N/A","206.40","206.40","206.40","N/A","N/A","N/A","206.40","206.40","N/A","206.40","206.40","206.40","206.40","206.40","206.40","206.40","206.40","206.40","206.40"
"5","N/A","THROMBIN-FIBRINOGEN-APROTIN-CA 2.5-6.5 UNIT/ML (2 ML) SYR","N/A","N/A","0250","N/A","N/A","510.47","510.47","510.47","N/A","N/A","N/A","510.47","510.47","N/A","510.47","510.47","510.47","510.47","510.47","510.47","510.47","510.47","510.47","510.47"
"5","N/A","THYROTROPIN 0.9 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","2405.08","2405.08","2405.08","N/A","N/A","N/A","2405.08","2405.08","N/A","2405.08","2405.08","2405.08","2405.08","2405.08","2405.08","2405.08","2405.08","2405.08","2405.08"
"5","N/A","THYROTROPIN ALFA 0.9 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","2448.63","2448.63","2448.63","N/A","N/A","N/A","2448.63","2448.63","N/A","2448.63","2448.63","2448.63","2448.63","2448.63","2448.63","2448.63","2448.63","2448.63","2448.63"
"5","N/A","TIGECYCLINE 50 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","7.30","7.30","7.30","N/A","N/A","N/A","7.30","7.30","N/A","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30"
"5","N/A","TOBRAMYCIN","N/A","N/A","0250","N/A","N/A","108.22","108.22","108.22","N/A","N/A","N/A","108.22","108.22","N/A","108.22","108.22","108.22","108.22","108.22","108.22","108.22","108.22","108.22","108.22"
"5","N/A","TOBRAMYCIN 1.2 G RECON.SOLN.","N/A","N/A","0250","N/A","N/A","15.04","15.04","15.04","N/A","N/A","N/A","15.04","15.04","N/A","15.04","15.04","15.04","15.04","15.04","15.04","15.04","15.04","15.04","15.04"
"5","N/A","TOBRAMYCIN 300 MG/5 ML NEBU","N/A","N/A","0250","N/A","N/A","106.36","106.36","106.36","N/A","N/A","N/A","106.36","106.36","N/A","106.36","106.36","106.36","106.36","106.36","106.36","106.36","106.36","106.36","106.36"
"5","N/A","TOBRAMYCIN 80 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","3.52","3.52","3.52","N/A","N/A","N/A","3.52","3.52","N/A","3.52","3.52","3.52","3.52","3.52","3.52","3.52","3.52","3.52","3.52"
"5","N/A","TOBRAMYCIN 80 MG/2 ML SOLN 2 ML VIAL","N/A","N/A","0250","N/A","N/A","9.25","9.25","9.25","N/A","N/A","N/A","9.25","9.25","N/A","9.25","9.25","9.25","9.25","9.25","9.25","9.25","9.25","9.25","9.25"
"5","N/A","TOBRAMYCIN 80 MG/2 ML SOLN 30 ML VIAL","N/A","N/A","0250","N/A","N/A","5.40","5.40","5.40","N/A","N/A","N/A","5.40","5.40","N/A","5.40","5.40","5.40","5.40","5.40","5.40","5.40","5.40","5.40","5.40"
"5","N/A","TOCILIZUMAB 200 MG/10 ML (20 MG/ML) SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","13.83","13.83","13.83","N/A","N/A","N/A","13.83","13.83","N/A","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83"
"5","N/A","TOCILIZUMAB 200 MG/10 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","13.83","13.83","13.83","N/A","N/A","N/A","13.83","13.83","N/A","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83"
"5","N/A","TOCILIZUMAB 80 MG/4 ML (20 MG/ML) SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","13.83","13.83","13.83","N/A","N/A","N/A","13.83","13.83","N/A","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83"
"5","N/A","TOPOTECAN 4 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","8.40","8.40","8.40","N/A","N/A","N/A","8.40","8.40","N/A","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40"
"5","N/A","TRACE ELEMENTS ZN-CU-MN-SE 3 MG-0.3 MG-55 MCG-60 MCG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","51.60","51.60","51.60","N/A","N/A","N/A","51.60","51.60","N/A","51.60","51.60","51.60","51.60","51.60","51.60","51.60","51.60","51.60","51.60"
"5","N/A","TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLN","N/A","N/A","0250","N/A","N/A","19.22","19.22","19.22","N/A","N/A","N/A","19.22","19.22","N/A","19.22","19.22","19.22","19.22","19.22","19.22","19.22","19.22","19.22","19.22"
"5","N/A","TRANEXAMIC ACID 1,000 MG/10 ML (100 MG/ML) SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","23.70","23.70","23.70","N/A","N/A","N/A","23.70","23.70","N/A","23.70","23.70","23.70","23.70","23.70","23.70","23.70","23.70","23.70","23.70"
"5","N/A","TRANEXAMIC ACID 1,000 MG/10 ML SOLN","N/A","N/A","0250","N/A","N/A","27.00","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","TRANEXAMIC ACID IN NACL, ISO-OS 1,000 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","50.40","50.40","50.40","N/A","N/A","N/A","50.40","50.40","N/A","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40"
"5","N/A","TRANEXAMIC ACID IN NACL,ISO-OS 1,000 MG/100 ML (10 MG/ML) IVPB","N/A","N/A","0250","N/A","N/A","50.40","50.40","50.40","N/A","N/A","N/A","50.40","50.40","N/A","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40"
"5","N/A","TRANEXAMIC ACID IN NACL,ISO-OS 1,000 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","50.40","50.40","50.40","N/A","N/A","N/A","50.40","50.40","N/A","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40","50.40"
"5","N/A","TRASTUZUMAB 150 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","187.01","187.01","187.01","N/A","N/A","N/A","187.01","187.01","N/A","187.01","187.01","187.01","187.01","187.01","187.01","187.01","187.01","187.01","187.01"
"5","N/A","TRASTUZUMAB 150 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","182.61","182.61","182.61","N/A","N/A","N/A","182.61","182.61","N/A","182.61","182.61","182.61","182.61","182.61","182.61","182.61","182.61","182.61","182.61"
"5","N/A","TRASTUZUMAB-ANNS 150 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","158.45","158.45","158.45","N/A","N/A","N/A","158.45","158.45","N/A","158.45","158.45","158.45","158.45","158.45","158.45","158.45","158.45","158.45","158.45"
"5","N/A","TRASTUZUMAB-ANNS 150 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","158.48","158.48","158.48","N/A","N/A","N/A","158.48","158.48","N/A","158.48","158.48","158.48","158.48","158.48","158.48","158.48","158.48","158.48","158.48"
"5","N/A","TRASTUZUMAB-ANNS 420 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","158.45","158.45","158.45","N/A","N/A","N/A","158.45","158.45","N/A","158.45","158.45","158.45","158.45","158.45","158.45","158.45","158.45","158.45","158.45"
"5","N/A","TRASTUZUMAB-ANNS 420 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","158.57","158.57","158.57","N/A","N/A","N/A","158.57","158.57","N/A","158.57","158.57","158.57","158.57","158.57","158.57","158.57","158.57","158.57","158.57"
"5","N/A","TREPROSTINIL 1 MG/ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","135.08","135.08","135.08","N/A","N/A","N/A","135.08","135.08","N/A","135.08","135.08","135.08","135.08","135.08","135.08","135.08","135.08","135.08","135.08"
"5","N/A","TREPROSTINIL 10 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","152.80","152.80","152.80","N/A","N/A","N/A","152.80","152.80","N/A","152.80","152.80","152.80","152.80","152.80","152.80","152.80","152.80","152.80","152.80"
"5","N/A","TREPROSTINIL 2.5 MG/ML SOLN","N/A","N/A","0250","N/A","N/A","152.80","152.80","152.80","N/A","N/A","N/A","152.80","152.80","N/A","152.80","152.80","152.80","152.80","152.80","152.80","152.80","152.80","152.80","152.80"
"5","N/A","TREPROSTINIL SODIUM 2.5 MG/ML SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","123.03","123.03","123.03","N/A","N/A","N/A","123.03","123.03","N/A","123.03","123.03","123.03","123.03","123.03","123.03","123.03","123.03","123.03","123.03"
"5","N/A","TRIAMCINOLONE ACETONIDE (PF) 40 MG/ML SUSP","N/A","N/A","0250","N/A","N/A","22.42","22.42","22.42","N/A","N/A","N/A","22.42","22.42","N/A","22.42","22.42","22.42","22.42","22.42","22.42","22.42","22.42","22.42","22.42"
"5","N/A","TRIAMCINOLONE ACETONIDE 40 MG/ML SUSP","N/A","N/A","0250","N/A","N/A","5.58","5.58","5.58","N/A","N/A","N/A","5.58","5.58","N/A","5.58","5.58","5.58","5.58","5.58","5.58","5.58","5.58","5.58","5.58"
"5","N/A","TRIAMCINOLONE ACETONIDE 50 MG/5 ML SUSP 5 ML VIAL","N/A","N/A","0250","N/A","N/A","5.80","5.80","5.80","N/A","N/A","N/A","5.80","5.80","N/A","5.80","5.80","5.80","5.80","5.80","5.80","5.80","5.80","5.80","5.80"
"5","N/A","TRIMETHOPRIM/SULFAMETHOXAZOLE 80-400 MG/5 ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","30.10","30.10","30.10","N/A","N/A","N/A","30.10","30.10","N/A","30.10","30.10","30.10","30.10","30.10","30.10","30.10","30.10","30.10","30.10"
"5","N/A","TROPICAMIDE 1 % DROP 1 ML DROP BTL","N/A","N/A","0250","N/A","N/A","8.33","8.33","8.33","N/A","N/A","N/A","8.33","8.33","N/A","8.33","8.33","8.33","8.33","8.33","8.33","8.33","8.33","8.33","8.33"
"5","N/A","TROPICAMIDE 1 % DROP 15 ML DROP BTL","N/A","N/A","0250","N/A","N/A","20.42","20.42","20.42","N/A","N/A","N/A","20.42","20.42","N/A","20.42","20.42","20.42","20.42","20.42","20.42","20.42","20.42","20.42","20.42"
"5","N/A","TRYPAN BLUE 0.06 % SYR 0.5 ML SYRINGE","N/A","N/A","0250","N/A","N/A","167.52","167.52","167.52","N/A","N/A","N/A","167.52","167.52","N/A","167.52","167.52","167.52","167.52","167.52","167.52","167.52","167.52","167.52","167.52"
"5","N/A","TRYPAN BLUE 0.15 % 0.15 % SYR","N/A","N/A","0250","N/A","N/A","240.00","240.00","240.00","N/A","N/A","N/A","240.00","240.00","N/A","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00"
"5","N/A","TUBERCULIN PPD 50 UNIT/ML SOLN","N/A","N/A","0250","N/A","N/A","21.54","21.54","21.54","N/A","N/A","N/A","21.54","21.54","N/A","21.54","21.54","21.54","21.54","21.54","21.54","21.54","21.54","21.54","21.54"
"5","N/A","URSODIOL 500 MG TABLET","N/A","N/A","0250","N/A","N/A","7.12","7.12","7.12","N/A","N/A","N/A","7.12","7.12","N/A","7.12","7.12","7.12","7.12","7.12","7.12","7.12","7.12","7.12","7.12"
"5","N/A","USTEKINUMAB 130 MG/26 ML SOLN 26 ML VIAL","N/A","N/A","0250","N/A","N/A","24.15","24.15","24.15","N/A","N/A","N/A","24.15","24.15","N/A","24.15","24.15","24.15","24.15","24.15","24.15","24.15","24.15","24.15","24.15"
"5","N/A","VALPROATE 500 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","35.34","35.34","35.34","N/A","N/A","N/A","35.34","35.34","N/A","35.34","35.34","35.34","35.34","35.34","35.34","35.34","35.34","35.34","35.34"
"5","N/A","VALRUBICIN 40 MG/ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","3742.33","3742.33","3742.33","N/A","N/A","N/A","3742.33","3742.33","N/A","3742.33","3742.33","3742.33","3742.33","3742.33","3742.33","3742.33","3742.33","3742.33","3742.33"
"5","N/A","VANCOMYCIN","N/A","N/A","0250","N/A","N/A","19.30","19.30","19.30","N/A","N/A","N/A","19.30","19.30","N/A","19.30","19.30","19.30","19.30","19.30","19.30","19.30","19.30","19.30","19.30"
"5","N/A","VANCOMYCIN 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","19.30","19.30","19.30","N/A","N/A","N/A","19.30","19.30","N/A","19.30","19.30","19.30","19.30","19.30","19.30","19.30","19.30","19.30","19.30"
"5","N/A","VANCOMYCIN 10 GRAM RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","25.81","25.81","25.81","N/A","N/A","N/A","25.81","25.81","N/A","25.81","25.81","25.81","25.81","25.81","25.81","25.81","25.81","25.81","25.81"
"5","N/A","VANCOMYCIN 500 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","19.39","19.39","19.39","N/A","N/A","N/A","19.39","19.39","N/A","19.39","19.39","19.39","19.39","19.39","19.39","19.39","19.39","19.39","19.39"
"5","N/A","VANCOMYCIN 500 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","19.40","19.40","19.40","N/A","N/A","N/A","19.40","19.40","N/A","19.40","19.40","19.40","19.40","19.40","19.40","19.40","19.40","19.40","19.40"
"5","N/A","VANCOMYCIN HCL 1000 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","19.34","19.34","19.34","N/A","N/A","N/A","19.34","19.34","N/A","19.34","19.34","19.34","19.34","19.34","19.34","19.34","19.34","19.34","19.34"
"5","N/A","VANCOMYCIN HCL 1000 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","19.35","19.35","19.35","N/A","N/A","N/A","19.35","19.35","N/A","19.35","19.35","19.35","19.35","19.35","19.35","19.35","19.35","19.35","19.35"
"5","N/A","VANCOMYCIN HCL RECON.SOLN. RECON.SOLN.","N/A","N/A","0250","N/A","N/A","19.39","19.39","19.39","N/A","N/A","N/A","19.39","19.39","N/A","19.39","19.39","19.39","19.39","19.39","19.39","19.39","19.39","19.39","19.39"
"5","N/A","VANCOMYCIN IN 0.9% SODIUM CL 1.25 GRAM/250 ML SOLN","N/A","N/A","0250","N/A","N/A","13.92","13.92","13.92","N/A","N/A","N/A","13.92","13.92","N/A","13.92","13.92","13.92","13.92","13.92","13.92","13.92","13.92","13.92","13.92"
"5","N/A","VANCOMYCIN-WATER INJECT (PEG) 1.25 GRAM/250 ML IVPB","N/A","N/A","0250","N/A","N/A","23.08","23.08","23.08","N/A","N/A","N/A","23.08","23.08","N/A","23.08","23.08","23.08","23.08","23.08","23.08","23.08","23.08","23.08","23.08"
"5","N/A","VANCOMYCIN-WATER INJECT (PEG) 1.75 GRAM/350 ML IVPB","N/A","N/A","0250","N/A","N/A","23.02","23.02","23.02","N/A","N/A","N/A","23.02","23.02","N/A","23.02","23.02","23.02","23.02","23.02","23.02","23.02","23.02","23.02","23.02"
"5","N/A","VANCOMYCIN-WATER INJECT (PEG) 750 MG/150 ML IVPB","N/A","N/A","0250","N/A","N/A","20.88","20.88","20.88","N/A","N/A","N/A","20.88","20.88","N/A","20.88","20.88","20.88","20.88","20.88","20.88","20.88","20.88","20.88","20.88"
"5","N/A","VANCOMYCIN-WATER INJECT 1 GRAM/200 ML IVPB","N/A","N/A","0250","N/A","N/A","27.81","27.81","27.81","N/A","N/A","N/A","27.81","27.81","N/A","27.81","27.81","27.81","27.81","27.81","27.81","27.81","27.81","27.81","27.81"
"5","N/A","VANCOMYCIN-WATER INJECT 1.5 GRAM/300 ML IVPB","N/A","N/A","0250","N/A","N/A","27.53","27.53","27.53","N/A","N/A","N/A","27.53","27.53","N/A","27.53","27.53","27.53","27.53","27.53","27.53","27.53","27.53","27.53","27.53"
"5","N/A","VANCOMYCIN-WATER INJECT 2 GRAM/400 ML IVPB","N/A","N/A","0250","N/A","N/A","26.81","26.81","26.81","N/A","N/A","N/A","26.81","26.81","N/A","26.81","26.81","26.81","26.81","26.81","26.81","26.81","26.81","26.81","26.81"
"5","N/A","VANCOMYCIN-WATER INJECT 500 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","28.73","28.73","28.73","N/A","N/A","N/A","28.73","28.73","N/A","28.73","28.73","28.73","28.73","28.73","28.73","28.73","28.73","28.73","28.73"
"5","N/A","VARICELLA VIRUS VACC LIVE (PF) 1,350UNIT/0.5ML SUSR","N/A","N/A","0250","N/A","N/A","340.14","340.14","340.14","N/A","N/A","N/A","340.14","340.14","N/A","340.14","340.14","340.14","340.14","340.14","340.14","340.14","340.14","340.14","340.14"
"5","N/A","VASOPRESSIN 20 UNIT/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","491.42","491.42","491.42","N/A","N/A","N/A","491.42","491.42","N/A","491.42","491.42","491.42","491.42","491.42","491.42","491.42","491.42","491.42","491.42"
"5","N/A","VECURONIUM 10 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","16.23","16.23","16.23","N/A","N/A","N/A","16.23","16.23","N/A","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23","16.23"
"5","N/A","VECURONIUM 10 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","17.44","17.44","17.44","N/A","N/A","N/A","17.44","17.44","N/A","17.44","17.44","17.44","17.44","17.44","17.44","17.44","17.44","17.44","17.44"
"5","N/A","VEDOLIZUMAB 300 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","55.97","55.97","55.97","N/A","N/A","N/A","55.97","55.97","N/A","55.97","55.97","55.97","55.97","55.97","55.97","55.97","55.97","55.97","55.97"
"5","N/A","VERAPAMIL 1 MG/0.4 ML SOLN","N/A","N/A","0250","N/A","N/A","8.72","8.72","8.72","N/A","N/A","N/A","8.72","8.72","N/A","8.72","8.72","8.72","8.72","8.72","8.72","8.72","8.72","8.72","8.72"
"5","N/A","VERAPAMIL 5 MG/2 ML SOLN","N/A","N/A","0250","N/A","N/A","76.82","76.82","76.82","N/A","N/A","N/A","76.82","76.82","N/A","76.82","76.82","76.82","76.82","76.82","76.82","76.82","76.82","76.82","76.82"
"5","N/A","VERAPAMIL 5 MG/2 ML SOLN 4 ML VIAL","N/A","N/A","0250","N/A","N/A","76.82","76.82","76.82","N/A","N/A","N/A","76.82","76.82","N/A","76.82","76.82","76.82","76.82","76.82","76.82","76.82","76.82","76.82","76.82"
"5","N/A","VINBLASTINE 1 MG/ML SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","10.89","10.89","10.89","N/A","N/A","N/A","10.89","10.89","N/A","10.89","10.89","10.89","10.89","10.89","10.89","10.89","10.89","10.89","10.89"
"5","N/A","VINCRISTINE 1 MG/ML SOLN 1 ML VIAL","N/A","N/A","0250","N/A","N/A","14.28","14.28","14.28","N/A","N/A","N/A","14.28","14.28","N/A","14.28","14.28","14.28","14.28","14.28","14.28","14.28","14.28","14.28","14.28"
"5","N/A","VINORELBINE 50 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","43.20","43.20","43.20","N/A","N/A","N/A","43.20","43.20","N/A","43.20","43.20","43.20","43.20","43.20","43.20","43.20","43.20","43.20","43.20"
"5","N/A","VORICONAZOLE 10 MG/ML SOLN 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","359.86","359.86","359.86","N/A","N/A","N/A","359.86","359.86","N/A","359.86","359.86","359.86","359.86","359.86","359.86","359.86","359.86","359.86","359.86"
"5","N/A","VORICONAZOLE 200 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","17.99","17.99","17.99","N/A","N/A","N/A","17.99","17.99","N/A","17.99","17.99","17.99","17.99","17.99","17.99","17.99","17.99","17.99","17.99"
"5","N/A","WATER FOR INJECTION, STERILE SOLN","N/A","N/A","0250","N/A","N/A","7.96","7.96","7.96","N/A","N/A","N/A","7.96","7.96","N/A","7.96","7.96","7.96","7.96","7.96","7.96","7.96","7.96","7.96","7.96"
"5","N/A","WATER FOR INJECTION, STERILE SOLN 10 ML VIAL","N/A","N/A","0250","N/A","N/A","6.18","6.18","6.18","N/A","N/A","N/A","6.18","6.18","N/A","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18","6.18"
"5","N/A","WATER FOR INJECTION, STERILE SOLN 100 ML VIAL","N/A","N/A","0250","N/A","N/A","0.10","0.10","0.10","N/A","N/A","N/A","0.10","0.10","N/A","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10"
"5","N/A","WATER FOR INJECTION, STERILE SOLN 20 ML VIAL","N/A","N/A","0250","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","WATER FOR INJECTION, STERILE SOLP 1,000 ML BAG","N/A","N/A","0250","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","ZIPRASIDONE 20 MG RECON.SOLN.","N/A","N/A","0250","N/A","N/A","62.54","62.54","62.54","N/A","N/A","N/A","62.54","62.54","N/A","62.54","62.54","62.54","62.54","62.54","62.54","62.54","62.54","62.54","62.54"
"5","N/A","ZIPRASIDONE 20 MG RECON.SOLN. 1 EACH VIAL","N/A","N/A","0250","N/A","N/A","65.61","65.61","65.61","N/A","N/A","N/A","65.61","65.61","N/A","65.61","65.61","65.61","65.61","65.61","65.61","65.61","65.61","65.61","65.61"
"5","N/A","ZOLEDRONIC 4 MG/5 ML SOLN 5 ML VIAL","N/A","N/A","0250","N/A","N/A","28.33","28.33","28.33","N/A","N/A","N/A","28.33","28.33","N/A","28.33","28.33","28.33","28.33","28.33","28.33","28.33","28.33","28.33","28.33"
"5","N/A","ZOLEDRONIC AC-MANNITOL-0.9NACL 4 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","108.00","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","ZOLEDRONIC ACID-MANNITOL&WATER 5 MG/100 ML IVPB","N/A","N/A","0250","N/A","N/A","144.00","144.00","144.00","N/A","N/A","N/A","144.00","144.00","N/A","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00"
"5","N/A","ZONISAMIDE 100 MG CAP","N/A","N/A","0250","N/A","N/A","0.89","0.89","0.89","N/A","N/A","N/A","0.89","0.89","N/A","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89"
"5","N/A","ZONISAMIDE 100 MG CAP 1 EACH BLIST PACK","N/A","N/A","0250","N/A","N/A","0.89","0.89","0.89","N/A","N/A","N/A","0.89","0.89","N/A","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89"
"5","N/A","ZONISAMIDE 100 MG CAP 100 EACH BOTTLE","N/A","N/A","0250","N/A","N/A","0.89","0.89","0.89","N/A","N/A","N/A","0.89","0.89","N/A","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89"
"5","N/A","HCHG (3B) CALCIUM AC 6677MG GEL CAP","N/A","N/A","0253","N/A","N/A","1.59","1.59","1.59","N/A","N/A","N/A","1.59","1.59","N/A","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59"
"5","N/A","HCHG (3B) CALCIUM CARB 500MG CHEW TAB","N/A","N/A","0253","N/A","N/A","0.08","0.08","0.08","N/A","N/A","N/A","0.08","0.08","N/A","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08"
"5","N/A","HCHG (3B) OMEPRAZOLE MAG OTC 20MG TAB","N/A","N/A","0253","N/A","N/A","1.06","1.06","1.06","N/A","N/A","N/A","1.06","1.06","N/A","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06"
"5","N/A","HCHG (3B) VITAMIN B12 500MCG TAB","N/A","N/A","0253","N/A","N/A","0.18","0.18","0.18","N/A","N/A","N/A","0.18","0.18","N/A","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18"
"5","N/A","HCHG (NF) AVELOX 400MG/TABLET","N/A","N/A","0253","N/A","N/A","42.16","42.16","42.16","N/A","N/A","N/A","42.16","42.16","N/A","42.16","42.16","42.16","42.16","42.16","42.16","42.16","42.16","42.16","42.16"
"5","N/A","HCHG (NF) CETIRIZINE 10MG/TAB","N/A","N/A","0253","N/A","N/A","3.82","3.82","3.82","N/A","N/A","N/A","3.82","3.82","N/A","3.82","3.82","3.82","3.82","3.82","3.82","3.82","3.82","3.82","3.82"
"5","N/A","HCHG (NF) FAMOTIDINE 20MG/TABLET","N/A","N/A","0253","N/A","N/A","3.21","3.21","3.21","N/A","N/A","N/A","3.21","3.21","N/A","3.21","3.21","3.21","3.21","3.21","3.21","3.21","3.21","3.21","3.21"
"5","N/A","HCHG (NF) LIDODERM 5% PATCH","N/A","N/A","0253","N/A","N/A","4.82","4.82","4.82","N/A","N/A","N/A","4.82","4.82","N/A","4.82","4.82","4.82","4.82","4.82","4.82","4.82","4.82","4.82","4.82"
"5","N/A","HCHG (NF) LORATADINE 10MG/TAB","N/A","N/A","0253","N/A","N/A","0.47","0.47","0.47","N/A","N/A","N/A","0.47","0.47","N/A","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47"
"5","N/A","HCHG (NF) METHIMAZOLE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","1.19","1.19","1.19","N/A","N/A","N/A","1.19","1.19","N/A","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19"
"5","N/A","HCHG (NF) VALGANCICLOVIR 450MG/TAB","N/A","N/A","0253","N/A","N/A","106.50","106.50","106.50","N/A","N/A","N/A","106.50","106.50","N/A","106.50","106.50","106.50","106.50","106.50","106.50","106.50","106.50","106.50","106.50"
"5","N/A","HCHG (OP) LAMOTRIGINE 100MG/TAB B","N/A","N/A","0253","N/A","N/A","7.66","7.66","7.66","N/A","N/A","N/A","7.66","7.66","N/A","7.66","7.66","7.66","7.66","7.66","7.66","7.66","7.66","7.66","7.66"
"5","N/A","HCHG (OP) LAMOTRIGINE 25MG/TAB B","N/A","N/A","0253","N/A","N/A","6.67","6.67","6.67","N/A","N/A","N/A","6.67","6.67","N/A","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67","6.67"
"5","N/A","HCHG (OP) SENNA/DOCUSATE SOD TB","N/A","N/A","0253","N/A","N/A","0.16","0.16","0.16","N/A","N/A","N/A","0.16","0.16","N/A","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16"
"5","N/A","HCHG ACETAMINOPHEN 160MG/5ML LIQU","N/A","N/A","0253","N/A","N/A","0.04","0.04","0.04","N/A","N/A","N/A","0.04","0.04","N/A","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04"
"5","N/A","HCHG ACETAMINOPHEN 160MG/5ML SUSP","N/A","N/A","0253","N/A","N/A","0.07","0.07","0.07","N/A","N/A","N/A","0.07","0.07","N/A","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07","0.07"
"5","N/A","HCHG ACETAMINOPHEN 325MG/TAB B","N/A","N/A","0253","N/A","N/A","0.10","0.10","0.10","N/A","N/A","N/A","0.10","0.10","N/A","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10"
"5","N/A","HCHG ACETAMINOPHEN ES 500MG/CAPLET","N/A","N/A","0253","N/A","N/A","0.08","0.08","0.08","N/A","N/A","N/A","0.08","0.08","N/A","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08"
"5","N/A","HCHG ACETAMINOPHEN W/COD 12MG/5ML","N/A","N/A","0253","N/A","N/A","0.05","0.05","0.05","N/A","N/A","N/A","0.05","0.05","N/A","0.05","0.05","0.05","0.05","0.05","0.05","0.05","0.05","0.05","0.05"
"5","N/A","HCHG ACETAMINOPHEN W/COD NO2 TAB","N/A","N/A","0253","N/A","N/A","0.80","0.80","0.80","N/A","N/A","N/A","0.80","0.80","N/A","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80"
"5","N/A","HCHG ACETAMINOPHEN W/COD NO3 TAB B","N/A","N/A","0253","N/A","N/A","0.95","0.95","0.95","N/A","N/A","N/A","0.95","0.95","N/A","0.95","0.95","0.95","0.95","0.95","0.95","0.95","0.95","0.95","0.95"
"5","N/A","HCHG ACYCLOVIR 200MG/CAP B","N/A","N/A","0253","N/A","N/A","1.51","1.51","1.51","N/A","N/A","N/A","1.51","1.51","N/A","1.51","1.51","1.51","1.51","1.51","1.51","1.51","1.51","1.51","1.51"
"5","N/A","HCHG ADVAIR 250/50MCG DISKUS","N/A","N/A","0253","N/A","N/A","12.20","12.20","12.20","N/A","N/A","N/A","12.20","12.20","N/A","12.20","12.20","12.20","12.20","12.20","12.20","12.20","12.20","12.20","12.20"
"5","N/A","HCHG ADVAIR 500/50MCG DISKUS","N/A","N/A","0253","N/A","N/A","16.05","16.05","16.05","N/A","N/A","N/A","16.05","16.05","N/A","16.05","16.05","16.05","16.05","16.05","16.05","16.05","16.05","16.05","16.05"
"5","N/A","HCHG ALBUTEROL 0.083% INH SOL","N/A","N/A","0253","N/A","N/A","0.58","0.58","0.58","N/A","N/A","N/A","0.58","0.58","N/A","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58"
"5","N/A","HCHG ALBUTEROL 2.5MG/0.5ML INH","N/A","N/A","0253","N/A","N/A","1.40","1.40","1.40","N/A","N/A","N/A","1.40","1.40","N/A","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40"
"5","N/A","HCHG ALBUTEROL HFA INH 90MCG (8G)","N/A","N/A","0253","N/A","N/A","5.00","5.00","5.00","N/A","N/A","N/A","5.00","5.00","N/A","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00"
"5","N/A","HCHG ALBUTEROL HFA INHALATION","N/A","N/A","0253","N/A","N/A","16.81","16.81","16.81","N/A","N/A","N/A","16.81","16.81","N/A","16.81","16.81","16.81","16.81","16.81","16.81","16.81","16.81","16.81","16.81"
"5","N/A","HCHG ALBUTEROL INH 90MCG","N/A","N/A","0253","N/A","N/A","5.50","5.50","5.50","N/A","N/A","N/A","5.50","5.50","N/A","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50","5.50"
"5","N/A","HCHG ALLOPURINOL 100MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.75","0.75","0.75","N/A","N/A","N/A","0.75","0.75","N/A","0.75","0.75","0.75","0.75","0.75","0.75","0.75","0.75","0.75","0.75"
"5","N/A","HCHG ALLOPURINOL 300MG/TABLET B","N/A","N/A","0253","N/A","N/A","1.43","1.43","1.43","N/A","N/A","N/A","1.43","1.43","N/A","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43"
"5","N/A","HCHG ALMACONE-II LIQUID B","N/A","N/A","0253","N/A","N/A","0.02","0.02","0.02","N/A","N/A","N/A","0.02","0.02","N/A","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02"
"5","N/A","HCHG ALPRAZOLAM 0.25MG/TAB B","N/A","N/A","0253","N/A","N/A","1.09","1.09","1.09","N/A","N/A","N/A","1.09","1.09","N/A","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09"
"5","N/A","HCHG ALPRAZOLAM 0.5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.34","1.34","1.34","N/A","N/A","N/A","1.34","1.34","N/A","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34","1.34"
"5","N/A","HCHG ALPRAZOLAM 1MG/TAB B","N/A","N/A","0253","N/A","N/A","1.53","1.53","1.53","N/A","N/A","N/A","1.53","1.53","N/A","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53"
"5","N/A","HCHG AMIODARONE 200MG/TABLET B","N/A","N/A","0253","N/A","N/A","5.00","5.00","5.00","N/A","N/A","N/A","5.00","5.00","N/A","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00"
"5","N/A","HCHG AMITRIPTYLINE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","0.28","0.28","0.28","N/A","N/A","N/A","0.28","0.28","N/A","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28"
"5","N/A","HCHG AMLACTIN 12% LOTION","N/A","N/A","0253","N/A","N/A","0.12","0.12","0.12","N/A","N/A","N/A","0.12","0.12","N/A","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12"
"5","N/A","HCHG AMLODIPINE 10MG/TAB (NORVASC)","N/A","N/A","0253","N/A","N/A","3.68","3.68","3.68","N/A","N/A","N/A","3.68","3.68","N/A","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68","3.68"
"5","N/A","HCHG AMLODIPINE 2.5MG/TAB (NORVAS","N/A","N/A","0253","N/A","N/A","2.70","2.70","2.70","N/A","N/A","N/A","2.70","2.70","N/A","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70"
"5","N/A","HCHG AMLODIPINE 5MG/TAB (NORVASC)","N/A","N/A","0253","N/A","N/A","2.77","2.77","2.77","N/A","N/A","N/A","2.77","2.77","N/A","2.77","2.77","2.77","2.77","2.77","2.77","2.77","2.77","2.77","2.77"
"5","N/A","HCHG AMOXICILLIN 125MG/5ML SUSP","N/A","N/A","0253","N/A","N/A","0.04","0.04","0.04","N/A","N/A","N/A","0.04","0.04","N/A","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04"
"5","N/A","HCHG AMOXICILLIN 400MG/5ML 100ML","N/A","N/A","0253","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","HCHG AMOXICILLIN 400MG/5ML SUSP 50ML","N/A","N/A","0253","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","HCHG AMOXICILLIN 500MG/CAP B","N/A","N/A","0253","N/A","N/A","0.68","0.68","0.68","N/A","N/A","N/A","0.68","0.68","N/A","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68"
"5","N/A","HCHG AMPICILLIN 500MG/CAPSULE B","N/A","N/A","0253","N/A","N/A","1.06","1.06","1.06","N/A","N/A","N/A","1.06","1.06","N/A","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06"
"5","N/A","HCHG ANASTROZOLE 1MG/TAB (ARIMIDE","N/A","N/A","0253","N/A","N/A","20.60","20.60","20.60","N/A","N/A","N/A","20.60","20.60","N/A","20.60","20.60","20.60","20.60","20.60","20.60","20.60","20.60","20.60","20.60"
"5","N/A","HCHG APIXABAN 2.5MG TABLET","N/A","N/A","0253","N/A","N/A","15.43","15.43","15.43","N/A","N/A","N/A","15.43","15.43","N/A","15.43","15.43","15.43","15.43","15.43","15.43","15.43","15.43","15.43","15.43"
"5","N/A","HCHG APIXABAN 5MG TABLET","N/A","N/A","0253","N/A","N/A","15.43","15.43","15.43","N/A","N/A","N/A","15.43","15.43","N/A","15.43","15.43","15.43","15.43","15.43","15.43","15.43","15.43","15.43","15.43"
"5","N/A","HCHG ARIPIPRAZOLE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","49.35","49.35","49.35","N/A","N/A","N/A","49.35","49.35","N/A","49.35","49.35","49.35","49.35","49.35","49.35","49.35","49.35","49.35","49.35"
"5","N/A","HCHG ARIPIPRAZOLE 15MG/TAB B","N/A","N/A","0253","N/A","N/A","49.42","49.42","49.42","N/A","N/A","N/A","49.42","49.42","N/A","49.42","49.42","49.42","49.42","49.42","49.42","49.42","49.42","49.42","49.42"
"5","N/A","HCHG ARIPIPRAZOLE 20MG/TAB B","N/A","N/A","0253","N/A","N/A","70.13","70.13","70.13","N/A","N/A","N/A","70.13","70.13","N/A","70.13","70.13","70.13","70.13","70.13","70.13","70.13","70.13","70.13","70.13"
"5","N/A","HCHG ARIPIPRAZOLE 2MG TABLET","N/A","N/A","0253","N/A","N/A","49.13","49.13","49.13","N/A","N/A","N/A","49.13","49.13","N/A","49.13","49.13","49.13","49.13","49.13","49.13","49.13","49.13","49.13","49.13"
"5","N/A","HCHG ARIPIPRAZOLE 30MG/TAB B","N/A","N/A","0253","N/A","N/A","70.21","70.21","70.21","N/A","N/A","N/A","70.21","70.21","N/A","70.21","70.21","70.21","70.21","70.21","70.21","70.21","70.21","70.21","70.21"
"5","N/A","HCHG ARIPIPRAZOLE 5MG TAB","N/A","N/A","0253","N/A","N/A","49.45","49.45","49.45","N/A","N/A","N/A","49.45","49.45","N/A","49.45","49.45","49.45","49.45","49.45","49.45","49.45","49.45","49.45","49.45"
"5","N/A","HCHG ARIPIPRAZOLE ORAL SOLN 1MG/ML","N/A","N/A","0253","N/A","N/A","10.93","10.93","10.93","N/A","N/A","N/A","10.93","10.93","N/A","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93"
"5","N/A","HCHG ASCORBIC ACID 500MG/TAB(VIT","N/A","N/A","0253","N/A","N/A","0.12","0.12","0.12","N/A","N/A","N/A","0.12","0.12","N/A","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12"
"5","N/A","HCHG ASPIRIN 325MG/TAB B","N/A","N/A","0253","N/A","N/A","0.16","0.16","0.16","N/A","N/A","N/A","0.16","0.16","N/A","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16"
"5","N/A","HCHG ASPIRIN 325MG/TABLET ENTERIC","N/A","N/A","0253","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","HCHG ASPIRIN 81MG CHEWABLE TABLET","N/A","N/A","0253","N/A","N/A","0.16","0.16","0.16","N/A","N/A","N/A","0.16","0.16","N/A","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16"
"5","N/A","HCHG ASPIRIN EC 81MG TABLET B","N/A","N/A","0253","N/A","N/A","0.16","0.16","0.16","N/A","N/A","N/A","0.16","0.16","N/A","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16"
"5","N/A","HCHG ATENOLOL 25MG/TABLET B","N/A","N/A","0253","N/A","N/A","1.27","1.27","1.27","N/A","N/A","N/A","1.27","1.27","N/A","1.27","1.27","1.27","1.27","1.27","1.27","1.27","1.27","1.27","1.27"
"5","N/A","HCHG ATORVASTATIN 10MG TABLET GENERIC","N/A","N/A","0253","N/A","N/A","6.24","6.24","6.24","N/A","N/A","N/A","6.24","6.24","N/A","6.24","6.24","6.24","6.24","6.24","6.24","6.24","6.24","6.24","6.24"
"5","N/A","HCHG ATORVASTATIN 20MG TABLET GENERIC","N/A","N/A","0253","N/A","N/A","8.89","8.89","8.89","N/A","N/A","N/A","8.89","8.89","N/A","8.89","8.89","8.89","8.89","8.89","8.89","8.89","8.89","8.89","8.89"
"5","N/A","HCHG ATORVASTATIN 40MG TABLET GENERIC","N/A","N/A","0253","N/A","N/A","8.93","8.93","8.93","N/A","N/A","N/A","8.93","8.93","N/A","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93","8.93"
"5","N/A","HCHG ATORVASTATIN 80MG TABLET GENERIC","N/A","N/A","0253","N/A","N/A","8.84","8.84","8.84","N/A","N/A","N/A","8.84","8.84","N/A","8.84","8.84","8.84","8.84","8.84","8.84","8.84","8.84","8.84","8.84"
"5","N/A","HCHG ATOVAQUONE 750MG/5ML SUSP(ME","N/A","N/A","0253","N/A","N/A","10.40","10.40","10.40","N/A","N/A","N/A","10.40","10.40","N/A","10.40","10.40","10.40","10.40","10.40","10.40","10.40","10.40","10.40","10.40"
"5","N/A","HCHG ATROPINE SO4 1% OPH DROPS","N/A","N/A","0253","N/A","N/A","18.08","18.08","18.08","N/A","N/A","N/A","18.08","18.08","N/A","18.08","18.08","18.08","18.08","18.08","18.08","18.08","18.08","18.08","18.08"
"5","N/A","HCHG AUGMENTIN 400MG/5ML 100ML","N/A","N/A","0253","N/A","N/A","1.08","1.08","1.08","N/A","N/A","N/A","1.08","1.08","N/A","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08"
"5","N/A","HCHG AUGMENTIN 500MG TABLET B","N/A","N/A","0253","N/A","N/A","5.86","5.86","5.86","N/A","N/A","N/A","5.86","5.86","N/A","5.86","5.86","5.86","5.86","5.86","5.86","5.86","5.86","5.86","5.86"
"5","N/A","HCHG AUGMENTIN 875MG/TAB B","N/A","N/A","0253","N/A","N/A","7.82","7.82","7.82","N/A","N/A","N/A","7.82","7.82","N/A","7.82","7.82","7.82","7.82","7.82","7.82","7.82","7.82","7.82","7.82"
"5","N/A","HCHG AZITHROMYCIN 250MG/TAB B","N/A","N/A","0253","N/A","N/A","12.05","12.05","12.05","N/A","N/A","N/A","12.05","12.05","N/A","12.05","12.05","12.05","12.05","12.05","12.05","12.05","12.05","12.05","12.05"
"5","N/A","HCHG BACITRACIN 500U/GM OINT","N/A","N/A","0253","N/A","N/A","0.39","0.39","0.39","N/A","N/A","N/A","0.39","0.39","N/A","0.39","0.39","0.39","0.39","0.39","0.39","0.39","0.39","0.39","0.39"
"5","N/A","HCHG BACLOFEN 10MG/TABLET B","N/A","N/A","0253","N/A","N/A","3.83","3.83","3.83","N/A","N/A","N/A","3.83","3.83","N/A","3.83","3.83","3.83","3.83","3.83","3.83","3.83","3.83","3.83","3.83"
"5","N/A","HCHG BENZOCAINE 20% (TOPEX) SPRAY","N/A","N/A","0253","N/A","N/A","0.47","0.47","0.47","N/A","N/A","N/A","0.47","0.47","N/A","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47"
"5","N/A","HCHG BENZOCAINE 20% SPRAY","N/A","N/A","0253","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","HCHG BENZONATATE 100MG/CAP B","N/A","N/A","0253","N/A","N/A","0.29","0.29","0.29","N/A","N/A","N/A","0.29","0.29","N/A","0.29","0.29","0.29","0.29","0.29","0.29","0.29","0.29","0.29","0.29"
"5","N/A","HCHG BENZTROPINE 0.5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.62","0.62","0.62","N/A","N/A","N/A","0.62","0.62","N/A","0.62","0.62","0.62","0.62","0.62","0.62","0.62","0.62","0.62","0.62"
"5","N/A","HCHG BENZTROPINE 1MG/TAB B","N/A","N/A","0253","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","HCHG BETHANECHOL 10MG/TAB B","N/A","N/A","0253","N/A","N/A","2.49","2.49","2.49","N/A","N/A","N/A","2.49","2.49","N/A","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49"
"5","N/A","HCHG BISACODYL 10MG SUPPOSITORY","N/A","N/A","0253","N/A","N/A","0.69","0.69","0.69","N/A","N/A","N/A","0.69","0.69","N/A","0.69","0.69","0.69","0.69","0.69","0.69","0.69","0.69","0.69","0.69"
"5","N/A","HCHG BISACODYL 5MG/TABLET U/D","N/A","N/A","0253","N/A","N/A","0.22","0.22","0.22","N/A","N/A","N/A","0.22","0.22","N/A","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22"
"5","N/A","HCHG BISMUTH SUBSALICYLATE LIQUID","N/A","N/A","0253","N/A","N/A","0.02","0.02","0.02","N/A","N/A","N/A","0.02","0.02","N/A","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02"
"5","N/A","HCHG BUMETANIDE 1MG/TAB B","N/A","N/A","0253","N/A","N/A","3.62","3.62","3.62","N/A","N/A","N/A","3.62","3.62","N/A","3.62","3.62","3.62","3.62","3.62","3.62","3.62","3.62","3.62","3.62"
"5","N/A","HCHG BUPROPION 150MG/SR TABLET","N/A","N/A","0253","N/A","N/A","7.39","7.39","7.39","N/A","N/A","N/A","7.39","7.39","N/A","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39"
"5","N/A","HCHG BUPROPION 75MG TABLET","N/A","N/A","0253","N/A","N/A","1.11","1.11","1.11","N/A","N/A","N/A","1.11","1.11","N/A","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11"
"5","N/A","HCHG BUPROPION SR 100MG/TABLET","N/A","N/A","0253","N/A","N/A","2.61","2.61","2.61","N/A","N/A","N/A","2.61","2.61","N/A","2.61","2.61","2.61","2.61","2.61","2.61","2.61","2.61","2.61","2.61"
"5","N/A","HCHG BUPROPION XL 150MG TABLET","N/A","N/A","0253","N/A","N/A","7.39","7.39","7.39","N/A","N/A","N/A","7.39","7.39","N/A","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39","7.39"
"5","N/A","HCHG BUPROPION XL 300MG TABLET","N/A","N/A","0253","N/A","N/A","7.38","7.38","7.38","N/A","N/A","N/A","7.38","7.38","N/A","7.38","7.38","7.38","7.38","7.38","7.38","7.38","7.38","7.38","7.38"
"5","N/A","HCHG BUSPAR 10MG/TABLET","N/A","N/A","0253","N/A","N/A","0.36","0.36","0.36","N/A","N/A","N/A","0.36","0.36","N/A","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36"
"5","N/A","HCHG BUSPIRONE 15MG/TAB B","N/A","N/A","0253","N/A","N/A","3.13","3.13","3.13","N/A","N/A","N/A","3.13","3.13","N/A","3.13","3.13","3.13","3.13","3.13","3.13","3.13","3.13","3.13","3.13"
"5","N/A","HCHG BUSPIRONE 5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.19","1.19","1.19","N/A","N/A","N/A","1.19","1.19","N/A","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19"
"5","N/A","HCHG BUTALBITAL/APAP/CAFFEINE TB","N/A","N/A","0253","N/A","N/A","2.61","2.61","2.61","N/A","N/A","N/A","2.61","2.61","N/A","2.61","2.61","2.61","2.61","2.61","2.61","2.61","2.61","2.61","2.61"
"5","N/A","HCHG CALAMINE LOTION","N/A","N/A","0253","N/A","N/A","0.03","0.03","0.03","N/A","N/A","N/A","0.03","0.03","N/A","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03"
"5","N/A","HCHG CALCITONIN NASAL SPRAY 3.7ML","N/A","N/A","0253","N/A","N/A","45.89","45.89","45.89","N/A","N/A","N/A","45.89","45.89","N/A","45.89","45.89","45.89","45.89","45.89","45.89","45.89","45.89","45.89","45.89"
"5","N/A","HCHG CALCITRIOL 0.25MCG CAP(VIT.D","N/A","N/A","0253","N/A","N/A","1.87","1.87","1.87","N/A","N/A","N/A","1.87","1.87","N/A","1.87","1.87","1.87","1.87","1.87","1.87","1.87","1.87","1.87","1.87"
"5","N/A","HCHG CALCIUM CARB 650MG/TABLET","N/A","N/A","0253","N/A","N/A","0.08","0.08","0.08","N/A","N/A","N/A","0.08","0.08","N/A","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08","0.08"
"5","N/A","HCHG CALCIUM CARBONATE 500MG CHEW","N/A","N/A","0253","N/A","N/A","0.09","0.09","0.09","N/A","N/A","N/A","0.09","0.09","N/A","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09"
"5","N/A","HCHG CALCIUM/VITAMIN D 500MG/400IU TAB","N/A","N/A","0253","N/A","N/A","0.09","0.09","0.09","N/A","N/A","N/A","0.09","0.09","N/A","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09"
"5","N/A","HCHG CAPSAICIN 0.075% CREAM","N/A","N/A","0253","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","HCHG CARISOPRODOL 350MG/TABLET B *","N/A","N/A","0253","N/A","N/A","0.92","0.92","0.92","N/A","N/A","N/A","0.92","0.92","N/A","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92"
"5","N/A","HCHG CARVEDILOL 12.5MG TABLET","N/A","N/A","0253","N/A","N/A","3.31","3.31","3.31","N/A","N/A","N/A","3.31","3.31","N/A","3.31","3.31","3.31","3.31","3.31","3.31","3.31","3.31","3.31","3.31"
"5","N/A","HCHG CARVEDILOL 25MG/TAB (COREG)","N/A","N/A","0253","N/A","N/A","3.30","3.30","3.30","N/A","N/A","N/A","3.30","3.30","N/A","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30"
"5","N/A","HCHG CARVEDILOL 3.125MG/TAB (CORE","N/A","N/A","0253","N/A","N/A","3.23","3.23","3.23","N/A","N/A","N/A","3.23","3.23","N/A","3.23","3.23","3.23","3.23","3.23","3.23","3.23","3.23","3.23","3.23"
"5","N/A","HCHG CARVEDILOL 6.25MG/TAB (COREG","N/A","N/A","0253","N/A","N/A","3.30","3.30","3.30","N/A","N/A","N/A","3.30","3.30","N/A","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30"
"5","N/A","HCHG CEFDINIR 300MG CAPSULE","N/A","N/A","0253","N/A","N/A","7.92","7.92","7.92","N/A","N/A","N/A","7.92","7.92","N/A","7.92","7.92","7.92","7.92","7.92","7.92","7.92","7.92","7.92","7.92"
"5","N/A","HCHG CEFTIN 500MG/TABLET B","N/A","N/A","0253","N/A","N/A","12.63","12.63","12.63","N/A","N/A","N/A","12.63","12.63","N/A","12.63","12.63","12.63","12.63","12.63","12.63","12.63","12.63","12.63","12.63"
"5","N/A","HCHG CEFUROXIME 250MG/TAB B","N/A","N/A","0253","N/A","N/A","7.84","7.84","7.84","N/A","N/A","N/A","7.84","7.84","N/A","7.84","7.84","7.84","7.84","7.84","7.84","7.84","7.84","7.84","7.84"
"5","N/A","HCHG CELECOXIB 100MG/CAP B","N/A","N/A","0253","N/A","N/A","7.13","7.13","7.13","N/A","N/A","N/A","7.13","7.13","N/A","7.13","7.13","7.13","7.13","7.13","7.13","7.13","7.13","7.13","7.13"
"5","N/A","HCHG CELECOXIB 200MG/CAP B","N/A","N/A","0253","N/A","N/A","11.67","11.67","11.67","N/A","N/A","N/A","11.67","11.67","N/A","11.67","11.67","11.67","11.67","11.67","11.67","11.67","11.67","11.67","11.67"
"5","N/A","HCHG CENTRUM ADULT CHEWABLE VITAMIN","N/A","N/A","0253","N/A","N/A","0.17","0.17","0.17","N/A","N/A","N/A","0.17","0.17","N/A","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17"
"5","N/A","HCHG CEPACOL LOZENGE","N/A","N/A","0253","N/A","N/A","0.27","0.27","0.27","N/A","N/A","N/A","0.27","0.27","N/A","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27"
"5","N/A","HCHG CEPHALEXIN 250MG/5ML SUSP","N/A","N/A","0253","N/A","N/A","0.40","0.40","0.40","N/A","N/A","N/A","0.40","0.40","N/A","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40"
"5","N/A","HCHG CEPHALEXIN 250MG/CAPSULE B","N/A","N/A","0253","N/A","N/A","1.35","1.35","1.35","N/A","N/A","N/A","1.35","1.35","N/A","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35","1.35"
"5","N/A","HCHG CEPHALEXIN 500MG/CAP B","N/A","N/A","0253","N/A","N/A","2.13","2.13","2.13","N/A","N/A","N/A","2.13","2.13","N/A","2.13","2.13","2.13","2.13","2.13","2.13","2.13","2.13","2.13","2.13"
"5","N/A","HCHG CETAPHIL LOTION","N/A","N/A","0253","N/A","N/A","0.03","0.03","0.03","N/A","N/A","N/A","0.03","0.03","N/A","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03","0.03"
"5","N/A","HCHG CHLORDIAZEPOXIDE 10MG/CAP B","N/A","N/A","0253","N/A","N/A","0.62","0.62","0.62","N/A","N/A","N/A","0.62","0.62","N/A","0.62","0.62","0.62","0.62","0.62","0.62","0.62","0.62","0.62","0.62"
"5","N/A","HCHG CHLORDIAZEPOXIDE 25MG/CAP B*","N/A","N/A","0253","N/A","N/A","0.66","0.66","0.66","N/A","N/A","N/A","0.66","0.66","N/A","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66"
"5","N/A","HCHG CHLORDIAZEPOXIDE 5MG/CAP B C","N/A","N/A","0253","N/A","N/A","0.60","0.60","0.60","N/A","N/A","N/A","0.60","0.60","N/A","0.60","0.60","0.60","0.60","0.60","0.60","0.60","0.60","0.60","0.60"
"5","N/A","HCHG CHLORHEXIDINE 0.12% RINSE","N/A","N/A","0253","N/A","N/A","0.02","0.02","0.02","N/A","N/A","N/A","0.02","0.02","N/A","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02"
"5","N/A","HCHG CHLORPROMAZINE 25MG/TAB B","N/A","N/A","0253","N/A","N/A","11.83","11.83","11.83","N/A","N/A","N/A","11.83","11.83","N/A","11.83","11.83","11.83","11.83","11.83","11.83","11.83","11.83","11.83","11.83"
"5","N/A","HCHG CHLORPROMAZINE 50MG/TAB B","N/A","N/A","0253","N/A","N/A","16.07","16.07","16.07","N/A","N/A","N/A","16.07","16.07","N/A","16.07","16.07","16.07","16.07","16.07","16.07","16.07","16.07","16.07","16.07"
"5","N/A","HCHG CHOLECALCIFEROL 1000UNIT TABLET","N/A","N/A","0253","N/A","N/A","0.14","0.14","0.14","N/A","N/A","N/A","0.14","0.14","N/A","0.14","0.14","0.14","0.14","0.14","0.14","0.14","0.14","0.14","0.14"
"5","N/A","HCHG CINACALCET 30MG TABLET","N/A","N/A","0253","N/A","N/A","47.47","47.47","47.47","N/A","N/A","N/A","47.47","47.47","N/A","47.47","47.47","47.47","47.47","47.47","47.47","47.47","47.47","47.47","47.47"
"5","N/A","HCHG CIPRO 250MG/TABLET B","N/A","N/A","0253","N/A","N/A","7.02","7.02","7.02","N/A","N/A","N/A","7.02","7.02","N/A","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02","7.02"
"5","N/A","HCHG CIPRO 500MG/TABLET B","N/A","N/A","0253","N/A","N/A","7.71","7.71","7.71","N/A","N/A","N/A","7.71","7.71","N/A","7.71","7.71","7.71","7.71","7.71","7.71","7.71","7.71","7.71","7.71"
"5","N/A","HCHG CIPRO 750MG/TABLET B","N/A","N/A","0253","N/A","N/A","8.58","8.58","8.58","N/A","N/A","N/A","8.58","8.58","N/A","8.58","8.58","8.58","8.58","8.58","8.58","8.58","8.58","8.58","8.58"
"5","N/A","HCHG CIPROFLOXACIN 0.3% OPH SOLN","N/A","N/A","0253","N/A","N/A","14.65","14.65","14.65","N/A","N/A","N/A","14.65","14.65","N/A","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65","14.65"
"5","N/A","HCHG CITALOPRAM 10MG TAB","N/A","N/A","0253","N/A","N/A","3.95","3.95","3.95","N/A","N/A","N/A","3.95","3.95","N/A","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95","3.95"
"5","N/A","HCHG CITALOPRAM 20MG/TAB B (CELEXA","N/A","N/A","0253","N/A","N/A","3.85","3.85","3.85","N/A","N/A","N/A","3.85","3.85","N/A","3.85","3.85","3.85","3.85","3.85","3.85","3.85","3.85","3.85","3.85"
"5","N/A","HCHG CLARITHROMYCIN 250MG/TAB B(BI","N/A","N/A","0253","N/A","N/A","9.31","9.31","9.31","N/A","N/A","N/A","9.31","9.31","N/A","9.31","9.31","9.31","9.31","9.31","9.31","9.31","9.31","9.31","9.31"
"5","N/A","HCHG CLARITHROMYCIN 500MG/TAB B(BI","N/A","N/A","0253","N/A","N/A","9.32","9.32","9.32","N/A","N/A","N/A","9.32","9.32","N/A","9.32","9.32","9.32","9.32","9.32","9.32","9.32","9.32","9.32","9.32"
"5","N/A","HCHG CLINDAMYCIN 150MG/CAPSULE B","N/A","N/A","0253","N/A","N/A","1.85","1.85","1.85","N/A","N/A","N/A","1.85","1.85","N/A","1.85","1.85","1.85","1.85","1.85","1.85","1.85","1.85","1.85","1.85"
"5","N/A","HCHG CLINDAMYCIN 300MG CAP","N/A","N/A","0253","N/A","N/A","5.76","5.76","5.76","N/A","N/A","N/A","5.76","5.76","N/A","5.76","5.76","5.76","5.76","5.76","5.76","5.76","5.76","5.76","5.76"
"5","N/A","HCHG CLINDAMYCIN 75MG/5ML SOLN","N/A","N/A","0253","N/A","N/A","0.96","0.96","0.96","N/A","N/A","N/A","0.96","0.96","N/A","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96"
"5","N/A","HCHG CLOBETASOL 0.05% CREAM","N/A","N/A","0253","N/A","N/A","13.06","13.06","13.06","N/A","N/A","N/A","13.06","13.06","N/A","13.06","13.06","13.06","13.06","13.06","13.06","13.06","13.06","13.06","13.06"
"5","N/A","HCHG CLOBETASOL 0.05% OINT","N/A","N/A","0253","N/A","N/A","12.81","12.81","12.81","N/A","N/A","N/A","12.81","12.81","N/A","12.81","12.81","12.81","12.81","12.81","12.81","12.81","12.81","12.81","12.81"
"5","N/A","HCHG CLONAZEPAM 0.5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.17","1.17","1.17","N/A","N/A","N/A","1.17","1.17","N/A","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17"
"5","N/A","HCHG CLONAZEPAM 1MG/TAB B","N/A","N/A","0253","N/A","N/A","1.32","1.32","1.32","N/A","N/A","N/A","1.32","1.32","N/A","1.32","1.32","1.32","1.32","1.32","1.32","1.32","1.32","1.32","1.32"
"5","N/A","HCHG CLONIDINE 0.1MG/TAB B","N/A","N/A","0253","N/A","N/A","0.40","0.40","0.40","N/A","N/A","N/A","0.40","0.40","N/A","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40"
"5","N/A","HCHG CLONIDINE 0.2MG/TAB B","N/A","N/A","0253","N/A","N/A","0.70","0.70","0.70","N/A","N/A","N/A","0.70","0.70","N/A","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70"
"5","N/A","HCHG CLOPIDOGREL 75MG/TAB B (PLAVI","N/A","N/A","0253","N/A","N/A","10.76","10.76","10.76","N/A","N/A","N/A","10.76","10.76","N/A","10.76","10.76","10.76","10.76","10.76","10.76","10.76","10.76","10.76","10.76"
"5","N/A","HCHG CLOTRIMAZOLE 1% CREAM","N/A","N/A","0253","N/A","N/A","1.17","1.17","1.17","N/A","N/A","N/A","1.17","1.17","N/A","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17"
"5","N/A","HCHG CLOTRIMAZOLE 1% VAG CRM","N/A","N/A","0253","N/A","N/A","0.41","0.41","0.41","N/A","N/A","N/A","0.41","0.41","N/A","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41"
"5","N/A","HCHG CLOTRIMAZOLE TROCHE 10MG/B(MY","N/A","N/A","0253","N/A","N/A","2.49","2.49","2.49","N/A","N/A","N/A","2.49","2.49","N/A","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49"
"5","N/A","HCHG CLOTRIMAZOLE/BETAMETHA CRM","N/A","N/A","0253","N/A","N/A","3.87","3.87","3.87","N/A","N/A","N/A","3.87","3.87","N/A","3.87","3.87","3.87","3.87","3.87","3.87","3.87","3.87","3.87","3.87"
"5","N/A","HCHG CLOZAPINE 100MG/TAB B","N/A","N/A","0253","N/A","N/A","5.24","5.24","5.24","N/A","N/A","N/A","5.24","5.24","N/A","5.24","5.24","5.24","5.24","5.24","5.24","5.24","5.24","5.24","5.24"
"5","N/A","HCHG CLOZAPINE 25MG/TAB B","N/A","N/A","0253","N/A","N/A","1.99","1.99","1.99","N/A","N/A","N/A","1.99","1.99","N/A","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99"
"5","N/A","HCHG COLCHICINE 0.6MG/TAB B","N/A","N/A","0253","N/A","N/A","13.36","13.36","13.36","N/A","N/A","N/A","13.36","13.36","N/A","13.36","13.36","13.36","13.36","13.36","13.36","13.36","13.36","13.36","13.36"
"5","N/A","HCHG COLLAGENASE OINTMENT 30GM (SANTYL)","N/A","N/A","0253","N/A","N/A","16.18","16.18","16.18","N/A","N/A","N/A","16.18","16.18","N/A","16.18","16.18","16.18","16.18","16.18","16.18","16.18","16.18","16.18","16.18"
"5","N/A","HCHG COMBIVENT RESPIMAT 20-100MCG","N/A","N/A","0253","N/A","N/A","205.62","205.62","205.62","N/A","N/A","N/A","205.62","205.62","N/A","205.62","205.62","205.62","205.62","205.62","205.62","205.62","205.62","205.62","205.62"
"5","N/A","HCHG CYCLOBENZAPRINE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","1.78","1.78","1.78","N/A","N/A","N/A","1.78","1.78","N/A","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78"
"5","N/A","HCHG CYCLOBENZAPRINE 5MG TAB","N/A","N/A","0253","N/A","N/A","2.55","2.55","2.55","N/A","N/A","N/A","2.55","2.55","N/A","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55"
"5","N/A","HCHG CYCLOPHOSPHAMIDE 25MG/TAB B","N/A","N/A","0253","N/A","N/A","9.29","9.29","9.29","N/A","N/A","N/A","9.29","9.29","N/A","9.29","9.29","9.29","9.29","9.29","9.29","9.29","9.29","9.29","9.29"
"5","N/A","HCHG DESONIDE 0.05% OINT","N/A","N/A","0253","N/A","N/A","6.20","6.20","6.20","N/A","N/A","N/A","6.20","6.20","N/A","6.20","6.20","6.20","6.20","6.20","6.20","6.20","6.20","6.20","6.20"
"5","N/A","HCHG DEXAMETHASONE 0.5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.25","0.25","0.25","N/A","N/A","N/A","0.25","0.25","N/A","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25"
"5","N/A","HCHG DEXAMETHASONE 2MG TABLET","N/A","N/A","0253","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HCHG DEXAMETHASONE 4MG/TAB B","N/A","N/A","0253","N/A","N/A","1.84","1.84","1.84","N/A","N/A","N/A","1.84","1.84","N/A","1.84","1.84","1.84","1.84","1.84","1.84","1.84","1.84","1.84","1.84"
"5","N/A","HCHG DIAZEPAM 2MG/TAB B","N/A","N/A","0253","N/A","N/A","0.35","0.35","0.35","N/A","N/A","N/A","0.35","0.35","N/A","0.35","0.35","0.35","0.35","0.35","0.35","0.35","0.35","0.35","0.35"
"5","N/A","HCHG DIAZEPAM 5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.41","0.41","0.41","N/A","N/A","N/A","0.41","0.41","N/A","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41","0.41"
"5","N/A","HCHG DICLOXACILLIN 500MG/CAPSULE","N/A","N/A","0253","N/A","N/A","3.88","3.88","3.88","N/A","N/A","N/A","3.88","3.88","N/A","3.88","3.88","3.88","3.88","3.88","3.88","3.88","3.88","3.88","3.88"
"5","N/A","HCHG DICYCLOMINE 10MG/5ML SYRUP B","N/A","N/A","0253","N/A","N/A","0.47","0.47","0.47","N/A","N/A","N/A","0.47","0.47","N/A","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47"
"5","N/A","HCHG DICYCLOMINE 10MG/CAP B","N/A","N/A","0253","N/A","N/A","0.70","0.70","0.70","N/A","N/A","N/A","0.70","0.70","N/A","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70"
"5","N/A","HCHG DICYCLOMINE 20MG/TAB B","N/A","N/A","0253","N/A","N/A","0.90","0.90","0.90","N/A","N/A","N/A","0.90","0.90","N/A","0.90","0.90","0.90","0.90","0.90","0.90","0.90","0.90","0.90","0.90"
"5","N/A","HCHG DIGOXIN 0.125MG/TABLET B","N/A","N/A","0253","N/A","N/A","3.26","3.26","3.26","N/A","N/A","N/A","3.26","3.26","N/A","3.26","3.26","3.26","3.26","3.26","3.26","3.26","3.26","3.26","3.26"
"5","N/A","HCHG DIGOXIN 0.25MG/TABLET B","N/A","N/A","0253","N/A","N/A","3.56","3.56","3.56","N/A","N/A","N/A","3.56","3.56","N/A","3.56","3.56","3.56","3.56","3.56","3.56","3.56","3.56","3.56","3.56"
"5","N/A","HCHG DILTIAZEM 30MG/TABLET B","N/A","N/A","0253","N/A","N/A","1.55","1.55","1.55","N/A","N/A","N/A","1.55","1.55","N/A","1.55","1.55","1.55","1.55","1.55","1.55","1.55","1.55","1.55","1.55"
"5","N/A","HCHG DILTIAZEM CD 120MG/CAPSULE","N/A","N/A","0253","N/A","N/A","1.40","1.40","1.40","N/A","N/A","N/A","1.40","1.40","N/A","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40","1.40"
"5","N/A","HCHG DILTIAZEM CD 180MG/CAPSULE","N/A","N/A","0253","N/A","N/A","2.24","2.24","2.24","N/A","N/A","N/A","2.24","2.24","N/A","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24"
"5","N/A","HCHG DILTIAZEM CD 240MG/CAPSULE","N/A","N/A","0253","N/A","N/A","3.18","3.18","3.18","N/A","N/A","N/A","3.18","3.18","N/A","3.18","3.18","3.18","3.18","3.18","3.18","3.18","3.18","3.18","3.18"
"5","N/A","HCHG DILTIAZEM CD 300MG/CAPSULE","N/A","N/A","0253","N/A","N/A","4.12","4.12","4.12","N/A","N/A","N/A","4.12","4.12","N/A","4.12","4.12","4.12","4.12","4.12","4.12","4.12","4.12","4.12","4.12"
"5","N/A","HCHG DIPHENHYDRAMINE 12.5MG/5ML E","N/A","N/A","0253","N/A","N/A","0.04","0.04","0.04","N/A","N/A","N/A","0.04","0.04","N/A","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04"
"5","N/A","HCHG DIPHENHYDRAMINE 25MG/CAP B","N/A","N/A","0253","N/A","N/A","0.22","0.22","0.22","N/A","N/A","N/A","0.22","0.22","N/A","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22"
"5","N/A","HCHG DIPHENHYDRAMINE 50MG/CAP B","N/A","N/A","0253","N/A","N/A","0.17","0.17","0.17","N/A","N/A","N/A","0.17","0.17","N/A","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17"
"5","N/A","HCHG DIPHENOXYLATE/ATROP SO4 TAB B","N/A","N/A","0253","N/A","N/A","1.08","1.08","1.08","N/A","N/A","N/A","1.08","1.08","N/A","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08","1.08"
"5","N/A","HCHG DISULFIRAM 250MG/TABLET","N/A","N/A","0253","N/A","N/A","6.26","6.26","6.26","N/A","N/A","N/A","6.26","6.26","N/A","6.26","6.26","6.26","6.26","6.26","6.26","6.26","6.26","6.26","6.26"
"5","N/A","HCHG DIVALPROEX 125MG DR TAB (GENERIC)","N/A","N/A","0253","N/A","N/A","1.39","1.39","1.39","N/A","N/A","N/A","1.39","1.39","N/A","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39"
"5","N/A","HCHG DIVALPROEX 125MG SPRINKLE (GENERIC)","N/A","N/A","0253","N/A","N/A","1.73","1.73","1.73","N/A","N/A","N/A","1.73","1.73","N/A","1.73","1.73","1.73","1.73","1.73","1.73","1.73","1.73","1.73","1.73"
"5","N/A","HCHG DIVALPROEX 250MG DR TAB (GENERIC)","N/A","N/A","0253","N/A","N/A","2.70","2.70","2.70","N/A","N/A","N/A","2.70","2.70","N/A","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70"
"5","N/A","HCHG DIVALPROEX 250MG ER TAB (GENERIC)","N/A","N/A","0253","N/A","N/A","3.80","3.80","3.80","N/A","N/A","N/A","3.80","3.80","N/A","3.80","3.80","3.80","3.80","3.80","3.80","3.80","3.80","3.80","3.80"
"5","N/A","HCHG DIVALPROEX 500MG DR TAB (GENERIC)","N/A","N/A","0253","N/A","N/A","4.98","4.98","4.98","N/A","N/A","N/A","4.98","4.98","N/A","4.98","4.98","4.98","4.98","4.98","4.98","4.98","4.98","4.98","4.98"
"5","N/A","HCHG DIVALPROEX 500MG ER TAB (GENERIC)","N/A","N/A","0253","N/A","N/A","6.31","6.31","6.31","N/A","N/A","N/A","6.31","6.31","N/A","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31","6.31"
"5","N/A","HCHG DOCUSATE 100MG/CAP B","N/A","N/A","0253","N/A","N/A","0.15","0.15","0.15","N/A","N/A","N/A","0.15","0.15","N/A","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15","0.15"
"5","N/A","HCHG DOFETILIDE 125MCG CAPSULE","N/A","N/A","0253","N/A","N/A","15.09","15.09","15.09","N/A","N/A","N/A","15.09","15.09","N/A","15.09","15.09","15.09","15.09","15.09","15.09","15.09","15.09","15.09","15.09"
"5","N/A","HCHG DONEPEZIL 10MG/TAB (ARICEPT)","N/A","N/A","0253","N/A","N/A","13.25","13.25","13.25","N/A","N/A","N/A","13.25","13.25","N/A","13.25","13.25","13.25","13.25","13.25","13.25","13.25","13.25","13.25","13.25"
"5","N/A","HCHG DORZOLAMIDE-TIMOLOL 2-0.5% OPH DROP","N/A","N/A","0253","N/A","N/A","18.89","18.89","18.89","N/A","N/A","N/A","18.89","18.89","N/A","18.89","18.89","18.89","18.89","18.89","18.89","18.89","18.89","18.89","18.89"
"5","N/A","HCHG DOXYCYCLINE 100MG/TABLET","N/A","N/A","0253","N/A","N/A","9.52","9.52","9.52","N/A","N/A","N/A","9.52","9.52","N/A","9.52","9.52","9.52","9.52","9.52","9.52","9.52","9.52","9.52","9.52"
"5","N/A","HCHG DRONABINOL 2.5MG/CAP B","N/A","N/A","0253","N/A","N/A","9.12","9.12","9.12","N/A","N/A","N/A","9.12","9.12","N/A","9.12","9.12","9.12","9.12","9.12","9.12","9.12","9.12","9.12","9.12"
"5","N/A","HCHG DRONABINOL 5MG/CAP B","N/A","N/A","0253","N/A","N/A","18.99","18.99","18.99","N/A","N/A","N/A","18.99","18.99","N/A","18.99","18.99","18.99","18.99","18.99","18.99","18.99","18.99","18.99","18.99"
"5","N/A","HCHG DULOXETINE 20MG CAP","N/A","N/A","0253","N/A","N/A","10.84","10.84","10.84","N/A","N/A","N/A","10.84","10.84","N/A","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84","10.84"
"5","N/A","HCHG DULOXETINE 30MG CAP","N/A","N/A","0253","N/A","N/A","12.16","12.16","12.16","N/A","N/A","N/A","12.16","12.16","N/A","12.16","12.16","12.16","12.16","12.16","12.16","12.16","12.16","12.16","12.16"
"5","N/A","HCHG DULOXETINE 60MG CAP","N/A","N/A","0253","N/A","N/A","12.16","12.16","12.16","N/A","N/A","N/A","12.16","12.16","N/A","12.16","12.16","12.16","12.16","12.16","12.16","12.16","12.16","12.16","12.16"
"5","N/A","HCHG EFFEXOR XR 150MG/CAP B","N/A","N/A","0253","N/A","N/A","7.87","7.87","7.87","N/A","N/A","N/A","7.87","7.87","N/A","7.87","7.87","7.87","7.87","7.87","7.87","7.87","7.87","7.87","7.87"
"5","N/A","HCHG EFFEXOR XR 37.5MG/CAPSULE B","N/A","N/A","0253","N/A","N/A","6.44","6.44","6.44","N/A","N/A","N/A","6.44","6.44","N/A","6.44","6.44","6.44","6.44","6.44","6.44","6.44","6.44","6.44","6.44"
"5","N/A","HCHG EFFEXOR XR 75MG/CAPSULE","N/A","N/A","0253","N/A","N/A","7.22","7.22","7.22","N/A","N/A","N/A","7.22","7.22","N/A","7.22","7.22","7.22","7.22","7.22","7.22","7.22","7.22","7.22","7.22"
"5","N/A","HCHG EMPAGLIFLOZIN 10MG TAB","N/A","N/A","0253","N/A","N/A","33.65","33.65","33.65","N/A","N/A","N/A","33.65","33.65","N/A","33.65","33.65","33.65","33.65","33.65","33.65","33.65","33.65","33.65","33.65"
"5","N/A","HCHG ENOXAPARIN 100MG/1ML SYRINGE","N/A","N/A","0253","N/A","N/A","39.70","39.70","39.70","N/A","N/A","N/A","39.70","39.70","N/A","39.70","39.70","39.70","39.70","39.70","39.70","39.70","39.70","39.70","39.70"
"5","N/A","HCHG ENOXAPARIN 120MG/1ML SYR","N/A","N/A","0253","N/A","N/A","55.81","55.81","55.81","N/A","N/A","N/A","55.81","55.81","N/A","55.81","55.81","55.81","55.81","55.81","55.81","55.81","55.81","55.81","55.81"
"5","N/A","HCHG ENOXAPARIN 30MG/0.3ML SYRING","N/A","N/A","0253","N/A","N/A","37.88","37.88","37.88","N/A","N/A","N/A","37.88","37.88","N/A","37.88","37.88","37.88","37.88","37.88","37.88","37.88","37.88","37.88","37.88"
"5","N/A","HCHG ENOXAPARIN 40MG/0.4ML SYRING","N/A","N/A","0253","N/A","N/A","36.00","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A","HCHG ENOXAPARIN 60MG/0.6ML SYRING","N/A","N/A","0253","N/A","N/A","36.59","36.59","36.59","N/A","N/A","N/A","36.59","36.59","N/A","36.59","36.59","36.59","36.59","36.59","36.59","36.59","36.59","36.59","36.59"
"5","N/A","HCHG ENOXAPARIN 80MG/0.8ML SYRING","N/A","N/A","0253","N/A","N/A","40.84","40.84","40.84","N/A","N/A","N/A","40.84","40.84","N/A","40.84","40.84","40.84","40.84","40.84","40.84","40.84","40.84","40.84","40.84"
"5","N/A","HCHG ENTECAVIR 0.5MG TABLET","N/A","N/A","0253","N/A","N/A","68.81","68.81","68.81","N/A","N/A","N/A","68.81","68.81","N/A","68.81","68.81","68.81","68.81","68.81","68.81","68.81","68.81","68.81","68.81"
"5","N/A","HCHG ENTRESTO 24-26MG TAB","N/A","N/A","0253","N/A","N/A","18.05","18.05","18.05","N/A","N/A","N/A","18.05","18.05","N/A","18.05","18.05","18.05","18.05","18.05","18.05","18.05","18.05","18.05","18.05"
"5","N/A","HCHG ERGOCALCIFEROL 50000IU/CAP","N/A","N/A","0253","N/A","N/A","3.05","3.05","3.05","N/A","N/A","N/A","3.05","3.05","N/A","3.05","3.05","3.05","3.05","3.05","3.05","3.05","3.05","3.05","3.05"
"5","N/A","HCHG ERYTHROMYCIN 250MG/TABLET B","N/A","N/A","0253","N/A","N/A","13.67","13.67","13.67","N/A","N/A","N/A","13.67","13.67","N/A","13.67","13.67","13.67","13.67","13.67","13.67","13.67","13.67","13.67","13.67"
"5","N/A","HCHG ESCITALOPRAM 10MG/TAB B","N/A","N/A","0253","N/A","N/A","7.30","7.30","7.30","N/A","N/A","N/A","7.30","7.30","N/A","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30","7.30"
"5","N/A","HCHG ESCITALOPRAM 20MG/TAB B","N/A","N/A","0253","N/A","N/A","6.95","6.95","6.95","N/A","N/A","N/A","6.95","6.95","N/A","6.95","6.95","6.95","6.95","6.95","6.95","6.95","6.95","6.95","6.95"
"5","N/A","HCHG ESCITALOPRAM 5MG TAB","N/A","N/A","0253","N/A","N/A","6.98","6.98","6.98","N/A","N/A","N/A","6.98","6.98","N/A","6.98","6.98","6.98","6.98","6.98","6.98","6.98","6.98","6.98","6.98"
"5","N/A","HCHG ESOMEPRAZOLE MAGNESIUM 40MG PKT","N/A","N/A","0253","N/A","N/A","15.11","15.11","15.11","N/A","N/A","N/A","15.11","15.11","N/A","15.11","15.11","15.11","15.11","15.11","15.11","15.11","15.11","15.11","15.11"
"5","N/A","HCHG EUCERIN CREAM B","N/A","N/A","0253","N/A","N/A","0.09","0.09","0.09","N/A","N/A","N/A","0.09","0.09","N/A","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09"
"5","N/A","HCHG EZETIMIBE 10MG TAB","N/A","N/A","0253","N/A","N/A","17.49","17.49","17.49","N/A","N/A","N/A","17.49","17.49","N/A","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49"
"5","N/A","HCHG FENTANYL 0.1MG/2ML VIAL","N/A","N/A","0253","N/A","N/A","1.17","1.17","1.17","N/A","N/A","N/A","1.17","1.17","N/A","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17","1.17"
"5","N/A","HCHG FENTANYL 25MCG/PATCH (DURAGE","N/A","N/A","0253","N/A","N/A","22.33","22.33","22.33","N/A","N/A","N/A","22.33","22.33","N/A","22.33","22.33","22.33","22.33","22.33","22.33","22.33","22.33","22.33","22.33"
"5","N/A","HCHG FENTANYL 50MCG/PATCH (DURAGE","N/A","N/A","0253","N/A","N/A","40.82","40.82","40.82","N/A","N/A","N/A","40.82","40.82","N/A","40.82","40.82","40.82","40.82","40.82","40.82","40.82","40.82","40.82","40.82"
"5","N/A","HCHG FENTANYL 75MCG/PATCH (DURAGE","N/A","N/A","0253","N/A","N/A","62.26","62.26","62.26","N/A","N/A","N/A","62.26","62.26","N/A","62.26","62.26","62.26","62.26","62.26","62.26","62.26","62.26","62.26","62.26"
"5","N/A","HCHG FENTANYL PATCH 12MCG/HR (CII)","N/A","N/A","0253","N/A","N/A","31.44","31.44","31.44","N/A","N/A","N/A","31.44","31.44","N/A","31.44","31.44","31.44","31.44","31.44","31.44","31.44","31.44","31.44","31.44"
"5","N/A","HCHG FERROUS GLUCONATE 324MG/TAB B","N/A","N/A","0253","N/A","N/A","0.11","0.11","0.11","N/A","N/A","N/A","0.11","0.11","N/A","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11"
"5","N/A","HCHG FERROUS SULF 324MG/EC TAB UD","N/A","N/A","0253","N/A","N/A","0.09","0.09","0.09","N/A","N/A","N/A","0.09","0.09","N/A","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09","0.09"
"5","N/A","HCHG FISH OIL OMEGA 1200MG CAPSULE","N/A","N/A","0253","N/A","N/A","0.10","0.10","0.10","N/A","N/A","N/A","0.10","0.10","N/A","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10"
"5","N/A","HCHG FLUCONAZOLE 100MG/TAB B*(DIFL","N/A","N/A","0253","N/A","N/A","10.13","10.13","10.13","N/A","N/A","N/A","10.13","10.13","N/A","10.13","10.13","10.13","10.13","10.13","10.13","10.13","10.13","10.13","10.13"
"5","N/A","HCHG FLUCONAZOLE 200MG TABLET","N/A","N/A","0253","N/A","N/A","22.23","22.23","22.23","N/A","N/A","N/A","22.23","22.23","N/A","22.23","22.23","22.23","22.23","22.23","22.23","22.23","22.23","22.23","22.23"
"5","N/A","HCHG FLUDROCORTISONE AC 0.1MG/TAB","N/A","N/A","0253","N/A","N/A","1.16","1.16","1.16","N/A","N/A","N/A","1.16","1.16","N/A","1.16","1.16","1.16","1.16","1.16","1.16","1.16","1.16","1.16","1.16"
"5","N/A","HCHG FLUOXETINE 10MG/CAP","N/A","N/A","0253","N/A","N/A","4.02","4.02","4.02","N/A","N/A","N/A","4.02","4.02","N/A","4.02","4.02","4.02","4.02","4.02","4.02","4.02","4.02","4.02","4.02"
"5","N/A","HCHG FLUOXETINE HCL 20MG/CAP B","N/A","N/A","0253","N/A","N/A","4.13","4.13","4.13","N/A","N/A","N/A","4.13","4.13","N/A","4.13","4.13","4.13","4.13","4.13","4.13","4.13","4.13","4.13","4.13"
"5","N/A","HCHG FLUTICASONE 0.05% NASAL SPRY","N/A","N/A","0253","N/A","N/A","7.28","7.28","7.28","N/A","N/A","N/A","7.28","7.28","N/A","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28","7.28"
"5","N/A","HCHG FLUTICASONE 220MCG INH(FLOVE","N/A","N/A","0253","N/A","N/A","63.95","63.95","63.95","N/A","N/A","N/A","63.95","63.95","N/A","63.95","63.95","63.95","63.95","63.95","63.95","63.95","63.95","63.95","63.95"
"5","N/A","HCHG FOLIC ACID 1MG/TAB B","N/A","N/A","0253","N/A","N/A","0.52","0.52","0.52","N/A","N/A","N/A","0.52","0.52","N/A","0.52","0.52","0.52","0.52","0.52","0.52","0.52","0.52","0.52","0.52"
"5","N/A","HCHG FOSFOMYCIN 3GM PACKET","N/A","N/A","0253","N/A","N/A","169.60","169.60","169.60","N/A","N/A","N/A","169.60","169.60","N/A","169.60","169.60","169.60","169.60","169.60","169.60","169.60","169.60","169.60","169.60"
"5","N/A","HCHG FUROSEMIDE 20MG/TAB B","N/A","N/A","0253","N/A","N/A","0.66","0.66","0.66","N/A","N/A","N/A","0.66","0.66","N/A","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66"
"5","N/A","HCHG FUROSEMIDE 40MG/TAB B","N/A","N/A","0253","N/A","N/A","0.26","0.26","0.26","N/A","N/A","N/A","0.26","0.26","N/A","0.26","0.26","0.26","0.26","0.26","0.26","0.26","0.26","0.26","0.26"
"5","N/A","HCHG FUROSEMIDE 80MG/TAB B","N/A","N/A","0253","N/A","N/A","0.66","0.66","0.66","N/A","N/A","N/A","0.66","0.66","N/A","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66"
"5","N/A","HCHG GABAPENTIN 100MG/CAP (NEURONT","N/A","N/A","0253","N/A","N/A","0.82","0.82","0.82","N/A","N/A","N/A","0.82","0.82","N/A","0.82","0.82","0.82","0.82","0.82","0.82","0.82","0.82","0.82","0.82"
"5","N/A","HCHG GABAPENTIN 300MG/CAP (NEURONT","N/A","N/A","0253","N/A","N/A","2.06","2.06","2.06","N/A","N/A","N/A","2.06","2.06","N/A","2.06","2.06","2.06","2.06","2.06","2.06","2.06","2.06","2.06","2.06"
"5","N/A","HCHG GABAPENTIN 400MG/CAP (NEURONT","N/A","N/A","0253","N/A","N/A","2.48","2.48","2.48","N/A","N/A","N/A","2.48","2.48","N/A","2.48","2.48","2.48","2.48","2.48","2.48","2.48","2.48","2.48","2.48"
"5","N/A","HCHG GENTAMICIN 0.1% CREAM","N/A","N/A","0253","N/A","N/A","5.10","5.10","5.10","N/A","N/A","N/A","5.10","5.10","N/A","5.10","5.10","5.10","5.10","5.10","5.10","5.10","5.10","5.10","5.10"
"5","N/A","HCHG GLIPIZIDE 5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.56","0.56","0.56","N/A","N/A","N/A","0.56","0.56","N/A","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56"
"5","N/A","HCHG GLIPIZIDE XL 2.5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","HCHG GLIPIZIDE XL 5MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","HCHG GUAIFENESIN 100MG/5ML SYRUP","N/A","N/A","0253","N/A","N/A","0.04","0.04","0.04","N/A","N/A","N/A","0.04","0.04","N/A","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04"
"5","N/A","HCHG GUAIFENESIN 200MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.27","0.27","0.27","N/A","N/A","N/A","0.27","0.27","N/A","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27"
"5","N/A","HCHG GUAIFENESIN 600MG SR TAB","N/A","N/A","0253","N/A","N/A","1.48","1.48","1.48","N/A","N/A","N/A","1.48","1.48","N/A","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48"
"5","N/A","HCHG GUAITUSS AC SYRUP B","N/A","N/A","0253","N/A","N/A","0.18","0.18","0.18","N/A","N/A","N/A","0.18","0.18","N/A","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18"
"5","N/A","HCHG GUANFACINE 1 MG PO SR 24H TABLET","N/A","N/A","0253","N/A","N/A","16.25","16.25","16.25","N/A","N/A","N/A","16.25","16.25","N/A","16.25","16.25","16.25","16.25","16.25","16.25","16.25","16.25","16.25","16.25"
"5","N/A","HCHG GUANFACINE HCL 1MG/TAB B","N/A","N/A","0253","N/A","N/A","1.57","1.57","1.57","N/A","N/A","N/A","1.57","1.57","N/A","1.57","1.57","1.57","1.57","1.57","1.57","1.57","1.57","1.57","1.57"
"5","N/A","HCHG HALOPERIDOL 0.5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.51","0.51","0.51","N/A","N/A","N/A","0.51","0.51","N/A","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51"
"5","N/A","HCHG HALOPERIDOL 2MG/TAB B","N/A","N/A","0253","N/A","N/A","0.98","0.98","0.98","N/A","N/A","N/A","0.98","0.98","N/A","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98"
"5","N/A","HCHG HALOPERIDOL 5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.59","1.59","1.59","N/A","N/A","N/A","1.59","1.59","N/A","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59"
"5","N/A","HCHG HEXAVITAMIN TABLET UD","N/A","N/A","0253","N/A","N/A","0.19","0.19","0.19","N/A","N/A","N/A","0.19","0.19","N/A","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19"
"5","N/A","HCHG HYDRALAZINE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","0.64","0.64","0.64","N/A","N/A","N/A","0.64","0.64","N/A","0.64","0.64","0.64","0.64","0.64","0.64","0.64","0.64","0.64","0.64"
"5","N/A","HCHG HYDRALAZINE 25MG/TAB B","N/A","N/A","0253","N/A","N/A","0.79","0.79","0.79","N/A","N/A","N/A","0.79","0.79","N/A","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79"
"5","N/A","HCHG HYDRALAZINE 50MG/TAB B","N/A","N/A","0253","N/A","N/A","0.87","0.87","0.87","N/A","N/A","N/A","0.87","0.87","N/A","0.87","0.87","0.87","0.87","0.87","0.87","0.87","0.87","0.87","0.87"
"5","N/A","HCHG HYDROCHLOROTHIAZIDE 12.5MG TAB","N/A","N/A","0253","N/A","N/A","0.66","0.66","0.66","N/A","N/A","N/A","0.66","0.66","N/A","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66"
"5","N/A","HCHG HYDROCHLOROTHIAZIDE 25MG/TAB","N/A","N/A","0253","N/A","N/A","0.18","0.18","0.18","N/A","N/A","N/A","0.18","0.18","N/A","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18","0.18"
"5","N/A","HCHG HYDROCODONE/ACETAMINOPHEN 7.5-325 ELIXIR","N/A","N/A","0253","N/A","N/A","0.46","0.46","0.46","N/A","N/A","N/A","0.46","0.46","N/A","0.46","0.46","0.46","0.46","0.46","0.46","0.46","0.46","0.46","0.46"
"5","N/A","HCHG HYDROCODONE/ACETAMINOPHEN 7.5-325 TAB","N/A","N/A","0253","N/A","N/A","1.19","1.19","1.19","N/A","N/A","N/A","1.19","1.19","N/A","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19"
"5","N/A","HCHG HYDROCODONE/APAP 10-325MG TAB","N/A","N/A","0253","N/A","N/A","1.48","1.48","1.48","N/A","N/A","N/A","1.48","1.48","N/A","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48","1.48"
"5","N/A","HCHG HYDROCODONE/APAP 5MG/325MG TABLET","N/A","N/A","0253","N/A","N/A","1.07","1.07","1.07","N/A","N/A","N/A","1.07","1.07","N/A","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07"
"5","N/A","HCHG HYDROCORTISONE 1% CREAM","N/A","N/A","0253","N/A","N/A","0.22","0.22","0.22","N/A","N/A","N/A","0.22","0.22","N/A","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22","0.22"
"5","N/A","HCHG HYDROCORTISONE 1% OINT","N/A","N/A","0253","N/A","N/A","0.40","0.40","0.40","N/A","N/A","N/A","0.40","0.40","N/A","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40"
"5","N/A","HCHG HYDROCORTISONE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","1.47","1.47","1.47","N/A","N/A","N/A","1.47","1.47","N/A","1.47","1.47","1.47","1.47","1.47","1.47","1.47","1.47","1.47","1.47"
"5","N/A","HCHG HYDROCORTISONE 2.5% CREAM","N/A","N/A","0253","N/A","N/A","0.59","0.59","0.59","N/A","N/A","N/A","0.59","0.59","N/A","0.59","0.59","0.59","0.59","0.59","0.59","0.59","0.59","0.59","0.59"
"5","N/A","HCHG HYDROMORPHONE 2MG/TAB B","N/A","N/A","0253","N/A","N/A","0.66","0.66","0.66","N/A","N/A","N/A","0.66","0.66","N/A","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66","0.66"
"5","N/A","HCHG HYDROMORPHONE 4MG/TAB B","N/A","N/A","0253","N/A","N/A","1.07","1.07","1.07","N/A","N/A","N/A","1.07","1.07","N/A","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07"
"5","N/A","HCHG HYDROXYUREA 500MG/CAP B","N/A","N/A","0253","N/A","N/A","1.98","1.98","1.98","N/A","N/A","N/A","1.98","1.98","N/A","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98"
"5","N/A","HCHG HYDROXYZINE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","0.98","0.98","0.98","N/A","N/A","N/A","0.98","0.98","N/A","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98"
"5","N/A","HCHG HYDROXYZINE 25MG/TAB B","N/A","N/A","0253","N/A","N/A","1.42","1.42","1.42","N/A","N/A","N/A","1.42","1.42","N/A","1.42","1.42","1.42","1.42","1.42","1.42","1.42","1.42","1.42","1.42"
"5","N/A","HCHG HYDROXYZINE 50MG/TAB B","N/A","N/A","0253","N/A","N/A","1.73","1.73","1.73","N/A","N/A","N/A","1.73","1.73","N/A","1.73","1.73","1.73","1.73","1.73","1.73","1.73","1.73","1.73","1.73"
"5","N/A","HCHG HYZAAR 100/25MG TAB B","N/A","N/A","0253","N/A","N/A","5.21","5.21","5.21","N/A","N/A","N/A","5.21","5.21","N/A","5.21","5.21","5.21","5.21","5.21","5.21","5.21","5.21","5.21","5.21"
"5","N/A","HCHG IBUPROFEN 100MG/5ML SUSP B","N/A","N/A","0253","N/A","N/A","0.12","0.12","0.12","N/A","N/A","N/A","0.12","0.12","N/A","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12"
"5","N/A","HCHG IBUPROFEN 200MG TABLET","N/A","N/A","0253","N/A","N/A","0.11","0.11","0.11","N/A","N/A","N/A","0.11","0.11","N/A","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11"
"5","N/A","HCHG IBUPROFEN 400MG/TAB B","N/A","N/A","0253","N/A","N/A","0.61","0.61","0.61","N/A","N/A","N/A","0.61","0.61","N/A","0.61","0.61","0.61","0.61","0.61","0.61","0.61","0.61","0.61","0.61"
"5","N/A","HCHG IBUPROFEN 600MG/TAB B","N/A","N/A","0253","N/A","N/A","0.82","0.82","0.82","N/A","N/A","N/A","0.82","0.82","N/A","0.82","0.82","0.82","0.82","0.82","0.82","0.82","0.82","0.82","0.82"
"5","N/A","HCHG IBUPROFEN 800MG/TAB B","N/A","N/A","0253","N/A","N/A","1.06","1.06","1.06","N/A","N/A","N/A","1.06","1.06","N/A","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06"
"5","N/A","HCHG INDOMETHACIN 25MG/CAP B","N/A","N/A","0253","N/A","N/A","0.59","0.59","0.59","N/A","N/A","N/A","0.59","0.59","N/A","0.59","0.59","0.59","0.59","0.59","0.59","0.59","0.59","0.59","0.59"
"5","N/A","HCHG INSULIN GLARGINE 100U/ML VIA","N/A","N/A","0253","N/A","N/A","52.69","52.69","52.69","N/A","N/A","N/A","52.69","52.69","N/A","52.69","52.69","52.69","52.69","52.69","52.69","52.69","52.69","52.69","52.69"
"5","N/A","HCHG INSULIN HUMAN 70/30 VIAL","N/A","N/A","0253","N/A","N/A","25.59","25.59","25.59","N/A","N/A","N/A","25.59","25.59","N/A","25.59","25.59","25.59","25.59","25.59","25.59","25.59","25.59","25.59","25.59"
"5","N/A","HCHG INSULIN LANTUS SOLOSTAR PEN 3ML","N/A","N/A","0253","N/A","N/A","52.69","52.69","52.69","N/A","N/A","N/A","52.69","52.69","N/A","52.69","52.69","52.69","52.69","52.69","52.69","52.69","52.69","52.69","52.69"
"5","N/A","HCHG INSULIN MIX 70/30 VIAL","N/A","N/A","0253","N/A","N/A","55.77","55.77","55.77","N/A","N/A","N/A","55.77","55.77","N/A","55.77","55.77","55.77","55.77","55.77","55.77","55.77","55.77","55.77","55.77"
"5","N/A","HCHG INSULIN NOVOLOG FLEXPEN 3ML","N/A","N/A","0253","N/A","N/A","69.23","69.23","69.23","N/A","N/A","N/A","69.23","69.23","N/A","69.23","69.23","69.23","69.23","69.23","69.23","69.23","69.23","69.23","69.23"
"5","N/A","HCHG INSULIN NPH HUMAN 100U/ML VI","N/A","N/A","0253","N/A","N/A","25.59","25.59","25.59","N/A","N/A","N/A","25.59","25.59","N/A","25.59","25.59","25.59","25.59","25.59","25.59","25.59","25.59","25.59","25.59"
"5","N/A","HCHG INSULIN REGULAR HUMAN 100U/ML 3ML","N/A","N/A","0253","N/A","N/A","27.63","27.63","27.63","N/A","N/A","N/A","27.63","27.63","N/A","27.63","27.63","27.63","27.63","27.63","27.63","27.63","27.63","27.63","27.63"
"5","N/A","HCHG IPRATROPIUM .02%(0.5MG/2.5ML","N/A","N/A","0253","N/A","N/A","0.81","0.81","0.81","N/A","N/A","N/A","0.81","0.81","N/A","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81"
"5","N/A","HCHG IPRATROPIUM 18MCG INH","N/A","N/A","0253","N/A","N/A","61.16","61.16","61.16","N/A","N/A","N/A","61.16","61.16","N/A","61.16","61.16","61.16","61.16","61.16","61.16","61.16","61.16","61.16","61.16"
"5","N/A","HCHG ISOSORBIDE DINI 20MG/TAB B","N/A","N/A","0253","N/A","N/A","1.85","1.85","1.85","N/A","N/A","N/A","1.85","1.85","N/A","1.85","1.85","1.85","1.85","1.85","1.85","1.85","1.85","1.85","1.85"
"5","N/A","HCHG ISOSORBIDE DINI 5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.53","1.53","1.53","N/A","N/A","N/A","1.53","1.53","N/A","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53"
"5","N/A","HCHG ISOSORBIDE DINITRATE 10MG/TAB","N/A","N/A","0253","N/A","N/A","1.68","1.68","1.68","N/A","N/A","N/A","1.68","1.68","N/A","1.68","1.68","1.68","1.68","1.68","1.68","1.68","1.68","1.68","1.68"
"5","N/A","HCHG ISOSORBIDE MONO 10MG TAB","N/A","N/A","0253","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HCHG ISOSORBIDE MONO 120MG/TAB B","N/A","N/A","0253","N/A","N/A","1.18","1.18","1.18","N/A","N/A","N/A","1.18","1.18","N/A","1.18","1.18","1.18","1.18","1.18","1.18","1.18","1.18","1.18","1.18"
"5","N/A","HCHG ISOSORBIDE MONO 30MG TAB","N/A","N/A","0253","N/A","N/A","0.77","0.77","0.77","N/A","N/A","N/A","0.77","0.77","N/A","0.77","0.77","0.77","0.77","0.77","0.77","0.77","0.77","0.77","0.77"
"5","N/A","HCHG ISOSORBIDE MONO 60MG/TAB B","N/A","N/A","0253","N/A","N/A","4.05","4.05","4.05","N/A","N/A","N/A","4.05","4.05","N/A","4.05","4.05","4.05","4.05","4.05","4.05","4.05","4.05","4.05","4.05"
"5","N/A","HCHG KETOCONAZOLE 2% CREAM","N/A","N/A","0253","N/A","N/A","5.23","5.23","5.23","N/A","N/A","N/A","5.23","5.23","N/A","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23"
"5","N/A","HCHG KETOROLAC 10MG/TAB B","N/A","N/A","0253","N/A","N/A","3.34","3.34","3.34","N/A","N/A","N/A","3.34","3.34","N/A","3.34","3.34","3.34","3.34","3.34","3.34","3.34","3.34","3.34","3.34"
"5","N/A","HCHG LABETALOL 100MG/TAB B (TRANDA","N/A","N/A","0253","N/A","N/A","0.85","0.85","0.85","N/A","N/A","N/A","0.85","0.85","N/A","0.85","0.85","0.85","0.85","0.85","0.85","0.85","0.85","0.85","0.85"
"5","N/A","HCHG LABETALOL 200MG/TAB B","N/A","N/A","0253","N/A","N/A","1.58","1.58","1.58","N/A","N/A","N/A","1.58","1.58","N/A","1.58","1.58","1.58","1.58","1.58","1.58","1.58","1.58","1.58","1.58"
"5","N/A","HCHG LABETALOL 300MG/TAB B","N/A","N/A","0253","N/A","N/A","1.78","1.78","1.78","N/A","N/A","N/A","1.78","1.78","N/A","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78"
"5","N/A","HCHG LACOSAMIDE 100MG TABLET","N/A","N/A","0253","N/A","N/A","28.92","28.92","28.92","N/A","N/A","N/A","28.92","28.92","N/A","28.92","28.92","28.92","28.92","28.92","28.92","28.92","28.92","28.92","28.92"
"5","N/A","HCHG LACOSAMIDE 50MG TABLET","N/A","N/A","0253","N/A","N/A","18.50","18.50","18.50","N/A","N/A","N/A","18.50","18.50","N/A","18.50","18.50","18.50","18.50","18.50","18.50","18.50","18.50","18.50","18.50"
"5","N/A","HCHG LACTOBACILLUS GG CAPSULE","N/A","N/A","0253","N/A","N/A","1.56","1.56","1.56","N/A","N/A","N/A","1.56","1.56","N/A","1.56","1.56","1.56","1.56","1.56","1.56","1.56","1.56","1.56","1.56"
"5","N/A","HCHG LACTULOSE 10GM/15ML SYRUP B","N/A","N/A","0253","N/A","N/A","0.10","0.10","0.10","N/A","N/A","N/A","0.10","0.10","N/A","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10"
"5","N/A","HCHG LANOLIN CREAM 40GM","N/A","N/A","0253","N/A","N/A","0.23","0.23","0.23","N/A","N/A","N/A","0.23","0.23","N/A","0.23","0.23","0.23","0.23","0.23","0.23","0.23","0.23","0.23","0.23"
"5","N/A","HCHG LATANOPROST 0.005% OPH SOLN","N/A","N/A","0253","N/A","N/A","49.03","49.03","49.03","N/A","N/A","N/A","49.03","49.03","N/A","49.03","49.03","49.03","49.03","49.03","49.03","49.03","49.03","49.03","49.03"
"5","N/A","HCHG LEVEMIR FLEXTOUCH PEN","N/A","N/A","0253","N/A","N/A","57.26","57.26","57.26","N/A","N/A","N/A","57.26","57.26","N/A","57.26","57.26","57.26","57.26","57.26","57.26","57.26","57.26","57.26","57.26"
"5","N/A","HCHG LEVETIRACETAM 100MG/ML PO SOLN","N/A","N/A","0253","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HCHG LEVETIRACETAM 250MG/TAB","N/A","N/A","0253","N/A","N/A","4.44","4.44","4.44","N/A","N/A","N/A","4.44","4.44","N/A","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44","4.44"
"5","N/A","HCHG LEVETIRACETAM 500MG/TAB","N/A","N/A","0253","N/A","N/A","5.39","5.39","5.39","N/A","N/A","N/A","5.39","5.39","N/A","5.39","5.39","5.39","5.39","5.39","5.39","5.39","5.39","5.39","5.39"
"5","N/A","HCHG LEVOTHYROXINE 0.025MG/TAB B","N/A","N/A","0253","N/A","N/A","0.70","0.70","0.70","N/A","N/A","N/A","0.70","0.70","N/A","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70","0.70"
"5","N/A","HCHG LEVOTHYROXINE 0.05MG/TAB B","N/A","N/A","0253","N/A","N/A","0.80","0.80","0.80","N/A","N/A","N/A","0.80","0.80","N/A","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80"
"5","N/A","HCHG LEVOTHYROXINE 0.075MG/TAB B","N/A","N/A","0253","N/A","N/A","0.89","0.89","0.89","N/A","N/A","N/A","0.89","0.89","N/A","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89","0.89"
"5","N/A","HCHG LEVOTHYROXINE 0.125MG/TAB B","N/A","N/A","0253","N/A","N/A","1.02","1.02","1.02","N/A","N/A","N/A","1.02","1.02","N/A","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02"
"5","N/A","HCHG LEVOTHYROXINE 0.15MG/TAB B","N/A","N/A","0253","N/A","N/A","1.05","1.05","1.05","N/A","N/A","N/A","1.05","1.05","N/A","1.05","1.05","1.05","1.05","1.05","1.05","1.05","1.05","1.05","1.05"
"5","N/A","HCHG LEVOTHYROXINE 0.1MG/TAB B","N/A","N/A","0253","N/A","N/A","0.91","0.91","0.91","N/A","N/A","N/A","0.91","0.91","N/A","0.91","0.91","0.91","0.91","0.91","0.91","0.91","0.91","0.91","0.91"
"5","N/A","HCHG LEVOTHYROXINE 112MCG/TAB B","N/A","N/A","0253","N/A","N/A","1.02","1.02","1.02","N/A","N/A","N/A","1.02","1.02","N/A","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT40 13.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT40 15.5","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT40 17.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT40 19.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT40 23.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT50 16.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT50 17.0","N/A","N/A","0276","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
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"5","N/A","LENS INTRAOCULAR PC ZXT300 20.5","N/A","N/A","0276","N/A","N/A","3214.20","3214.20","3214.20","N/A","N/A","N/A","3214.20","3214.20","N/A","3214.20","3214.20","3214.20","3214.20","3214.20","3214.20","3214.20","3214.20","3214.20","3214.20"
"5","N/A","LENS INTRAOCULAR PCB00 21.0 P.C.","N/A","N/A","0276","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","ALLOGRAFT ACHILLES TENDON","N/A","N/A","0278","N/A","N/A","11220.00","11220.00","11220.00","N/A","N/A","N/A","11220.00","11220.00","N/A","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00"
"5","N/A","ALLOGRAFT ACHILLES TENDON 10MM","N/A","N/A","0278","N/A","N/A","10301.50","10301.50","10301.50","N/A","N/A","N/A","10301.50","10301.50","N/A","10301.50","10301.50","10301.50","10301.50","10301.50","10301.50","10301.50","10301.50","10301.50","10301.50"
"5","N/A","ALLOGRAFT AMNIOTIC LIQUID 1.0CC","N/A","N/A","0278","N/A","N/A","2178.00","2178.00","2178.00","N/A","N/A","N/A","2178.00","2178.00","N/A","2178.00","2178.00","2178.00","2178.00","2178.00","2178.00","2178.00","2178.00","2178.00","2178.00"
"5","N/A","ALLOGRAFT AMNIOTIC LIQUID 2.0CC","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","ALLOGRAFT BLOCK BONE 18X18X30MM","N/A","N/A","0278","N/A","N/A","3580.50","3580.50","3580.50","N/A","N/A","N/A","3580.50","3580.50","N/A","3580.50","3580.50","3580.50","3580.50","3580.50","3580.50","3580.50","3580.50","3580.50","3580.50"
"5","N/A","ALLOGRAFT BONE ALLOSYNC DBM GEL 5CC","N/A","N/A","0278","N/A","N/A","2640.00","2640.00","2640.00","N/A","N/A","N/A","2640.00","2640.00","N/A","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00","2640.00"
"5","N/A","ALLOGRAFT BONE ARTHROCELL 5CC","N/A","N/A","0278","N/A","N/A","10725.00","10725.00","10725.00","N/A","N/A","N/A","10725.00","10725.00","N/A","10725.00","10725.00","10725.00","10725.00","10725.00","10725.00","10725.00","10725.00","10725.00","10725.00"
"5","N/A","ALLOGRAFT BONE SCAFFOLD 10CC","N/A","N/A","0278","N/A","N/A","19196.10","19196.10","19196.10","N/A","N/A","N/A","19196.10","19196.10","N/A","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10"
"5","N/A","ALLOGRAFT BONE SCAFFOLD 5CC","N/A","N/A","0278","N/A","N/A","9738.30","9738.30","9738.30","N/A","N/A","N/A","9738.30","9738.30","N/A","9738.30","9738.30","9738.30","9738.30","9738.30","9738.30","9738.30","9738.30","9738.30","9738.30"
"5","N/A","ALLOGRAFT BONE VIA SCAFFOLD 10CC","N/A","N/A","0278","N/A","N/A","19196.10","19196.10","19196.10","N/A","N/A","N/A","19196.10","19196.10","N/A","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10","19196.10"
"5","N/A","ALLOGRAFT CANCELLOUS CRUSHED CHIP 15ML","N/A","N/A","0278","N/A","N/A","1386.00","1386.00","1386.00","N/A","N/A","N/A","1386.00","1386.00","N/A","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00"
"5","N/A","ALLOGRAFT CHIP CANC 15ML 1.7-10MM","N/A","N/A","0278","N/A","N/A","1009.80","1009.80","1009.80","N/A","N/A","N/A","1009.80","1009.80","N/A","1009.80","1009.80","1009.80","1009.80","1009.80","1009.80","1009.80","1009.80","1009.80","1009.80"
"5","N/A","ALLOGRAFT CHIP CANC 30ML 1.7-10MM","N/A","N/A","0278","N/A","N/A","1709.40","1709.40","1709.40","N/A","N/A","N/A","1709.40","1709.40","N/A","1709.40","1709.40","1709.40","1709.40","1709.40","1709.40","1709.40","1709.40","1709.40","1709.40"
"5","N/A","ALLOGRAFT CHIP CRUSHED FREEZE 15ML","N/A","N/A","0278","N/A","N/A","1039.50","1039.50","1039.50","N/A","N/A","N/A","1039.50","1039.50","N/A","1039.50","1039.50","1039.50","1039.50","1039.50","1039.50","1039.50","1039.50","1039.50","1039.50"
"5","N/A","ALLOGRAFT CRUSHED CANC CHIP 30ML","N/A","N/A","0278","N/A","N/A","1683.00","1683.00","1683.00","N/A","N/A","N/A","1683.00","1683.00","N/A","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00","1683.00"
"5","N/A","ALLOGRAFT DEMINERALIZED BN MATRIX GRAFTON 2.5X10CM","N/A","N/A","0278","N/A","N/A","9546.08","9546.08","9546.08","N/A","N/A","N/A","9546.08","9546.08","N/A","9546.08","9546.08","9546.08","9546.08","9546.08","9546.08","9546.08","9546.08","9546.08","9546.08"
"5","N/A","ALLOGRAFT DEMINERALIZED BN MATRIX GRAFTON 2.5X5CM","N/A","N/A","0278","N/A","N/A","5918.88","5918.88","5918.88","N/A","N/A","N/A","5918.88","5918.88","N/A","5918.88","5918.88","5918.88","5918.88","5918.88","5918.88","5918.88","5918.88","5918.88","5918.88"
"5","N/A","ALLOGRAFT DISTAL FEMUR W/ LIGAMENTS","N/A","N/A","0278","N/A","N/A","18150.00","18150.00","18150.00","N/A","N/A","N/A","18150.00","18150.00","N/A","18150.00","18150.00","18150.00","18150.00","18150.00","18150.00","18150.00","18150.00","18150.00","18150.00"
"5","N/A","ALLOGRAFT ELITE TRINITY MEDIUM","N/A","N/A","0278","N/A","N/A","7260.00","7260.00","7260.00","N/A","N/A","N/A","7260.00","7260.00","N/A","7260.00","7260.00","7260.00","7260.00","7260.00","7260.00","7260.00","7260.00","7260.00","7260.00"
"5","N/A","ALLOGRAFT GRACILLUS TENDEN 3MM","N/A","N/A","0278","N/A","N/A","7095.00","7095.00","7095.00","N/A","N/A","N/A","7095.00","7095.00","N/A","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00"
"5","N/A","ALLOGRAFT MATRIX BN OSTEOCEL + 1ML","N/A","N/A","0278","N/A","N/A","1347.98","1347.98","1347.98","N/A","N/A","N/A","1347.98","1347.98","N/A","1347.98","1347.98","1347.98","1347.98","1347.98","1347.98","1347.98","1347.98","1347.98","1347.98"
"5","N/A","ALLOGRAFT MATRIX BONE CELLUAL V92 10CC","N/A","N/A","0278","N/A","N/A","19197.75","19197.75","19197.75","N/A","N/A","N/A","19197.75","19197.75","N/A","19197.75","19197.75","19197.75","19197.75","19197.75","19197.75","19197.75","19197.75","19197.75","19197.75"
"5","N/A","ALLOGRAFT MATRIX OSTEOCEL PRO LG","N/A","N/A","0278","N/A","N/A","13850.10","13850.10","13850.10","N/A","N/A","N/A","13850.10","13850.10","N/A","13850.10","13850.10","13850.10","13850.10","13850.10","13850.10","13850.10","13850.10","13850.10","13850.10"
"5","N/A","ALLOGRAFT MATRIX OSTEOCEL PRO MD","N/A","N/A","0278","N/A","N/A","7277.29","7277.29","7277.29","N/A","N/A","N/A","7277.29","7277.29","N/A","7277.29","7277.29","7277.29","7277.29","7277.29","7277.29","7277.29","7277.29","7277.29","7277.29"
"5","N/A","ALLOGRAFT MATRIX OSTEOCEL PRO SM","N/A","N/A","0278","N/A","N/A","1570.21","1570.21","1570.21","N/A","N/A","N/A","1570.21","1570.21","N/A","1570.21","1570.21","1570.21","1570.21","1570.21","1570.21","1570.21","1570.21","1570.21","1570.21"
"5","N/A","ALLOGRAFT MATRIX VIVIGEN 15CC","N/A","N/A","0278","N/A","N/A","13959.00","13959.00","13959.00","N/A","N/A","N/A","13959.00","13959.00","N/A","13959.00","13959.00","13959.00","13959.00","13959.00","13959.00","13959.00","13959.00","13959.00","13959.00"
"5","N/A","ALLOGRAFT MATRIX VIVIGEN F 10CC","N/A","N/A","0278","N/A","N/A","13305.60","13305.60","13305.60","N/A","N/A","N/A","13305.60","13305.60","N/A","13305.60","13305.60","13305.60","13305.60","13305.60","13305.60","13305.60","13305.60","13305.60","13305.60"
"5","N/A","ALLOGRAFT MATRIX VIVIGEN F 15CC","N/A","N/A","0278","N/A","N/A","16750.80","16750.80","16750.80","N/A","N/A","N/A","16750.80","16750.80","N/A","16750.80","16750.80","16750.80","16750.80","16750.80","16750.80","16750.80","16750.80","16750.80","16750.80"
"5","N/A","ALLOGRAFT MATRIX VIVIGEN F 1CC SMALL","N/A","N/A","0278","N/A","N/A","1749.00","1749.00","1749.00","N/A","N/A","N/A","1749.00","1749.00","N/A","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00","1749.00"
"5","N/A","ALLOGRAFT MATRIX VIVIGEN F 5CC","N/A","N/A","0278","N/A","N/A","7524.00","7524.00","7524.00","N/A","N/A","N/A","7524.00","7524.00","N/A","7524.00","7524.00","7524.00","7524.00","7524.00","7524.00","7524.00","7524.00","7524.00","7524.00"
"5","N/A","ALLOGRAFT MEMBRANE AMNIOTIC 3X6CM","N/A","N/A","0278","N/A","N/A","7326.00","7326.00","7326.00","N/A","N/A","N/A","7326.00","7326.00","N/A","7326.00","7326.00","7326.00","7326.00","7326.00","7326.00","7326.00","7326.00","7326.00","7326.00"
"5","N/A","ALLOGRAFT MEMBRANE AMNIOTIC 3X8CM","N/A","N/A","0278","N/A","N/A","13068.00","13068.00","13068.00","N/A","N/A","N/A","13068.00","13068.00","N/A","13068.00","13068.00","13068.00","13068.00","13068.00","13068.00","13068.00","13068.00","13068.00","13068.00"
"5","N/A","ALLOGRAFT MENISCUS LATERAL LT","N/A","N/A","0278","N/A","N/A","15525.68","15525.68","15525.68","N/A","N/A","N/A","15525.68","15525.68","N/A","15525.68","15525.68","15525.68","15525.68","15525.68","15525.68","15525.68","15525.68","15525.68","15525.68"
"5","N/A","ALLOGRAFT MENISCUS MEDIAL RT","N/A","N/A","0278","N/A","N/A","15524.85","15524.85","15524.85","N/A","N/A","N/A","15524.85","15524.85","N/A","15524.85","15524.85","15524.85","15524.85","15524.85","15524.85","15524.85","15524.85","15524.85","15524.85"
"5","N/A","ALLOGRAFT NERVE AVANCE 1-2X30MM","N/A","N/A","0278","N/A","N/A","12302.40","12302.40","12302.40","N/A","N/A","N/A","12302.40","12302.40","N/A","12302.40","12302.40","12302.40","12302.40","12302.40","12302.40","12302.40","12302.40","12302.40","12302.40"
"5","N/A","ALLOGRAFT NERVE AVANCE 2-3X30MM","N/A","N/A","0278","N/A","N/A","12794.10","12794.10","12794.10","N/A","N/A","N/A","12794.10","12794.10","N/A","12794.10","12794.10","12794.10","12794.10","12794.10","12794.10","12794.10","12794.10","12794.10","12794.10"
"5","N/A","ALLOGRAFT NERVE AVANCE 2-3X70MM","N/A","N/A","0278","N/A","N/A","24895.20","24895.20","24895.20","N/A","N/A","N/A","24895.20","24895.20","N/A","24895.20","24895.20","24895.20","24895.20","24895.20","24895.20","24895.20","24895.20","24895.20","24895.20"
"5","N/A","ALLOGRAFT SHAFT FEMORAL 150MM","N/A","N/A","0278","N/A","N/A","5481.30","5481.30","5481.30","N/A","N/A","N/A","5481.30","5481.30","N/A","5481.30","5481.30","5481.30","5481.30","5481.30","5481.30","5481.30","5481.30","5481.30","5481.30"
"5","N/A","ALLOGRAFT SHAFT FIBULAR 50MM","N/A","N/A","0278","N/A","N/A","1808.73","1808.73","1808.73","N/A","N/A","N/A","1808.73","1808.73","N/A","1808.73","1808.73","1808.73","1808.73","1808.73","1808.73","1808.73","1808.73","1808.73","1808.73"
"5","N/A","ALLOGRAFT TALUS ANKLE FRESH","N/A","N/A","0278","N/A","N/A","21202.83","21202.83","21202.83","N/A","N/A","N/A","21202.83","21202.83","N/A","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83"
"5","N/A","ALLOGRAFT TENDON 60-80MM X 7.5-10.5MM FROZEN","N/A","N/A","0278","N/A","N/A","7574.16","7574.16","7574.16","N/A","N/A","N/A","7574.16","7574.16","N/A","7574.16","7574.16","7574.16","7574.16","7574.16","7574.16","7574.16","7574.16","7574.16","7574.16"
"5","N/A","ALLOGRAFT TENDON ANT TIBIALIS 200","N/A","N/A","0278","N/A","N/A","8745.00","8745.00","8745.00","N/A","N/A","N/A","8745.00","8745.00","N/A","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00"
"5","N/A","ALLOGRAFT TENDON GRAFTLINK 10.5X82MM","N/A","N/A","0278","N/A","N/A","7246.80","7246.80","7246.80","N/A","N/A","N/A","7246.80","7246.80","N/A","7246.80","7246.80","7246.80","7246.80","7246.80","7246.80","7246.80","7246.80","7246.80","7246.80"
"5","N/A","ALLOGRAFT TENDON PATELLAR PRESHAPED 33.5X91","N/A","N/A","0278","N/A","N/A","13530.00","13530.00","13530.00","N/A","N/A","N/A","13530.00","13530.00","N/A","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00"
"5","N/A","ALLOGRAFT TENDON POST TIBIALIS 10","N/A","N/A","0278","N/A","N/A","8745.00","8745.00","8745.00","N/A","N/A","N/A","8745.00","8745.00","N/A","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00","8745.00"
"5","N/A","ALLOGRAFT TENDON RT > 200MM","N/A","N/A","0278","N/A","N/A","7095.00","7095.00","7095.00","N/A","N/A","N/A","7095.00","7095.00","N/A","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00","7095.00"
"5","N/A","ALLOGRAFT TIBIA DISTAL RT FRESH","N/A","N/A","0278","N/A","N/A","21202.83","21202.83","21202.83","N/A","N/A","N/A","21202.83","21202.83","N/A","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83","21202.83"
"5","N/A","ALLOGRAFT TIBIA PROXIMAL W/ PATELLA","N/A","N/A","0278","N/A","N/A","16566.00","16566.00","16566.00","N/A","N/A","N/A","16566.00","16566.00","N/A","16566.00","16566.00","16566.00","16566.00","16566.00","16566.00","16566.00","16566.00","16566.00","16566.00"
"5","N/A","ALLOGRAFT TRINITY ELITE SMALL","N/A","N/A","0278","N/A","N/A","1551.00","1551.00","1551.00","N/A","N/A","N/A","1551.00","1551.00","N/A","1551.00","1551.00","1551.00","1551.00","1551.00","1551.00","1551.00","1551.00","1551.00","1551.00"
"5","N/A","ALLOGRAFT TUTOPLAST 1.5X1.5CM","N/A","N/A","0278","N/A","N/A","957.00","957.00","957.00","N/A","N/A","N/A","957.00","957.00","N/A","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00","957.00"
"5","N/A","ALLOGRAFT WEDGE PRESERVE COTTON PLANTAR 6MM","N/A","N/A","0278","N/A","N/A","5007.75","5007.75","5007.75","N/A","N/A","N/A","5007.75","5007.75","N/A","5007.75","5007.75","5007.75","5007.75","5007.75","5007.75","5007.75","5007.75","5007.75","5007.75"
"5","N/A","AMNIOFIX 2X3CM","N/A","N/A","0278","N/A","N/A","2508.00","2508.00","2508.00","N/A","N/A","N/A","2508.00","2508.00","N/A","2508.00","2508.00","2508.00","2508.00","2508.00","2508.00","2508.00","2508.00","2508.00","2508.00"
"5","N/A","ANCH SUT 1.8MM Q-FIX","N/A","N/A","0278","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","ANCHOR LEAD SWIFT-LOCK","N/A","N/A","0278","N/A","N/A","425.02","425.02","425.02","N/A","N/A","N/A","425.02","425.02","N/A","425.02","425.02","425.02","425.02","425.02","425.02","425.02","425.02","425.02","425.02"
"5","N/A","ANCHOR SUT HEALICOIL 5.5 MM KNOTLESS REGENESORB","N/A","N/A","0278","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","ANCHOR SUTURE HEALICOIL 5.5 MM KNOTLESS","N/A","N/A","0278","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","ANCHOR SUTURE SWIVELOCK C 4.75X19.1MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ANCHOR SWIVELOCK C 4.75X19.1MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","APLIGRAF TISSUE 44 SQ CM","N/A","N/A","0278","N/A","N/A","95.62","95.62","95.62","N/A","N/A","N/A","95.62","95.62","N/A","95.62","95.62","95.62","95.62","95.62","95.62","95.62","95.62","95.62","95.62"
"5","N/A","ASSEMBLY SHUNT SNAP STRATA II 90CM","N/A","N/A","0278","N/A","N/A","14312.43","14312.43","14312.43","N/A","N/A","N/A","14312.43","14312.43","N/A","14312.43","14312.43","14312.43","14312.43","14312.43","14312.43","14312.43","14312.43","14312.43","14312.43"
"5","N/A","ASSEMBLY SHUNT ST REG FLOW 16GA","N/A","N/A","0278","N/A","N/A","4308.48","4308.48","4308.48","N/A","N/A","N/A","4308.48","4308.48","N/A","4308.48","4308.48","4308.48","4308.48","4308.48","4308.48","4308.48","4308.48","4308.48","4308.48"
"5","N/A","BALL MODULAR CATHCART 44MM","N/A","N/A","0278","N/A","N/A","1949.40","1949.40","1949.40","N/A","N/A","N/A","1949.40","1949.40","N/A","1949.40","1949.40","1949.40","1949.40","1949.40","1949.40","1949.40","1949.40","1949.40","1949.40"
"5","N/A","BAND PET VERSATIE MALLEABLE END 5.5MM","N/A","N/A","0278","N/A","N/A","3726.56","3726.56","3726.56","N/A","N/A","N/A","3726.56","3726.56","N/A","3726.56","3726.56","3726.56","3726.56","3726.56","3726.56","3726.56","3726.56","3726.56","3726.56"
"5","N/A","BAND SCLERAL SI 0.6X2.5MM","N/A","N/A","0278","N/A","N/A","50.16","50.16","50.16","N/A","N/A","N/A","50.16","50.16","N/A","50.16","50.16","50.16","50.16","50.16","50.16","50.16","50.16","50.16","50.16"
"5","N/A","BATTERY NEUROSTIM IPG SURESCAN","N/A","N/A","0278","N/A","N/A","57585.00","57585.00","57585.00","N/A","N/A","N/A","57585.00","57585.00","N/A","57585.00","57585.00","57585.00","57585.00","57585.00","57585.00","57585.00","57585.00","57585.00","57585.00"
"5","N/A","BLADE SPIRAL TI STL 46MM","N/A","N/A","0278","N/A","N/A","2139.41","2139.41","2139.41","N/A","N/A","N/A","2139.41","2139.41","N/A","2139.41","2139.41","2139.41","2139.41","2139.41","2139.41","2139.41","2139.41","2139.41","2139.41"
"5","N/A","BOLT ANCHOR LSB 13MM","N/A","N/A","0278","N/A","N/A","496.10","496.10","496.10","N/A","N/A","N/A","496.10","496.10","N/A","496.10","496.10","496.10","496.10","496.10","496.10","496.10","496.10","496.10","496.10"
"5","N/A","BOLT ANCHOR LSB 21MM RD DEPTH STL","N/A","N/A","0278","N/A","N/A","496.10","496.10","496.10","N/A","N/A","N/A","496.10","496.10","N/A","496.10","496.10","496.10","496.10","496.10","496.10","496.10","496.10","496.10","496.10"
"5","N/A","BOLT PLATE SPINAL DECADE XLIF 5.5X45MM LRG","N/A","N/A","0278","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","BOLT SPINAL BASE VA TI 5.0X17.5MM","N/A","N/A","0278","N/A","N/A","2200.00","2200.00","2200.00","N/A","N/A","N/A","2200.00","2200.00","N/A","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00"
"5","N/A","BOLT SPINAL DECADE LG 5.5X50MM","N/A","N/A","0278","N/A","N/A","2145.00","2145.00","2145.00","N/A","N/A","N/A","2145.00","2145.00","N/A","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00","2145.00"
"5","N/A","BONE GRAFT SUBSTITUTE PUTTY 10CC","N/A","N/A","0278","N/A","N/A","7263.30","7263.30","7263.30","N/A","N/A","N/A","7263.30","7263.30","N/A","7263.30","7263.30","7263.30","7263.30","7263.30","7263.30","7263.30","7263.30","7263.30","7263.30"
"5","N/A","BUNDLE ORTHOGNATHIC VSP","N/A","N/A","0278","N/A","N/A","4814.70","4814.70","4814.70","N/A","N/A","N/A","4814.70","4814.70","N/A","4814.70","4814.70","4814.70","4814.70","4814.70","4814.70","4814.70","4814.70","4814.70","4814.70"
"5","N/A","BUSHING FEMORAL DISTAL GMRS SM","N/A","N/A","0278","N/A","N/A","997.10","997.10","997.10","N/A","N/A","N/A","997.10","997.10","N/A","997.10","997.10","997.10","997.10","997.10","997.10","997.10","997.10","997.10","997.10"
"5","N/A","BUSHING TIBIAL PCARB OSS","N/A","N/A","0278","N/A","N/A","1049.40","1049.40","1049.40","N/A","N/A","N/A","1049.40","1049.40","N/A","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40","1049.40"
"5","N/A","CABLE COCR ACCORD 2.0MM","N/A","N/A","0278","N/A","N/A","1205.28","1205.28","1205.28","N/A","N/A","N/A","1205.28","1205.28","N/A","1205.28","1205.28","1205.28","1205.28","1205.28","1205.28","1205.28","1205.28","1205.28","1205.28"
"5","N/A","CABLE FIXATION CABLE-READY 1.8X63.5","N/A","N/A","0278","N/A","N/A","1411.46","1411.46","1411.46","N/A","N/A","N/A","1411.46","1411.46","N/A","1411.46","1411.46","1411.46","1411.46","1411.46","1411.46","1411.46","1411.46","1411.46","1411.46"
"5","N/A","CAGE BOTTOM X-CORE MINI 12X15X12","N/A","N/A","0278","N/A","N/A","3456.75","3456.75","3456.75","N/A","N/A","N/A","3456.75","3456.75","N/A","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75"
"5","N/A","CAGE CERVICAL TRYPTIK 12X14X6MM","N/A","N/A","0278","N/A","N/A","4158.00","4158.00","4158.00","N/A","N/A","N/A","4158.00","4158.00","N/A","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00"
"5","N/A","CAGE CERVICAL TRYPTIK 12X14X7MM","N/A","N/A","0278","N/A","N/A","4158.00","4158.00","4158.00","N/A","N/A","N/A","4158.00","4158.00","N/A","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00"
"5","N/A","CAGE CERVICAL TRYPTIK 12X14X8MM","N/A","N/A","0278","N/A","N/A","4158.00","4158.00","4158.00","N/A","N/A","N/A","4158.00","4158.00","N/A","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00"
"5","N/A","CAGE CERVICAL TRYPTIK 12X14X9MM","N/A","N/A","0278","N/A","N/A","4158.00","4158.00","4158.00","N/A","N/A","N/A","4158.00","4158.00","N/A","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00"
"5","N/A","CAGE CONTOURED COROENT MD SM 5MM","N/A","N/A","0278","N/A","N/A","3003.00","3003.00","3003.00","N/A","N/A","N/A","3003.00","3003.00","N/A","3003.00","3003.00","3003.00","3003.00","3003.00","3003.00","3003.00","3003.00","3003.00","3003.00"
"5","N/A","CAGE CONTOURED COROENT SM 4MM","N/A","N/A","0278","N/A","N/A","3784.00","3784.00","3784.00","N/A","N/A","N/A","3784.00","3784.00","N/A","3784.00","3784.00","3784.00","3784.00","3784.00","3784.00","3784.00","3784.00","3784.00","3784.00"
"5","N/A","CAGE CONTOURED COROENT SM 5MM","N/A","N/A","0278","N/A","N/A","2838.00","2838.00","2838.00","N/A","N/A","N/A","2838.00","2838.00","N/A","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00"
"5","N/A","CAGE CONTOURED COROENT SM 6MM","N/A","N/A","0278","N/A","N/A","2838.00","2838.00","2838.00","N/A","N/A","N/A","2838.00","2838.00","N/A","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00","2838.00"
"5","N/A","CAGE COROENT XLW 10X22X50MM 15 DEGREE","N/A","N/A","0278","N/A","N/A","17490.00","17490.00","17490.00","N/A","N/A","N/A","17490.00","17490.00","N/A","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00"
"5","N/A","CAGE COROENT XLW 10X22X55MM 15 DEGREE","N/A","N/A","0278","N/A","N/A","17490.00","17490.00","17490.00","N/A","N/A","N/A","17490.00","17490.00","N/A","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00"
"5","N/A","CAGE COROENT XLW 10X22X60MM 15 DEGREE","N/A","N/A","0278","N/A","N/A","17490.00","17490.00","17490.00","N/A","N/A","N/A","17490.00","17490.00","N/A","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00"
"5","N/A","CAGE COROENT XLW 12X22X60MM","N/A","N/A","0278","N/A","N/A","17490.00","17490.00","17490.00","N/A","N/A","N/A","17490.00","17490.00","N/A","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00"
"5","N/A","CAGE INTERBODY EIT PLIF POST 11MM 4D 26/9","N/A","N/A","0278","N/A","N/A","11316.06","11316.06","11316.06","N/A","N/A","N/A","11316.06","11316.06","N/A","11316.06","11316.06","11316.06","11316.06","11316.06","11316.06","11316.06","11316.06","11316.06","11316.06"
"5","N/A","CAGE LORDOTIC 7X15X12 5 DEG","N/A","N/A","0278","N/A","N/A","4801.50","4801.50","4801.50","N/A","N/A","N/A","4801.50","4801.50","N/A","4801.50","4801.50","4801.50","4801.50","4801.50","4801.50","4801.50","4801.50","4801.50","4801.50"
"5","N/A","CAGE LUMBAR TRANSFORAMINAL 30X10.5X11 6DEG","N/A","N/A","0278","N/A","N/A","19635.00","19635.00","19635.00","N/A","N/A","N/A","19635.00","19635.00","N/A","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00"
"5","N/A","CAGE MLX 4 DEG 10X34X24MM","N/A","N/A","0278","N/A","N/A","23925.00","23925.00","23925.00","N/A","N/A","N/A","23925.00","23925.00","N/A","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00"
"5","N/A","CAGE MLX 4 DEG 8X34X24MM","N/A","N/A","0278","N/A","N/A","23925.00","23925.00","23925.00","N/A","N/A","N/A","23925.00","23925.00","N/A","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00"
"5","N/A","CAGE MLX 8 DEG 8X34X24MM","N/A","N/A","0278","N/A","N/A","23925.00","23925.00","23925.00","N/A","N/A","N/A","23925.00","23925.00","N/A","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00"
"5","N/A","CAGE MLX 8X38X28MM 12 DEG","N/A","N/A","0278","N/A","N/A","31900.00","31900.00","31900.00","N/A","N/A","N/A","31900.00","31900.00","N/A","31900.00","31900.00","31900.00","31900.00","31900.00","31900.00","31900.00","31900.00","31900.00","31900.00"
"5","N/A","CAGE PARALLEL X-CORE 12X15X12","N/A","N/A","0278","N/A","N/A","3456.75","3456.75","3456.75","N/A","N/A","N/A","3456.75","3456.75","N/A","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75"
"5","N/A","CAGE PEEK 4 DEG JULIET TL 12MM","N/A","N/A","0278","N/A","N/A","19635.00","19635.00","19635.00","N/A","N/A","N/A","19635.00","19635.00","N/A","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00"
"5","N/A","CAGE PEEK 4 DEG JULIET TL 14MM","N/A","N/A","0278","N/A","N/A","19635.00","19635.00","19635.00","N/A","N/A","N/A","19635.00","19635.00","N/A","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00","19635.00"
"5","N/A","CAGE PEEK COROENT XL 10X22X45","N/A","N/A","0278","N/A","N/A","15840.00","15840.00","15840.00","N/A","N/A","N/A","15840.00","15840.00","N/A","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00"
"5","N/A","CAGE PEEK COROENT XL 18X45X10","N/A","N/A","0278","N/A","N/A","14850.00","14850.00","14850.00","N/A","N/A","N/A","14850.00","14850.00","N/A","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00"
"5","N/A","CAGE PEEK COROENT XL 18X50X10","N/A","N/A","0278","N/A","N/A","14850.00","14850.00","14850.00","N/A","N/A","N/A","14850.00","14850.00","N/A","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00","14850.00"
"5","N/A","CAGE PEEK COROENT XL 22X50X10","N/A","N/A","0278","N/A","N/A","15840.00","15840.00","15840.00","N/A","N/A","N/A","15840.00","15840.00","N/A","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00"
"5","N/A","CAGE PEEK COROENT XL 22X55X10","N/A","N/A","0278","N/A","N/A","15887.14","15887.14","15887.14","N/A","N/A","N/A","15887.14","15887.14","N/A","15887.14","15887.14","15887.14","15887.14","15887.14","15887.14","15887.14","15887.14","15887.14","15887.14"
"5","N/A","CAGE PEEK COROENT XL 22X55X12","N/A","N/A","0278","N/A","N/A","15840.00","15840.00","15840.00","N/A","N/A","N/A","15840.00","15840.00","N/A","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00"
"5","N/A","CAGE PEEK COROENT XL 22X60X10","N/A","N/A","0278","N/A","N/A","16170.00","16170.00","16170.00","N/A","N/A","N/A","16170.00","16170.00","N/A","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00"
"5","N/A","CAGE PEEK COROENT XLH 22X50X10","N/A","N/A","0278","N/A","N/A","16170.00","16170.00","16170.00","N/A","N/A","N/A","16170.00","16170.00","N/A","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00"
"5","N/A","CAGE PEEK COROENT XLH 42X45X10","N/A","N/A","0278","N/A","N/A","16170.00","16170.00","16170.00","N/A","N/A","N/A","16170.00","16170.00","N/A","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00"
"5","N/A","CAGE SPINAL 8 DEG 10X28X10MM TLIF","N/A","N/A","0278","N/A","N/A","15246.00","15246.00","15246.00","N/A","N/A","N/A","15246.00","15246.00","N/A","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00"
"5","N/A","CAGE SPINAL 8 DEG 11MM 28X10MM","N/A","N/A","0278","N/A","N/A","15246.00","15246.00","15246.00","N/A","N/A","N/A","15246.00","15246.00","N/A","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00","15246.00"
"5","N/A","CAGE SPINAL ALIF 10 DEG SM 10MM","N/A","N/A","0278","N/A","N/A","15529.80","15529.80","15529.80","N/A","N/A","N/A","15529.80","15529.80","N/A","15529.80","15529.80","15529.80","15529.80","15529.80","15529.80","15529.80","15529.80","15529.80","15529.80"
"5","N/A","CAGE SPINAL BASE TI 10 DEG 10X34X24MM","N/A","N/A","0278","N/A","N/A","22440.00","22440.00","22440.00","N/A","N/A","N/A","22440.00","22440.00","N/A","22440.00","22440.00","22440.00","22440.00","22440.00","22440.00","22440.00","22440.00","22440.00","22440.00"
"5","N/A","CAGE SPINAL BASE TI 15 DEG 6X42X30MM","N/A","N/A","0278","N/A","N/A","16830.00","16830.00","16830.00","N/A","N/A","N/A","16830.00","16830.00","N/A","16830.00","16830.00","16830.00","16830.00","16830.00","16830.00","16830.00","16830.00","16830.00","16830.00"
"5","N/A","CAGE SPINAL BENGAL STD 7 DEG 12MM","N/A","N/A","0278","N/A","N/A","2634.72","2634.72","2634.72","N/A","N/A","N/A","2634.72","2634.72","N/A","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72"
"5","N/A","CAGE SPINAL BENGAL STD 7 DEG 6MM","N/A","N/A","0278","N/A","N/A","2634.72","2634.72","2634.72","N/A","N/A","N/A","2634.72","2634.72","N/A","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72","2634.72"
"5","N/A","CAGE SPINAL CIF 8 DEG SM 7MM","N/A","N/A","0278","N/A","N/A","3702.60","3702.60","3702.60","N/A","N/A","N/A","3702.60","3702.60","N/A","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60"
"5","N/A","CAGE SPINAL CIF 8 DEG SM 8MM","N/A","N/A","0278","N/A","N/A","3702.60","3702.60","3702.60","N/A","N/A","N/A","3702.60","3702.60","N/A","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60"
"5","N/A","CAGE SPINAL COHERE XLW 10X22X55MM 15DEG","N/A","N/A","0278","N/A","N/A","29535.00","29535.00","29535.00","N/A","N/A","N/A","29535.00","29535.00","N/A","29535.00","29535.00","29535.00","29535.00","29535.00","29535.00","29535.00","29535.00","29535.00","29535.00"
"5","N/A","CAGE SPINAL COROENT SM 7 DEG 12X17X14MM","N/A","N/A","0278","N/A","N/A","6256.80","6256.80","6256.80","N/A","N/A","N/A","6256.80","6256.80","N/A","6256.80","6256.80","6256.80","6256.80","6256.80","6256.80","6256.80","6256.80","6256.80","6256.80"
"5","N/A","CAGE SPINAL COROENT SM ACR 10 DEG 11X17X14MM","N/A","N/A","0278","N/A","N/A","5857.50","5857.50","5857.50","N/A","N/A","N/A","5857.50","5857.50","N/A","5857.50","5857.50","5857.50","5857.50","5857.50","5857.50","5857.50","5857.50","5857.50","5857.50"
"5","N/A","CAGE SPINAL COROENT XL 10X22X45MM 15D","N/A","N/A","0278","N/A","N/A","17490.00","17490.00","17490.00","N/A","N/A","N/A","17490.00","17490.00","N/A","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00"
"5","N/A","CAGE SPINAL EIT 0 DEG 12X45X18MM LLIF","N/A","N/A","0278","N/A","N/A","18044.40","18044.40","18044.40","N/A","N/A","N/A","18044.40","18044.40","N/A","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40"
"5","N/A","CAGE SPINAL EIT 0 DEG 12X50X18MM LLIF","N/A","N/A","0278","N/A","N/A","18044.40","18044.40","18044.40","N/A","N/A","N/A","18044.40","18044.40","N/A","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40"
"5","N/A","CAGE SPINAL EIT 0 DEG 40X18X10MM LLIF","N/A","N/A","0278","N/A","N/A","18044.40","18044.40","18044.40","N/A","N/A","N/A","18044.40","18044.40","N/A","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40"
"5","N/A","CAGE SPINAL EIT 0 DEG 50X18X10MM LLIF","N/A","N/A","0278","N/A","N/A","18044.40","18044.40","18044.40","N/A","N/A","N/A","18044.40","18044.40","N/A","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40"
"5","N/A","CAGE SPINAL EIT 0 DEG 55X22X12MM LLIF","N/A","N/A","0278","N/A","N/A","18044.40","18044.40","18044.40","N/A","N/A","N/A","18044.40","18044.40","N/A","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40"
"5","N/A","CAGE SPINAL EIT 8 DEG 50X18X12MM LLIF","N/A","N/A","0278","N/A","N/A","18044.40","18044.40","18044.40","N/A","N/A","N/A","18044.40","18044.40","N/A","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40"
"5","N/A","CAGE SPINAL EIT 8 DEG 50X22X12MM LLIF","N/A","N/A","0278","N/A","N/A","18044.40","18044.40","18044.40","N/A","N/A","N/A","18044.40","18044.40","N/A","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40","18044.40"
"5","N/A","CAGE SPINAL EIT 8 DEG SM 5MM","N/A","N/A","0278","N/A","N/A","3702.60","3702.60","3702.60","N/A","N/A","N/A","3702.60","3702.60","N/A","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60"
"5","N/A","CAGE SPINAL EIT 8 DEG SM 6MM","N/A","N/A","0278","N/A","N/A","3702.60","3702.60","3702.60","N/A","N/A","N/A","3702.60","3702.60","N/A","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60","3702.60"
"5","N/A","CAGE SPINAL MLX 4 DEG 10X34X24MM","N/A","N/A","0278","N/A","N/A","23925.00","23925.00","23925.00","N/A","N/A","N/A","23925.00","23925.00","N/A","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00","23925.00"
"5","N/A","CAGE SPINAL MODULUS 5 DEG XL WIDE 10X22X45MM","N/A","N/A","0278","N/A","N/A","27885.00","27885.00","27885.00","N/A","N/A","N/A","27885.00","27885.00","N/A","27885.00","27885.00","27885.00","27885.00","27885.00","27885.00","27885.00","27885.00","27885.00","27885.00"
"5","N/A","CAGE SPINAL MODULUS TLIF-O 4 DEG 8X10X25MM","N/A","N/A","0278","N/A","N/A","29480.00","29480.00","29480.00","N/A","N/A","N/A","29480.00","29480.00","N/A","29480.00","29480.00","29480.00","29480.00","29480.00","29480.00","29480.00","29480.00","29480.00","29480.00"
"5","N/A","CAGE SPINAL TI X-CORE 2 18X28-41MM","N/A","N/A","0278","N/A","N/A","17513.69","17513.69","17513.69","N/A","N/A","N/A","17513.69","17513.69","N/A","17513.69","17513.69","17513.69","17513.69","17513.69","17513.69","17513.69","17513.69","17513.69","17513.69"
"5","N/A","CAGE SPINAL TI X?CORE 2 18X20?25MM AUTOLOCK","N/A","N/A","0278","N/A","N/A","17513.66","17513.66","17513.66","N/A","N/A","N/A","17513.66","17513.66","N/A","17513.66","17513.66","17513.66","17513.66","17513.66","17513.66","17513.66","17513.66","17513.66","17513.66"
"5","N/A","CAGE SPINAL TLX 20 DEG 7X11X31MM","N/A","N/A","0278","N/A","N/A","28083.00","28083.00","28083.00","N/A","N/A","N/A","28083.00","28083.00","N/A","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00"
"5","N/A","CAGE SPINAL TLX 20 8X11X26 20 DEG","N/A","N/A","0278","N/A","N/A","28083.00","28083.00","28083.00","N/A","N/A","N/A","28083.00","28083.00","N/A","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00"
"5","N/A","CAGE SPINAL TLX 20 DEG 8X11X31MM","N/A","N/A","0278","N/A","N/A","28083.00","28083.00","28083.00","N/A","N/A","N/A","28083.00","28083.00","N/A","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00"
"5","N/A","CAGE SPINAL TLX 7X11X26MM 20 DEG","N/A","N/A","0278","N/A","N/A","28083.00","28083.00","28083.00","N/A","N/A","N/A","28083.00","28083.00","N/A","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00","28083.00"
"5","N/A","CAGE SPINAL VBR ENDCAP 3 DEG 16X16X30MM","N/A","N/A","0278","N/A","N/A","4274.56","4274.56","4274.56","N/A","N/A","N/A","4274.56","4274.56","N/A","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56"
"5","N/A","CAGE SPINAL X-CORE 12X15-20MM","N/A","N/A","0278","N/A","N/A","14247.75","14247.75","14247.75","N/A","N/A","N/A","14247.75","14247.75","N/A","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75"
"5","N/A","CAGE SPINAL X-CORE 2 EXPAND 37-63X16MM","N/A","N/A","0278","N/A","N/A","16622.69","16622.69","16622.69","N/A","N/A","N/A","16622.69","16622.69","N/A","16622.69","16622.69","16622.69","16622.69","16622.69","16622.69","16622.69","16622.69","16622.69","16622.69"
"5","N/A","CAGE SPINAL X-CORE 2 TI 16X43-75MM","N/A","N/A","0278","N/A","N/A","23351.55","23351.55","23351.55","N/A","N/A","N/A","23351.55","23351.55","N/A","23351.55","23351.55","23351.55","23351.55","23351.55","23351.55","23351.55","23351.55","23351.55","23351.55"
"5","N/A","CAGE SPINAL X-CORE MINI 12X25-40","N/A","N/A","0278","N/A","N/A","14247.75","14247.75","14247.75","N/A","N/A","N/A","14247.75","14247.75","N/A","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75"
"5","N/A","CAGE SPINAL X-CORE MINI 36-62MM","N/A","N/A","0278","N/A","N/A","14247.75","14247.75","14247.75","N/A","N/A","N/A","14247.75","14247.75","N/A","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75","14247.75"
"5","N/A","CAGE SPINAL X-CORE2 ENDCAP TI 0 DEG 22MM","N/A","N/A","0278","N/A","N/A","3020.56","3020.56","3020.56","N/A","N/A","N/A","3020.56","3020.56","N/A","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56"
"5","N/A","CAGE STACKABLE LORDOTIC BENGAL 40MM","N/A","N/A","0278","N/A","N/A","9103.45","9103.45","9103.45","N/A","N/A","N/A","9103.45","9103.45","N/A","9103.45","9103.45","9103.45","9103.45","9103.45","9103.45","9103.45","9103.45","9103.45","9103.45"
"5","N/A","CAP END CANN T40 TI 10X12MM","N/A","N/A","0278","N/A","N/A","711.14","711.14","711.14","N/A","N/A","N/A","711.14","711.14","N/A","711.14","711.14","711.14","711.14","711.14","711.14","711.14","711.14","711.14","711.14"
"5","N/A","CAP END T2 4.0X8.0MM STL","N/A","N/A","0278","N/A","N/A","821.70","821.70","821.70","N/A","N/A","N/A","821.70","821.70","N/A","821.70","821.70","821.70","821.70","821.70","821.70","821.70","821.70","821.70","821.70"
"5","N/A","CAP END T25 TI STARDRIVE 0MM","N/A","N/A","0278","N/A","N/A","669.31","669.31","669.31","N/A","N/A","N/A","669.31","669.31","N/A","669.31","669.31","669.31","669.31","669.31","669.31","669.31","669.31","669.31","669.31"
"5","N/A","CAP END TI X-CORE 2 0 22X50X18","N/A","N/A","0278","N/A","N/A","4274.56","4274.56","4274.56","N/A","N/A","N/A","4274.56","4274.56","N/A","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56"
"5","N/A","CARTILAGE COSTAL CADAVERIC","N/A","N/A","0278","N/A","N/A","1636.80","1636.80","1636.80","N/A","N/A","N/A","1636.80","1636.80","N/A","1636.80","1636.80","1636.80","1636.80","1636.80","1636.80","1636.80","1636.80","1636.80","1636.80"
"5","N/A","CATHETER CENTRAL VENOUS DL HICKMAN 9FR 90CM","N/A","N/A","0278","N/A","N/A","570.90","570.90","570.90","N/A","N/A","N/A","570.90","570.90","N/A","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90","570.90"
"5","N/A","CATHETER CENTRAL VENOUS SL HICKMAN 9.6FR 90","N/A","N/A","0278","N/A","N/A","467.50","467.50","467.50","N/A","N/A","N/A","467.50","467.50","N/A","467.50","467.50","467.50","467.50","467.50","467.50","467.50","467.50","467.50","467.50"
"5","N/A","CATHETER MIDLINE DUAL LUMEN 5FX20CM","N/A","N/A","0278","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","CATHETER PERI SHUNT ARES 120CM","N/A","N/A","0278","N/A","N/A","1608.37","1608.37","1608.37","N/A","N/A","N/A","1608.37","1608.37","N/A","1608.37","1608.37","1608.37","1608.37","1608.37","1608.37","1608.37","1608.37","1608.37","1608.37"
"5","N/A","CATHETER PERITONEAL STD 90CM","N/A","N/A","0278","N/A","N/A","760.16","760.16","760.16","N/A","N/A","N/A","760.16","760.16","N/A","760.16","760.16","760.16","760.16","760.16","760.16","760.16","760.16","760.16","760.16"
"5","N/A","CATHETER VENTRICULAR 2.4CM 2.8MMX35CM","N/A","N/A","0278","N/A","N/A","554.66","554.66","554.66","N/A","N/A","N/A","554.66","554.66","N/A","554.66","554.66","554.66","554.66","554.66","554.66","554.66","554.66","554.66","554.66"
"5","N/A","CATHETER VENTRICULAR ANTIMICROBIAL 23CM","N/A","N/A","0278","N/A","N/A","1598.14","1598.14","1598.14","N/A","N/A","N/A","1598.14","1598.14","N/A","1598.14","1598.14","1598.14","1598.14","1598.14","1598.14","1598.14","1598.14","1598.14","1598.14"
"5","N/A","CATHETER VENTRICULAR BA BECKER 20CM","N/A","N/A","0278","N/A","N/A","348.48","348.48","348.48","N/A","N/A","N/A","348.48","348.48","N/A","348.48","348.48","348.48","348.48","348.48","348.48","348.48","348.48","348.48","348.48"
"5","N/A","CATHETER VENTRICULAR BIOGLIDE 23CM","N/A","N/A","0278","N/A","N/A","706.86","706.86","706.86","N/A","N/A","N/A","706.86","706.86","N/A","706.86","706.86","706.86","706.86","706.86","706.86","706.86","706.86","706.86","706.86"
"5","N/A","CATHETER VENTRICULAR INNERVISION 2.1MM","N/A","N/A","0278","N/A","N/A","496.49","496.49","496.49","N/A","N/A","N/A","496.49","496.49","N/A","496.49","496.49","496.49","496.49","496.49","496.49","496.49","496.49","496.49","496.49"
"5","N/A","CEMENT BONE BIOMET R 1X40","N/A","N/A","0278","N/A","N/A","215.89","215.89","215.89","N/A","N/A","N/A","215.89","215.89","N/A","215.89","215.89","215.89","215.89","215.89","215.89","215.89","215.89","215.89","215.89"
"5","N/A","CEMENT BONE CONFIDENCE 11ML","N/A","N/A","0278","N/A","N/A","4919.94","4919.94","4919.94","N/A","N/A","N/A","4919.94","4919.94","N/A","4919.94","4919.94","4919.94","4919.94","4919.94","4919.94","4919.94","4919.94","4919.94","4919.94"
"5","N/A","CEMENT BONE FILLER CRANIAL ROTARY MIX 3 ML","N/A","N/A","0278","N/A","N/A","3655.48","3655.48","3655.48","N/A","N/A","N/A","3655.48","3655.48","N/A","3655.48","3655.48","3655.48","3655.48","3655.48","3655.48","3655.48","3655.48","3655.48","3655.48"
"5","N/A","CEMENT BONE FILLER CRANIAL ROTARY MIX 5ML","N/A","N/A","0278","N/A","N/A","5995.97","5995.97","5995.97","N/A","N/A","N/A","5995.97","5995.97","N/A","5995.97","5995.97","5995.97","5995.97","5995.97","5995.97","5995.97","5995.97","5995.97","5995.97"
"5","N/A","CEMENT BONE FILLER ROTARY MIX 10ML","N/A","N/A","0278","N/A","N/A","11785.49","11785.49","11785.49","N/A","N/A","N/A","11785.49","11785.49","N/A","11785.49","11785.49","11785.49","11785.49","11785.49","11785.49","11785.49","11785.49","11785.49","11785.49"
"5","N/A","CEMENT BONE FULL DOSE SIMPLEX P 40G","N/A","N/A","0278","N/A","N/A","268.19","268.19","268.19","N/A","N/A","N/A","268.19","268.19","N/A","268.19","268.19","268.19","268.19","268.19","268.19","268.19","268.19","268.19","268.19"
"5","N/A","CEMENT BONE PALACOS LV+G","N/A","N/A","0278","N/A","N/A","990.00","990.00","990.00","N/A","N/A","N/A","990.00","990.00","N/A","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00"
"5","N/A","CEMENT BONE PALACOS R","N/A","N/A","0278","N/A","N/A","240.90","240.90","240.90","N/A","N/A","N/A","240.90","240.90","N/A","240.90","240.90","240.90","240.90","240.90","240.90","240.90","240.90","240.90","240.90"
"5","N/A","CEMENT BONE PALACOS R+G","N/A","N/A","0278","N/A","N/A","990.00","990.00","990.00","N/A","N/A","N/A","990.00","990.00","N/A","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00"
"5","N/A","CEMENT BONE RADIOPAQUE HV-R","N/A","N/A","0278","N/A","N/A","330.00","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","CEMENT BONE RALLY HV AB 70 GM","N/A","N/A","0278","N/A","N/A","1864.50","1864.50","1864.50","N/A","N/A","N/A","1864.50","1864.50","N/A","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50"
"5","N/A","CEMENT BONE REFOBACIN R 1X40 US","N/A","N/A","0278","N/A","N/A","800.33","800.33","800.33","N/A","N/A","N/A","800.33","800.33","N/A","800.33","800.33","800.33","800.33","800.33","800.33","800.33","800.33","800.33","800.33"
"5","N/A","CEMENT BONE SIMPLEX P","N/A","N/A","0278","N/A","N/A","187.70","187.70","187.70","N/A","N/A","N/A","187.70","187.70","N/A","187.70","187.70","187.70","187.70","187.70","187.70","187.70","187.70","187.70","187.70"
"5","N/A","CEMENT BONE ST HA PO4 OTOMIMIX 2G","N/A","N/A","0278","N/A","N/A","1302.31","1302.31","1302.31","N/A","N/A","N/A","1302.31","1302.31","N/A","1302.31","1302.31","1302.31","1302.31","1302.31","1302.31","1302.31","1302.31","1302.31","1302.31"
"5","N/A","CEMENT SPINAL CONFIDENCE HIGH VISCOSITY 20G","N/A","N/A","0278","N/A","N/A","26.40","26.40","26.40","N/A","N/A","N/A","26.40","26.40","N/A","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40","26.40"
"5","N/A","CENTRALIZER STEM DISTAL 13MM","N/A","N/A","0278","N/A","N/A","415.80","415.80","415.80","N/A","N/A","N/A","415.80","415.80","N/A","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80"
"5","N/A","CHAIN LID BERGHAUS SCHROM 1G","N/A","N/A","0278","N/A","N/A","2656.50","2656.50","2656.50","N/A","N/A","N/A","2656.50","2656.50","N/A","2656.50","2656.50","2656.50","2656.50","2656.50","2656.50","2656.50","2656.50","2656.50","2656.50"
"5","N/A","CLAMP VERSATIE 5/6.0MM ROD","N/A","N/A","0278","N/A","N/A","4066.33","4066.33","4066.33","N/A","N/A","N/A","4066.33","4066.33","N/A","4066.33","4066.33","4066.33","4066.33","4066.33","4066.33","4066.33","4066.33","4066.33","4066.33"
"5","N/A","CLIP ANEURYSM YASARGIL MINI PERM 7MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI PERM CRV TI 3MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI PERM CRV TI 4MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI PERM STR TI 3MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI PERM STR TI 5MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI PERM TI 6.6MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI TEMP CRV TI 5MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI TEMP STR TI 3MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI TEMP STR TI 5MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI TEMP STR TI 7MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI TEMP TI 4.0MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI TEMP TI 7MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL MINI TEMP TI 9MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM ANG TI 7.5MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM STR 3.5X4MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM STR TI 3MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 10.2MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 11MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 3.0/6.3MM","N/A","N/A","0278","N/A","N/A","1138.53","1138.53","1138.53","N/A","N/A","N/A","1138.53","1138.53","N/A","1138.53","1138.53","1138.53","1138.53","1138.53","1138.53","1138.53","1138.53","1138.53","1138.53"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 5/10.1MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 5MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 6.5MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 6.7MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 6MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 7MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 8.3MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD PERM TI 9MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD TEMP TI 10.2MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLIP ANEURYSM YASARGIL STD TEMP TI 7MM","N/A","N/A","0278","N/A","N/A","1169.19","1169.19","1169.19","N/A","N/A","N/A","1169.19","1169.19","N/A","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19","1169.19"
"5","N/A","CLOSURE VASCULAR ANGIO-SEAL 6F","N/A","N/A","0278","N/A","N/A","709.50","709.50","709.50","N/A","N/A","N/A","709.50","709.50","N/A","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50"
"5","N/A","CLOSURE VASCULAR ANGIO-SEAL 8F","N/A","N/A","0278","N/A","N/A","709.50","709.50","709.50","N/A","N/A","N/A","709.50","709.50","N/A","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50","709.50"
"5","N/A","CLOSURE VASCULAR EXOSEAL 5F","N/A","N/A","0278","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","CLOSURE VASCULAR EXOSEAL 6F","N/A","N/A","0278","N/A","N/A","544.50","544.50","544.50","N/A","N/A","N/A","544.50","544.50","N/A","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50","544.50"
"5","N/A","CLOSURE VASCULAR MYNXGRIP 5F","N/A","N/A","0278","N/A","N/A","693.00","693.00","693.00","N/A","N/A","N/A","693.00","693.00","N/A","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00"
"5","N/A","CLOSURE VASCULAR MYNXGRIP 6/7F","N/A","N/A","0278","N/A","N/A","693.00","693.00","693.00","N/A","N/A","N/A","693.00","693.00","N/A","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00"
"5","N/A","CLOSURE VASCULAR PERCLOSE PROGLIDE 6F","N/A","N/A","0278","N/A","N/A","719.40","719.40","719.40","N/A","N/A","N/A","719.40","719.40","N/A","719.40","719.40","719.40","719.40","719.40","719.40","719.40","719.40","719.40","719.40"
"5","N/A","CLOSURE VASCULAR STARCLOSE 6F","N/A","N/A","0278","N/A","N/A","775.50","775.50","775.50","N/A","N/A","N/A","775.50","775.50","N/A","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50"
"5","N/A","COIL 2D INTERLOCK-18 10MMX30CM","N/A","N/A","0278","N/A","N/A","1244.60","1244.60","1244.60","N/A","N/A","N/A","1244.60","1244.60","N/A","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60"
"5","N/A","COIL 2D INTERLOCK-18 12MMX30CM","N/A","N/A","0278","N/A","N/A","1244.60","1244.60","1244.60","N/A","N/A","N/A","1244.60","1244.60","N/A","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60"
"5","N/A","COIL 2D INTERLOCK-18 6MMX20CM","N/A","N/A","0278","N/A","N/A","1244.60","1244.60","1244.60","N/A","N/A","N/A","1244.60","1244.60","N/A","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60","1244.60"
"5","N/A","COIL 360 TARGET NANO 2MMX3CM","N/A","N/A","0278","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 360 TARGET NANO 3.5MMX6CM","N/A","N/A","0278","N/A","N/A","6583.50","6583.50","6583.50","N/A","N/A","N/A","6583.50","6583.50","N/A","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50","6583.50"
"5","N/A","COIL 3D BARE S-SFT AXIUM 6MMX15CM","N/A","N/A","0278","N/A","N/A","3217.50","3217.50","3217.50","N/A","N/A","N/A","3217.50","3217.50","N/A","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50"
"5","N/A","COIL 3D BARE S-SFT AXIUM 6MMX20CM","N/A","N/A","0278","N/A","N/A","3217.50","3217.50","3217.50","N/A","N/A","N/A","3217.50","3217.50","N/A","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50"
"5","N/A","COIL 3D BARE X-SFT AXIUM 1.5MMX4CM","N/A","N/A","0278","N/A","N/A","5263.50","5263.50","5263.50","N/A","N/A","N/A","5263.50","5263.50","N/A","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50"
"5","N/A","COIL 3D BARE X-SFT AXIUM 2.5MMX6CM","N/A","N/A","0278","N/A","N/A","5263.50","5263.50","5263.50","N/A","N/A","N/A","5263.50","5263.50","N/A","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50"
"5","N/A","COIL 3D BARE X-SFT AXIUM 2MMX4CM","N/A","N/A","0278","N/A","N/A","5263.50","5263.50","5263.50","N/A","N/A","N/A","5263.50","5263.50","N/A","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50"
"5","N/A","COIL 3D BARE X-SFT AXIUM 3.5MMX10CM","N/A","N/A","0278","N/A","N/A","5263.50","5263.50","5263.50","N/A","N/A","N/A","5263.50","5263.50","N/A","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50"
"5","N/A","COIL 3D BARE X-SFT AXIUM 3.5MMX8CM","N/A","N/A","0278","N/A","N/A","5263.50","5263.50","5263.50","N/A","N/A","N/A","5263.50","5263.50","N/A","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50","5263.50"
"5","N/A","COIL 3D FRAME AXIUM 5MMX15CM","N/A","N/A","0278","N/A","N/A","6462.00","6462.00","6462.00","N/A","N/A","N/A","6462.00","6462.00","N/A","6462.00","6462.00","6462.00","6462.00","6462.00","6462.00","6462.00","6462.00","6462.00","6462.00"
"5","N/A","COIL 3D FRAME AXIUM 8MMX20CM","N/A","N/A","0278","N/A","N/A","6913.50","6913.50","6913.50","N/A","N/A","N/A","6913.50","6913.50","N/A","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50"
"5","N/A","COIL 3D FRAME AXIUM 8MMX30CM","N/A","N/A","0278","N/A","N/A","6913.50","6913.50","6913.50","N/A","N/A","N/A","6913.50","6913.50","N/A","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50","6913.50"
"5","N/A","COIL EMBOLIZATION 14CMX10MM","N/A","N/A","0278","N/A","N/A","348.74","348.74","348.74","N/A","N/A","N/A","348.74","348.74","N/A","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74"
"5","N/A","COIL EMBOLIZATION AZUR CX 035 10MMX19CM","N/A","N/A","0278","N/A","N/A","3603.60","3603.60","3603.60","N/A","N/A","N/A","3603.60","3603.60","N/A","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60"
"5","N/A","COIL EMBOLIZATION AZUR CX 035 13MMX24CM","N/A","N/A","0278","N/A","N/A","3603.60","3603.60","3603.60","N/A","N/A","N/A","3603.60","3603.60","N/A","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60"
"5","N/A","COIL EMBOLIZATION AZUR CX 035 6MMX17CM","N/A","N/A","0278","N/A","N/A","3603.60","3603.60","3603.60","N/A","N/A","N/A","3603.60","3603.60","N/A","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60"
"5","N/A","COIL EMBOLIZATION AZUR CX 035 8MMX12CM","N/A","N/A","0278","N/A","N/A","3603.60","3603.60","3603.60","N/A","N/A","N/A","3603.60","3603.60","N/A","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60"
"5","N/A","COIL EMBOLIZATION AZUR CX 035 8MMX24CM","N/A","N/A","0278","N/A","N/A","3603.60","3603.60","3603.60","N/A","N/A","N/A","3603.60","3603.60","N/A","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60","3603.60"
"5","N/A","COIL EMBOLIZATION COSMOS 010 5MMX22CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION COSMOS 010 7MMX31CM","N/A","N/A","0278","N/A","N/A","3762.00","3762.00","3762.00","N/A","N/A","N/A","3762.00","3762.00","N/A","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00"
"5","N/A","COIL EMBOLIZATION COSMOS 10 4MMX12CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION HYDROFRAME 10 4MMX15CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROFRAME 10 4MMX8CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROFRAME 10 5MMX10CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROFRAME 10 5MMX20CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROFRAME 10 6MMX19CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROFRAME 10 7MMX28CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROFRAME 10 8MMX33CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 10 1.5MMX4CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 10 2MMX4CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 10 3MMX10CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 10 3MMX4CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 10 3MMX6CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 10 3MMX8CM","N/A","N/A","0278","N/A","N/A","3564.00","3564.00","3564.00","N/A","N/A","N/A","3564.00","3564.00","N/A","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00","3564.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 1.5MMX3CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 1MMX2CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 2.5MMX8CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 2MMX3CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 2MMX6CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 2MMX8CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 3MMX10CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 3MMX4CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYDROSOFT 3D 3MMX8CM","N/A","N/A","0278","N/A","N/A","4950.00","4950.00","4950.00","N/A","N/A","N/A","4950.00","4950.00","N/A","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00","4950.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 10 2.5MMX4CM","N/A","N/A","0278","N/A","N/A","2772.00","2772.00","2772.00","N/A","N/A","N/A","2772.00","2772.00","N/A","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 10 2MMX3CM","N/A","N/A","0278","N/A","N/A","2772.00","2772.00","2772.00","N/A","N/A","N/A","2772.00","2772.00","N/A","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 10 2MMX4CM","N/A","N/A","0278","N/A","N/A","2772.00","2772.00","2772.00","N/A","N/A","N/A","2772.00","2772.00","N/A","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00","2772.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 10 3MMX4CM","N/A","N/A","0278","N/A","N/A","2871.00","2871.00","2871.00","N/A","N/A","N/A","2871.00","2871.00","N/A","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 10 3MMX8CM","N/A","N/A","0278","N/A","N/A","2871.00","2871.00","2871.00","N/A","N/A","N/A","2871.00","2871.00","N/A","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00","2871.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 1.5MMX2CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 2.5MMX6CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 2MMX3CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 2MMX4CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 2MMX8CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 3.5MMX8CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 3MMX10CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION HYPERSOFT 3D 010 4MMX8CM","N/A","N/A","0278","N/A","N/A","3861.00","3861.00","3861.00","N/A","N/A","N/A","3861.00","3861.00","N/A","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00","3861.00"
"5","N/A","COIL EMBOLIZATION NESTER 018 2MMX2CM","N/A","N/A","0278","N/A","N/A","11220.00","11220.00","11220.00","N/A","N/A","N/A","11220.00","11220.00","N/A","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00","11220.00"
"5","N/A","COIL EMBOLIZATION NESTER 018 4MMX14CM","N/A","N/A","0278","N/A","N/A","348.74","348.74","348.74","N/A","N/A","N/A","348.74","348.74","N/A","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74"
"5","N/A","COIL EMBOLIZATION NESTER 018 6MMX14CM","N/A","N/A","0278","N/A","N/A","348.74","348.74","348.74","N/A","N/A","N/A","348.74","348.74","N/A","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74"
"5","N/A","COIL EMBOLIZATION NESTER 018 8MMX14CM","N/A","N/A","0278","N/A","N/A","348.74","348.74","348.74","N/A","N/A","N/A","348.74","348.74","N/A","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74"
"5","N/A","COIL EMBOLIZATION NESTER 035 8MMX14CM","N/A","N/A","0278","N/A","N/A","348.74","348.74","348.74","N/A","N/A","N/A","348.74","348.74","N/A","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74","348.74"
"5","N/A","COIL EMBOLIZATION OPTIMA COMPLEX 10 SOFT 4MMX13CM","N/A","N/A","0278","N/A","N/A","4125.00","4125.00","4125.00","N/A","N/A","N/A","4125.00","4125.00","N/A","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00"
"5","N/A","COIL EMBOLIZATION OPTIMA COMPLEX 10 SPR-SOFT 2MMX6CM","N/A","N/A","0278","N/A","N/A","4125.00","4125.00","4125.00","N/A","N/A","N/A","4125.00","4125.00","N/A","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00"
"5","N/A","COIL EMBOLIZATION OPTIMA COMPLEX 10 SPR-SOFT 3MMX10CM","N/A","N/A","0278","N/A","N/A","4125.00","4125.00","4125.00","N/A","N/A","N/A","4125.00","4125.00","N/A","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00"
"5","N/A","COIL EMBOLIZATION OPTIMA COMPLEX 10 SPR-SOFT 4MMX10CM","N/A","N/A","0278","N/A","N/A","4125.00","4125.00","4125.00","N/A","N/A","N/A","4125.00","4125.00","N/A","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00","4125.00"
"5","N/A","COIL EMBOLIZATION OPTIMAX COMPLEX MX SOFT 6MMX20CM","N/A","N/A","0278","N/A","N/A","7903.50","7903.50","7903.50","N/A","N/A","N/A","7903.50","7903.50","N/A","7903.50","7903.50","7903.50","7903.50","7903.50","7903.50","7903.50","7903.50","7903.50","7903.50"
"5","N/A","COIL EMBOLIZATION PACKING J-SOFT POD 15CM","N/A","N/A","0278","N/A","N/A","3267.00","3267.00","3267.00","N/A","N/A","N/A","3267.00","3267.00","N/A","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00"
"5","N/A","COIL EMBOLIZATION PACKING J-SOFT POD 30CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION PACKING J-SOFT POD 45CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION PACKING J-SOFT POD 5CM","N/A","N/A","0278","N/A","N/A","3267.00","3267.00","3267.00","N/A","N/A","N/A","3267.00","3267.00","N/A","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00"
"5","N/A","COIL EMBOLIZATION PACKING J-SOFT POD 60CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION RUBY LP 2MMX10CM","N/A","N/A","0278","N/A","N/A","3267.00","3267.00","3267.00","N/A","N/A","N/A","3267.00","3267.00","N/A","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00"
"5","N/A","COIL EMBOLIZATION SOFT FILL RUBY 3MMX15CM","N/A","N/A","0278","N/A","N/A","3267.00","3267.00","3267.00","N/A","N/A","N/A","3267.00","3267.00","N/A","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00","3267.00"
"5","N/A","COIL EMBOLIZATION SOFT FILL RUBY 8MMX35CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION SOFT FILL RUBY 8MMX60CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION STANDARD FRAME RUBY 10MMX35CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION STANDARD FRAME RUBY 12MMX40CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION STANDARD FRAME RUBY 12MMX60CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION STANDARD FRAME RUBY 20MMX60CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION STANDARD FRAME RUBY 32MMX60CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION STANDARD FRAME RUBY 6MMX30CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION STANDARD FRAME RUBY 8MMX40CM","N/A","N/A","0278","N/A","N/A","4257.00","4257.00","4257.00","N/A","N/A","N/A","4257.00","4257.00","N/A","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00","4257.00"
"5","N/A","COIL EMBOLIZATION TORNADO 018 10-4MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 018 3-2MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 018 4-2MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 018 5-2MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 018 6-2MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 018 8-4MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 035 10-5MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 035 5-3MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 035 6-3MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL EMBOLIZATION TORNADO 035 8-4MM","N/A","N/A","0278","N/A","N/A","363.43","363.43","363.43","N/A","N/A","N/A","363.43","363.43","N/A","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43","363.43"
"5","N/A","COIL HELICAL TARGET NANO 1.5MMX2CM","N/A","N/A","0278","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COIL HELICAL TARGET NANO 1MMX1CM","N/A","N/A","0278","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COIL HELICAL TARGET NANO 1MMX2CM","N/A","N/A","0278","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COIL HELICAL TARGET NANO 2MMX3CM","N/A","N/A","0278","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COIL HELICAL TARGET ULTRA 2MMX8CM","N/A","N/A","0278","N/A","N/A","4603.50","4603.50","4603.50","N/A","N/A","N/A","4603.50","4603.50","N/A","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50","4603.50"
"5","N/A","COIL HELIX NYL AXIUM 2MMX8CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX NYL AXIUM 3MMX8CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX NYL AXIUM 4MMX10CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX NYL AXIUM 4MMX8CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX NYL CONCERTO 3MMX8","N/A","N/A","0278","N/A","N/A","1531.20","1531.20","1531.20","N/A","N/A","N/A","1531.20","1531.20","N/A","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20"
"5","N/A","COIL HELIX NYL CONCERTO 4MMX10","N/A","N/A","0278","N/A","N/A","1531.20","1531.20","1531.20","N/A","N/A","N/A","1531.20","1531.20","N/A","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20"
"5","N/A","COIL HELIX NYL CONCERTO 5MMX20","N/A","N/A","0278","N/A","N/A","1531.20","1531.20","1531.20","N/A","N/A","N/A","1531.20","1531.20","N/A","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20"
"5","N/A","COIL HELIX NYL CONCERTO 6MMX20","N/A","N/A","0278","N/A","N/A","1531.20","1531.20","1531.20","N/A","N/A","N/A","1531.20","1531.20","N/A","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20"
"5","N/A","COIL HELIX NYL CONCERTO 8MMX30","N/A","N/A","0278","N/A","N/A","1531.20","1531.20","1531.20","N/A","N/A","N/A","1531.20","1531.20","N/A","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20","1531.20"
"5","N/A","COIL HELIX PGLA AXIUM 5MMX15CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX PGLA AXIUM 5MMX20CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX PGLA AXIUM 6MMX20CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX PGLA AXIUM 7MMX30CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL HELIX PGLA AXIUM 8MMX30CM","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","COIL WIRE CERCLAGE SS 1MMX10M","N/A","N/A","0278","N/A","N/A","234.54","234.54","234.54","N/A","N/A","N/A","234.54","234.54","N/A","234.54","234.54","234.54","234.54","234.54","234.54","234.54","234.54","234.54","234.54"
"5","N/A","COMPONENT HUMERAL ELB AY REG 4"","N/A","N/A","0278","N/A","N/A","17820.00","17820.00","17820.00","N/A","N/A","N/A","17820.00","17820.00","N/A","17820.00","17820.00","17820.00","17820.00","17820.00","17820.00","17820.00","17820.00","17820.00","17820.00"
"5","N/A","COMPONENT PATELLAR CMTD PE 29X8MM","N/A","N/A","0278","N/A","N/A","3148.20","3148.20","3148.20","N/A","N/A","N/A","3148.20","3148.20","N/A","3148.20","3148.20","3148.20","3148.20","3148.20","3148.20","3148.20","3148.20","3148.20","3148.20"
"5","N/A","CONFORMER IRIS #5 SMALL","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONFORMER IRIS LARGE #5","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONFORMER IRIS MEDIUM #3","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONFORMER IRIS MEDIUM #4","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONFORMER IRIS MEDIUM #6","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONFORMER IRIS SMALL #2","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONFORMER IRIS X-SMALL #4","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONFORMER MEDIUM #5","N/A","N/A","0278","N/A","N/A","2227.50","2227.50","2227.50","N/A","N/A","N/A","2227.50","2227.50","N/A","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50","2227.50"
"5","N/A","CONNECTOR CROSS ROMEO MULTIAXIAL PREBENT","N/A","N/A","0278","N/A","N/A","4158.00","4158.00","4158.00","N/A","N/A","N/A","4158.00","4158.00","N/A","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00","4158.00"
"5","N/A","CONNECTOR CROSS SFX 5.5MM","N/A","N/A","0278","N/A","N/A","2617.23","2617.23","2617.23","N/A","N/A","N/A","2617.23","2617.23","N/A","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23"
"5","N/A","CONNECTOR ROD CROSS VUEPOINT II 32MM","N/A","N/A","0278","N/A","N/A","2306.70","2306.70","2306.70","N/A","N/A","N/A","2306.70","2306.70","N/A","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70"
"5","N/A","CONNECTOR ROD CROSS VUEPOINT II 38MM","N/A","N/A","0278","N/A","N/A","2306.70","2306.70","2306.70","N/A","N/A","N/A","2306.70","2306.70","N/A","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70","2306.70"
"5","N/A","CONNECTOR ROD CROSS VUEPOINT II 40MM","N/A","N/A","0278","N/A","N/A","3075.60","3075.60","3075.60","N/A","N/A","N/A","3075.60","3075.60","N/A","3075.60","3075.60","3075.60","3075.60","3075.60","3075.60","3075.60","3075.60","3075.60","3075.60"
"5","N/A","CONNECTOR ROD RELINE MED 5-6/5-6MM OFFSET HOOK","N/A","N/A","0278","N/A","N/A","3762.00","3762.00","3762.00","N/A","N/A","N/A","3762.00","3762.00","N/A","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00","3762.00"
"5","N/A","CONNECTOR ROD RELINE X-CON 5.5 45-65MM","N/A","N/A","0278","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","CONNECTOR ROD RELINE-C CROSS 34MM","N/A","N/A","0278","N/A","N/A","3993.00","3993.00","3993.00","N/A","N/A","N/A","3993.00","3993.00","N/A","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00"
"5","N/A","CONNECTOR ROD RELINE-C CROSS 36MM","N/A","N/A","0278","N/A","N/A","3993.00","3993.00","3993.00","N/A","N/A","N/A","3993.00","3993.00","N/A","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00"
"5","N/A","CONNECTOR ROD RELINE-C CROSS 38MM","N/A","N/A","0278","N/A","N/A","3993.00","3993.00","3993.00","N/A","N/A","N/A","3993.00","3993.00","N/A","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00"
"5","N/A","CONNECTOR ROD RELINE-C CROSS 40MM","N/A","N/A","0278","N/A","N/A","5324.00","5324.00","5324.00","N/A","N/A","N/A","5324.00","5324.00","N/A","5324.00","5324.00","5324.00","5324.00","5324.00","5324.00","5324.00","5324.00","5324.00","5324.00"
"5","N/A","CONNECTOR ROD RELINE-O MED 5-6/6.35MM OFFSET HOOK","N/A","N/A","0278","N/A","N/A","2821.50","2821.50","2821.50","N/A","N/A","N/A","2821.50","2821.50","N/A","2821.50","2821.50","2821.50","2821.50","2821.50","2821.50","2821.50","2821.50","2821.50","2821.50"
"5","N/A","CONNECTOR ROD ROMEO ILIAC OPEN 20MM","N/A","N/A","0278","N/A","N/A","3300.00","3300.00","3300.00","N/A","N/A","N/A","3300.00","3300.00","N/A","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00","3300.00"
"5","N/A","CONNECTOR ROD VUEPOINT II 36MM","N/A","N/A","0278","N/A","N/A","2775.30","2775.30","2775.30","N/A","N/A","N/A","2775.30","2775.30","N/A","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30"
"5","N/A","CONNECTOR ROD VUEPOINT II 38MM","N/A","N/A","0278","N/A","N/A","2775.30","2775.30","2775.30","N/A","N/A","N/A","2775.30","2775.30","N/A","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30","2775.30"
"5","N/A","CORNEA WHOLE","N/A","N/A","0278","N/A","N/A","11275.00","11275.00","11275.00","N/A","N/A","N/A","11275.00","11275.00","N/A","11275.00","11275.00","11275.00","11275.00","11275.00","11275.00","11275.00","11275.00","11275.00","11275.00"
"5","N/A","CORNEA WHOLE PRECUT (SIGHTLIFE)","N/A","N/A","0278","N/A","N/A","13530.00","13530.00","13530.00","N/A","N/A","N/A","13530.00","13530.00","N/A","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00"
"5","N/A","COROENT SM ACR 6X15X12MM 10D","N/A","N/A","0278","N/A","N/A","7810.00","7810.00","7810.00","N/A","N/A","N/A","7810.00","7810.00","N/A","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00"
"5","N/A","COROENT SM ACR 6X17X14MM 10D","N/A","N/A","0278","N/A","N/A","7810.00","7810.00","7810.00","N/A","N/A","N/A","7810.00","7810.00","N/A","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00"
"5","N/A","COROENT SM ACR 7X17X14MM 10D","N/A","N/A","0278","N/A","N/A","7810.00","7810.00","7810.00","N/A","N/A","N/A","7810.00","7810.00","N/A","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00"
"5","N/A","COROENT SM ACR 8X15X12MM 10D","N/A","N/A","0278","N/A","N/A","7810.00","7810.00","7810.00","N/A","N/A","N/A","7810.00","7810.00","N/A","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00"
"5","N/A","COROENT SM ACR 8X17X14MM 10D","N/A","N/A","0278","N/A","N/A","7810.00","7810.00","7810.00","N/A","N/A","N/A","7810.00","7810.00","N/A","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00"
"5","N/A","COROENT SM ACR 9X17X14MM 10D","N/A","N/A","0278","N/A","N/A","7810.00","7810.00","7810.00","N/A","N/A","N/A","7810.00","7810.00","N/A","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00","7810.00"
"5","N/A","COUPLER MICRO VASC GLD 3MM","N/A","N/A","0278","N/A","N/A","893.75","893.75","893.75","N/A","N/A","N/A","893.75","893.75","N/A","893.75","893.75","893.75","893.75","893.75","893.75","893.75","893.75","893.75","893.75"
"5","N/A","COUPLER MICRO VASC RED 2.5MM","N/A","N/A","0278","N/A","N/A","987.25","987.25","987.25","N/A","N/A","N/A","987.25","987.25","N/A","987.25","987.25","987.25","987.25","987.25","987.25","987.25","987.25","987.25","987.25"
"5","N/A","COUPLER STEM OFFSET METAL 4MM","N/A","N/A","0278","N/A","N/A","6242.40","6242.40","6242.40","N/A","N/A","N/A","6242.40","6242.40","N/A","6242.40","6242.40","6242.40","6242.40","6242.40","6242.40","6242.40","6242.40","6242.40","6242.40"
"5","N/A","COVER BURR HOLE TI MATRIX NEURO 17MM","N/A","N/A","0278","N/A","N/A","864.44","864.44","864.44","N/A","N/A","N/A","864.44","864.44","N/A","864.44","864.44","864.44","864.44","864.44","864.44","864.44","864.44","864.44","864.44"
"5","N/A","COVER HOLE BURR TITANIUM 15MM","N/A","N/A","0278","N/A","N/A","864.44","864.44","864.44","N/A","N/A","N/A","864.44","864.44","N/A","864.44","864.44","864.44","864.44","864.44","864.44","864.44","864.44","864.44","864.44"
"5","N/A","CUFF OCCLUSIVE INHIBIZONE 4.5","N/A","N/A","0278","N/A","N/A","39228.75","39228.75","39228.75","N/A","N/A","N/A","39228.75","39228.75","N/A","39228.75","39228.75","39228.75","39228.75","39228.75","39228.75","39228.75","39228.75","39228.75","39228.75"
"5","N/A","CUFF OCCLUSIVE INHIBIZONE 5CM","N/A","N/A","0278","N/A","N/A","22935.00","22935.00","22935.00","N/A","N/A","N/A","22935.00","22935.00","N/A","22935.00","22935.00","22935.00","22935.00","22935.00","22935.00","22935.00","22935.00","22935.00","22935.00"
"5","N/A","DEFIBRILLATOR INTICA NEO HF-T QP DF1 PROMRI","N/A","N/A","0278","N/A","N/A","60175.00","60175.00","60175.00","N/A","N/A","N/A","60175.00","60175.00","N/A","60175.00","60175.00","60175.00","60175.00","60175.00","60175.00","60175.00","60175.00","60175.00","60175.00"
"5","N/A","DEVICE CLOSURE WATCHMAN FLX LAA 20MM","N/A","N/A","0278","N/A","N/A","56100.00","56100.00","56100.00","N/A","N/A","N/A","56100.00","56100.00","N/A","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00"
"5","N/A","DEVICE CLOSURE WATCHMAN FLX LAA 24MM","N/A","N/A","0278","N/A","N/A","56100.00","56100.00","56100.00","N/A","N/A","N/A","56100.00","56100.00","N/A","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00"
"5","N/A","DEVICE CLOSURE WATCHMAN FLX LAA 27MM","N/A","N/A","0278","N/A","N/A","56100.00","56100.00","56100.00","N/A","N/A","N/A","56100.00","56100.00","N/A","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00"
"5","N/A","DEVICE CLOSURE WATCHMAN FLX LAA 31MM","N/A","N/A","0278","N/A","N/A","56100.00","56100.00","56100.00","N/A","N/A","N/A","56100.00","56100.00","N/A","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00"
"5","N/A","DEVICE CLOSURE WATCHMAN FLX LAA 35MM","N/A","N/A","0278","N/A","N/A","56100.00","56100.00","56100.00","N/A","N/A","N/A","56100.00","56100.00","N/A","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00","56100.00"
"5","N/A","DEVICE FIXATION SGL TALON SM 11MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","DEVICE FIXATION SGL TALON SM 14MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","DEVICE FIXATION SGL TALON SM 17MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","DEVICE FIXATION SGL TALON XS 11MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","DEVICE FIXATION SGL TALON XS 14MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","DEVICE FLOW DIVERSION FRED 21 2.5X18MM","N/A","N/A","0278","N/A","N/A","43546.80","43546.80","43546.80","N/A","N/A","N/A","43546.80","43546.80","N/A","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80"
"5","N/A","DEVICE FLOW DIVERSION FRED 21 2.5X25MM","N/A","N/A","0278","N/A","N/A","43546.80","43546.80","43546.80","N/A","N/A","N/A","43546.80","43546.80","N/A","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80"
"5","N/A","DEVICE FLOW DIVERSION FRED 21 2.5X30MM","N/A","N/A","0278","N/A","N/A","43546.80","43546.80","43546.80","N/A","N/A","N/A","43546.80","43546.80","N/A","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80","43546.80"
"5","N/A","DEVICE FLOW DIVERSION FRED 27 4.5X25MM","N/A","N/A","0278","N/A","N/A","39517.50","39517.50","39517.50","N/A","N/A","N/A","39517.50","39517.50","N/A","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50"
"5","N/A","DEVICE FLOW DIVERSION FRED 27 5.5X22MM","N/A","N/A","0278","N/A","N/A","39517.50","39517.50","39517.50","N/A","N/A","N/A","39517.50","39517.50","N/A","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50"
"5","N/A","DEVICE FLOW DIVERSION FRED 27 5.5X32MM","N/A","N/A","0278","N/A","N/A","39468.00","39468.00","39468.00","N/A","N/A","N/A","39468.00","39468.00","N/A","39468.00","39468.00","39468.00","39468.00","39468.00","39468.00","39468.00","39468.00","39468.00","39468.00"
"5","N/A","DEVICE FLOW DIVERSION FRED 27 5X21MM","N/A","N/A","0278","N/A","N/A","39517.50","39517.50","39517.50","N/A","N/A","N/A","39517.50","39517.50","N/A","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50","39517.50"
"5","N/A","DEVICE OCCLUSION RUBY POD10 10MMX60CM","N/A","N/A","0278","N/A","N/A","5577.00","5577.00","5577.00","N/A","N/A","N/A","5577.00","5577.00","N/A","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00"
"5","N/A","DEVICE OCCLUSION RUBY POD6 6MMX50CM","N/A","N/A","0278","N/A","N/A","5577.00","5577.00","5577.00","N/A","N/A","N/A","5577.00","5577.00","N/A","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00"
"5","N/A","DEVICE OCCLUSION RUBY POD8 8MMX60CM","N/A","N/A","0278","N/A","N/A","5577.00","5577.00","5577.00","N/A","N/A","N/A","5577.00","5577.00","N/A","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00","5577.00"
"5","N/A","DEVICE TULIP MOD RELINE","N/A","N/A","0278","N/A","N/A","2577.30","2577.30","2577.30","N/A","N/A","N/A","2577.30","2577.30","N/A","2577.30","2577.30","2577.30","2577.30","2577.30","2577.30","2577.30","2577.30","2577.30","2577.30"
"5","N/A","DISC CERVICAL MOBI-C 15X15MM H5","N/A","N/A","0278","N/A","N/A","21450.00","21450.00","21450.00","N/A","N/A","N/A","21450.00","21450.00","N/A","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00"
"5","N/A","DISC CERVICAL MOBI-C TI 5X15X15MM","N/A","N/A","0278","N/A","N/A","21450.00","21450.00","21450.00","N/A","N/A","N/A","21450.00","21450.00","N/A","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00","21450.00"
"5","N/A","DRESSING WOUND PURAPLY AM 2X2CM","N/A","N/A","0278","N/A","N/A","2475.00","2475.00","2475.00","N/A","N/A","N/A","2475.00","2475.00","N/A","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00","2475.00"
"5","N/A","DRESSING WOUND PURAPLY AM 2X4CM","N/A","N/A","0278","N/A","N/A","2970.00","2970.00","2970.00","N/A","N/A","N/A","2970.00","2970.00","N/A","2970.00","2970.00","2970.00","2970.00","2970.00","2970.00","2970.00","2970.00","2970.00","2970.00"
"5","N/A","DRESSING WOUND PURAPLY AM 5X5CM","N/A","N/A","0278","N/A","N/A","8580.00","8580.00","8580.00","N/A","N/A","N/A","8580.00","8580.00","N/A","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00"
"5","N/A","DRILL SURGICAL FIBERTAK W/ OBTURATOR 1.8MM","N/A","N/A","0278","N/A","N/A","346.50","346.50","346.50","N/A","N/A","N/A","346.50","346.50","N/A","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50","346.50"
"5","N/A","ELECTRODE DEPTH PROBE 10-CONTACT 3MM PLATINUM","N/A","N/A","0278","N/A","N/A","1676.40","1676.40","1676.40","N/A","N/A","N/A","1676.40","1676.40","N/A","1676.40","1676.40","1676.40","1676.40","1676.40","1676.40","1676.40","1676.40","1676.40","1676.40"
"5","N/A","ELECTRODE DEPTH PROBE 8-CONTACT 5MM PLATINUM","N/A","N/A","0278","N/A","N/A","1339.80","1339.80","1339.80","N/A","N/A","N/A","1339.80","1339.80","N/A","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80","1339.80"
"5","N/A","ELECTRODE SUBCUTANEOUS EMBLEM MRI S-ICD","N/A","N/A","0278","N/A","N/A","18675.00","18675.00","18675.00","N/A","N/A","N/A","18675.00","18675.00","N/A","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00"
"5","N/A","END CAP NAIL","N/A","N/A","0278","N/A","N/A","2885.03","2885.03","2885.03","N/A","N/A","N/A","2885.03","2885.03","N/A","2885.03","2885.03","2885.03","2885.03","2885.03","2885.03","2885.03","2885.03","2885.03","2885.03"
"5","N/A","END CAP SPINAL X-CORE 2 TI 16X16X40MM 0 DEG","N/A","N/A","0278","N/A","N/A","4274.56","4274.56","4274.56","N/A","N/A","N/A","4274.56","4274.56","N/A","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56"
"5","N/A","END CAP SPINAL X-CORE 2 TI 50X22X18MM 4 DEG","N/A","N/A","0278","N/A","N/A","4274.56","4274.56","4274.56","N/A","N/A","N/A","4274.56","4274.56","N/A","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56","4274.56"
"5","N/A","END CAP SPINAL X-CORE 2 TI ROUND 16X16MM","N/A","N/A","0278","N/A","N/A","3020.56","3020.56","3020.56","N/A","N/A","N/A","3020.56","3020.56","N/A","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56","3020.56"
"5","N/A","END CAP SPINAL X-CORE MINI TI 15X12MM","N/A","N/A","0278","N/A","N/A","4609.00","4609.00","4609.00","N/A","N/A","N/A","4609.00","4609.00","N/A","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00"
"5","N/A","ENDCAP CORE 7DEG 15X12MM","N/A","N/A","0278","N/A","N/A","3456.75","3456.75","3456.75","N/A","N/A","N/A","3456.75","3456.75","N/A","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75"
"5","N/A","ENDCAP PARALLEL X-CORE MINI 14","N/A","N/A","0278","N/A","N/A","3456.75","3456.75","3456.75","N/A","N/A","N/A","3456.75","3456.75","N/A","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75","3456.75"
"5","N/A","ENDCAP PARALLEL X-CORE MINI 16 ROUND","N/A","N/A","0278","N/A","N/A","4609.00","4609.00","4609.00","N/A","N/A","N/A","4609.00","4609.00","N/A","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00","4609.00"
"5","N/A","ENVELOPE ANTIBACTERIAL ABS TYRX LG","N/A","N/A","0278","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","ENVELOPE ANTIBACTERIAL ABS TYRX MD","N/A","N/A","0278","N/A","N/A","3283.50","3283.50","3283.50","N/A","N/A","N/A","3283.50","3283.50","N/A","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50","3283.50"
"5","N/A","EXTENDER BUTTON TIGHTROPE 20X5MM","N/A","N/A","0278","N/A","N/A","742.50","742.50","742.50","N/A","N/A","N/A","742.50","742.50","N/A","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50","742.50"
"5","N/A","FILLER DRILLABLE NORIAN 10ML","N/A","N/A","0278","N/A","N/A","8879.84","8879.84","8879.84","N/A","N/A","N/A","8879.84","8879.84","N/A","8879.84","8879.84","8879.84","8879.84","8879.84","8879.84","8879.84","8879.84","8879.84","8879.84"
"5","N/A","FILTER VENA CAVA DENALI FEMORAL","N/A","N/A","0278","N/A","N/A","4455.00","4455.00","4455.00","N/A","N/A","N/A","4455.00","4455.00","N/A","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00"
"5","N/A","FILTER VENA CAVA DENALI JUGULAR","N/A","N/A","0278","N/A","N/A","4455.00","4455.00","4455.00","N/A","N/A","N/A","4455.00","4455.00","N/A","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00","4455.00"
"5","N/A","FILTER VENA CAVA LP VENATECH 4.3CM","N/A","N/A","0278","N/A","N/A","3676.04","3676.04","3676.04","N/A","N/A","N/A","3676.04","3676.04","N/A","3676.04","3676.04","3676.04","3676.04","3676.04","3676.04","3676.04","3676.04","3676.04","3676.04"
"5","N/A","FILTER VENA CAVA OPTEASE 90CM","N/A","N/A","0278","N/A","N/A","2805.00","2805.00","2805.00","N/A","N/A","N/A","2805.00","2805.00","N/A","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00"
"5","N/A","GRAFT AORTIC EXCLUDER 23MMX3.3CM","N/A","N/A","0278","N/A","N/A","9543.60","9543.60","9543.60","N/A","N/A","N/A","9543.60","9543.60","N/A","9543.60","9543.60","9543.60","9543.60","9543.60","9543.60","9543.60","9543.60","9543.60","9543.60"
"5","N/A","GRAFT AORTIC EXCLUDER 28.5MMX3.3","N/A","N/A","0278","N/A","N/A","9840.60","9840.60","9840.60","N/A","N/A","N/A","9840.60","9840.60","N/A","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60"
"5","N/A","GRAFT BONE SUBSTITUTE FIBERGRAFT BG MATRIX MED 6.25CC","N/A","N/A","0278","N/A","N/A","7590.00","7590.00","7590.00","N/A","N/A","N/A","7590.00","7590.00","N/A","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00","7590.00"
"5","N/A","GRAFT CONTRALATERAL LEG 16MMX11.5CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 16MMX9.5CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 18MMX11.5CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 18MMX13.5CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 18MMX9.5CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 20MMX9.5CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 23MMX12CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 23MMX14CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 27MMX10CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT CONTRALATERAL LEG 27MMX12CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT DURAL DURAGEN 1X3"","N/A","N/A","0278","N/A","N/A","2188.56","2188.56","2188.56","N/A","N/A","N/A","2188.56","2188.56","N/A","2188.56","2188.56","2188.56","2188.56","2188.56","2188.56","2188.56","2188.56","2188.56","2188.56"
"5","N/A","GRAFT DURAL DURAGEN 2X2"","N/A","N/A","0278","N/A","N/A","2244.00","2244.00","2244.00","N/A","N/A","N/A","2244.00","2244.00","N/A","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00","2244.00"
"5","N/A","GRAFT DURAL DURAGEN 3X3"","N/A","N/A","0278","N/A","N/A","4078.80","4078.80","4078.80","N/A","N/A","N/A","4078.80","4078.80","N/A","4078.80","4078.80","4078.80","4078.80","4078.80","4078.80","4078.80","4078.80","4078.80","4078.80"
"5","N/A","GRAFT DURAL DUREPAIR 1X1"","N/A","N/A","0278","N/A","N/A","483.12","483.12","483.12","N/A","N/A","N/A","483.12","483.12","N/A","483.12","483.12","483.12","483.12","483.12","483.12","483.12","483.12","483.12","483.12"
"5","N/A","GRAFT DURAL DUREPAIR 2X2"","N/A","N/A","0278","N/A","N/A","1195.92","1195.92","1195.92","N/A","N/A","N/A","1195.92","1195.92","N/A","1195.92","1195.92","1195.92","1195.92","1195.92","1195.92","1195.92","1195.92","1195.92","1195.92"
"5","N/A","GRAFT DURAL MATRIX DUREPAIR 3X3 1EA","N/A","N/A","0278","N/A","N/A","2133.12","2133.12","2133.12","N/A","N/A","N/A","2133.12","2133.12","N/A","2133.12","2133.12","2133.12","2133.12","2133.12","2133.12","2133.12","2133.12","2133.12","2133.12"
"5","N/A","GRAFT DURAL MATRIX DUREPAIR 4X5"","N/A","N/A","0278","N/A","N/A","4202.88","4202.88","4202.88","N/A","N/A","N/A","4202.88","4202.88","N/A","4202.88","4202.88","4202.88","4202.88","4202.88","4202.88","4202.88","4202.88","4202.88","4202.88"
"5","N/A","GRAFT DURAL REPAIR MATRX 2.5CMX2.5CM","N/A","N/A","0278","N/A","N/A","795.80","795.80","795.80","N/A","N/A","N/A","795.80","795.80","N/A","795.80","795.80","795.80","795.80","795.80","795.80","795.80","795.80","795.80","795.80"
"5","N/A","GRAFT DURAL SUTURABLE DURAGEN 2X2"","N/A","N/A","0278","N/A","N/A","2977.26","2977.26","2977.26","N/A","N/A","N/A","2977.26","2977.26","N/A","2977.26","2977.26","2977.26","2977.26","2977.26","2977.26","2977.26","2977.26","2977.26","2977.26"
"5","N/A","GRAFT ENDOPROSTHESIS AAA 12MMX12CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 23X12MMX16CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 23X14.5MMX14CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 23X14.5MMX16CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 26X12MMX14CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 26X14.5MMX12CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 26X14.5MMX18CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 26X14MMX14CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 28.5X14.5MMX12CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER 28.5X14.5MMX14CM","N/A","N/A","0278","N/A","N/A","34818.30","34818.30","34818.30","N/A","N/A","N/A","34818.30","34818.30","N/A","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30","34818.30"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER AAA 14.5MMX10CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER AAA 14.5MMX12CM","N/A","N/A","0278","N/A","N/A","14137.20","14137.20","14137.20","N/A","N/A","N/A","14137.20","14137.20","N/A","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20","14137.20"
"5","N/A","GRAFT ENDOPROSTHESIS EXCLUDER TRUNK 36X14.5MMX14CM","N/A","N/A","0278","N/A","N/A","47183.40","47183.40","47183.40","N/A","N/A","N/A","47183.40","47183.40","N/A","47183.40","47183.40","47183.40","47183.40","47183.40","47183.40","47183.40","47183.40","47183.40","47183.40"
"5","N/A","GRAFT ENDOPROSTHESIS ILIAC AAA 16X10MMX7CM","N/A","N/A","0278","N/A","N/A","9840.60","9840.60","9840.60","N/A","N/A","N/A","9840.60","9840.60","N/A","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60"
"5","N/A","GRAFT ENDOPROSTHESIS ILIAC AAA 16X12MMX7CM","N/A","N/A","0278","N/A","N/A","9840.60","9840.60","9840.60","N/A","N/A","N/A","9840.60","9840.60","N/A","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60","9840.60"
"5","N/A","GRAFT ENDOVASCULAR ZENITH FENESTRATED AAA 20F 94X30MM","N/A","N/A","0278","N/A","N/A","39666.00","39666.00","39666.00","N/A","N/A","N/A","39666.00","39666.00","N/A","39666.00","39666.00","39666.00","39666.00","39666.00","39666.00","39666.00","39666.00","39666.00","39666.00"
"5","N/A","GRAFT ENDOVASCULAR ZENITH TX2 20F 82X30MM","N/A","N/A","0278","N/A","N/A","60434.22","60434.22","60434.22","N/A","N/A","N/A","60434.22","60434.22","N/A","60434.22","60434.22","60434.22","60434.22","60434.22","60434.22","60434.22","60434.22","60434.22","60434.22"
"5","N/A","GRAFT MEMBRANE AMNIOFIX 4X6CM","N/A","N/A","0278","N/A","N/A","5940.00","5940.00","5940.00","N/A","N/A","N/A","5940.00","5940.00","N/A","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00","5940.00"
"5","N/A","GRAFT NERVE AVANCE 1-2MMX70MM","N/A","N/A","0278","N/A","N/A","24653.20","24653.20","24653.20","N/A","N/A","N/A","24653.20","24653.20","N/A","24653.20","24653.20","24653.20","24653.20","24653.20","24653.20","24653.20","24653.20","24653.20","24653.20"
"5","N/A","GRAFT NERVE AVANCE 3-4MMX70MM","N/A","N/A","0278","N/A","N/A","26235.00","26235.00","26235.00","N/A","N/A","N/A","26235.00","26235.00","N/A","26235.00","26235.00","26235.00","26235.00","26235.00","26235.00","26235.00","26235.00","26235.00","26235.00"
"5","N/A","GRAFT PATCH PERICARDIAL 5X10CM","N/A","N/A","0278","N/A","N/A","2003.10","2003.10","2003.10","N/A","N/A","N/A","2003.10","2003.10","N/A","2003.10","2003.10","2003.10","2003.10","2003.10","2003.10","2003.10","2003.10","2003.10","2003.10"
"5","N/A","GRAFT THIN WALL HEP PROPATEN 7MMX40CM","N/A","N/A","0278","N/A","N/A","4085.40","4085.40","4085.40","N/A","N/A","N/A","4085.40","4085.40","N/A","4085.40","4085.40","4085.40","4085.40","4085.40","4085.40","4085.40","4085.40","4085.40","4085.40"
"5","N/A","GRAFT TISSUE AMNIOGRAFT 1.5X2CM","N/A","N/A","0278","N/A","N/A","2273.70","2273.70","2273.70","N/A","N/A","N/A","2273.70","2273.70","N/A","2273.70","2273.70","2273.70","2273.70","2273.70","2273.70","2273.70","2273.70","2273.70","2273.70"
"5","N/A","GRAFT TISSUE AMNIOGRAFT 1X1.5CM","N/A","N/A","0278","N/A","N/A","1910.70","1910.70","1910.70","N/A","N/A","N/A","1910.70","1910.70","N/A","1910.70","1910.70","1910.70","1910.70","1910.70","1910.70","1910.70","1910.70","1910.70","1910.70"
"5","N/A","GUIDEWIRE TROCAR PNT SS 1.8X150MM","N/A","N/A","0278","N/A","N/A","25.61","25.61","25.61","N/A","N/A","N/A","25.61","25.61","N/A","25.61","25.61","25.61","25.61","25.61","25.61","25.61","25.61","25.61","25.61"
"5","N/A","HCHG LEVOTHYROXINE 88MCG/TABLET B","N/A","N/A","0253","N/A","N/A","0.86","0.86","0.86","N/A","N/A","N/A","0.86","0.86","N/A","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86"
"5","N/A","HCHG LIDOCAINE 2% VISCOUS SOLN","N/A","N/A","0253","N/A","N/A","0.20","0.20","0.20","N/A","N/A","N/A","0.20","0.20","N/A","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20"
"5","N/A","HCHG LIDOCAINE 5% OINT","N/A","N/A","0253","N/A","N/A","14.01","14.01","14.01","N/A","N/A","N/A","14.01","14.01","N/A","14.01","14.01","14.01","14.01","14.01","14.01","14.01","14.01","14.01","14.01"
"5","N/A","HCHG LINAGLIPTIN 5MG TABLET","N/A","N/A","0253","N/A","N/A","29.71","29.71","29.71","N/A","N/A","N/A","29.71","29.71","N/A","29.71","29.71","29.71","29.71","29.71","29.71","29.71","29.71","29.71","29.71"
"5","N/A","HCHG LINEZOLID 600MG/TAB B (ZYVOX)","N/A","N/A","0253","N/A","N/A","284.41","284.41","284.41","N/A","N/A","N/A","284.41","284.41","N/A","284.41","284.41","284.41","284.41","284.41","284.41","284.41","284.41","284.41","284.41"
"5","N/A","HCHG LISINOPRIL 10MG/TAB B","N/A","N/A","0253","N/A","N/A","1.50","1.50","1.50","N/A","N/A","N/A","1.50","1.50","N/A","1.50","1.50","1.50","1.50","1.50","1.50","1.50","1.50","1.50","1.50"
"5","N/A","HCHG LISINOPRIL 2.5MG TAB","N/A","N/A","0253","N/A","N/A","1.01","1.01","1.01","N/A","N/A","N/A","1.01","1.01","N/A","1.01","1.01","1.01","1.01","1.01","1.01","1.01","1.01","1.01","1.01"
"5","N/A","HCHG LISINOPRIL 20MG/TAB B","N/A","N/A","0253","N/A","N/A","1.63","1.63","1.63","N/A","N/A","N/A","1.63","1.63","N/A","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63"
"5","N/A","HCHG LISINOPRIL 40MG/TAB(PRINIVIL","N/A","N/A","0253","N/A","N/A","2.38","2.38","2.38","N/A","N/A","N/A","2.38","2.38","N/A","2.38","2.38","2.38","2.38","2.38","2.38","2.38","2.38","2.38","2.38"
"5","N/A","HCHG LISINOPRIL 5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.49","1.49","1.49","N/A","N/A","N/A","1.49","1.49","N/A","1.49","1.49","1.49","1.49","1.49","1.49","1.49","1.49","1.49","1.49"
"5","N/A","HCHG LITHIUM CARB 300MG/CAP B","N/A","N/A","0253","N/A","N/A","0.27","0.27","0.27","N/A","N/A","N/A","0.27","0.27","N/A","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27"
"5","N/A","HCHG LITHIUM CARB 450MG/SA TAB","N/A","N/A","0253","N/A","N/A","0.83","0.83","0.83","N/A","N/A","N/A","0.83","0.83","N/A","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83"
"5","N/A","HCHG LITHIUM CARBONATE 150MG CAPSULE","N/A","N/A","0253","N/A","N/A","0.83","0.83","0.83","N/A","N/A","N/A","0.83","0.83","N/A","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83"
"5","N/A","HCHG LOPERAMIDE 2MG/CAPSULE B","N/A","N/A","0253","N/A","N/A","1.63","1.63","1.63","N/A","N/A","N/A","1.63","1.63","N/A","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63","1.63"
"5","N/A","HCHG LORAZEPAM 0.5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.01","1.01","1.01","N/A","N/A","N/A","1.01","1.01","N/A","1.01","1.01","1.01","1.01","1.01","1.01","1.01","1.01","1.01","1.01"
"5","N/A","HCHG LORAZEPAM 1MG/TAB B","N/A","N/A","0253","N/A","N/A","1.28","1.28","1.28","N/A","N/A","N/A","1.28","1.28","N/A","1.28","1.28","1.28","1.28","1.28","1.28","1.28","1.28","1.28","1.28"
"5","N/A","HCHG LOSARTAN 100MG TAB","N/A","N/A","0253","N/A","N/A","4.77","4.77","4.77","N/A","N/A","N/A","4.77","4.77","N/A","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77","4.77"
"5","N/A","HCHG LOSARTAN 25MG/TAB B (COZAAR)","N/A","N/A","0253","N/A","N/A","2.60","2.60","2.60","N/A","N/A","N/A","2.60","2.60","N/A","2.60","2.60","2.60","2.60","2.60","2.60","2.60","2.60","2.60","2.60"
"5","N/A","HCHG LOSARTAN 50MG/TAB B (COZAAR)","N/A","N/A","0253","N/A","N/A","3.50","3.50","3.50","N/A","N/A","N/A","3.50","3.50","N/A","3.50","3.50","3.50","3.50","3.50","3.50","3.50","3.50","3.50","3.50"
"5","N/A","HCHG LOVASTATIN 20MG TABLET","N/A","N/A","0253","N/A","N/A","3.67","3.67","3.67","N/A","N/A","N/A","3.67","3.67","N/A","3.67","3.67","3.67","3.67","3.67","3.67","3.67","3.67","3.67","3.67"
"5","N/A","HCHG LURASIDONE 20MG TABLET","N/A","N/A","0253","N/A","N/A","83.03","83.03","83.03","N/A","N/A","N/A","83.03","83.03","N/A","83.03","83.03","83.03","83.03","83.03","83.03","83.03","83.03","83.03","83.03"
"5","N/A","HCHG LURASIDONE 40MG TABLET","N/A","N/A","0253","N/A","N/A","83.40","83.40","83.40","N/A","N/A","N/A","83.40","83.40","N/A","83.40","83.40","83.40","83.40","83.40","83.40","83.40","83.40","83.40","83.40"
"5","N/A","HCHG LURASIDONE 80MG TABLET","N/A","N/A","0253","N/A","N/A","83.39","83.39","83.39","N/A","N/A","N/A","83.39","83.39","N/A","83.39","83.39","83.39","83.39","83.39","83.39","83.39","83.39","83.39","83.39"
"5","N/A","HCHG MAGNESIUM (240MG OF MG+) TAB","N/A","N/A","0253","N/A","N/A","0.16","0.16","0.16","N/A","N/A","N/A","0.16","0.16","N/A","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16","0.16"
"5","N/A","HCHG MAGNESIUM CITRATE LIQUID","N/A","N/A","0253","N/A","N/A","0.02","0.02","0.02","N/A","N/A","N/A","0.02","0.02","N/A","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02","0.02"
"5","N/A","HCHG MECLIZINE 12.5MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.50","0.50","0.50","N/A","N/A","N/A","0.50","0.50","N/A","0.50","0.50","0.50","0.50","0.50","0.50","0.50","0.50","0.50","0.50"
"5","N/A","HCHG MECLIZINE 25MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","HCHG MEDROXYPROGESTERONE 10MG/TAB","N/A","N/A","0253","N/A","N/A","0.76","0.76","0.76","N/A","N/A","N/A","0.76","0.76","N/A","0.76","0.76","0.76","0.76","0.76","0.76","0.76","0.76","0.76","0.76"
"5","N/A","HCHG MEDROXYPROGESTERONE 2.5MG TA","N/A","N/A","0253","N/A","N/A","0.68","0.68","0.68","N/A","N/A","N/A","0.68","0.68","N/A","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68"
"5","N/A","HCHG MELATONIN 3MG/TAB","N/A","N/A","0253","N/A","N/A","0.17","0.17","0.17","N/A","N/A","N/A","0.17","0.17","N/A","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17"
"5","N/A","HCHG MEMANTINE 5MG/TAB","N/A","N/A","0253","N/A","N/A","9.44","9.44","9.44","N/A","N/A","N/A","9.44","9.44","N/A","9.44","9.44","9.44","9.44","9.44","9.44","9.44","9.44","9.44","9.44"
"5","N/A","HCHG METFORMIN 1000MG/TAB B","N/A","N/A","0253","N/A","N/A","2.24","2.24","2.24","N/A","N/A","N/A","2.24","2.24","N/A","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24","2.24"
"5","N/A","HCHG METFORMIN 500MG XR TABLET","N/A","N/A","0253","N/A","N/A","1.15","1.15","1.15","N/A","N/A","N/A","1.15","1.15","N/A","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15"
"5","N/A","HCHG METFORMIN 500MG/TAB (GLUCOPH","N/A","N/A","0253","N/A","N/A","1.09","1.09","1.09","N/A","N/A","N/A","1.09","1.09","N/A","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09"
"5","N/A","HCHG METHADONE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","0.28","0.28","0.28","N/A","N/A","N/A","0.28","0.28","N/A","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28","0.28"
"5","N/A","HCHG METHADONE 5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.49","0.49","0.49","N/A","N/A","N/A","0.49","0.49","N/A","0.49","0.49","0.49","0.49","0.49","0.49","0.49","0.49","0.49","0.49"
"5","N/A","HCHG METHOCARBAMOL 500MG TABLET","N/A","N/A","0253","N/A","N/A","0.79","0.79","0.79","N/A","N/A","N/A","0.79","0.79","N/A","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79"
"5","N/A","HCHG METHOCARBAMOL 750MG TABLET","N/A","N/A","0253","N/A","N/A","1.13","1.13","1.13","N/A","N/A","N/A","1.13","1.13","N/A","1.13","1.13","1.13","1.13","1.13","1.13","1.13","1.13","1.13","1.13"
"5","N/A","HCHG METHYLCELLULOSE(VISINE) 15ML","N/A","N/A","0253","N/A","N/A","0.60","0.60","0.60","N/A","N/A","N/A","0.60","0.60","N/A","0.60","0.60","0.60","0.60","0.60","0.60","0.60","0.60","0.60","0.60"
"5","N/A","HCHG METHYLPHENIDATE 10MG/TAB","N/A","N/A","0253","N/A","N/A","1.61","1.61","1.61","N/A","N/A","N/A","1.61","1.61","N/A","1.61","1.61","1.61","1.61","1.61","1.61","1.61","1.61","1.61","1.61"
"5","N/A","HCHG METHYLPHENIDATE 18MG/ER TAB","N/A","N/A","0253","N/A","N/A","14.46","14.46","14.46","N/A","N/A","N/A","14.46","14.46","N/A","14.46","14.46","14.46","14.46","14.46","14.46","14.46","14.46","14.46","14.46"
"5","N/A","HCHG METHYLPREDNISOLONE 4MG/TAB B","N/A","N/A","0253","N/A","N/A","2.55","2.55","2.55","N/A","N/A","N/A","2.55","2.55","N/A","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55"
"5","N/A","HCHG METOCLOPRAMIDE 10MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.43","0.43","0.43","N/A","N/A","N/A","0.43","0.43","N/A","0.43","0.43","0.43","0.43","0.43","0.43","0.43","0.43","0.43","0.43"
"5","N/A","HCHG METOCLOPRAMIDE 1MG/ML SYRUP","N/A","N/A","0253","N/A","N/A","0.12","0.12","0.12","N/A","N/A","N/A","0.12","0.12","N/A","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12","0.12"
"5","N/A","HCHG METOCLOPRAMIDE 5MG TABLET","N/A","N/A","0253","N/A","N/A","0.51","0.51","0.51","N/A","N/A","N/A","0.51","0.51","N/A","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51","0.51"
"5","N/A","HCHG METOLAZONE 5MG/TAB(ZAROXOLYN)","N/A","N/A","0253","N/A","N/A","3.65","3.65","3.65","N/A","N/A","N/A","3.65","3.65","N/A","3.65","3.65","3.65","3.65","3.65","3.65","3.65","3.65","3.65","3.65"
"5","N/A","HCHG METOPROLOL 100MG/TAB B","N/A","N/A","0253","N/A","N/A","1.24","1.24","1.24","N/A","N/A","N/A","1.24","1.24","N/A","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24"
"5","N/A","HCHG METOPROLOL 100MG/TAB(TOPROL-","N/A","N/A","0253","N/A","N/A","2.51","2.51","2.51","N/A","N/A","N/A","2.51","2.51","N/A","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51","2.51"
"5","N/A","HCHG METOPROLOL 200MG/TAB(TOPROL-","N/A","N/A","0253","N/A","N/A","3.90","3.90","3.90","N/A","N/A","N/A","3.90","3.90","N/A","3.90","3.90","3.90","3.90","3.90","3.90","3.90","3.90","3.90","3.90"
"5","N/A","HCHG METOPROLOL 25MG TAB","N/A","N/A","0253","N/A","N/A","0.42","0.42","0.42","N/A","N/A","N/A","0.42","0.42","N/A","0.42","0.42","0.42","0.42","0.42","0.42","0.42","0.42","0.42","0.42"
"5","N/A","HCHG METOPROLOL 25MG/TB(TOPROL XL","N/A","N/A","0253","N/A","N/A","1.66","1.66","1.66","N/A","N/A","N/A","1.66","1.66","N/A","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66"
"5","N/A","HCHG METOPROLOL 50MG/TAB B","N/A","N/A","0253","N/A","N/A","0.86","0.86","0.86","N/A","N/A","N/A","0.86","0.86","N/A","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86"
"5","N/A","HCHG METOPROLOL 50MG/TAB(TOPROL-X","N/A","N/A","0253","N/A","N/A","1.66","1.66","1.66","N/A","N/A","N/A","1.66","1.66","N/A","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66","1.66"
"5","N/A","HCHG METRONIDAZOLE 500MG/TAB B","N/A","N/A","0253","N/A","N/A","1.13","1.13","1.13","N/A","N/A","N/A","1.13","1.13","N/A","1.13","1.13","1.13","1.13","1.13","1.13","1.13","1.13","1.13","1.13"
"5","N/A","HCHG MIDODRINE 5MG/TAB (PROAMATIN","N/A","N/A","0253","N/A","N/A","6.43","6.43","6.43","N/A","N/A","N/A","6.43","6.43","N/A","6.43","6.43","6.43","6.43","6.43","6.43","6.43","6.43","6.43","6.43"
"5","N/A","HCHG MIRTAZAPINE 15MG/SOL TAB UD","N/A","N/A","0253","N/A","N/A","3.65","3.65","3.65","N/A","N/A","N/A","3.65","3.65","N/A","3.65","3.65","3.65","3.65","3.65","3.65","3.65","3.65","3.65","3.65"
"5","N/A","HCHG MIRTAZAPINE 15MG/TAB (REMERON","N/A","N/A","0253","N/A","N/A","4.18","4.18","4.18","N/A","N/A","N/A","4.18","4.18","N/A","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18"
"5","N/A","HCHG MIRTAZAPINE 30MG/TAB (REMERON","N/A","N/A","0253","N/A","N/A","4.27","4.27","4.27","N/A","N/A","N/A","4.27","4.27","N/A","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27","4.27"
"5","N/A","HCHG MIRTAZAPINE 7.5MG TABLET","N/A","N/A","0253","N/A","N/A","4.08","4.08","4.08","N/A","N/A","N/A","4.08","4.08","N/A","4.08","4.08","4.08","4.08","4.08","4.08","4.08","4.08","4.08","4.08"
"5","N/A","HCHG MONTELUKAST 10MG/TAB B","N/A","N/A","0253","N/A","N/A","8.76","8.76","8.76","N/A","N/A","N/A","8.76","8.76","N/A","8.76","8.76","8.76","8.76","8.76","8.76","8.76","8.76","8.76","8.76"
"5","N/A","HCHG MORPHINE 20MG/5ML SOLN B","N/A","N/A","0253","N/A","N/A","0.24","0.24","0.24","N/A","N/A","N/A","0.24","0.24","N/A","0.24","0.24","0.24","0.24","0.24","0.24","0.24","0.24","0.24","0.24"
"5","N/A","HCHG MORPHINE CONC 20MG/ML 30ML","N/A","N/A","0253","N/A","N/A","1.30","1.30","1.30","N/A","N/A","N/A","1.30","1.30","N/A","1.30","1.30","1.30","1.30","1.30","1.30","1.30","1.30","1.30","1.30"
"5","N/A","HCHG MORPHINE IR 15MG TAB","N/A","N/A","0253","N/A","N/A","0.80","0.80","0.80","N/A","N/A","N/A","0.80","0.80","N/A","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80"
"5","N/A","HCHG MORPHINE IR 30MG TABLET","N/A","N/A","0253","N/A","N/A","1.37","1.37","1.37","N/A","N/A","N/A","1.37","1.37","N/A","1.37","1.37","1.37","1.37","1.37","1.37","1.37","1.37","1.37","1.37"
"5","N/A","HCHG MORPHINE SULFATE 15MG/SA TAB","N/A","N/A","0253","N/A","N/A","2.60","2.60","2.60","N/A","N/A","N/A","2.60","2.60","N/A","2.60","2.60","2.60","2.60","2.60","2.60","2.60","2.60","2.60","2.60"
"5","N/A","HCHG MORPHINE SULFATE 60MG/SA TAB","N/A","N/A","0253","N/A","N/A","9.62","9.62","9.62","N/A","N/A","N/A","9.62","9.62","N/A","9.62","9.62","9.62","9.62","9.62","9.62","9.62","9.62","9.62","9.62"
"5","N/A","HCHG MOXIFLOXACIN 0.5% OPH SOLN","N/A","N/A","0253","N/A","N/A","107.85","107.85","107.85","N/A","N/A","N/A","107.85","107.85","N/A","107.85","107.85","107.85","107.85","107.85","107.85","107.85","107.85","107.85","107.85"
"5","N/A","HCHG MUPIROCIN 2% OINT (BACTROBAN","N/A","N/A","0253","N/A","N/A","2.64","2.64","2.64","N/A","N/A","N/A","2.64","2.64","N/A","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64","2.64"
"5","N/A","HCHG MUPIROCIN CALCIUM 2% CREAM","N/A","N/A","0253","N/A","N/A","25.31","25.31","25.31","N/A","N/A","N/A","25.31","25.31","N/A","25.31","25.31","25.31","25.31","25.31","25.31","25.31","25.31","25.31","25.31"
"5","N/A","HCHG NADOLOL 20MG TABLET","N/A","N/A","0253","N/A","N/A","5.26","5.26","5.26","N/A","N/A","N/A","5.26","5.26","N/A","5.26","5.26","5.26","5.26","5.26","5.26","5.26","5.26","5.26","5.26"
"5","N/A","HCHG NALTREXONE 50MG/TAB B","N/A","N/A","0253","N/A","N/A","6.61","6.61","6.61","N/A","N/A","N/A","6.61","6.61","N/A","6.61","6.61","6.61","6.61","6.61","6.61","6.61","6.61","6.61","6.61"
"5","N/A","HCHG NANO BD PEN NEEDLES 32G","N/A","N/A","0253","N/A","N/A","0.92","0.92","0.92","N/A","N/A","N/A","0.92","0.92","N/A","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92"
"5","N/A","HCHG NAPROXEN 250MG/TAB B","N/A","N/A","0253","N/A","N/A","1.19","1.19","1.19","N/A","N/A","N/A","1.19","1.19","N/A","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19","1.19"
"5","N/A","HCHG NAPROXEN 500MG/TAB B","N/A","N/A","0253","N/A","N/A","2.01","2.01","2.01","N/A","N/A","N/A","2.01","2.01","N/A","2.01","2.01","2.01","2.01","2.01","2.01","2.01","2.01","2.01","2.01"
"5","N/A","HCHG NEO/POLYMYXIN/DEXA OPH OINT","N/A","N/A","0253","N/A","N/A","17.04","17.04","17.04","N/A","N/A","N/A","17.04","17.04","N/A","17.04","17.04","17.04","17.04","17.04","17.04","17.04","17.04","17.04","17.04"
"5","N/A","HCHG NEOM/BACI/POLYMYX OPH OINT","N/A","N/A","0253","N/A","N/A","22.05","22.05","22.05","N/A","N/A","N/A","22.05","22.05","N/A","22.05","22.05","22.05","22.05","22.05","22.05","22.05","22.05","22.05","22.05"
"5","N/A","HCHG NEPHRON FA 1MG/TAB B","N/A","N/A","0253","N/A","N/A","0.96","0.96","0.96","N/A","N/A","N/A","0.96","0.96","N/A","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96","0.96"
"5","N/A","HCHG NEPHROVITE-RX TABLET","N/A","N/A","0253","N/A","N/A","0.68","0.68","0.68","N/A","N/A","N/A","0.68","0.68","N/A","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68","0.68"
"5","N/A","HCHG NEUTRA-PHOS PKT U.D.","N/A","N/A","0253","N/A","N/A","1.02","1.02","1.02","N/A","N/A","N/A","1.02","1.02","N/A","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02"
"5","N/A","HCHG NICOTINE 14MG/24HR PATCH","N/A","N/A","0253","N/A","N/A","2.93","2.93","2.93","N/A","N/A","N/A","2.93","2.93","N/A","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93"
"5","N/A","HCHG NICOTINE 21MG/24HR PATCH","N/A","N/A","0253","N/A","N/A","2.93","2.93","2.93","N/A","N/A","N/A","2.93","2.93","N/A","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93"
"5","N/A","HCHG NICOTINE 7MG/24HR PATCH","N/A","N/A","0253","N/A","N/A","2.93","2.93","2.93","N/A","N/A","N/A","2.93","2.93","N/A","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93","2.93"
"5","N/A","HCHG NIFEDIPINE 30MG/ER TAB B","N/A","N/A","0253","N/A","N/A","2.16","2.16","2.16","N/A","N/A","N/A","2.16","2.16","N/A","2.16","2.16","2.16","2.16","2.16","2.16","2.16","2.16","2.16","2.16"
"5","N/A","HCHG NIFEDIPINE 60MG/ER TAB B","N/A","N/A","0253","N/A","N/A","3.85","3.85","3.85","N/A","N/A","N/A","3.85","3.85","N/A","3.85","3.85","3.85","3.85","3.85","3.85","3.85","3.85","3.85","3.85"
"5","N/A","HCHG NIFEDIPINE(ADALAT CC)90MG/EXT","N/A","N/A","0253","N/A","N/A","4.70","4.70","4.70","N/A","N/A","N/A","4.70","4.70","N/A","4.70","4.70","4.70","4.70","4.70","4.70","4.70","4.70","4.70","4.70"
"5","N/A","HCHG NITROFURANTOIN 100MG/CAP B","N/A","N/A","0253","N/A","N/A","5.23","5.23","5.23","N/A","N/A","N/A","5.23","5.23","N/A","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23","5.23"
"5","N/A","HCHG NITROFURANTOIN 100MG/CAP(MAC","N/A","N/A","0253","N/A","N/A","5.90","5.90","5.90","N/A","N/A","N/A","5.90","5.90","N/A","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90"
"5","N/A","HCHG NITROGLYCERIN 0.4MG/TAB","N/A","N/A","0253","N/A","N/A","1.59","1.59","1.59","N/A","N/A","N/A","1.59","1.59","N/A","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59"
"5","N/A","HCHG NYSTATIN 100000U/ML SUSP","N/A","N/A","0253","N/A","N/A","0.37","0.37","0.37","N/A","N/A","N/A","0.37","0.37","N/A","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37"
"5","N/A","HCHG NYSTATIN CREAM","N/A","N/A","0253","N/A","N/A","1.81","1.81","1.81","N/A","N/A","N/A","1.81","1.81","N/A","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81","1.81"
"5","N/A","HCHG NYSTATIN POWDER (NYSTOP)","N/A","N/A","0253","N/A","N/A","2.53","2.53","2.53","N/A","N/A","N/A","2.53","2.53","N/A","2.53","2.53","2.53","2.53","2.53","2.53","2.53","2.53","2.53","2.53"
"5","N/A","HCHG OLANZAPINE 10MG/TAB (ZYPREXA)","N/A","N/A","0253","N/A","N/A","30.84","30.84","30.84","N/A","N/A","N/A","30.84","30.84","N/A","30.84","30.84","30.84","30.84","30.84","30.84","30.84","30.84","30.84","30.84"
"5","N/A","HCHG OLANZAPINE 15MG/TAB B","N/A","N/A","0253","N/A","N/A","46.26","46.26","46.26","N/A","N/A","N/A","46.26","46.26","N/A","46.26","46.26","46.26","46.26","46.26","46.26","46.26","46.26","46.26","46.26"
"5","N/A","HCHG OLANZAPINE 2.5MG/TAB (ZYPREX","N/A","N/A","0253","N/A","N/A","17.34","17.34","17.34","N/A","N/A","N/A","17.34","17.34","N/A","17.34","17.34","17.34","17.34","17.34","17.34","17.34","17.34","17.34","17.34"
"5","N/A","HCHG OLANZAPINE 20MG/TAB B","N/A","N/A","0253","N/A","N/A","61.68","61.68","61.68","N/A","N/A","N/A","61.68","61.68","N/A","61.68","61.68","61.68","61.68","61.68","61.68","61.68","61.68","61.68","61.68"
"5","N/A","HCHG OLANZAPINE 5MG/TAB (ZYPREXA)","N/A","N/A","0253","N/A","N/A","20.08","20.08","20.08","N/A","N/A","N/A","20.08","20.08","N/A","20.08","20.08","20.08","20.08","20.08","20.08","20.08","20.08","20.08","20.08"
"5","N/A","HCHG OLANZAPINE 7.5MG/TAB(ZYPREXA)","N/A","N/A","0253","N/A","N/A","23.15","23.15","23.15","N/A","N/A","N/A","23.15","23.15","N/A","23.15","23.15","23.15","23.15","23.15","23.15","23.15","23.15","23.15","23.15"
"5","N/A","HCHG OLANZAPINE ZYDIS 10MG/TAB UD","N/A","N/A","0253","N/A","N/A","32.12","32.12","32.12","N/A","N/A","N/A","32.12","32.12","N/A","32.12","32.12","32.12","32.12","32.12","32.12","32.12","32.12","32.12","32.12"
"5","N/A","HCHG OLANZAPINE ZYDIS 5MG/TAB UD","N/A","N/A","0253","N/A","N/A","21.86","21.86","21.86","N/A","N/A","N/A","21.86","21.86","N/A","21.86","21.86","21.86","21.86","21.86","21.86","21.86","21.86","21.86","21.86"
"5","N/A","HCHG OMEPRAZOLE 20MG CAP (GENERIC)","N/A","N/A","0253","N/A","N/A","5.22","5.22","5.22","N/A","N/A","N/A","5.22","5.22","N/A","5.22","5.22","5.22","5.22","5.22","5.22","5.22","5.22","5.22","5.22"
"5","N/A","HCHG ONDANSETRON (ZOFRAN) 8MG/TAB","N/A","N/A","0253","N/A","N/A","55.24","55.24","55.24","N/A","N/A","N/A","55.24","55.24","N/A","55.24","55.24","55.24","55.24","55.24","55.24","55.24","55.24","55.24","55.24"
"5","N/A","HCHG ONDANSETRON 4MG ODT TABLET","N/A","N/A","0253","N/A","N/A","34.52","34.52","34.52","N/A","N/A","N/A","34.52","34.52","N/A","34.52","34.52","34.52","34.52","34.52","34.52","34.52","34.52","34.52","34.52"
"5","N/A","HCHG ONDANSETRON 4MG TAB","N/A","N/A","0253","N/A","N/A","37.47","37.47","37.47","N/A","N/A","N/A","37.47","37.47","N/A","37.47","37.47","37.47","37.47","37.47","37.47","37.47","37.47","37.47","37.47"
"5","N/A","HCHG OXYBUTYNIN 5MG/TABLET B","N/A","N/A","0253","N/A","N/A","1.18","1.18","1.18","N/A","N/A","N/A","1.18","1.18","N/A","1.18","1.18","1.18","1.18","1.18","1.18","1.18","1.18","1.18","1.18"
"5","N/A","HCHG OXYCODONE 10MG/SA TAB B","N/A","N/A","0253","N/A","N/A","8.25","8.25","8.25","N/A","N/A","N/A","8.25","8.25","N/A","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25","8.25"
"5","N/A","HCHG OXYCODONE 20MG/ML LIQUID B","N/A","N/A","0253","N/A","N/A","10.88","10.88","10.88","N/A","N/A","N/A","10.88","10.88","N/A","10.88","10.88","10.88","10.88","10.88","10.88","10.88","10.88","10.88","10.88"
"5","N/A","HCHG OXYCODONE 40MG/SA TAB B","N/A","N/A","0253","N/A","N/A","26.34","26.34","26.34","N/A","N/A","N/A","26.34","26.34","N/A","26.34","26.34","26.34","26.34","26.34","26.34","26.34","26.34","26.34","26.34"
"5","N/A","HCHG OXYCODONE 5MG/TAB (ROXICODONE","N/A","N/A","0253","N/A","N/A","0.84","0.84","0.84","N/A","N/A","N/A","0.84","0.84","N/A","0.84","0.84","0.84","0.84","0.84","0.84","0.84","0.84","0.84","0.84"
"5","N/A","HCHG OXYCODONE/APAP 5/325 TAB/B","N/A","N/A","0253","N/A","N/A","2.12","2.12","2.12","N/A","N/A","N/A","2.12","2.12","N/A","2.12","2.12","2.12","2.12","2.12","2.12","2.12","2.12","2.12","2.12"
"5","N/A","HCHG OYST-CAL D TABLET","N/A","N/A","0253","N/A","N/A","0.05","0.05","0.05","N/A","N/A","N/A","0.05","0.05","N/A","0.05","0.05","0.05","0.05","0.05","0.05","0.05","0.05","0.05","0.05"
"5","N/A","HCHG PAROXETINE 10MG/TAB (PAXIL)","N/A","N/A","0253","N/A","N/A","4.06","4.06","4.06","N/A","N/A","N/A","4.06","4.06","N/A","4.06","4.06","4.06","4.06","4.06","4.06","4.06","4.06","4.06","4.06"
"5","N/A","HCHG PAROXETINE 20MG/TAB B","N/A","N/A","0253","N/A","N/A","4.09","4.09","4.09","N/A","N/A","N/A","4.09","4.09","N/A","4.09","4.09","4.09","4.09","4.09","4.09","4.09","4.09","4.09","4.09"
"5","N/A","HCHG PENICILLIN VK 500MG/TAB B*","N/A","N/A","0253","N/A","N/A","1.98","1.98","1.98","N/A","N/A","N/A","1.98","1.98","N/A","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98","1.98"
"5","N/A","HCHG PERPHENAZINE 4MG/TABLET","N/A","N/A","0253","N/A","N/A","3.70","3.70","3.70","N/A","N/A","N/A","3.70","3.70","N/A","3.70","3.70","3.70","3.70","3.70","3.70","3.70","3.70","3.70","3.70"
"5","N/A","HCHG PHENAZOPYRIDINE 100MG/TAB","N/A","N/A","0253","N/A","N/A","4.18","4.18","4.18","N/A","N/A","N/A","4.18","4.18","N/A","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18","4.18"
"5","N/A","HCHG PHENAZOPYRIDINE 200MG/TABLET","N/A","N/A","0253","N/A","N/A","6.19","6.19","6.19","N/A","N/A","N/A","6.19","6.19","N/A","6.19","6.19","6.19","6.19","6.19","6.19","6.19","6.19","6.19","6.19"
"5","N/A","HCHG PHENYTOIN SOD 100MG/CAP(DILAN","N/A","N/A","0253","N/A","N/A","0.99","0.99","0.99","N/A","N/A","N/A","0.99","0.99","N/A","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99"
"5","N/A","HCHG PHOSPHA 250 NEUTRAL TABLET","N/A","N/A","0253","N/A","N/A","0.79","0.79","0.79","N/A","N/A","N/A","0.79","0.79","N/A","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79","0.79"
"5","N/A","HCHG PHYTONADIONE 5MG/TAB (VIT K)","N/A","N/A","0253","N/A","N/A","109.18","109.18","109.18","N/A","N/A","N/A","109.18","109.18","N/A","109.18","109.18","109.18","109.18","109.18","109.18","109.18","109.18","109.18","109.18"
"5","N/A","HCHG POLYETHYLENE GLYCOL POWDER","N/A","N/A","0253","N/A","N/A","0.06","0.06","0.06","N/A","N/A","N/A","0.06","0.06","N/A","0.06","0.06","0.06","0.06","0.06","0.06","0.06","0.06","0.06","0.06"
"5","N/A","HCHG POLYMYXIN B/TMP OPH SOLN","N/A","N/A","0253","N/A","N/A","2.70","2.70","2.70","N/A","N/A","N/A","2.70","2.70","N/A","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70","2.70"
"5","N/A","HCHG POLYSTYRENE NA SULFONATE SUS","N/A","N/A","0253","N/A","N/A","0.56","0.56","0.56","N/A","N/A","N/A","0.56","0.56","N/A","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56"
"5","N/A","HCHG POTASSIUM CL 10MEQ/SA CAP B","N/A","N/A","0253","N/A","N/A","1.54","1.54","1.54","N/A","N/A","N/A","1.54","1.54","N/A","1.54","1.54","1.54","1.54","1.54","1.54","1.54","1.54","1.54","1.54"
"5","N/A","HCHG POTASSIUM CL 20MEQ PWD PKT","N/A","N/A","0253","N/A","N/A","15.79","15.79","15.79","N/A","N/A","N/A","15.79","15.79","N/A","15.79","15.79","15.79","15.79","15.79","15.79","15.79","15.79","15.79","15.79"
"5","N/A","HCHG POTASSIUM CL 20MEQ/ER TAB B","N/A","N/A","0253","N/A","N/A","0.97","0.97","0.97","N/A","N/A","N/A","0.97","0.97","N/A","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97","0.97"
"5","N/A","HCHG PRASUGREL 10MG TAB","N/A","N/A","0253","N/A","N/A","25.56","25.56","25.56","N/A","N/A","N/A","25.56","25.56","N/A","25.56","25.56","25.56","25.56","25.56","25.56","25.56","25.56","25.56","25.56"
"5","N/A","HCHG PRAVASTATIN 40MG/TAB(PRAVACH","N/A","N/A","0253","N/A","N/A","7.42","7.42","7.42","N/A","N/A","N/A","7.42","7.42","N/A","7.42","7.42","7.42","7.42","7.42","7.42","7.42","7.42","7.42","7.42"
"5","N/A","HCHG PRAVASTATIN 80MG/TAB(PRAVACHO","N/A","N/A","0253","N/A","N/A","7.42","7.42","7.42","N/A","N/A","N/A","7.42","7.42","N/A","7.42","7.42","7.42","7.42","7.42","7.42","7.42","7.42","7.42","7.42"
"5","N/A","HCHG PRAZOSIN 1MG CAPSULE","N/A","N/A","0253","N/A","N/A","1.39","1.39","1.39","N/A","N/A","N/A","1.39","1.39","N/A","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39"
"5","N/A","HCHG PRAZOSIN 2MG/CAPSULE B","N/A","N/A","0253","N/A","N/A","1.97","1.97","1.97","N/A","N/A","N/A","1.97","1.97","N/A","1.97","1.97","1.97","1.97","1.97","1.97","1.97","1.97","1.97","1.97"
"5","N/A","HCHG PRAZOSIN 5MG/CAPSULE B","N/A","N/A","0253","N/A","N/A","3.37","3.37","3.37","N/A","N/A","N/A","3.37","3.37","N/A","3.37","3.37","3.37","3.37","3.37","3.37","3.37","3.37","3.37","3.37"
"5","N/A","HCHG PREDNISOLONE 1% OPH SUSP","N/A","N/A","0253","N/A","N/A","16.94","16.94","16.94","N/A","N/A","N/A","16.94","16.94","N/A","16.94","16.94","16.94","16.94","16.94","16.94","16.94","16.94","16.94","16.94"
"5","N/A","HCHG PREDNISONE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","0.36","0.36","0.36","N/A","N/A","N/A","0.36","0.36","N/A","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36"
"5","N/A","HCHG PREDNISONE 1MG/TAB B","N/A","N/A","0253","N/A","N/A","0.39","0.39","0.39","N/A","N/A","N/A","0.39","0.39","N/A","0.39","0.39","0.39","0.39","0.39","0.39","0.39","0.39","0.39","0.39"
"5","N/A","HCHG PREDNISONE 20MG/TAB B","N/A","N/A","0253","N/A","N/A","2.33","2.33","2.33","N/A","N/A","N/A","2.33","2.33","N/A","2.33","2.33","2.33","2.33","2.33","2.33","2.33","2.33","2.33","2.33"
"5","N/A","HCHG PREDNISONE 50MG/TAB B","N/A","N/A","0253","N/A","N/A","0.99","0.99","0.99","N/A","N/A","N/A","0.99","0.99","N/A","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99"
"5","N/A","HCHG PREDNISONE 5MG/5ML SOLN B","N/A","N/A","0253","N/A","N/A","1.15","1.15","1.15","N/A","N/A","N/A","1.15","1.15","N/A","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15","1.15"
"5","N/A","HCHG PREDNISONE 5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.36","0.36","0.36","N/A","N/A","N/A","0.36","0.36","N/A","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36"
"5","N/A","HCHG PREGABALIN 100MG CAP","N/A","N/A","0253","N/A","N/A","13.05","13.05","13.05","N/A","N/A","N/A","13.05","13.05","N/A","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05"
"5","N/A","HCHG PREGABALIN 25MG CAP","N/A","N/A","0253","N/A","N/A","9.06","9.06","9.06","N/A","N/A","N/A","9.06","9.06","N/A","9.06","9.06","9.06","9.06","9.06","9.06","9.06","9.06","9.06","9.06"
"5","N/A","HCHG PREGABALIN 50MG CAP","N/A","N/A","0253","N/A","N/A","13.05","13.05","13.05","N/A","N/A","N/A","13.05","13.05","N/A","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05"
"5","N/A","HCHG PREGABALIN 75MG CAP","N/A","N/A","0253","N/A","N/A","13.05","13.05","13.05","N/A","N/A","N/A","13.05","13.05","N/A","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05","13.05"
"5","N/A","HCHG PRENATAL PLUS TABLET","N/A","N/A","0253","N/A","N/A","0.36","0.36","0.36","N/A","N/A","N/A","0.36","0.36","N/A","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36","0.36"
"5","N/A","HCHG PROCHLORPERAZINE 10MG/TAB B","N/A","N/A","0253","N/A","N/A","1.38","1.38","1.38","N/A","N/A","N/A","1.38","1.38","N/A","1.38","1.38","1.38","1.38","1.38","1.38","1.38","1.38","1.38","1.38"
"5","N/A","HCHG PROCHLORPERAZINE 5MG/TAB B","N/A","N/A","0253","N/A","N/A","0.92","0.92","0.92","N/A","N/A","N/A","0.92","0.92","N/A","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92"
"5","N/A","HCHG PROMETHAZINE 12.5MG/TABLET","N/A","N/A","0253","N/A","N/A","0.76","0.76","0.76","N/A","N/A","N/A","0.76","0.76","N/A","0.76","0.76","0.76","0.76","0.76","0.76","0.76","0.76","0.76","0.76"
"5","N/A","HCHG PROMETHAZINE 25MG TABLET B","N/A","N/A","0253","N/A","N/A","0.78","0.78","0.78","N/A","N/A","N/A","0.78","0.78","N/A","0.78","0.78","0.78","0.78","0.78","0.78","0.78","0.78","0.78","0.78"
"5","N/A","HCHG PROPRANOLOL 10MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","HCHG PROPRANOLOL 40MG/TABLET B","N/A","N/A","0253","N/A","N/A","1.11","1.11","1.11","N/A","N/A","N/A","1.11","1.11","N/A","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11","1.11"
"5","N/A","HCHG PROPRANOLOL 80MG/TABLET B","N/A","N/A","0253","N/A","N/A","1.39","1.39","1.39","N/A","N/A","N/A","1.39","1.39","N/A","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39","1.39"
"5","N/A","HCHG PROSCAR 5MG/TAB B","N/A","N/A","0253","N/A","N/A","4.84","4.84","4.84","N/A","N/A","N/A","4.84","4.84","N/A","4.84","4.84","4.84","4.84","4.84","4.84","4.84","4.84","4.84","4.84"
"5","N/A","HCHG PROTONIX 40MG DELAYED REL/TAB","N/A","N/A","0253","N/A","N/A","8.16","8.16","8.16","N/A","N/A","N/A","8.16","8.16","N/A","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16","8.16"
"5","N/A","HCHG PSYLLIUM (SUGAR/FREE) PKT UD","N/A","N/A","0253","N/A","N/A","0.69","0.69","0.69","N/A","N/A","N/A","0.69","0.69","N/A","0.69","0.69","0.69","0.69","0.69","0.69","0.69","0.69","0.69","0.69"
"5","N/A","HCHG PYRIDOXINE (VIT B6) 50MG/TAB","N/A","N/A","0253","N/A","N/A","0.27","0.27","0.27","N/A","N/A","N/A","0.27","0.27","N/A","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27"
"5","N/A","HCHG QUETIAPINE 100MG/TAB (SEROQUE","N/A","N/A","0253","N/A","N/A","10.61","10.61","10.61","N/A","N/A","N/A","10.61","10.61","N/A","10.61","10.61","10.61","10.61","10.61","10.61","10.61","10.61","10.61","10.61"
"5","N/A","HCHG QUETIAPINE 200MG/TAB (SEROQUE","N/A","N/A","0253","N/A","N/A","19.92","19.92","19.92","N/A","N/A","N/A","19.92","19.92","N/A","19.92","19.92","19.92","19.92","19.92","19.92","19.92","19.92","19.92","19.92"
"5","N/A","HCHG QUETIAPINE 25MG/TAB (SEROQUEL","N/A","N/A","0253","N/A","N/A","6.14","6.14","6.14","N/A","N/A","N/A","6.14","6.14","N/A","6.14","6.14","6.14","6.14","6.14","6.14","6.14","6.14","6.14","6.14"
"5","N/A","HCHG QUETIAPINE 300MG/TAB (SEROQUE","N/A","N/A","0253","N/A","N/A","25.94","25.94","25.94","N/A","N/A","N/A","25.94","25.94","N/A","25.94","25.94","25.94","25.94","25.94","25.94","25.94","25.94","25.94","25.94"
"5","N/A","HCHG QUETIAPINE 400MG TABLET","N/A","N/A","0253","N/A","N/A","30.84","30.84","30.84","N/A","N/A","N/A","30.84","30.84","N/A","30.84","30.84","30.84","30.84","30.84","30.84","30.84","30.84","30.84","30.84"
"5","N/A","HCHG QUETIAPINE 50MG TABLET","N/A","N/A","0253","N/A","N/A","10.10","10.10","10.10","N/A","N/A","N/A","10.10","10.10","N/A","10.10","10.10","10.10","10.10","10.10","10.10","10.10","10.10","10.10","10.10"
"5","N/A","HCHG QUETIAPINE XR 200MG TABLET","N/A","N/A","0253","N/A","N/A","27.11","27.11","27.11","N/A","N/A","N/A","27.11","27.11","N/A","27.11","27.11","27.11","27.11","27.11","27.11","27.11","27.11","27.11","27.11"
"5","N/A","HCHG QUETIAPINE XR 300MG TABLET","N/A","N/A","0253","N/A","N/A","35.59","35.59","35.59","N/A","N/A","N/A","35.59","35.59","N/A","35.59","35.59","35.59","35.59","35.59","35.59","35.59","35.59","35.59","35.59"
"5","N/A","HCHG RALTEGRAVIR 400MG TABLET","N/A","N/A","0253","N/A","N/A","53.73","53.73","53.73","N/A","N/A","N/A","53.73","53.73","N/A","53.73","53.73","53.73","53.73","53.73","53.73","53.73","53.73","53.73","53.73"
"5","N/A","HCHG RIFAMPIN 300MG/CAPSULE","N/A","N/A","0253","N/A","N/A","3.11","3.11","3.11","N/A","N/A","N/A","3.11","3.11","N/A","3.11","3.11","3.11","3.11","3.11","3.11","3.11","3.11","3.11","3.11"
"5","N/A","HCHG RIFAXIMIN 550MG TABLET","N/A","N/A","0253","N/A","N/A","85.40","85.40","85.40","N/A","N/A","N/A","85.40","85.40","N/A","85.40","85.40","85.40","85.40","85.40","85.40","85.40","85.40","85.40","85.40"
"5","N/A","HCHG RISPERDAL M-TAB 3MG","N/A","N/A","0253","N/A","N/A","17.49","17.49","17.49","N/A","N/A","N/A","17.49","17.49","N/A","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49"
"5","N/A","HCHG RISPERDAL M-TAB 4MG","N/A","N/A","0253","N/A","N/A","23.47","23.47","23.47","N/A","N/A","N/A","23.47","23.47","N/A","23.47","23.47","23.47","23.47","23.47","23.47","23.47","23.47","23.47","23.47"
"5","N/A","HCHG RISPERIDONE 0.25MG/TABLET","N/A","N/A","0253","N/A","N/A","6.04","6.04","6.04","N/A","N/A","N/A","6.04","6.04","N/A","6.04","6.04","6.04","6.04","6.04","6.04","6.04","6.04","6.04","6.04"
"5","N/A","HCHG RISPERIDONE 0.5MG/TABLET","N/A","N/A","0253","N/A","N/A","6.63","6.63","6.63","N/A","N/A","N/A","6.63","6.63","N/A","6.63","6.63","6.63","6.63","6.63","6.63","6.63","6.63","6.63","6.63"
"5","N/A","HCHG RISPERIDONE 1MG/ML SOLN","N/A","N/A","0253","N/A","N/A","7.54","7.54","7.54","N/A","N/A","N/A","7.54","7.54","N/A","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54","7.54"
"5","N/A","HCHG RISPERIDONE 1MG/TAB B","N/A","N/A","0253","N/A","N/A","7.05","7.05","7.05","N/A","N/A","N/A","7.05","7.05","N/A","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05","7.05"
"5","N/A","HCHG RISPERIDONE 2MG/TAB B","N/A","N/A","0253","N/A","N/A","11.77","11.77","11.77","N/A","N/A","N/A","11.77","11.77","N/A","11.77","11.77","11.77","11.77","11.77","11.77","11.77","11.77","11.77","11.77"
"5","N/A","HCHG RISPERIDONE 3MG/TAB B","N/A","N/A","0253","N/A","N/A","13.83","13.83","13.83","N/A","N/A","N/A","13.83","13.83","N/A","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83","13.83"
"5","N/A","HCHG RISPERIDONE 4MG/TAB B","N/A","N/A","0253","N/A","N/A","18.58","18.58","18.58","N/A","N/A","N/A","18.58","18.58","N/A","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58","18.58"
"5","N/A","HCHG RISPERIDONE-M 2M TAB","N/A","N/A","0253","N/A","N/A","14.46","14.46","14.46","N/A","N/A","N/A","14.46","14.46","N/A","14.46","14.46","14.46","14.46","14.46","14.46","14.46","14.46","14.46","14.46"
"5","N/A","HCHG RISPERIDONE-M TAB 0.5MG","N/A","N/A","0253","N/A","N/A","7.61","7.61","7.61","N/A","N/A","N/A","7.61","7.61","N/A","7.61","7.61","7.61","7.61","7.61","7.61","7.61","7.61","7.61","7.61"
"5","N/A","HCHG RISPERIDONE-M TAB 1MG","N/A","N/A","0253","N/A","N/A","8.52","8.52","8.52","N/A","N/A","N/A","8.52","8.52","N/A","8.52","8.52","8.52","8.52","8.52","8.52","8.52","8.52","8.52","8.52"
"5","N/A","HCHG RIVAROXABAN 15MG TABLET","N/A","N/A","0253","N/A","N/A","30.22","30.22","30.22","N/A","N/A","N/A","30.22","30.22","N/A","30.22","30.22","30.22","30.22","30.22","30.22","30.22","30.22","30.22","30.22"
"5","N/A","HCHG RIVAROXABAN 20MG TABLET","N/A","N/A","0253","N/A","N/A","30.08","30.08","30.08","N/A","N/A","N/A","30.08","30.08","N/A","30.08","30.08","30.08","30.08","30.08","30.08","30.08","30.08","30.08","30.08"
"5","N/A","HCHG ROSUVASTATIN 20MG TABLET","N/A","N/A","0253","N/A","N/A","13.84","13.84","13.84","N/A","N/A","N/A","13.84","13.84","N/A","13.84","13.84","13.84","13.84","13.84","13.84","13.84","13.84","13.84","13.84"
"5","N/A","HCHG ROSUVASTATIN 40MG TABLET","N/A","N/A","0253","N/A","N/A","13.47","13.47","13.47","N/A","N/A","N/A","13.47","13.47","N/A","13.47","13.47","13.47","13.47","13.47","13.47","13.47","13.47","13.47","13.47"
"5","N/A","HCHG SALIVA STIMULANT MOUTH SPRAY","N/A","N/A","0253","N/A","N/A","0.19","0.19","0.19","N/A","N/A","N/A","0.19","0.19","N/A","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19"
"5","N/A","HCHG SARNA LOTION","N/A","N/A","0253","N/A","N/A","0.04","0.04","0.04","N/A","N/A","N/A","0.04","0.04","N/A","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04","0.04"
"5","N/A","HCHG SENNA 187MG/TAB UD (SENOKOT)","N/A","N/A","0253","N/A","N/A","0.13","0.13","0.13","N/A","N/A","N/A","0.13","0.13","N/A","0.13","0.13","0.13","0.13","0.13","0.13","0.13","0.13","0.13","0.13"
"5","N/A","HCHG SERTRALINE 100MG/TAB B (ZOLOF","N/A","N/A","0253","N/A","N/A","4.41","4.41","4.41","N/A","N/A","N/A","4.41","4.41","N/A","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41"
"5","N/A","HCHG SERTRALINE 25MG TABLET","N/A","N/A","0253","N/A","N/A","4.25","4.25","4.25","N/A","N/A","N/A","4.25","4.25","N/A","4.25","4.25","4.25","4.25","4.25","4.25","4.25","4.25","4.25","4.25"
"5","N/A","HCHG SERTRALINE 50MG/TAB B (ZOLOFT","N/A","N/A","0253","N/A","N/A","4.41","4.41","4.41","N/A","N/A","N/A","4.41","4.41","N/A","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41","4.41"
"5","N/A","HCHG SEVELAMER CARBONATE 800MG TAB","N/A","N/A","0253","N/A","N/A","9.44","9.44","9.44","N/A","N/A","N/A","9.44","9.44","N/A","9.44","9.44","9.44","9.44","9.44","9.44","9.44","9.44","9.44","9.44"
"5","N/A","HCHG SILDENAFIL 20MG TABLET","N/A","N/A","0253","N/A","N/A","32.63","32.63","32.63","N/A","N/A","N/A","32.63","32.63","N/A","32.63","32.63","32.63","32.63","32.63","32.63","32.63","32.63","32.63","32.63"
"5","N/A","HCHG SILVER SULFADIAZINE 1% CREAM","N/A","N/A","0253","N/A","N/A","0.25","0.25","0.25","N/A","N/A","N/A","0.25","0.25","N/A","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25","0.25"
"5","N/A","HCHG SILVER SULFADIAZINE CREAM","N/A","N/A","0253","N/A","N/A","0.56","0.56","0.56","N/A","N/A","N/A","0.56","0.56","N/A","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56","0.56"
"5","N/A","HCHG SIMETHICONE 80MG/CHEW TAB B","N/A","N/A","0253","N/A","N/A","0.11","0.11","0.11","N/A","N/A","N/A","0.11","0.11","N/A","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11"
"5","N/A","HCHG SIMVASTATIN 10MG TABLET","N/A","N/A","0253","N/A","N/A","4.37","4.37","4.37","N/A","N/A","N/A","4.37","4.37","N/A","4.37","4.37","4.37","4.37","4.37","4.37","4.37","4.37","4.37","4.37"
"5","N/A","HCHG SIMVASTATIN 40MG TABLET","N/A","N/A","0253","N/A","N/A","7.46","7.46","7.46","N/A","N/A","N/A","7.46","7.46","N/A","7.46","7.46","7.46","7.46","7.46","7.46","7.46","7.46","7.46","7.46"
"5","N/A","HCHG SITAGLIPTIN 100MG TABLET","N/A","N/A","0253","N/A","N/A","30.77","30.77","30.77","N/A","N/A","N/A","30.77","30.77","N/A","30.77","30.77","30.77","30.77","30.77","30.77","30.77","30.77","30.77","30.77"
"5","N/A","HCHG SITAGLIPTIN 25MG TABLET","N/A","N/A","0253","N/A","N/A","30.69","30.69","30.69","N/A","N/A","N/A","30.69","30.69","N/A","30.69","30.69","30.69","30.69","30.69","30.69","30.69","30.69","30.69","30.69"
"5","N/A","HCHG SITAGLIPTIN 50MG TABLET","N/A","N/A","0253","N/A","N/A","30.64","30.64","30.64","N/A","N/A","N/A","30.64","30.64","N/A","30.64","30.64","30.64","30.64","30.64","30.64","30.64","30.64","30.64","30.64"
"5","N/A","HCHG SMX/TMP 400MG/80MG TABLET","N/A","N/A","0253","N/A","N/A","1.03","1.03","1.03","N/A","N/A","N/A","1.03","1.03","N/A","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03"
"5","N/A","HCHG SMX/TMP DS TABLET B","N/A","N/A","0253","N/A","N/A","1.79","1.79","1.79","N/A","N/A","N/A","1.79","1.79","N/A","1.79","1.79","1.79","1.79","1.79","1.79","1.79","1.79","1.79","1.79"
"5","N/A","HCHG SMZ/TMP(200MG/40ML)/5ML SUSP","N/A","N/A","0253","N/A","N/A","0.71","0.71","0.71","N/A","N/A","N/A","0.71","0.71","N/A","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71"
"5","N/A","HCHG SODIUM BICARBONATE 650MG/TAB","N/A","N/A","0253","N/A","N/A","0.06","0.06","0.06","N/A","N/A","N/A","0.06","0.06","N/A","0.06","0.06","0.06","0.06","0.06","0.06","0.06","0.06","0.06","0.06"
"5","N/A","HCHG SODIUM CHLORIDE NASAL MIST","N/A","N/A","0253","N/A","N/A","0.11","0.11","0.11","N/A","N/A","N/A","0.11","0.11","N/A","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11"
"5","N/A","HCHG SODIUM CL 1GM/TAB SOLUBLE","N/A","N/A","0253","N/A","N/A","0.11","0.11","0.11","N/A","N/A","N/A","0.11","0.11","N/A","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11"
"5","N/A","HCHG SODIUM CL.& BICARB PWD","N/A","N/A","0253","N/A","N/A","0.10","0.10","0.10","N/A","N/A","N/A","0.10","0.10","N/A","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10","0.10"
"5","N/A","HCHG SOTALOL 80MG/TAB B","N/A","N/A","0253","N/A","N/A","3.97","3.97","3.97","N/A","N/A","N/A","3.97","3.97","N/A","3.97","3.97","3.97","3.97","3.97","3.97","3.97","3.97","3.97","3.97"
"5","N/A","HCHG SPIRONOLACTONE 100MG TAB","N/A","N/A","0253","N/A","N/A","2.21","2.21","2.21","N/A","N/A","N/A","2.21","2.21","N/A","2.21","2.21","2.21","2.21","2.21","2.21","2.21","2.21","2.21","2.21"
"5","N/A","HCHG SPIRONOLACTONE 25MG/TABLET B","N/A","N/A","0253","N/A","N/A","0.71","0.71","0.71","N/A","N/A","N/A","0.71","0.71","N/A","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71","0.71"
"5","N/A","HCHG SPIRONOLACTONE 50MG TAB","N/A","N/A","0253","N/A","N/A","1.26","1.26","1.26","N/A","N/A","N/A","1.26","1.26","N/A","1.26","1.26","1.26","1.26","1.26","1.26","1.26","1.26","1.26","1.26"
"5","N/A","HCHG SUBOXONE 2/0.5 FILM TAB","N/A","N/A","0253","N/A","N/A","8.46","8.46","8.46","N/A","N/A","N/A","8.46","8.46","N/A","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46","8.46"
"5","N/A","HCHG SUBOXONE 8/2 FILM TAB","N/A","N/A","0253","N/A","N/A","13.61","13.61","13.61","N/A","N/A","N/A","13.61","13.61","N/A","13.61","13.61","13.61","13.61","13.61","13.61","13.61","13.61","13.61","13.61"
"5","N/A","HCHG SUCRALFATE 1GM/10ML SUSP B","N/A","N/A","0253","N/A","N/A","1.02","1.02","1.02","N/A","N/A","N/A","1.02","1.02","N/A","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02"
"5","N/A","HCHG SUCRALFATE 1GM/TAB B","N/A","N/A","0253","N/A","N/A","1.24","1.24","1.24","N/A","N/A","N/A","1.24","1.24","N/A","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24","1.24"
"5","N/A","HCHG SUMATRIPTAN 50MG TABLET","N/A","N/A","0253","N/A","N/A","38.93","38.93","38.93","N/A","N/A","N/A","38.93","38.93","N/A","38.93","38.93","38.93","38.93","38.93","38.93","38.93","38.93","38.93","38.93"
"5","N/A","HCHG SYMBICORT 160/4.5 INHALER","N/A","N/A","0253","N/A","N/A","69.06","69.06","69.06","N/A","N/A","N/A","69.06","69.06","N/A","69.06","69.06","69.06","69.06","69.06","69.06","69.06","69.06","69.06","69.06"
"5","N/A","HCHG SYMBICORT 80/4.5 INHALER","N/A","N/A","0253","N/A","N/A","58.28","58.28","58.28","N/A","N/A","N/A","58.28","58.28","N/A","58.28","58.28","58.28","58.28","58.28","58.28","58.28","58.28","58.28","58.28"
"5","N/A","HCHG SYRINGE 0.3ML 31G","N/A","N/A","0253","N/A","N/A","0.37","0.37","0.37","N/A","N/A","N/A","0.37","0.37","N/A","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37"
"5","N/A","HCHG SYRINGE 0.5ML 31G","N/A","N/A","0253","N/A","N/A","0.37","0.37","0.37","N/A","N/A","N/A","0.37","0.37","N/A","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37"
"5","N/A","HCHG SYRINGE 1ML 31G","N/A","N/A","0253","N/A","N/A","0.37","0.37","0.37","N/A","N/A","N/A","0.37","0.37","N/A","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37","0.37"
"5","N/A","HCHG TACROLIMUS 0.5MG CAPSULE","N/A","N/A","0253","N/A","N/A","3.45","3.45","3.45","N/A","N/A","N/A","3.45","3.45","N/A","3.45","3.45","3.45","3.45","3.45","3.45","3.45","3.45","3.45","3.45"
"5","N/A","HCHG TACROLIMUS 1MG CAPSULE","N/A","N/A","0253","N/A","N/A","6.91","6.91","6.91","N/A","N/A","N/A","6.91","6.91","N/A","6.91","6.91","6.91","6.91","6.91","6.91","6.91","6.91","6.91","6.91"
"5","N/A","HCHG TAMSULOSIN 0.4MG/CAP(FLOMAX)","N/A","N/A","0253","N/A","N/A","6.52","6.52","6.52","N/A","N/A","N/A","6.52","6.52","N/A","6.52","6.52","6.52","6.52","6.52","6.52","6.52","6.52","6.52","6.52"
"5","N/A","HCHG TEMAZEPAM 15MG/CAP B","N/A","N/A","0253","N/A","N/A","2.50","2.50","2.50","N/A","N/A","N/A","2.50","2.50","N/A","2.50","2.50","2.50","2.50","2.50","2.50","2.50","2.50","2.50","2.50"
"5","N/A","HCHG TENOFOVIR 300MG/TAB B","N/A","N/A","0253","N/A","N/A","77.64","77.64","77.64","N/A","N/A","N/A","77.64","77.64","N/A","77.64","77.64","77.64","77.64","77.64","77.64","77.64","77.64","77.64","77.64"
"5","N/A","HCHG TERAZOSIN 1MG/CAP B","N/A","N/A","0253","N/A","N/A","2.49","2.49","2.49","N/A","N/A","N/A","2.49","2.49","N/A","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49"
"5","N/A","HCHG TERAZOSIN 2MG/CAP B","N/A","N/A","0253","N/A","N/A","2.49","2.49","2.49","N/A","N/A","N/A","2.49","2.49","N/A","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49"
"5","N/A","HCHG TERAZOSIN 5MG/CAP B","N/A","N/A","0253","N/A","N/A","2.49","2.49","2.49","N/A","N/A","N/A","2.49","2.49","N/A","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49","2.49"
"5","N/A","HCHG TERBINAFINE 1% CRM (LAMISIL)","N/A","N/A","0253","N/A","N/A","0.83","0.83","0.83","N/A","N/A","N/A","0.83","0.83","N/A","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83","0.83"
"5","N/A","HCHG THIAMINE 100MG/TAB B","N/A","N/A","0253","N/A","N/A","0.19","0.19","0.19","N/A","N/A","N/A","0.19","0.19","N/A","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19","0.19"
"5","N/A","HCHG TICAGRELOR 90MG TABLET","N/A","N/A","0253","N/A","N/A","12.53","12.53","12.53","N/A","N/A","N/A","12.53","12.53","N/A","12.53","12.53","12.53","12.53","12.53","12.53","12.53","12.53","12.53","12.53"
"5","N/A","HCHG TIMOLOL 0.5% OPH SOLN","N/A","N/A","0253","N/A","N/A","5.26","5.26","5.26","N/A","N/A","N/A","5.26","5.26","N/A","5.26","5.26","5.26","5.26","5.26","5.26","5.26","5.26","5.26","5.26"
"5","N/A","HCHG TOBRADEX 0.1% OPH SUSP","N/A","N/A","0253","N/A","N/A","45.04","45.04","45.04","N/A","N/A","N/A","45.04","45.04","N/A","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04","45.04"
"5","N/A","HCHG TORSEMIDE 10MG/TAB (DEMADEX)","N/A","N/A","0253","N/A","N/A","1.09","1.09","1.09","N/A","N/A","N/A","1.09","1.09","N/A","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09","1.09"
"5","N/A","HCHG TRAMADOL 50MG/TABLET B","N/A","N/A","0253","N/A","N/A","1.23","1.23","1.23","N/A","N/A","N/A","1.23","1.23","N/A","1.23","1.23","1.23","1.23","1.23","1.23","1.23","1.23","1.23","1.23"
"5","N/A","HCHG TRANSDERM-SCOP 1.5MG PATCH","N/A","N/A","0253","N/A","N/A","39.57","39.57","39.57","N/A","N/A","N/A","39.57","39.57","N/A","39.57","39.57","39.57","39.57","39.57","39.57","39.57","39.57","39.57","39.57"
"5","N/A","HCHG TRAZODONE 100MG/TAB B","N/A","N/A","0253","N/A","N/A","2.16","2.16","2.16","N/A","N/A","N/A","2.16","2.16","N/A","2.16","2.16","2.16","2.16","2.16","2.16","2.16","2.16","2.16","2.16"
"5","N/A","HCHG TRAZODONE 150MG/TABLET","N/A","N/A","0253","N/A","N/A","4.32","4.32","4.32","N/A","N/A","N/A","4.32","4.32","N/A","4.32","4.32","4.32","4.32","4.32","4.32","4.32","4.32","4.32","4.32"
"5","N/A","HCHG TRAZODONE 50MG/TAB B","N/A","N/A","0253","N/A","N/A","1.30","1.30","1.30","N/A","N/A","N/A","1.30","1.30","N/A","1.30","1.30","1.30","1.30","1.30","1.30","1.30","1.30","1.30","1.30"
"5","N/A","HCHG TRIAMCINOLONE 0.025% CRM","N/A","N/A","0253","N/A","N/A","0.46","0.46","0.46","N/A","N/A","N/A","0.46","0.46","N/A","0.46","0.46","0.46","0.46","0.46","0.46","0.46","0.46","0.46","0.46"
"5","N/A","HCHG TRIAMCINOLONE 0.025% OINT","N/A","N/A","0253","N/A","N/A","0.63","0.63","0.63","N/A","N/A","N/A","0.63","0.63","N/A","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63","0.63"
"5","N/A","HCHG TRIAMCINOLONE 0.1% CRM","N/A","N/A","0253","N/A","N/A","0.40","0.40","0.40","N/A","N/A","N/A","0.40","0.40","N/A","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40","0.40"
"5","N/A","HCHG TRIAMCINOLONE 0.1% OINT","N/A","N/A","0253","N/A","N/A","0.27","0.27","0.27","N/A","N/A","N/A","0.27","0.27","N/A","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27","0.27"
"5","N/A","HCHG TRIAMTERENE/HCTZ 37.5MG/25MG","N/A","N/A","0253","N/A","N/A","0.58","0.58","0.58","N/A","N/A","N/A","0.58","0.58","N/A","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58","0.58"
"5","N/A","HCHG TRIPHASIL TABLET","N/A","N/A","0253","N/A","N/A","0.47","0.47","0.47","N/A","N/A","N/A","0.47","0.47","N/A","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47","0.47"
"5","N/A","HCHG TRUVADA TABLET","N/A","N/A","0253","N/A","N/A","114.11","114.11","114.11","N/A","N/A","N/A","114.11","114.11","N/A","114.11","114.11","114.11","114.11","114.11","114.11","114.11","114.11","114.11","114.11"
"5","N/A","HCHG TUCKS MEDICATED PADS","N/A","N/A","0253","N/A","N/A","0.11","0.11","0.11","N/A","N/A","N/A","0.11","0.11","N/A","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11"
"5","N/A","HCHG ULTRA FINE ND PEN NEEDLES 31 G SHORT","N/A","N/A","0253","N/A","N/A","0.92","0.92","0.92","N/A","N/A","N/A","0.92","0.92","N/A","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92","0.92"
"5","N/A","HCHG VALACYCLOVIR 500MG/TAB(VALTR","N/A","N/A","0253","N/A","N/A","10.02","10.02","10.02","N/A","N/A","N/A","10.02","10.02","N/A","10.02","10.02","10.02","10.02","10.02","10.02","10.02","10.02","10.02","10.02"
"5","N/A","HCHG VALPROIC ACID 250MG/5ML SYRU","N/A","N/A","0253","N/A","N/A","0.24","0.24","0.24","N/A","N/A","N/A","0.24","0.24","N/A","0.24","0.24","0.24","0.24","0.24","0.24","0.24","0.24","0.24","0.24"
"5","N/A","HCHG VANCOMYCIN 125MG/CAP UD","N/A","N/A","0253","N/A","N/A","48.48","48.48","48.48","N/A","N/A","N/A","48.48","48.48","N/A","48.48","48.48","48.48","48.48","48.48","48.48","48.48","48.48","48.48","48.48"
"5","N/A","HCHG VANCOMYCIN 250MG/CAP","N/A","N/A","0253","N/A","N/A","89.37","89.37","89.37","N/A","N/A","N/A","89.37","89.37","N/A","89.37","89.37","89.37","89.37","89.37","89.37","89.37","89.37","89.37","89.37"
"5","N/A","HCHG VANCOMYCIN 25MG/ML ORAL SOLN","N/A","N/A","0253","N/A","N/A","0.86","0.86","0.86","N/A","N/A","N/A","0.86","0.86","N/A","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86","0.86"
"5","N/A","HCHG VITAMINS B COMPLEX TAB B","N/A","N/A","0253","N/A","N/A","0.20","0.20","0.20","N/A","N/A","N/A","0.20","0.20","N/A","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20","0.20"
"5","N/A","HCHG VORICONAZOLE 200MG/TAB B","N/A","N/A","0253","N/A","N/A","123.13","123.13","123.13","N/A","N/A","N/A","123.13","123.13","N/A","123.13","123.13","123.13","123.13","123.13","123.13","123.13","123.13","123.13","123.13"
"5","N/A","HCHG WARFARIN 1MG/TAB B","N/A","N/A","0253","N/A","N/A","0.94","0.94","0.94","N/A","N/A","N/A","0.94","0.94","N/A","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94","0.94"
"5","N/A","HCHG WARFARIN 2.5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.02","1.02","1.02","N/A","N/A","N/A","1.02","1.02","N/A","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02","1.02"
"5","N/A","HCHG WARFARIN 2MG/TAB B","N/A","N/A","0253","N/A","N/A","0.99","0.99","0.99","N/A","N/A","N/A","0.99","0.99","N/A","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99"
"5","N/A","HCHG WARFARIN 3MG/TAB B","N/A","N/A","0253","N/A","N/A","1.03","1.03","1.03","N/A","N/A","N/A","1.03","1.03","N/A","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03"
"5","N/A","HCHG WARFARIN 4MG/TAB B","N/A","N/A","0253","N/A","N/A","1.03","1.03","1.03","N/A","N/A","N/A","1.03","1.03","N/A","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03","1.03"
"5","N/A","HCHG WARFARIN 5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.04","1.04","1.04","N/A","N/A","N/A","1.04","1.04","N/A","1.04","1.04","1.04","1.04","1.04","1.04","1.04","1.04","1.04","1.04"
"5","N/A","HCHG WARFARIN 6MG/TAB B","N/A","N/A","0253","N/A","N/A","1.47","1.47","1.47","N/A","N/A","N/A","1.47","1.47","N/A","1.47","1.47","1.47","1.47","1.47","1.47","1.47","1.47","1.47","1.47"
"5","N/A","HCHG WARFARIN 7.5MG/TAB B","N/A","N/A","0253","N/A","N/A","1.43","1.43","1.43","N/A","N/A","N/A","1.43","1.43","N/A","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43","1.43"
"5","N/A","HCHG ZINC OXIDE 16% BUTT PASTE","N/A","N/A","0253","N/A","N/A","0.11","0.11","0.11","N/A","N/A","N/A","0.11","0.11","N/A","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11","0.11"
"5","N/A","HCHG ZINC SO4 220MG/CAPSULE","N/A","N/A","0253","N/A","N/A","0.17","0.17","0.17","N/A","N/A","N/A","0.17","0.17","N/A","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17","0.17"
"5","N/A","HCHG ZIPRASIDONE 40MG/CAP(GEODON)B","N/A","N/A","0253","N/A","N/A","13.71","13.71","13.71","N/A","N/A","N/A","13.71","13.71","N/A","13.71","13.71","13.71","13.71","13.71","13.71","13.71","13.71","13.71","13.71"
"5","N/A","HCHG ZIPRASIDONE 80MG/CAP(GEODON)B","N/A","N/A","0253","N/A","N/A","16.69","16.69","16.69","N/A","N/A","N/A","16.69","16.69","N/A","16.69","16.69","16.69","16.69","16.69","16.69","16.69","16.69","16.69","16.69"
"5","N/A","HCHG ZOLPIDEM 5MG/TAB (AMBIEN) B","N/A","N/A","0253","N/A","N/A","7.16","7.16","7.16","N/A","N/A","N/A","7.16","7.16","N/A","7.16","7.16","7.16","7.16","7.16","7.16","7.16","7.16","7.16","7.16"
"5","N/A","DIATRIZOATE MEG-DIATRIZOAT SOD 66-10 % SOLN","N/A","N/A","0255","N/A","N/A","1.59","1.59","1.59","N/A","N/A","N/A","1.59","1.59","N/A","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59","1.59"
"5","N/A","DIATRIZOATE MEGLUMINE & SODIUM 66-10 % SOLN","N/A","N/A","0255","N/A","N/A","1.51","1.51","1.51","N/A","N/A","N/A","1.51","1.51","N/A","1.51","1.51","1.51","1.51","1.51","1.51","1.51","1.51","1.51","1.51"
"5","N/A","DIATRIZOATE MEGLUMINE 0.3 SOLN","N/A","N/A","0255","N/A","N/A","0.44","0.44","0.44","N/A","N/A","N/A","0.44","0.44","N/A","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44","0.44"
"5","N/A","GADOBENATE DIMEGLUMINE 529 MG/ML (0.1 MMOL/0.2 ML) SOLN","N/A","N/A","0255","N/A","N/A","13.32","13.32","13.32","N/A","N/A","N/A","13.32","13.32","N/A","13.32","13.32","13.32","13.32","13.32","13.32","13.32","13.32","13.32","13.32"
"5","N/A","GADOBUTROL 10 MMOL/10 ML (1 MMOL/ML) SOLN","N/A","N/A","0255","N/A","N/A","1.99","1.99","1.99","N/A","N/A","N/A","1.99","1.99","N/A","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99"
"5","N/A","GADOBUTROL 7.5 MMOL/7.5 ML (1 MMOL/ML) SOLN","N/A","N/A","0255","N/A","N/A","1.99","1.99","1.99","N/A","N/A","N/A","1.99","1.99","N/A","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99","1.99"
"5","N/A","GADOXETATE 2.5 MMOL/10 ML SOLN","N/A","N/A","0255","N/A","N/A","32.76","32.76","32.76","N/A","N/A","N/A","32.76","32.76","N/A","32.76","32.76","32.76","32.76","32.76","32.76","32.76","32.76","32.76","32.76"
"5","N/A","IODIXANOL 16000 MG/50 ML SOLN","N/A","N/A","0255","N/A","N/A","2.95","2.95","2.95","N/A","N/A","N/A","2.95","2.95","N/A","2.95","2.95","2.95","2.95","2.95","2.95","2.95","2.95","2.95","2.95"
"5","N/A","IODIXANOL 16000 MG/50 ML SOLN 50 ML VIAL","N/A","N/A","0255","N/A","N/A","3.15","3.15","3.15","N/A","N/A","N/A","3.15","3.15","N/A","3.15","3.15","3.15","3.15","3.15","3.15","3.15","3.15","3.15","3.15"
"5","N/A","IODIXANOL 320 MG/ML SOLN","N/A","N/A","0255","N/A","N/A","2.54","2.54","2.54","N/A","N/A","N/A","2.54","2.54","N/A","2.54","2.54","2.54","2.54","2.54","2.54","2.54","2.54","2.54","2.54"
"5","N/A","IOHEXOL 180 MG/ML SOLN","N/A","N/A","0255","N/A","N/A","5.47","5.47","5.47","N/A","N/A","N/A","5.47","5.47","N/A","5.47","5.47","5.47","5.47","5.47","5.47","5.47","5.47","5.47","5.47"
"5","N/A","IOHEXOL 240 MG/ML SOLN","N/A","N/A","0255","N/A","N/A","5.62","5.62","5.62","N/A","N/A","N/A","5.62","5.62","N/A","5.62","5.62","5.62","5.62","5.62","5.62","5.62","5.62","5.62","5.62"
"5","N/A","IOHEXOL 300 MG/ ML SOLN","N/A","N/A","0255","N/A","N/A","2.29","2.29","2.29","N/A","N/A","N/A","2.29","2.29","N/A","2.29","2.29","2.29","2.29","2.29","2.29","2.29","2.29","2.29","2.29"
"5","N/A","IOHEXOL 300 MG/ML SOLN","N/A","N/A","0255","N/A","N/A","2.17","2.17","2.17","N/A","N/A","N/A","2.17","2.17","N/A","2.17","2.17","2.17","2.17","2.17","2.17","2.17","2.17","2.17","2.17"
"5","N/A","IOHEXOL 350 MG/ML SOLN","N/A","N/A","0255","N/A","N/A","2.37","2.37","2.37","N/A","N/A","N/A","2.37","2.37","N/A","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37"
"5","N/A","D5-NS SOLP 1,000 ML BAG","N/A","N/A","0258","N/A","N/A","10.00","10.00","10.00","N/A","N/A","N/A","10.00","10.00","N/A","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00"
"5","N/A","D5-NS SOLP 500 ML BAG","N/A","N/A","0258","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LACTATED RINGER'S SOLP 1,000 ML BAG","N/A","N/A","0258","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","LACTATED RINGER'S SOLP 500 ML BAG","N/A","N/A","0258","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","SOLUTION INTRAVENOUS D51/2NS 1000ML","N/A","N/A","0258","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS LR 1000ML BAG","N/A","N/A","0258","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS SODIUM CHLORIDE 0.9% EXCEL 250ML","N/A","N/A","0258","N/A","N/A","14.12","14.12","14.12","N/A","N/A","N/A","14.12","14.12","N/A","14.12","14.12","14.12","14.12","14.12","14.12","14.12","14.12","14.12","14.12"
"5","N/A","D10 SOLP","N/A","N/A","0259","N/A","N/A","13.20","13.20","13.20","N/A","N/A","N/A","13.20","13.20","N/A","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20","13.20"
"5","N/A","DICLOFENAC SODIUM 1 % GEL 100 G TUBE","N/A","N/A","0259","N/A","N/A","8.40","8.40","8.40","N/A","N/A","N/A","8.40","8.40","N/A","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40","8.40"
"5","N/A","HYPROMELLOSE OPTH DEMULCENT SOLN (GONIOSCOPIC) 2.5 % DROP 15 ML DROP BTL","N/A","N/A","0259","N/A","N/A","42.30","42.30","42.30","N/A","N/A","N/A","42.30","42.30","N/A","42.30","42.30","42.30","42.30","42.30","42.30","42.30","42.30","42.30","42.30"
"5","N/A","OXYMETAZOLINE 0.05 % AERO.SPRAY","N/A","N/A","0259","N/A","N/A","0.80","0.80","0.80","N/A","N/A","N/A","0.80","0.80","N/A","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80","0.80"
"5","N/A","OXYMETAZOLINE 0.05 % AERO.SPRAY 15 ML SQUEEZ BTL","N/A","N/A","0259","N/A","N/A","0.81","0.81","0.81","N/A","N/A","N/A","0.81","0.81","N/A","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81","0.81"
"5","N/A"," INACTIVE POUCH UROSTOMY 1PC 1.5"","N/A","N/A","0270","N/A","N/A","7.91","7.91","7.91","N/A","N/A","N/A","7.91","7.91","N/A","7.91","7.91","7.91","7.91","7.91","7.91","7.91","7.91","7.91","7.91"
"5","N/A"," USE #00126511 POUCH UROSTOMY 2PC BLU 2.75X9"","N/A","N/A","0270","N/A","N/A","2.37","2.37","2.37","N/A","N/A","N/A","2.37","2.37","N/A","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37"
"5","N/A","` USE #00127334 AIRWAY LARYNGEAL LMA UNQ CHILD 3","N/A","N/A","0270","N/A","N/A","20.34","20.34","20.34","N/A","N/A","N/A","20.34","20.34","N/A","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34"
"5","N/A","ACETIC ACID 3 % SOLUTION","N/A","N/A","0270","N/A","N/A","20.00","20.00","20.00","N/A","N/A","N/A","20.00","20.00","N/A","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00","20.00"
"5","N/A","ADAPTER BOTTLE H2O CAP + TUB DISP","N/A","N/A","0270","N/A","N/A","34.73","34.73","34.73","N/A","N/A","N/A","34.73","34.73","N/A","34.73","34.73","34.73","34.73","34.73","34.73","34.73","34.73","34.73","34.73"
"5","N/A","AIRWAY LARYNGEAL LMA UNQ ADLT 4","N/A","N/A","0270","N/A","N/A","20.34","20.34","20.34","N/A","N/A","N/A","20.34","20.34","N/A","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34"
"5","N/A","AIRWAY LARYNGEAL LMA UNQ CHILD 3","N/A","N/A","0270","N/A","N/A","20.34","20.34","20.34","N/A","N/A","N/A","20.34","20.34","N/A","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34"
"5","N/A","AIRWAY LARYNGEAL MASK LMA SUPREME 3M","N/A","N/A","0270","N/A","N/A","40.52","40.52","40.52","N/A","N/A","N/A","40.52","40.52","N/A","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52"
"5","N/A","AIRWAY LARYNGEAL MASK LMA SUPREME 4","N/A","N/A","0270","N/A","N/A","40.52","40.52","40.52","N/A","N/A","N/A","40.52","40.52","N/A","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52"
"5","N/A","AIRWAY LARYNGEAL MASK LMA SUPREME 5","N/A","N/A","0270","N/A","N/A","40.52","40.52","40.52","N/A","N/A","N/A","40.52","40.52","N/A","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52","40.52"
"5","N/A","ARMBOARD IV PVC FOAM ADLT 3X18","N/A","N/A","0270","N/A","N/A","2.57","2.57","2.57","N/A","N/A","N/A","2.57","2.57","N/A","2.57","2.57","2.57","2.57","2.57","2.57","2.57","2.57","2.57","2.57"
"5","N/A","ARMBOARD LIMB-BOARD PEDI 2X5"","N/A","N/A","0270","N/A","N/A","4.61","4.61","4.61","N/A","N/A","N/A","4.61","4.61","N/A","4.61","4.61","4.61","4.61","4.61","4.61","4.61","4.61","4.61","4.61"
"5","N/A","ASSEMBLY CONTROLLER CONTRAST SPIKE","N/A","N/A","0270","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","BARRIER WAFER FLXTD 4X4"","N/A","N/A","0270","N/A","N/A","6.23","6.23","6.23","N/A","N/A","N/A","6.23","6.23","N/A","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23","6.23"
"5","N/A","BARRIER WATERPROOF AQUAGUARD BOOT","N/A","N/A","0270","N/A","N/A","34.77","34.77","34.77","N/A","N/A","N/A","34.77","34.77","N/A","34.77","34.77","34.77","34.77","34.77","34.77","34.77","34.77","34.77","34.77"
"5","N/A","BARRIER WATERPROOF AQUAGUARD GLOVE","N/A","N/A","0270","N/A","N/A","22.35","22.35","22.35","N/A","N/A","N/A","22.35","22.35","N/A","22.35","22.35","22.35","22.35","22.35","22.35","22.35","22.35","22.35","22.35"
"5","N/A","BELT BODY FOAM UNIV 5X120"","N/A","N/A","0270","N/A","N/A","30.39","30.39","30.39","N/A","N/A","N/A","30.39","30.39","N/A","30.39","30.39","30.39","30.39","30.39","30.39","30.39","30.39","30.39","30.39"
"5","N/A","BELT OSTOMY ADJ ELAS LG 34-65"","N/A","N/A","0270","N/A","N/A","5.74","5.74","5.74","N/A","N/A","N/A","5.74","5.74","N/A","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74","5.74"
"5","N/A","BELT WHEELCHAIR FOAM UNIV 5X72"","N/A","N/A","0270","N/A","N/A","20.16","20.16","20.16","N/A","N/A","N/A","20.16","20.16","N/A","20.16","20.16","20.16","20.16","20.16","20.16","20.16","20.16","20.16","20.16"
"5","N/A","BLANKET LOWER BAIR HUGGER ADLT","N/A","N/A","0270","N/A","N/A","16.17","16.17","16.17","N/A","N/A","N/A","16.17","16.17","N/A","16.17","16.17","16.17","16.17","16.17","16.17","16.17","16.17","16.17","16.17"
"5","N/A","BLANKET MAXITHERM ADLT 24X60"","N/A","N/A","0270","N/A","N/A","47.65","47.65","47.65","N/A","N/A","N/A","47.65","47.65","N/A","47.65","47.65","47.65","47.65","47.65","47.65","47.65","47.65","47.65","47.65"
"5","N/A","BLANKET MAXITHERM PEDI 22X30"","N/A","N/A","0270","N/A","N/A","38.47","38.47","38.47","N/A","N/A","N/A","38.47","38.47","N/A","38.47","38.47","38.47","38.47","38.47","38.47","38.47","38.47","38.47","38.47"
"5","N/A","BLANKET UNDERBODY BAIR HUGGER 36X84"","N/A","N/A","0270","N/A","N/A","75.90","75.90","75.90","N/A","N/A","N/A","75.90","75.90","N/A","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90","75.90"
"5","N/A","BLANKET WARMING HYPOTHERMIA 25X64"","N/A","N/A","0270","N/A","N/A","29.65","29.65","29.65","N/A","N/A","N/A","29.65","29.65","N/A","29.65","29.65","29.65","29.65","29.65","29.65","29.65","29.65","29.65","29.65"
"5","N/A","BOOT TRACTION FULL BUCKS MD","N/A","N/A","0270","N/A","N/A","77.39","77.39","77.39","N/A","N/A","N/A","77.39","77.39","N/A","77.39","77.39","77.39","77.39","77.39","77.39","77.39","77.39","77.39","77.39"
"5","N/A","CANISTER SUCTION WND DRN INFOVAC 500","N/A","N/A","0270","N/A","N/A","86.40","86.40","86.40","N/A","N/A","N/A","86.40","86.40","N/A","86.40","86.40","86.40","86.40","86.40","86.40","86.40","86.40","86.40","86.40"
"5","N/A","CANISTER SUCTION WOUND DRAIN INFOVAC 1000ML","N/A","N/A","0270","N/A","N/A","171.12","171.12","171.12","N/A","N/A","N/A","171.12","171.12","N/A","171.12","171.12","171.12","171.12","171.12","171.12","171.12","171.12","171.12","171.12"
"5","N/A","CANISTER SUCTION WOUND DRAIN INFOVAC 500","N/A","N/A","0270","N/A","N/A","95.38","95.38","95.38","N/A","N/A","N/A","95.38","95.38","N/A","95.38","95.38","95.38","95.38","95.38","95.38","95.38","95.38","95.38","95.38"
"5","N/A","CAPSULE SB2 ("PILLCAM")","N/A","N/A","0270","N/A","N/A","1603.80","1603.80","1603.80","N/A","N/A","N/A","1603.80","1603.80","N/A","1603.80","1603.80","1603.80","1603.80","1603.80","1603.80","1603.80","1603.80","1603.80","1603.80"
"5","N/A","CARD SMART EXTEND DISP","N/A","N/A","0270","N/A","N/A","796.50","796.50","796.50","N/A","N/A","N/A","796.50","796.50","N/A","796.50","796.50","796.50","796.50","796.50","796.50","796.50","796.50","796.50","796.50"
"5","N/A","CARTRIDGE REFILL CO2","N/A","N/A","0270","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","CARTRIDGE TEST ACT WB HI RNG DISP","N/A","N/A","0270","N/A","N/A","6.27","6.27","6.27","N/A","N/A","N/A","6.27","6.27","N/A","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27","6.27"
"5","N/A","CATHETER AIRWAY EXCHG DL 11 2.3MMX100","N/A","N/A","0270","N/A","N/A","222.16","222.16","222.16","N/A","N/A","N/A","222.16","222.16","N/A","222.16","222.16","222.16","222.16","222.16","222.16","222.16","222.16","222.16","222.16"
"5","N/A","CATHETER AIRWAY EXCHG DL 14 3MMX100","N/A","N/A","0270","N/A","N/A","222.16","222.16","222.16","N/A","N/A","N/A","222.16","222.16","N/A","222.16","222.16","222.16","222.16","222.16","222.16","222.16","222.16","222.16","222.16"
"5","N/A","CATHETER BARTHOLIN LTX 5ML 10F 5","N/A","N/A","0270","N/A","N/A","68.74","68.74","68.74","N/A","N/A","N/A","68.74","68.74","N/A","68.74","68.74","68.74","68.74","68.74","68.74","68.74","68.74","68.74","68.74"
"5","N/A","COLLAR W/PAD PEDIATRIC 2-5 YRS 35-45" PD4","N/A","N/A","0270","N/A","N/A","86.63","86.63","86.63","N/A","N/A","N/A","86.63","86.63","N/A","86.63","86.63","86.63","86.63","86.63","86.63","86.63","86.63","86.63","86.63"
"5","N/A","COVER FLUOROSCOPE 36X28"","N/A","N/A","0270","N/A","N/A","7.11","7.11","7.11","N/A","N/A","N/A","7.11","7.11","N/A","7.11","7.11","7.11","7.11","7.11","7.11","7.11","7.11","7.11","7.11"
"5","N/A","DEVICE INFLATION GA ENCORE 20ML","N/A","N/A","0270","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","DEVICE MEASURING MIC-KEY STOMA OTW STL","N/A","N/A","0270","N/A","N/A","14.99","14.99","14.99","N/A","N/A","N/A","14.99","14.99","N/A","14.99","14.99","14.99","14.99","14.99","14.99","14.99","14.99","14.99","14.99"
"5","N/A","DEVICE RESQPOD 8.2X5.3X16.6CM","N/A","N/A","0270","N/A","N/A","354.49","354.49","354.49","N/A","N/A","N/A","354.49","354.49","N/A","354.49","354.49","354.49","354.49","354.49","354.49","354.49","354.49","354.49","354.49"
"5","N/A","DRESSING HYDROCOLLOID LF EXUDERM 6X6"","N/A","N/A","0270","N/A","N/A","10.86","10.86","10.86","N/A","N/A","N/A","10.86","10.86","N/A","10.86","10.86","10.86","10.86","10.86","10.86","10.86","10.86","10.86","10.86"
"5","N/A","DRESSING SPONGE ABS GELFOAM SZ 12","N/A","N/A","0270","N/A","N/A","12.85","12.85","12.85","N/A","N/A","N/A","12.85","12.85","N/A","12.85","12.85","12.85","12.85","12.85","12.85","12.85","12.85","12.85","12.85"
"5","N/A","ELEVATOR ARM CURTIS LG","N/A","N/A","0270","N/A","N/A","18.20","18.20","18.20","N/A","N/A","N/A","18.20","18.20","N/A","18.20","18.20","18.20","18.20","18.20","18.20","18.20","18.20","18.20","18.20"
"5","N/A","ENDOSCOPIC MARKER","N/A","N/A","0270","N/A","N/A","86.40","86.40","86.40","N/A","N/A","N/A","86.40","86.40","N/A","86.40","86.40","86.40","86.40","86.40","86.40","86.40","86.40","86.40","86.40"
"5","N/A","EVACUATOR BLADDER ADPTR UROVAC","N/A","N/A","0270","N/A","N/A","64.03","64.03","64.03","N/A","N/A","N/A","64.03","64.03","N/A","64.03","64.03","64.03","64.03","64.03","64.03","64.03","64.03","64.03","64.03"
"5","N/A","GUIDE SINUS STD WORLEY 9F 40CM","N/A","N/A","0270","N/A","N/A","1155.00","1155.00","1155.00","N/A","N/A","N/A","1155.00","1155.00","N/A","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00"
"5","N/A","GUIDE SINUS STD WORLEY 9F 50CM","N/A","N/A","0270","N/A","N/A","1155.00","1155.00","1155.00","N/A","N/A","N/A","1155.00","1155.00","N/A","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00"
"5","N/A","HCHG CATH PICC POWER SL 4F SHERLOCK 3CG (TPS)","N/A","N/A","0270","N/A","N/A","766.00","766.00","766.00","N/A","N/A","N/A","766.00","766.00","N/A","766.00","766.00","766.00","766.00","766.00","766.00","766.00","766.00","766.00","766.00"
"5","N/A","HCHG CATH PICC POWERÂ TLÂ 5FF SHERLOCK 3CG (TPS)","N/A","N/A","0270","N/A","N/A","914.00","914.00","914.00","N/A","N/A","N/A","914.00","914.00","N/A","914.00","914.00","914.00","914.00","914.00","914.00","914.00","914.00","914.00","914.00"
"5","N/A","HCHG HELIOX SUPPLIES","N/A","N/A","0270","N/A","N/A","1240.00","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG IV SOLUTIONS","N/A","N/A","0270","N/A","N/A","69.67","69.67","69.67","N/A","N/A","N/A","69.67","69.67","N/A","69.67","69.67","69.67","69.67","69.67","69.67","69.67","69.67","69.67","69.67"
"5","N/A","HCHG MEDICAL AIR PER HR","N/A","N/A","0270","N/A","N/A","27.00","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","HCHG OPTIME MED-SUR SUPPLY","N/A","N/A","0270","N/A","N/A","38.91","38.91","38.91","N/A","N/A","N/A","38.91","38.91","N/A","38.91","38.91","38.91","38.91","38.91","38.91","38.91","38.91","38.91","38.91"
"5","N/A","HCHG OPTME PACEMAKER","N/A","N/A","0270","N/A","N/A","10375.00","10375.00","10375.00","N/A","N/A","N/A","10375.00","10375.00","N/A","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00"
"5","N/A","HCHG OST POUCH HIGH OUTPUT","N/A","N/A","0270","N/A","N/A","2.37","2.37","2.37","N/A","N/A","N/A","2.37","2.37","N/A","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37"
"5","N/A","HCHG OXYMASK","N/A","N/A","0270","N/A","N/A","15.00","15.00","15.00","N/A","N/A","N/A","15.00","15.00","N/A","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00"
"5","N/A","HCHG SECURACATH 4FR","N/A","N/A","0270","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","HCHG SECURACATH 5FR","N/A","N/A","0270","N/A","N/A","82.50","82.50","82.50","N/A","N/A","N/A","82.50","82.50","N/A","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50","82.50"
"5","N/A","HOLDER TUBE VERT ATT 5-40FR","N/A","N/A","0270","N/A","N/A","15.27","15.27","15.27","N/A","N/A","N/A","15.27","15.27","N/A","15.27","15.27","15.27","15.27","15.27","15.27","15.27","15.27","15.27","15.27"
"5","N/A","INACTIVATE TUBE DRAINAGE GRAV T TY DEAVER 14F","N/A","N/A","0270","N/A","N/A","22.38","22.38","22.38","N/A","N/A","N/A","22.38","22.38","N/A","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38"
"5","N/A","KIT DRESSING PD SENSATRAC","N/A","N/A","0270","N/A","N/A","53.40","53.40","53.40","N/A","N/A","N/A","53.40","53.40","N/A","53.40","53.40","53.40","53.40","53.40","53.40","53.40","53.40","53.40","53.40"
"5","N/A","KIT ENDOMETRIAL ABL NOVASURE","N/A","N/A","0270","N/A","N/A","3795.00","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","KIT PHACOEMULSIFICATION MICROSMOOTH SM 0.9MM","N/A","N/A","0270","N/A","N/A","91.11","91.11","91.11","N/A","N/A","N/A","91.11","91.11","N/A","91.11","91.11","91.11","91.11","91.11","91.11","91.11","91.11","91.11","91.11"
"5","N/A","KIT TRANSDUCER PRESR DBL PX2X2YB","N/A","N/A","0270","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","LEAD DEFIBRILLATOR DURATA DF4 58CM","N/A","N/A","0270","N/A","N/A","13350.55","13350.55","13350.55","N/A","N/A","N/A","13350.55","13350.55","N/A","13350.55","13350.55","13350.55","13350.55","13350.55","13350.55","13350.55","13350.55","13350.55","13350.55"
"5","N/A","LEAD DEFIBRILLATOR RELIANCE DF4 SINGLE COIL 59CM","N/A","N/A","0270","N/A","N/A","10375.00","10375.00","10375.00","N/A","N/A","N/A","10375.00","10375.00","N/A","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00"
"5","N/A","LEAD DEFIBRILLATOR RELIANCE DF4 SINGLE COIL 64CM","N/A","N/A","0270","N/A","N/A","10375.00","10375.00","10375.00","N/A","N/A","N/A","10375.00","10375.00","N/A","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00"
"5","N/A","LEAD ICD PLEXA PROMRI S DX 65/15","N/A","N/A","0270","N/A","N/A","10375.00","10375.00","10375.00","N/A","N/A","N/A","10375.00","10375.00","N/A","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00"
"5","N/A","LEAD ICD PLEXA PROMRI S DX 65/17","N/A","N/A","0270","N/A","N/A","10375.00","10375.00","10375.00","N/A","N/A","N/A","10375.00","10375.00","N/A","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00"
"5","N/A","LEAD PLEXA PROMRI S 65","N/A","N/A","0270","N/A","N/A","10375.00","10375.00","10375.00","N/A","N/A","N/A","10375.00","10375.00","N/A","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00","10375.00"
"5","N/A","LEAD TRIPOLAR ACTIVE QUATTRO 55CM","N/A","N/A","0270","N/A","N/A","14471.05","14471.05","14471.05","N/A","N/A","N/A","14471.05","14471.05","N/A","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05"
"5","N/A","LEAD TRIPOLAR ACTIVE QUATTRO 62CM","N/A","N/A","0270","N/A","N/A","14471.05","14471.05","14471.05","N/A","N/A","N/A","14471.05","14471.05","N/A","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05"
"5","N/A","LINE SAMPLING CAPNOLINE + 6.5'","N/A","N/A","0270","N/A","N/A","45.94","45.94","45.94","N/A","N/A","N/A","45.94","45.94","N/A","45.94","45.94","45.94","45.94","45.94","45.94","45.94","45.94","45.94","45.94"
"5","N/A","MAINTAINER ANTERIOR CHMB 20GAX3.5MM","N/A","N/A","0270","N/A","N/A","178.12","178.12","178.12","N/A","N/A","N/A","178.12","178.12","N/A","178.12","178.12","178.12","178.12","178.12","178.12","178.12","178.12","178.12","178.12"
"5","N/A","MASK OXYGEN MD CONC ELONG ADLT","N/A","N/A","0270","N/A","N/A","1.53","1.53","1.53","N/A","N/A","N/A","1.53","1.53","N/A","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53","1.53"
"5","N/A","MAT TRANSFER SGL PT USE HOVERMAT","N/A","N/A","0270","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","MONITOR PRESSURE INTRA-COMPARTMENTAL","N/A","N/A","0270","N/A","N/A","380.60","380.60","380.60","N/A","N/A","N/A","380.60","380.60","N/A","380.60","380.60","380.60","380.60","380.60","380.60","380.60","380.60","380.60","380.60"
"5","N/A","NEEDLE BIOPSY SNARECOIL 11GX4","N/A","N/A","0270","N/A","N/A","115.50","115.50","115.50","N/A","N/A","N/A","115.50","115.50","N/A","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50","115.50"
"5","N/A","NEEDLE EPIDURAL TUOHY 18GAX3.5"","N/A","N/A","0270","N/A","N/A","9.49","9.49","9.49","N/A","N/A","N/A","9.49","9.49","N/A","9.49","9.49","9.49","9.49","9.49","9.49","9.49","9.49","9.49","9.49"
"5","N/A","NEEDLE EPIDURAL TUOHY 20GX3.5"","N/A","N/A","0270","N/A","N/A","26.09","26.09","26.09","N/A","N/A","N/A","26.09","26.09","N/A","26.09","26.09","26.09","26.09","26.09","26.09","26.09","26.09","26.09","26.09"
"5","N/A","NEEDLE EPIDURAL TUOHY 22GAX3"","N/A","N/A","0270","N/A","N/A","28.91","28.91","28.91","N/A","N/A","N/A","28.91","28.91","N/A","28.91","28.91","28.91","28.91","28.91","28.91","28.91","28.91","28.91","28.91"
"5","N/A","PACKING NASAL MEROGEL 4X4CM","N/A","N/A","0270","N/A","N/A","434.50","434.50","434.50","N/A","N/A","N/A","434.50","434.50","N/A","434.50","434.50","434.50","434.50","434.50","434.50","434.50","434.50","434.50","434.50"
"5","N/A","PAD COOLING KT ARCTICGEL LG","N/A","N/A","0270","N/A","N/A","3315.89","3315.89","3315.89","N/A","N/A","N/A","3315.89","3315.89","N/A","3315.89","3315.89","3315.89","3315.89","3315.89","3315.89","3315.89","3315.89","3315.89","3315.89"
"5","N/A","PAD COOLING KT ARCTICGEL MEDIUM","N/A","N/A","0270","N/A","N/A","3358.69","3358.69","3358.69","N/A","N/A","N/A","3358.69","3358.69","N/A","3358.69","3358.69","3358.69","3358.69","3358.69","3358.69","3358.69","3358.69","3358.69","3358.69"
"5","N/A","PAD COOLING KT ARCTICGEL SM","N/A","N/A","0270","N/A","N/A","3291.04","3291.04","3291.04","N/A","N/A","N/A","3291.04","3291.04","N/A","3291.04","3291.04","3291.04","3291.04","3291.04","3291.04","3291.04","3291.04","3291.04","3291.04"
"5","N/A","PAD COOLING KT ARCTICGEL UNIV","N/A","N/A","0270","N/A","N/A","1048.11","1048.11","1048.11","N/A","N/A","N/A","1048.11","1048.11","N/A","1048.11","1048.11","1048.11","1048.11","1048.11","1048.11","1048.11","1048.11","1048.11","1048.11"
"5","N/A","PAD TABLE EGGCRATE FOAM 21X73X4"","N/A","N/A","0270","N/A","N/A","59.97","59.97","59.97","N/A","N/A","N/A","59.97","59.97","N/A","59.97","59.97","59.97","59.97","59.97","59.97","59.97","59.97","59.97","59.97"
"5","N/A","PADDING CAST CTN SPECIALIST 4"X4YD","N/A","N/A","0270","N/A","N/A","4.69","4.69","4.69","N/A","N/A","N/A","4.69","4.69","N/A","4.69","4.69","4.69","4.69","4.69","4.69","4.69","4.69","4.69","4.69"
"5","N/A","PADDING CAST CTN SPECIALIST 6"X4","N/A","N/A","0270","N/A","N/A","10.83","10.83","10.83","N/A","N/A","N/A","10.83","10.83","N/A","10.83","10.83","10.83","10.83","10.83","10.83","10.83","10.83","10.83","10.83"
"5","N/A","PADDING CAST SYNTH POLY 6"X4YD","N/A","N/A","0270","N/A","N/A","3.72","3.72","3.72","N/A","N/A","N/A","3.72","3.72","N/A","3.72","3.72","3.72","3.72","3.72","3.72","3.72","3.72","3.72","3.72"
"5","N/A","PASTE OSTOMY STOMA ADAPT 2 OZ","N/A","N/A","0270","N/A","N/A","8.35","8.35","8.35","N/A","N/A","N/A","8.35","8.35","N/A","8.35","8.35","8.35","8.35","8.35","8.35","8.35","8.35","8.35","8.35"
"5","N/A","PIN FIXATION THREADED TEMPORARY SKYLINE","N/A","N/A","0270","N/A","N/A","445.50","445.50","445.50","N/A","N/A","N/A","445.50","445.50","N/A","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50"
"5","N/A","PLUG DECANNULATION DISP SHILEY","N/A","N/A","0270","N/A","N/A","12.46","12.46","12.46","N/A","N/A","N/A","12.46","12.46","N/A","12.46","12.46","12.46","12.46","12.46","12.46","12.46","12.46","12.46","12.46"
"5","N/A","POUCH OSTOMY 1PC 2.5X12"","N/A","N/A","0270","N/A","N/A","3.30","3.30","3.30","N/A","N/A","N/A","3.30","3.30","N/A","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30","3.30"
"5","N/A","POUCH OSTOMY HI OUTPUT 2.75X12","N/A","N/A","0270","N/A","N/A","16.35","16.35","16.35","N/A","N/A","N/A","16.35","16.35","N/A","16.35","16.35","16.35","16.35","16.35","16.35","16.35","16.35","16.35","16.35"
"5","N/A","POUCH OSTOMY HI OUTPUT 4.5X12"","N/A","N/A","0270","N/A","N/A","17.99","17.99","17.99","N/A","N/A","N/A","17.99","17.99","N/A","17.99","17.99","17.99","17.99","17.99","17.99","17.99","17.99","17.99","17.99"
"5","N/A","POUCH TELEMETRY DBL STRAP STD","N/A","N/A","0270","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","POUCH UROSTOMY 1PC 1.5"","N/A","N/A","0270","N/A","N/A","7.91","7.91","7.91","N/A","N/A","N/A","7.91","7.91","N/A","7.91","7.91","7.91","7.91","7.91","7.91","7.91","7.91","7.91","7.91"
"5","N/A","POUCH UROSTOMY 1PC 2.5X9"","N/A","N/A","0270","N/A","N/A","5.88","5.88","5.88","N/A","N/A","N/A","5.88","5.88","N/A","5.88","5.88","5.88","5.88","5.88","5.88","5.88","5.88","5.88","5.88"
"5","N/A","POUCH UROSTOMY 2PC RED 2.25X9"","N/A","N/A","0270","N/A","N/A","2.37","2.37","2.37","N/A","N/A","N/A","2.37","2.37","N/A","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37","2.37"
"5","N/A","PROBE M5 DISP STER NEUROVISION","N/A","N/A","0270","N/A","N/A","1019.70","1019.70","1019.70","N/A","N/A","N/A","1019.70","1019.70","N/A","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70","1019.70"
"5","N/A","PUNCH AORTIC BLUNT TIP 4MMX8"","N/A","N/A","0270","N/A","N/A","71.38","71.38","71.38","N/A","N/A","N/A","71.38","71.38","N/A","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38","71.38"
"5","N/A","RING MALYUGIN PUPIL 6.25MM","N/A","N/A","0270","N/A","N/A","439.45","439.45","439.45","N/A","N/A","N/A","439.45","439.45","N/A","439.45","439.45","439.45","439.45","439.45","439.45","439.45","439.45","439.45","439.45"
"5","N/A","ROD EXTERNAL FXTN CFBR N/S 8X220MM","N/A","N/A","0270","N/A","N/A","517.67","517.67","517.67","N/A","N/A","N/A","517.67","517.67","N/A","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67","517.67"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X250MM","N/A","N/A","0270","N/A","N/A","824.44","824.44","824.44","N/A","N/A","N/A","824.44","824.44","N/A","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X300MM","N/A","N/A","0270","N/A","N/A","824.44","824.44","824.44","N/A","N/A","N/A","824.44","824.44","N/A","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X350MM","N/A","N/A","0270","N/A","N/A","824.44","824.44","824.44","N/A","N/A","N/A","824.44","824.44","N/A","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44","824.44"
"5","N/A","ROD EXTERNAL FXTN STR CFBR 11X400MM","N/A","N/A","0270","N/A","N/A","906.61","906.61","906.61","N/A","N/A","N/A","906.61","906.61","N/A","906.61","906.61","906.61","906.61","906.61","906.61","906.61","906.61","906.61","906.61"
"5","N/A","SET CANNULA SHLDR W/O FEN 5.5X70MM","N/A","N/A","0270","N/A","N/A","52.50","52.50","52.50","N/A","N/A","N/A","52.50","52.50","N/A","52.50","52.50","52.50","52.50","52.50","52.50","52.50","52.50","52.50","52.50"
"5","N/A","SET PRESSURE MONITORING 0.018" 3FR 5CM","N/A","N/A","0270","N/A","N/A","112.04","112.04","112.04","N/A","N/A","N/A","112.04","112.04","N/A","112.04","112.04","112.04","112.04","112.04","112.04","112.04","112.04","112.04","112.04"
"5","N/A","SET PRESSURE MONITORING INDWL CATH","N/A","N/A","0270","N/A","N/A","381.42","381.42","381.42","N/A","N/A","N/A","381.42","381.42","N/A","381.42","381.42","381.42","381.42","381.42","381.42","381.42","381.42","381.42","381.42"
"5","N/A","SHELL BREAST INVERTED SOFTSHELL","N/A","N/A","0270","N/A","N/A","32.72","32.72","32.72","N/A","N/A","N/A","32.72","32.72","N/A","32.72","32.72","32.72","32.72","32.72","32.72","32.72","32.72","32.72","32.72"
"5","N/A","SHOE POST OPERATIVE IMOB BLK MEN LG","N/A","N/A","0270","N/A","N/A","17.49","17.49","17.49","N/A","N/A","N/A","17.49","17.49","N/A","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49"
"5","N/A","SHOE POST OPERATIVE IMOB BLK MEN XL","N/A","N/A","0270","N/A","N/A","17.49","17.49","17.49","N/A","N/A","N/A","17.49","17.49","N/A","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49"
"5","N/A","SHOE POST OPERATIVE IMOB BLK WM SM","N/A","N/A","0270","N/A","N/A","17.49","17.49","17.49","N/A","N/A","N/A","17.49","17.49","N/A","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49"
"5","N/A","SHOE POST OPERATIVE MEN SM 7-9","N/A","N/A","0270","N/A","N/A","11.02","11.02","11.02","N/A","N/A","N/A","11.02","11.02","N/A","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02"
"5","N/A","SHOE POST OPERATIVE SOFT TOP WM LG","N/A","N/A","0270","N/A","N/A","17.49","17.49","17.49","N/A","N/A","N/A","17.49","17.49","N/A","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49"
"5","N/A","SHOE POST OPERATIVE SOFT TOP WM MD","N/A","N/A","0270","N/A","N/A","17.49","17.49","17.49","N/A","N/A","N/A","17.49","17.49","N/A","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49","17.49"
"5","N/A","SHOE POST OPERATIVE WM LG 8-10","N/A","N/A","0270","N/A","N/A","11.02","11.02","11.02","N/A","N/A","N/A","11.02","11.02","N/A","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02"
"5","N/A","SHOE POST OPTV MEN MD 9-11","N/A","N/A","0270","N/A","N/A","11.02","11.02","11.02","N/A","N/A","N/A","11.02","11.02","N/A","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02"
"5","N/A","SHOE POST OPTV WM MD 6-8","N/A","N/A","0270","N/A","N/A","11.02","11.02","11.02","N/A","N/A","N/A","11.02","11.02","N/A","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02","11.02"
"5","N/A","SLING ARM BUCKLE CLOSURE W/PAD LRG","N/A","N/A","0270","N/A","N/A","6.93","6.93","6.93","N/A","N/A","N/A","6.93","6.93","N/A","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93"
"5","N/A","SLING ARM BUCKLE CLOSURE W/PAD MED","N/A","N/A","0270","N/A","N/A","6.93","6.93","6.93","N/A","N/A","N/A","6.93","6.93","N/A","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93"
"5","N/A","SLING ARM BUCKLE CLOSURE W/PAD SM","N/A","N/A","0270","N/A","N/A","6.93","6.93","6.93","N/A","N/A","N/A","6.93","6.93","N/A","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93"
"5","N/A","SLING ARM BUCKLE CLOSURE W/PAD XL","N/A","N/A","0270","N/A","N/A","6.93","6.93","6.93","N/A","N/A","N/A","6.93","6.93","N/A","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93","6.93"
"5","N/A","SLING ARM CANVAS FOAM STRAP LRG","N/A","N/A","0270","N/A","N/A","13.63","13.63","13.63","N/A","N/A","N/A","13.63","13.63","N/A","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63"
"5","N/A","SLING ARM CANVAS FOAM STRAP MED","N/A","N/A","0270","N/A","N/A","13.63","13.63","13.63","N/A","N/A","N/A","13.63","13.63","N/A","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63"
"5","N/A","SLING ARM CANVAS FOAM STRAP SM","N/A","N/A","0270","N/A","N/A","13.63","13.63","13.63","N/A","N/A","N/A","13.63","13.63","N/A","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63"
"5","N/A","SLING ARM CANVAS FOAM STRAP XL","N/A","N/A","0270","N/A","N/A","13.63","13.63","13.63","N/A","N/A","N/A","13.63","13.63","N/A","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63","13.63"
"5","N/A","SLING ARM CHILD","N/A","N/A","0270","N/A","N/A","28.18","28.18","28.18","N/A","N/A","N/A","28.18","28.18","N/A","28.18","28.18","28.18","28.18","28.18","28.18","28.18","28.18","28.18","28.18"
"5","N/A","SLING ARM SPECIALTY W/PAD CHILD","N/A","N/A","0270","N/A","N/A","11.98","11.98","11.98","N/A","N/A","N/A","11.98","11.98","N/A","11.98","11.98","11.98","11.98","11.98","11.98","11.98","11.98","11.98","11.98"
"5","N/A","SLING ARM TODDLER","N/A","N/A","0270","N/A","N/A","55.74","55.74","55.74","N/A","N/A","N/A","55.74","55.74","N/A","55.74","55.74","55.74","55.74","55.74","55.74","55.74","55.74","55.74","55.74"
"5","N/A","SLING ARM VELCRO CLSR CHILD SM","N/A","N/A","0270","N/A","N/A","10.30","10.30","10.30","N/A","N/A","N/A","10.30","10.30","N/A","10.30","10.30","10.30","10.30","10.30","10.30","10.30","10.30","10.30","10.30"
"5","N/A","SLING ARM VELCRO CLSR INF XS","N/A","N/A","0270","N/A","N/A","11.81","11.81","11.81","N/A","N/A","N/A","11.81","11.81","N/A","11.81","11.81","11.81","11.81","11.81","11.81","11.81","11.81","11.81","11.81"
"5","N/A","SOLUTION DIALYSIS DEX 1.5% DIANEAL 2.5L","N/A","N/A","0270","N/A","N/A","101.51","101.51","101.51","N/A","N/A","N/A","101.51","101.51","N/A","101.51","101.51","101.51","101.51","101.51","101.51","101.51","101.51","101.51","101.51"
"5","N/A","SOLUTION DIALYSIS DEX 1.5% DIANEAL 2L","N/A","N/A","0270","N/A","N/A","91.24","91.24","91.24","N/A","N/A","N/A","91.24","91.24","N/A","91.24","91.24","91.24","91.24","91.24","91.24","91.24","91.24","91.24","91.24"
"5","N/A","SOLUTION DIALYSIS DEX 2.5% DIANEAL 2.5L","N/A","N/A","0270","N/A","N/A","101.98","101.98","101.98","N/A","N/A","N/A","101.98","101.98","N/A","101.98","101.98","101.98","101.98","101.98","101.98","101.98","101.98","101.98","101.98"
"5","N/A","SOLUTION DIALYSIS DEX 2.5% DIANEAL 2L","N/A","N/A","0270","N/A","N/A","101.81","101.81","101.81","N/A","N/A","N/A","101.81","101.81","N/A","101.81","101.81","101.81","101.81","101.81","101.81","101.81","101.81","101.81","101.81"
"5","N/A","SOLUTION DIALYSIS DEX 4.25% DIANEAL 2.5","N/A","N/A","0270","N/A","N/A","106.64","106.64","106.64","N/A","N/A","N/A","106.64","106.64","N/A","106.64","106.64","106.64","106.64","106.64","106.64","106.64","106.64","106.64","106.64"
"5","N/A","SOLUTION DIALYSIS DEX 4.25% DIANEAL 2L","N/A","N/A","0270","N/A","N/A","103.02","103.02","103.02","N/A","N/A","N/A","103.02","103.02","N/A","103.02","103.02","103.02","103.02","103.02","103.02","103.02","103.02","103.02","103.02"
"5","N/A","SOLUTION DIALYSIS PRISMASATE BGK4/25 5L","N/A","N/A","0270","N/A","N/A","121.26","121.26","121.26","N/A","N/A","N/A","121.26","121.26","N/A","121.26","121.26","121.26","121.26","121.26","121.26","121.26","121.26","121.26","121.26"
"5","N/A","SOLUTION DIALYSIS PRISMASOL BGK4/2.5","N/A","N/A","0270","N/A","N/A","124.69","124.69","124.69","N/A","N/A","N/A","124.69","124.69","N/A","124.69","124.69","124.69","124.69","124.69","124.69","124.69","124.69","124.69","124.69"
"5","N/A","SOLUTION DIANEAL LOW CALCIUM PD LUER DEX 1.5% 3L","N/A","N/A","0270","N/A","N/A","82.25","82.25","82.25","N/A","N/A","N/A","82.25","82.25","N/A","82.25","82.25","82.25","82.25","82.25","82.25","82.25","82.25","82.25","82.25"
"5","N/A","SOLUTION DIANEAL LOW CALCIUM PD LUER DEX 1.5% 6L","N/A","N/A","0270","N/A","N/A","105.37","105.37","105.37","N/A","N/A","N/A","105.37","105.37","N/A","105.37","105.37","105.37","105.37","105.37","105.37","105.37","105.37","105.37","105.37"
"5","N/A","SOLUTION DIANEAL LOW CALCIUM PD LUER DEX 2.5% 3L","N/A","N/A","0270","N/A","N/A","83.42","83.42","83.42","N/A","N/A","N/A","83.42","83.42","N/A","83.42","83.42","83.42","83.42","83.42","83.42","83.42","83.42","83.42","83.42"
"5","N/A","SOLUTION DIANEAL LOW CALCIUM PD LUER DEX 2.5% 6L","N/A","N/A","0270","N/A","N/A","107.68","107.68","107.68","N/A","N/A","N/A","107.68","107.68","N/A","107.68","107.68","107.68","107.68","107.68","107.68","107.68","107.68","107.68","107.68"
"5","N/A","SOLUTION INTRAVENOUS 1/2NS 1000ML","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS 1/2NS 500ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS D10 1000ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS D10 500ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS D5 LIFECARE 1000ML","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS D5 LIFECARE 250ML","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS D5 LIFECARE 500ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS D5 MINI BG 50ML","N/A","N/A","0270","N/A","N/A","15.63","15.63","15.63","N/A","N/A","N/A","15.63","15.63","N/A","15.63","15.63","15.63","15.63","15.63","15.63","15.63","15.63","15.63","15.63"
"5","N/A","SOLUTION INTRAVENOUS D51/2NS 500ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS D51/4NS 1000ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS D5LR LIFECARE 1L","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS D5NS 1L","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS D5NS 500ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS D5W 50ML","N/A","N/A","0270","N/A","N/A","5.22","5.22","5.22","N/A","N/A","N/A","5.22","5.22","N/A","5.22","5.22","5.22","5.22","5.22","5.22","5.22","5.22","5.22","5.22"
"5","N/A","SOLUTION INTRAVENOUS DEXTROSE 5% 100ML QUAD PACK","N/A","N/A","0270","N/A","N/A","12.41","12.41","12.41","N/A","N/A","N/A","12.41","12.41","N/A","12.41","12.41","12.41","12.41","12.41","12.41","12.41","12.41","12.41","12.41"
"5","N/A","SOLUTION INTRAVENOUS LR 500ML","N/A","N/A","0270","N/A","N/A","9.90","9.90","9.90","N/A","N/A","N/A","9.90","9.90","N/A","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90","9.90"
"5","N/A","SOLUTION INTRAVENOUS LR VFLX 1000ML","N/A","N/A","0270","N/A","N/A","15.81","15.81","15.81","N/A","N/A","N/A","15.81","15.81","N/A","15.81","15.81","15.81","15.81","15.81","15.81","15.81","15.81","15.81","15.81"
"5","N/A","SOLUTION INTRAVENOUS MANNITOL 20% 500ML","N/A","N/A","0270","N/A","N/A","43.99","43.99","43.99","N/A","N/A","N/A","43.99","43.99","N/A","43.99","43.99","43.99","43.99","43.99","43.99","43.99","43.99","43.99","43.99"
"5","N/A","SOLUTION INTRAVENOUS NORMOSOL-R LIFECARE 1L","N/A","N/A","0270","N/A","N/A","10.15","10.15","10.15","N/A","N/A","N/A","10.15","10.15","N/A","10.15","10.15","10.15","10.15","10.15","10.15","10.15","10.15","10.15","10.15"
"5","N/A","SOLUTION INTRAVENOUS NS 250ML","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS NS 500ML","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION INTRAVENOUS NS VFLX 1000ML","N/A","N/A","0270","N/A","N/A","13.91","13.91","13.91","N/A","N/A","N/A","13.91","13.91","N/A","13.91","13.91","13.91","13.91","13.91","13.91","13.91","13.91","13.91","13.91"
"5","N/A","SOLUTION IRRIGATION BAL SALT BSS 500ML BAG","N/A","N/A","0270","N/A","N/A","95.21","95.21","95.21","N/A","N/A","N/A","95.21","95.21","N/A","95.21","95.21","95.21","95.21","95.21","95.21","95.21","95.21","95.21","95.21"
"5","N/A","SOLUTION IV 0.9% NACL 1000ML BG","N/A","N/A","0270","N/A","N/A","10.17","10.17","10.17","N/A","N/A","N/A","10.17","10.17","N/A","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17","10.17"
"5","N/A","SOLUTION IV MINI-BAG PLUS 0.9% NACL 100ML","N/A","N/A","0270","N/A","N/A","15.40","15.40","15.40","N/A","N/A","N/A","15.40","15.40","N/A","15.40","15.40","15.40","15.40","15.40","15.40","15.40","15.40","15.40","15.40"
"5","N/A","SOLUTION PRISMASATE BK0 5L","N/A","N/A","0270","N/A","N/A","121.85","121.85","121.85","N/A","N/A","N/A","121.85","121.85","N/A","121.85","121.85","121.85","121.85","121.85","121.85","121.85","121.85","121.85","121.85"
"5","N/A","SPLINT CAST CONFORMABLE 3X12"","N/A","N/A","0270","N/A","N/A","10.36","10.36","10.36","N/A","N/A","N/A","10.36","10.36","N/A","10.36","10.36","10.36","10.36","10.36","10.36","10.36","10.36","10.36","10.36"
"5","N/A","SPLINT CAST CONFORMABLE 3X35"","N/A","N/A","0270","N/A","N/A","30.17","30.17","30.17","N/A","N/A","N/A","30.17","30.17","N/A","30.17","30.17","30.17","30.17","30.17","30.17","30.17","30.17","30.17","30.17"
"5","N/A","SPLINT CAST CONFORMABLE 4X15"","N/A","N/A","0270","N/A","N/A","15.51","15.51","15.51","N/A","N/A","N/A","15.51","15.51","N/A","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51","15.51"
"5","N/A","SPLINT CAST CONFORMABLE 4X30"","N/A","N/A","0270","N/A","N/A","31.05","31.05","31.05","N/A","N/A","N/A","31.05","31.05","N/A","31.05","31.05","31.05","31.05","31.05","31.05","31.05","31.05","31.05","31.05"
"5","N/A","SPLINT HAND COCK-UP ADLT LG 9"","N/A","N/A","0270","N/A","N/A","17.39","17.39","17.39","N/A","N/A","N/A","17.39","17.39","N/A","17.39","17.39","17.39","17.39","17.39","17.39","17.39","17.39","17.39","17.39"
"5","N/A","SPLINT NASAL SM 1.73X2.63"","N/A","N/A","0270","N/A","N/A","83.49","83.49","83.49","N/A","N/A","N/A","83.49","83.49","N/A","83.49","83.49","83.49","83.49","83.49","83.49","83.49","83.49","83.49","83.49"
"5","N/A","SPLINT PLASTER X-FAST 5X30"","N/A","N/A","0270","N/A","N/A","0.98","0.98","0.98","N/A","N/A","N/A","0.98","0.98","N/A","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98","0.98"
"5","N/A","SPLINT PLASTER X-FAST 5X30IN","N/A","N/A","0270","N/A","N/A","0.99","0.99","0.99","N/A","N/A","N/A","0.99","0.99","N/A","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99","0.99"
"5","N/A","SPLINT THERMA SGL MD","N/A","N/A","0270","N/A","N/A","92.73","92.73","92.73","N/A","N/A","N/A","92.73","92.73","N/A","92.73","92.73","92.73","92.73","92.73","92.73","92.73","92.73","92.73","92.73"
"5","N/A","STOCKINETTE CAST SYNTH 3"X25YD","N/A","N/A","0270","N/A","N/A","34.35","34.35","34.35","N/A","N/A","N/A","34.35","34.35","N/A","34.35","34.35","34.35","34.35","34.35","34.35","34.35","34.35","34.35","34.35"
"5","N/A","STOCKING THIGH TED SM REG","N/A","N/A","0270","N/A","N/A","15.61","15.61","15.61","N/A","N/A","N/A","15.61","15.61","N/A","15.61","15.61","15.61","15.61","15.61","15.61","15.61","15.61","15.61","15.61"
"5","N/A","SUPPORT ATHLETIC ELAS B-B ADLT LG","N/A","N/A","0270","N/A","N/A","30.72","30.72","30.72","N/A","N/A","N/A","30.72","30.72","N/A","30.72","30.72","30.72","30.72","30.72","30.72","30.72","30.72","30.72","30.72"
"5","N/A","SUPPORT ATHLETIC ELAS B-B ADLT MD","N/A","N/A","0270","N/A","N/A","34.26","34.26","34.26","N/A","N/A","N/A","34.26","34.26","N/A","34.26","34.26","34.26","34.26","34.26","34.26","34.26","34.26","34.26","34.26"
"5","N/A","SUPPORT ATHLETIC ELAS B-B ADLT SM","N/A","N/A","0270","N/A","N/A","23.66","23.66","23.66","N/A","N/A","N/A","23.66","23.66","N/A","23.66","23.66","23.66","23.66","23.66","23.66","23.66","23.66","23.66","23.66"
"5","N/A","SUPPORT ATHLETIC STRAP B-B BLK XL","N/A","N/A","0270","N/A","N/A","58.41","58.41","58.41","N/A","N/A","N/A","58.41","58.41","N/A","58.41","58.41","58.41","58.41","58.41","58.41","58.41","58.41","58.41","58.41"
"5","N/A","SUPPORT ATHLETIC STRAP B-B LG","N/A","N/A","0270","N/A","N/A","48.83","48.83","48.83","N/A","N/A","N/A","48.83","48.83","N/A","48.83","48.83","48.83","48.83","48.83","48.83","48.83","48.83","48.83","48.83"
"5","N/A","SUPPORT ATHLETIC STRAP B-B MD","N/A","N/A","0270","N/A","N/A","53.01","53.01","53.01","N/A","N/A","N/A","53.01","53.01","N/A","53.01","53.01","53.01","53.01","53.01","53.01","53.01","53.01","53.01","53.01"
"5","N/A","SUPPORT LUMBAR ELAS LG 37-41"","N/A","N/A","0270","N/A","N/A","30.03","30.03","30.03","N/A","N/A","N/A","30.03","30.03","N/A","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03"
"5","N/A","SUPPORT LUMBAR ELAS MD 33-37"","N/A","N/A","0270","N/A","N/A","30.03","30.03","30.03","N/A","N/A","N/A","30.03","30.03","N/A","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03"
"5","N/A","SUPPORT LUMBAR ELAS SM 30-33"","N/A","N/A","0270","N/A","N/A","30.03","30.03","30.03","N/A","N/A","N/A","30.03","30.03","N/A","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03"
"5","N/A","SUPPORT LUMBAR ELAS XL 41-44"","N/A","N/A","0270","N/A","N/A","30.03","30.03","30.03","N/A","N/A","N/A","30.03","30.03","N/A","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03","30.03"
"5","N/A","SUPPORT WRIST LACE-UP 10" XS RT","N/A","N/A","0270","N/A","N/A","34.95","34.95","34.95","N/A","N/A","N/A","34.95","34.95","N/A","34.95","34.95","34.95","34.95","34.95","34.95","34.95","34.95","34.95","34.95"
"5","N/A","SYRINGE LUER LOCK MEDALLION NITRO RED 10","N/A","N/A","0270","N/A","N/A","6.44","6.44","6.44","N/A","N/A","N/A","6.44","6.44","N/A","6.44","6.44","6.44","6.44","6.44","6.44","6.44","6.44","6.44","6.44"
"5","N/A","SYSTEM CLOSURE WND GUID RPRC 5MM","N/A","N/A","0270","N/A","N/A","191.53","191.53","191.53","N/A","N/A","N/A","191.53","191.53","N/A","191.53","191.53","191.53","191.53","191.53","191.53","191.53","191.53","191.53","191.53"
"5","N/A","SYSTEM ENDOSCOPIC IMAGING BRAVO","N/A","N/A","0270","N/A","N/A","965.58","965.58","965.58","N/A","N/A","N/A","965.58","965.58","N/A","965.58","965.58","965.58","965.58","965.58","965.58","965.58","965.58","965.58","965.58"
"5","N/A","SYSTEM MIXING CMT VAC PALACOS R","N/A","N/A","0270","N/A","N/A","587.40","587.40","587.40","N/A","N/A","N/A","587.40","587.40","N/A","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40","587.40"
"5","N/A","TENS MAX III UNIT","N/A","N/A","0270","N/A","N/A","372.90","372.90","372.90","N/A","N/A","N/A","372.90","372.90","N/A","372.90","372.90","372.90","372.90","372.90","372.90","372.90","372.90","372.90","372.90"
"5","N/A","TRAY IRRIGATION PISTON SYRINGE 60ML","N/A","N/A","0270","N/A","N/A","2.55","2.55","2.55","N/A","N/A","N/A","2.55","2.55","N/A","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55","2.55"
"5","N/A","TUBE DRAINAGE GRAV T TY DEAVER 10F","N/A","N/A","0270","N/A","N/A","22.38","22.38","22.38","N/A","N/A","N/A","22.38","22.38","N/A","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38"
"5","N/A","TUBE DRAINAGE GRAV T TY DEAVER 12FR","N/A","N/A","0270","N/A","N/A","22.38","22.38","22.38","N/A","N/A","N/A","22.38","22.38","N/A","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38"
"5","N/A","TUBE DRAINAGE GRAV T TY DEAVER 14F","N/A","N/A","0270","N/A","N/A","22.38","22.38","22.38","N/A","N/A","N/A","22.38","22.38","N/A","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38","22.38"
"5","N/A","TUBE JEJUNOSTOMY SI MIC 18F 7-10ML","N/A","N/A","0270","N/A","N/A","428.67","428.67","428.67","N/A","N/A","N/A","428.67","428.67","N/A","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67","428.67"
"5","N/A","TUBE NASOGASTRIC 11 EYE DL 16F 48"","N/A","N/A","0270","N/A","N/A","11.88","11.88","11.88","N/A","N/A","N/A","11.88","11.88","N/A","11.88","11.88","11.88","11.88","11.88","11.88","11.88","11.88","11.88","11.88"
"5","N/A","TUBE NASOGASTRIC NEO/PED PURPLE 5F 16"","N/A","N/A","0270","N/A","N/A","3.15","3.15","3.15","N/A","N/A","N/A","3.15","3.15","N/A","3.15","3.15","3.15","3.15","3.15","3.15","3.15","3.15","3.15","3.15"
"5","N/A","USE #00118245 CANISTER SUCTION VLV GUARDIAN 1.2L","N/A","N/A","0270","N/A","N/A","4.11","4.11","4.11","N/A","N/A","N/A","4.11","4.11","N/A","4.11","4.11","4.11","4.11","4.11","4.11","4.11","4.11","4.11","4.11"
"5","N/A","USE #00127335 AIRWAY LARYNGEAL LMA UNQ ADLT 4","N/A","N/A","0270","N/A","N/A","20.34","20.34","20.34","N/A","N/A","N/A","20.34","20.34","N/A","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34"
"5","N/A","VALVE ANTI RFLX SALEM SUMP","N/A","N/A","0270","N/A","N/A","10.00","10.00","10.00","N/A","N/A","N/A","10.00","10.00","N/A","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00","10.00"
"5","N/A","WIPE BABY NICE N CLEAN 7X8"","N/A","N/A","0270","N/A","N/A","4.42","4.42","4.42","N/A","N/A","N/A","4.42","4.42","N/A","4.42","4.42","4.42","4.42","4.42","4.42","4.42","4.42","4.42","4.42"
"5","N/A","HCHG CANNULA OXIMIZER","N/A","N/A","0271","N/A","N/A","89.00","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG OXYGEN PER HR","N/A","N/A","0271","N/A","N/A","36.00","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A"," USE #00106403 ELECTRODE NEEDLE PTFE STER 0.2X2.8"","N/A","N/A","0272","N/A","N/A","21.35","21.35","21.35","N/A","N/A","N/A","21.35","21.35","N/A","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35"
"5","N/A"," USE #00115536 DRESSING PETROLATUM RECT XEROFORM 1X8"","N/A","N/A","0272","N/A","N/A","1.06","1.06","1.06","N/A","N/A","N/A","1.06","1.06","N/A","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06","1.06"
"5","N/A"," USE #00115663 SET EXTENSION MICROBORE 0.5ML 8"","N/A","N/A","0272","N/A","N/A","8.54","8.54","8.54","N/A","N/A","N/A","8.54","8.54","N/A","8.54","8.54","8.54","8.54","8.54","8.54","8.54","8.54","8.54","8.54"
"5","N/A"," USE #00116212 DRESSING WOUND AQUACEL AG 3.5X12"","N/A","N/A","0272","N/A","N/A","126.95","126.95","126.95","N/A","N/A","N/A","126.95","126.95","N/A","126.95","126.95","126.95","126.95","126.95","126.95","126.95","126.95","126.95","126.95"
"5","N/A"," USE #00124618 ELECTRODE NEEDLE EXT PTFE STER 2.75"","N/A","N/A","0272","N/A","N/A","21.35","21.35","21.35","N/A","N/A","N/A","21.35","21.35","N/A","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35","21.35"
"5","N/A"," USE #00127654 DRESSING WOUND NUSTAT TACTICAL 2X36"","N/A","N/A","0272","N/A","N/A","110.30","110.30","110.30","N/A","N/A","N/A","110.30","110.30","N/A","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30","110.30"
"5","N/A","- USE #00115389 SEALER ELECTROSURGICAL BLUNT 5MMX37CM","N/A","N/A","0272","N/A","N/A","1753.70","1753.70","1753.70","N/A","N/A","N/A","1753.70","1753.70","N/A","1753.70","1753.70","1753.70","1753.70","1753.70","1753.70","1753.70","1753.70","1753.70","1753.70"
"5","N/A","`","N/A","N/A","0272","N/A","N/A","917.53","917.53","917.53","N/A","N/A","N/A","917.53","917.53","N/A","917.53","917.53","917.53","917.53","917.53","917.53","917.53","917.53","917.53","917.53"
"5","N/A","ABLATOR SUCTION LIGHTWAVE 3.2X150","N/A","N/A","0272","N/A","N/A","297.59","297.59","297.59","N/A","N/A","N/A","297.59","297.59","N/A","297.59","297.59","297.59","297.59","297.59","297.59","297.59","297.59","297.59","297.59"
"5","N/A","ABSORBENT CARBON DIOXIDE MEDISORB 0.8KG","N/A","N/A","0272","N/A","N/A","51.35","51.35","51.35","N/A","N/A","N/A","51.35","51.35","N/A","51.35","51.35","51.35","51.35","51.35","51.35","51.35","51.35","51.35","51.35"
"5","N/A","ACCESSORY ADMINISTRATION FLU RAPID REFILL","N/A","N/A","0272","N/A","N/A","70.21","70.21","70.21","N/A","N/A","N/A","70.21","70.21","N/A","70.21","70.21","70.21","70.21","70.21","70.21","70.21","70.21","70.21","70.21"
"5","N/A","ADAPTER BRONCHOSCOPE SWVL FO 15","N/A","N/A","0272","N/A","N/A","14.87","14.87","14.87","N/A","N/A","N/A","14.87","14.87","N/A","14.87","14.87","14.87","14.87","14.87","14.87","14.87","14.87","14.87","14.87"
"5","N/A","ADAPTER CATHETER SIDEARM LG BORE 9FR","N/A","N/A","0272","N/A","N/A","46.20","46.20","46.20","N/A","N/A","N/A","46.20","46.20","N/A","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20","46.20"
"5","N/A","ADAPTER DRAINAGE PERTNL LUER ASPIRA","N/A","N/A","0272","N/A","N/A","110.55","110.55","110.55","N/A","N/A","N/A","110.55","110.55","N/A","110.55","110.55","110.55","110.55","110.55","110.55","110.55","110.55","110.55","110.55"
"5","N/A","ADAPTER LUER LOCK MALE","N/A","N/A","0272","N/A","N/A","5.08","5.08","5.08","N/A","N/A","N/A","5.08","5.08","N/A","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08","5.08"
"5","N/A","ADAPTER NEBULIZER LG VOL VENTURI STYLE","N/A","N/A","0272","N/A","N/A","8.18","8.18","8.18","N/A","N/A","N/A","8.18","8.18","N/A","8.18","8.18","8.18","8.18","8.18","8.18","8.18","8.18","8.18","8.18"
"5","N/A","ADAPTER PERFUSION MALE DLP 0.25X2"","N/A","N/A","0272","N/A","N/A","12.64","12.64","12.64","N/A","N/A","N/A","12.64","12.64","N/A","12.64","12.64","12.64","12.64","12.64","12.64","12.64","12.64","12.64","12.64"
"5","N/A","ADAPTER PUMP DATASCOPE 25-40ML","N/A","N/A","0272","N/A","N/A","48.89","48.89","48.89","N/A","N/A","N/A","48.89","48.89","N/A","48.89","48.89","48.89","48.89","48.89","48.89","48.89","48.89","48.89","48.89"
"5","N/A","ADAPTER SHEATH CHECK-FLO 9F","N/A","N/A","0272","N/A","N/A","31.68","31.68","31.68","N/A","N/A","N/A","31.68","31.68","N/A","31.68","31.68","31.68","31.68","31.68","31.68","31.68","31.68","31.68","31.68"
"5","N/A","ADAPTER SYRINGE VNTD 0.35ML","N/A","N/A","0272","N/A","N/A","4.85","4.85","4.85","N/A","N/A","N/A","4.85","4.85","N/A","4.85","4.85","4.85","4.85","4.85","4.85","4.85","4.85","4.85","4.85"
"5","N/A","ADAPTER TIP FMLE LL MALE CATH LF","N/A","N/A","0272","N/A","N/A","8.17","8.17","8.17","N/A","N/A","N/A","8.17","8.17","N/A","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17","8.17"
"5","N/A","ADAPTER TUBING PLEURAL LL VLV UNIV","N/A","N/A","0272","N/A","N/A","135.30","135.30","135.30","N/A","N/A","N/A","135.30","135.30","N/A","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30","135.30"
"5","N/A","ADAPTER Y NAMIC 2.54MM","N/A","N/A","0272","N/A","N/A","38.17","38.17","38.17","N/A","N/A","N/A","38.17","38.17","N/A","38.17","38.17","38.17","38.17","38.17","38.17","38.17","38.17","38.17","38.17"
"5","N/A","ADAPTER Y PRFS COR DLP 6"","N/A","N/A","0272","N/A","N/A","30.36","30.36","30.36","N/A","N/A","N/A","30.36","30.36","N/A","30.36","30.36","30.36","30.36","30.36","30.36","30.36","30.36","30.36","30.36"
"5","N/A","ADAPTOR CEMENT CONFIDENCE","N/A","N/A","0272","N/A","N/A","481.80","481.80","481.80","N/A","N/A","N/A","481.80","481.80","N/A","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80"
"5","N/A","ADAPTOR PHOTONGUIDE","N/A","N/A","0272","N/A","N/A","980.10","980.10","980.10","N/A","N/A","N/A","980.10","980.10","N/A","980.10","980.10","980.10","980.10","980.10","980.10","980.10","980.10","980.10","980.10"
"5","N/A","ADHESIVE LIQUID MASTISOL CLR 2/3ML","N/A","N/A","0272","N/A","N/A","5.10","5.10","5.10","N/A","N/A","N/A","5.10","5.10","N/A","5.10","5.10","5.10","5.10","5.10","5.10","5.10","5.10","5.10","5.10"
"5","N/A","ADHESIVE SKIN CLOSURE DERMABOND PRINEO 3.2OZ","N/A","N/A","0272","N/A","N/A","266.00","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","ADHESIVE SURGICAL EXOFIN HIGH VISC 1.0ML","N/A","N/A","0272","N/A","N/A","38.99","38.99","38.99","N/A","N/A","N/A","38.99","38.99","N/A","38.99","38.99","38.99","38.99","38.99","38.99","38.99","38.99","38.99","38.99"
"5","N/A","ADHESIVE SURGICAL EXOFIN MICRO HIGH VISC 0.5ML","N/A","N/A","0272","N/A","N/A","30.35","30.35","30.35","N/A","N/A","N/A","30.35","30.35","N/A","30.35","30.35","30.35","30.35","30.35","30.35","30.35","30.35","30.35","30.35"
"5","N/A","ADHESIVE SURGICAL SYR BIOGLUE 10ML","N/A","N/A","0272","N/A","N/A","3240.60","3240.60","3240.60","N/A","N/A","N/A","3240.60","3240.60","N/A","3240.60","3240.60","3240.60","3240.60","3240.60","3240.60","3240.60","3240.60","3240.60","3240.60"
"5","N/A","ADHESIVE SURGICAL W/ SYR BIOGLUE 5ML","N/A","N/A","0272","N/A","N/A","2742.30","2742.30","2742.30","N/A","N/A","N/A","2742.30","2742.30","N/A","2742.30","2742.30","2742.30","2742.30","2742.30","2742.30","2742.30","2742.30","2742.30","2742.30"
"5","N/A","AIRWAY LARYNGEAL LMA UNIQ TM SIL ADLT SZ 4","N/A","N/A","0272","N/A","N/A","19.80","19.80","19.80","N/A","N/A","N/A","19.80","19.80","N/A","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80"
"5","N/A","AIRWAY LARYNGEAL LMA UNIQUE TM SIL PEDS SZ 3","N/A","N/A","0272","N/A","N/A","19.80","19.80","19.80","N/A","N/A","N/A","19.80","19.80","N/A","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80"
"5","N/A","AIRWAY LARYNGEAL LMA UNQ ADLT 5","N/A","N/A","0272","N/A","N/A","20.34","20.34","20.34","N/A","N/A","N/A","20.34","20.34","N/A","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34","20.34"
"5","N/A","AIRWAY NASOPHARYNGEAL BEVEL 24F 130MM","N/A","N/A","0272","N/A","N/A","5.69","5.69","5.69","N/A","N/A","N/A","5.69","5.69","N/A","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69"
"5","N/A","AIRWAY NASOPHARYNGEAL BEVEL 28F 155MM","N/A","N/A","0272","N/A","N/A","5.69","5.69","5.69","N/A","N/A","N/A","5.69","5.69","N/A","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69","5.69"
"5","N/A","AIRWAY NASOPHARYNGEAL BEVEL 30F 165MM","N/A","N/A","0272","N/A","N/A","5.68","5.68","5.68","N/A","N/A","N/A","5.68","5.68","N/A","5.68","5.68","5.68","5.68","5.68","5.68","5.68","5.68","5.68","5.68"
"5","N/A","AIRWAY NASOPHARYNGEAL BEVEL 32F 170MM","N/A","N/A","0272","N/A","N/A","5.68","5.68","5.68","N/A","N/A","N/A","5.68","5.68","N/A","5.68","5.68","5.68","5.68","5.68","5.68","5.68","5.68","5.68","5.68"
"5","N/A","AMPLIFEYE ADULT LARGE","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","AMPLIFEYE PEDIATRIC SMALL","N/A","N/A","0272","N/A","N/A","62.70","62.70","62.70","N/A","N/A","N/A","62.70","62.70","N/A","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70","62.70"
"5","N/A","ANCHOR KIT BIO-SUTURETAK 2.4MM","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","APPLICATOR BALLOON FOR BF-UC SCP BX","N/A","N/A","0272","N/A","N/A","86.38","86.38","86.38","N/A","N/A","N/A","86.38","86.38","N/A","86.38","86.38","86.38","86.38","86.38","86.38","86.38","86.38","86.38","86.38"
"5","N/A","APPLICATOR DUPLOCATH 180CM","N/A","N/A","0272","N/A","N/A","160.48","160.48","160.48","N/A","N/A","N/A","160.48","160.48","N/A","160.48","160.48","160.48","160.48","160.48","160.48","160.48","160.48","160.48","160.48"
"5","N/A","APPLICATOR ENDO FLOSEAL 35CM","N/A","N/A","0272","N/A","N/A","206.39","206.39","206.39","N/A","N/A","N/A","206.39","206.39","N/A","206.39","206.39","206.39","206.39","206.39","206.39","206.39","206.39","206.39","206.39"
"5","N/A","APPLICATOR ENDO FLOSEAL MALLE TIP STL","N/A","N/A","0272","N/A","N/A","280.08","280.08","280.08","N/A","N/A","N/A","280.08","280.08","N/A","280.08","280.08","280.08","280.08","280.08","280.08","280.08","280.08","280.08","280.08"
"5","N/A","APPLICATOR ENDOSCOPIC SURGICEL","N/A","N/A","0272","N/A","N/A","89.56","89.56","89.56","N/A","N/A","N/A","89.56","89.56","N/A","89.56","89.56","89.56","89.56","89.56","89.56","89.56","89.56","89.56","89.56"
"5","N/A","APPLICATOR ENDOSCOPIC TISSEL SNAP LOCK 360 FLEX TIP","N/A","N/A","0272","N/A","N/A","432.72","432.72","432.72","N/A","N/A","N/A","432.72","432.72","N/A","432.72","432.72","432.72","432.72","432.72","432.72","432.72","432.72","432.72","432.72"
"5","N/A","APPLICATOR MIS DUPLOSPRAY 30CM","N/A","N/A","0272","N/A","N/A","298.16","298.16","298.16","N/A","N/A","N/A","298.16","298.16","N/A","298.16","298.16","298.16","298.16","298.16","298.16","298.16","298.16","298.16","298.16"
"5","N/A","APPLICATOR SEALANT DURASEAL 15CM","N/A","N/A","0272","N/A","N/A","905.52","905.52","905.52","N/A","N/A","N/A","905.52","905.52","N/A","905.52","905.52","905.52","905.52","905.52","905.52","905.52","905.52","905.52","905.52"
"5","N/A","APPLICATOR SEALANT DURASEAL 8CM","N/A","N/A","0272","N/A","N/A","978.12","978.12","978.12","N/A","N/A","N/A","978.12","978.12","N/A","978.12","978.12","978.12","978.12","978.12","978.12","978.12","978.12","978.12","978.12"
"5","N/A","APPLIER CLIP LIGAMAX 5 MD LG 5M","N/A","N/A","0272","N/A","N/A","1769.33","1769.33","1769.33","N/A","N/A","N/A","1769.33","1769.33","N/A","1769.33","1769.33","1769.33","1769.33","1769.33","1769.33","1769.33","1769.33","1769.33","1769.33"
"5","N/A","APPLIER CLIP TI ENDOCLIP III 5","N/A","N/A","0272","N/A","N/A","537.59","537.59","537.59","N/A","N/A","N/A","537.59","537.59","N/A","537.59","537.59","537.59","537.59","537.59","537.59","537.59","537.59","537.59","537.59"
"5","N/A","APPLIER CLIP UNIV EPIX 5MMX34","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","APPLIER LIGACLIP MD 11.5"","N/A","N/A","0272","N/A","N/A","641.81","641.81","641.81","N/A","N/A","N/A","641.81","641.81","N/A","641.81","641.81","641.81","641.81","641.81","641.81","641.81","641.81","641.81","641.81"
"5","N/A","APPLIER LIGACLIP SM 9.0","N/A","N/A","0272","N/A","N/A","172.66","172.66","172.66","N/A","N/A","N/A","172.66","172.66","N/A","172.66","172.66","172.66","172.66","172.66","172.66","172.66","172.66","172.66","172.66"
"5","N/A","ARMBOARD IV BENDABLE ADLT LG 9"","N/A","N/A","0272","N/A","N/A","21.19","21.19","21.19","N/A","N/A","N/A","21.19","21.19","N/A","21.19","21.19","21.19","21.19","21.19","21.19","21.19","21.19","21.19","21.19"
"5","N/A","ASSEMBLY SUCTION ASP XTRA 0.25"","N/A","N/A","0272","N/A","N/A","60.29","60.29","60.29","N/A","N/A","N/A","60.29","60.29","N/A","60.29","60.29","60.29","60.29","60.29","60.29","60.29","60.29","60.29","60.29"
"5","N/A","ATTACHMENT DISTAL 12.4MM","N/A","N/A","0272","N/A","N/A","78.64","78.64","78.64","N/A","N/A","N/A","78.64","78.64","N/A","78.64","78.64","78.64","78.64","78.64","78.64","78.64","78.64","78.64","78.64"
"5","N/A","ATTACHMENT DISTAL DISP 15.7MM","N/A","N/A","0272","N/A","N/A","78.64","78.64","78.64","N/A","N/A","N/A","78.64","78.64","N/A","78.64","78.64","78.64","78.64","78.64","78.64","78.64","78.64","78.64","78.64"
"5","N/A","ATTACHMENT DRIVER SCREW CANNULATED TX-30","N/A","N/A","0272","N/A","N/A","890.18","890.18","890.18","N/A","N/A","N/A","890.18","890.18","N/A","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18"
"5","N/A","ATTACHMENT ROD FOR MULTI PN CLAMP LG","N/A","N/A","0272","N/A","N/A","1440.71","1440.71","1440.71","N/A","N/A","N/A","1440.71","1440.71","N/A","1440.71","1440.71","1440.71","1440.71","1440.71","1440.71","1440.71","1440.71","1440.71","1440.71"
"5","N/A","ATTACHMENT SCREWDRIVER CANNULATED AO TX-10","N/A","N/A","0272","N/A","N/A","890.18","890.18","890.18","N/A","N/A","N/A","890.18","890.18","N/A","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18"
"5","N/A","ATTACHMENT SCREWDRIVER R3CON HX-10","N/A","N/A","0272","N/A","N/A","890.18","890.18","890.18","N/A","N/A","N/A","890.18","890.18","N/A","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18"
"5","N/A","ATTACHMENT SCREWDRIVER SOLID AO HX-15","N/A","N/A","0272","N/A","N/A","645.98","645.98","645.98","N/A","N/A","N/A","645.98","645.98","N/A","645.98","645.98","645.98","645.98","645.98","645.98","645.98","645.98","645.98","645.98"
"5","N/A","ATTACHMENT SCREWDRIVER SOLID HX-10","N/A","N/A","0272","N/A","N/A","890.18","890.18","890.18","N/A","N/A","N/A","890.18","890.18","N/A","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18","890.18"
"5","N/A","ATTACHMENT SCREWDRIVER SOLID LONG AO HX-10","N/A","N/A","0272","N/A","N/A","645.98","645.98","645.98","N/A","N/A","N/A","645.98","645.98","N/A","645.98","645.98","645.98","645.98","645.98","645.98","645.98","645.98","645.98","645.98"
"5","N/A","BAG ANCHOR F/ROBOTICS 8","N/A","N/A","0272","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","BAG ANCHOR SUPER 140ML","N/A","N/A","0272","N/A","N/A","120.45","120.45","120.45","N/A","N/A","N/A","120.45","120.45","N/A","120.45","120.45","120.45","120.45","120.45","120.45","120.45","120.45","120.45","120.45"
"5","N/A","BAG ANCHOR SUPER 240ML","N/A","N/A","0272","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","BAG ANCHOR TISSUE 1550CC","N/A","N/A","0272","N/A","N/A","424.05","424.05","424.05","N/A","N/A","N/A","424.05","424.05","N/A","424.05","424.05","424.05","424.05","424.05","424.05","424.05","424.05","424.05","424.05"
"5","N/A","BAG ANCHOR TISSUE 1850CC","N/A","N/A","0272","N/A","N/A","480.15","480.15","480.15","N/A","N/A","N/A","480.15","480.15","N/A","480.15","480.15","480.15","480.15","480.15","480.15","480.15","480.15","480.15","480.15"
"5","N/A","BAG ANCHOR TISSUE 235CC","N/A","N/A","0272","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","BAG BODY CRV ADLT XL 36X90"","N/A","N/A","0272","N/A","N/A","56.44","56.44","56.44","N/A","N/A","N/A","56.44","56.44","N/A","56.44","56.44","56.44","56.44","56.44","56.44","56.44","56.44","56.44","56.44"
"5","N/A","BAG DRAINAGE LF ASPIRA 1000L","N/A","N/A","0272","N/A","N/A","184.80","184.80","184.80","N/A","N/A","N/A","184.80","184.80","N/A","184.80","184.80","184.80","184.80","184.80","184.80","184.80","184.80","184.80","184.80"
"5","N/A","BAG PRESSURE INFUSOR DISP 1000ML","N/A","N/A","0272","N/A","N/A","25.15","25.15","25.15","N/A","N/A","N/A","25.15","25.15","N/A","25.15","25.15","25.15","25.15","25.15","25.15","25.15","25.15","25.15","25.15"
"5","N/A","BAG RESUSCITATION W/MASK INFANT 40" TUBING","N/A","N/A","0272","N/A","N/A","28.31","28.31","28.31","N/A","N/A","N/A","28.31","28.31","N/A","28.31","28.31","28.31","28.31","28.31","28.31","28.31","28.31","28.31","28.31"
"5","N/A","BAG RESUSCITATOR PEDIATRIC W/MASK 40" TUB","N/A","N/A","0272","N/A","N/A","29.02","29.02","29.02","N/A","N/A","N/A","29.02","29.02","N/A","29.02","29.02","29.02","29.02","29.02","29.02","29.02","29.02","29.02","29.02"
"5","N/A","BAG SPECIMEN RETRIEVAL PMI SUPERBAG XL 15MM","N/A","N/A","0272","N/A","N/A","217.80","217.80","217.80","N/A","N/A","N/A","217.80","217.80","N/A","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80","217.80"
"5","N/A","BALLOON CATHETER ATLAS 7F 12MMX4X75CM","N/A","N/A","0272","N/A","N/A","1089.00","1089.00","1089.00","N/A","N/A","N/A","1089.00","1089.00","N/A","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00","1089.00"
"5","N/A","BALLOON CATHETER ATLAS 16MMX4X75CM","N/A","N/A","0272","N/A","N/A","1188.00","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","BALLOON RETRIEVAL MULTI-3V 4.5F 8.5/11.5/15.0MM","N/A","N/A","0272","N/A","N/A","374.25","374.25","374.25","N/A","N/A","N/A","374.25","374.25","N/A","374.25","374.25","374.25","374.25","374.25","374.25","374.25","374.25","374.25","374.25"
"5","N/A","BALLOON SYNFLATE SMALL","N/A","N/A","0272","N/A","N/A","3053.75","3053.75","3053.75","N/A","N/A","N/A","3053.75","3053.75","N/A","3053.75","3053.75","3053.75","3053.75","3053.75","3053.75","3053.75","3053.75","3053.75","3053.75"
"5","N/A","BALLOON VERTEBRAL SYNFATE MEDIUM 15MM","N/A","N/A","0272","N/A","N/A","4290.00","4290.00","4290.00","N/A","N/A","N/A","4290.00","4290.00","N/A","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00","4290.00"
"5","N/A","BAND COMFORT VASCBAND RADIAL LONG 27CM","N/A","N/A","0272","N/A","N/A","53.46","53.46","53.46","N/A","N/A","N/A","53.46","53.46","N/A","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46"
"5","N/A","BAND COMFORT VASCBAND RADIAL REGULAR 24CM","N/A","N/A","0272","N/A","N/A","53.46","53.46","53.46","N/A","N/A","N/A","53.46","53.46","N/A","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46"
"5","N/A","BAND COMFORT VASCBAND RADIAL SHORT 21CM","N/A","N/A","0272","N/A","N/A","53.46","53.46","53.46","N/A","N/A","N/A","53.46","53.46","N/A","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46"
"5","N/A","BAND COMFORT VASCBAND RADIAL X-LNG 29CM","N/A","N/A","0272","N/A","N/A","53.46","53.46","53.46","N/A","N/A","N/A","53.46","53.46","N/A","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46","53.46"
"5","N/A","BANDAGE HEMOSTAT DRY SLVR CLR TOPICAL D-STAT 1X2","N/A","N/A","0272","N/A","N/A","133.01","133.01","133.01","N/A","N/A","N/A","133.01","133.01","N/A","133.01","133.01","133.01","133.01","133.01","133.01","133.01","133.01","133.01","133.01"
"5","N/A","BANDAGE HEMOSTATIC D-STAT 2 DRY","N/A","N/A","0272","N/A","N/A","133.40","133.40","133.40","N/A","N/A","N/A","133.40","133.40","N/A","133.40","133.40","133.40","133.40","133.40","133.40","133.40","133.40","133.40","133.40"
"5","N/A","BANDAGE PLASTER OCL X-FST 4"X5YD","N/A","N/A","0272","N/A","N/A","4.02","4.02","4.02","N/A","N/A","N/A","4.02","4.02","N/A","4.02","4.02","4.02","4.02","4.02","4.02","4.02","4.02","4.02","4.02"
"5","N/A","BARRIER ADHESION SEPRAFILM 5X6","N/A","N/A","0272","N/A","N/A","1079.93","1079.93","1079.93","N/A","N/A","N/A","1079.93","1079.93","N/A","1079.93","1079.93","1079.93","1079.93","1079.93","1079.93","1079.93","1079.93","1079.93","1079.93"
"5","N/A","BARRIER CONVEX TAPE FLXTD 2.25","N/A","N/A","0272","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","BARRIER CONVEX TAPE FLXTD 2.75","N/A","N/A","0272","N/A","N/A","5.18","5.18","5.18","N/A","N/A","N/A","5.18","5.18","N/A","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18","5.18"
"5","N/A","BARRIER FLAT TAPE FLXTD 2.25"","N/A","N/A","0272","N/A","N/A","3.11","3.11","3.11","N/A","N/A","N/A","3.11","3.11","N/A","3.11","3.11","3.11","3.11","3.11","3.11","3.11","3.11","3.11","3.11"
"5","N/A","BARRIER FLAT TAPE FLXTD 2.75"","N/A","N/A","0272","N/A","N/A","3.02","3.02","3.02","N/A","N/A","N/A","3.02","3.02","N/A","3.02","3.02","3.02","3.02","3.02","3.02","3.02","3.02","3.02","3.02"
"5","N/A","BARRIER NO STING CAVILON 28ML","N/A","N/A","0272","N/A","N/A","20.89","20.89","20.89","N/A","N/A","N/A","20.89","20.89","N/A","20.89","20.89","20.89","20.89","20.89","20.89","20.89","20.89","20.89","20.89"
"5","N/A","BARRIER SKIN CERAPLUS CONVEX BLUE 2.75"","N/A","N/A","0272","N/A","N/A","5.70","5.70","5.70","N/A","N/A","N/A","5.70","5.70","N/A","5.70","5.70","5.70","5.70","5.70","5.70","5.70","5.70","5.70","5.70"
"5","N/A","BARRIER SKIN CERAPLUS CONVEX RED 2.25"","N/A","N/A","0272","N/A","N/A","5.70","5.70","5.70","N/A","N/A","N/A","5.70","5.70","N/A","5.70","5.70","5.70","5.70","5.70","5.70","5.70","5.70","5.70","5.70"
"5","N/A","BARRIER SKIN SUR-FIT WHT 1.75"","N/A","N/A","0272","N/A","N/A","1.07","1.07","1.07","N/A","N/A","N/A","1.07","1.07","N/A","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07","1.07"
"5","N/A","BASKET GEMINI 4 WRE 3FR 11MMX120","N/A","N/A","0272","N/A","N/A","598.59","598.59","598.59","N/A","N/A","N/A","598.59","598.59","N/A","598.59","598.59","598.59","598.59","598.59","598.59","598.59","598.59","598.59","598.59"
"5","N/A","BASKET RETRIEVAL 8 WRE FLOWERBASKET","N/A","N/A","0272","N/A","N/A","756.76","756.76","756.76","N/A","N/A","N/A","756.76","756.76","N/A","756.76","756.76","756.76","756.76","756.76","756.76","756.76","756.76","756.76","756.76"
"5","N/A","BASKET TRAPEZOID RX 2.5CM","N/A","N/A","0272","N/A","N/A","893.24","893.24","893.24","N/A","N/A","N/A","893.24","893.24","N/A","893.24","893.24","893.24","893.24","893.24","893.24","893.24","893.24","893.24","893.24"
"5","N/A","BASKET TRAPEZOID RX 3CM","N/A","N/A","0272","N/A","N/A","893.24","893.24","893.24","N/A","N/A","N/A","893.24","893.24","N/A","893.24","893.24","893.24","893.24","893.24","893.24","893.24","893.24","893.24","893.24"
"5","N/A","BASKET ZEROTIP 4 WRE 1.9F 12X120","N/A","N/A","0272","N/A","N/A","656.34","656.34","656.34","N/A","N/A","N/A","656.34","656.34","N/A","656.34","656.34","656.34","656.34","656.34","656.34","656.34","656.34","656.34","656.34"
"5","N/A","BATTERY DRIVER MATRIXPRO DD","N/A","N/A","0272","N/A","N/A","814.57","814.57","814.57","N/A","N/A","N/A","814.57","814.57","N/A","814.57","814.57","814.57","814.57","814.57","814.57","814.57","814.57","814.57","814.57"
"5","N/A","BATTERY LITHIUM DRIVER LORENZ NEURO","N/A","N/A","0272","N/A","N/A","244.20","244.20","244.20","N/A","N/A","N/A","244.20","244.20","N/A","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20"
"5","N/A","BATTERY LITHIUM POWERDRIVER FXTN 6V","N/A","N/A","0272","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","BELT GAIT METAL BUCKLE 60"","N/A","N/A","0272","N/A","N/A","10.58","10.58","10.58","N/A","N/A","N/A","10.58","10.58","N/A","10.58","10.58","10.58","10.58","10.58","10.58","10.58","10.58","10.58","10.58"
"5","N/A","BELT OSTOMY ADJ ELAS MD 23-43"","N/A","N/A","0272","N/A","N/A","5.90","5.90","5.90","N/A","N/A","N/A","5.90","5.90","N/A","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90","5.90"
"5","N/A","BELT SENSOR F/PILLCAM","N/A","N/A","0272","N/A","N/A","19.80","19.80","19.80","N/A","N/A","N/A","19.80","19.80","N/A","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80","19.80"
"5","N/A","BINDER ABDOMINAL 3 PANEL LG XL 9"","N/A","N/A","0272","N/A","N/A","20.79","20.79","20.79","N/A","N/A","N/A","20.79","20.79","N/A","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79","20.79"
"5","N/A","BINDER BREAST NO FRILLS LRG BLACK","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","BINDER BREAST SPECIFY COLOR LG","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","BINDER BREAST SPECIFY COLOR MD","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","BINDER BREAST SPECIFY COLOR XL","N/A","N/A","0272","N/A","N/A","72.60","72.60","72.60","N/A","N/A","N/A","72.60","72.60","N/A","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60","72.60"
"5","N/A","BIT DRILL 1.5X62MM","N/A","N/A","0272","N/A","N/A","314.99","314.99","314.99","N/A","N/A","N/A","314.99","314.99","N/A","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99","314.99"
"5","N/A","BIT DRILL 2.0X135MM","N/A","N/A","0272","N/A","N/A","753.06","753.06","753.06","N/A","N/A","N/A","753.06","753.06","N/A","753.06","753.06","753.06","753.06","753.06","753.06","753.06","753.06","753.06","753.06"
"5","N/A","BIT DRILL 2.0X16MM","N/A","N/A","0272","N/A","N/A","895.75","895.75","895.75","N/A","N/A","N/A","895.75","895.75","N/A","895.75","895.75","895.75","895.75","895.75","895.75","895.75","895.75","895.75","895.75"
"5","N/A","BIT DRILL 2.2MM","N/A","N/A","0272","N/A","N/A","363.00","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","BIT DRILL 2.4MM","N/A","N/A","0272","N/A","N/A","1630.20","1630.20","1630.20","N/A","N/A","N/A","1630.20","1630.20","N/A","1630.20","1630.20","1630.20","1630.20","1630.20","1630.20","1630.20","1630.20","1630.20","1630.20"
"5","N/A","BIT DRILL 2.4X14MM (SPINEA)","N/A","N/A","0272","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","BIT DRILL 2.5MM BIOMET","N/A","N/A","0272","N/A","N/A","386.10","386.10","386.10","N/A","N/A","N/A","386.10","386.10","N/A","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10"
"5","N/A","BIT DRILL 2.5X110MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","BIT DRILL 2MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","BIT DRILL 3 FLUTE QCP 2.5X230MM","N/A","N/A","0272","N/A","N/A","602.58","602.58","602.58","N/A","N/A","N/A","602.58","602.58","N/A","602.58","602.58","602.58","602.58","602.58","602.58","602.58","602.58","602.58","602.58"
"5","N/A","BIT DRILL 3 FLUTE QCP 2.7X125MM","N/A","N/A","0272","N/A","N/A","370.00","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","BIT DRILL 3 FLUTE QCP 4.5X195MM","N/A","N/A","0272","N/A","N/A","432.76","432.76","432.76","N/A","N/A","N/A","432.76","432.76","N/A","432.76","432.76","432.76","432.76","432.76","432.76","432.76","432.76","432.76","432.76"
"5","N/A","BIT DRILL 3.1X160MM","N/A","N/A","0272","N/A","N/A","482.63","482.63","482.63","N/A","N/A","N/A","482.63","482.63","N/A","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63","482.63"
"5","N/A","BIT DRILL 3.2MM (AAI)","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","BIT DRILL 3.2X245MM","N/A","N/A","0272","N/A","N/A","910.34","910.34","910.34","N/A","N/A","N/A","910.34","910.34","N/A","910.34","910.34","910.34","910.34","910.34","910.34","910.34","910.34","910.34","910.34"
"5","N/A","BIT DRILL 4.3X413MM","N/A","N/A","0272","N/A","N/A","1985.78","1985.78","1985.78","N/A","N/A","N/A","1985.78","1985.78","N/A","1985.78","1985.78","1985.78","1985.78","1985.78","1985.78","1985.78","1985.78","1985.78","1985.78"
"5","N/A","BIT DRILL 6.4MM STL","N/A","N/A","0272","N/A","N/A","1930.50","1930.50","1930.50","N/A","N/A","N/A","1930.50","1930.50","N/A","1930.50","1930.50","1930.50","1930.50","1930.50","1930.50","1930.50","1930.50","1930.50","1930.50"
"5","N/A","BIT DRILL ACP 11MM","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","BIT DRILL ACP 13MM","N/A","N/A","0272","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","BIT DRILL ACP 15MM","N/A","N/A","0272","N/A","N/A","1815.00","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","BIT DRILL ACUTRAK 2 MICRO","N/A","N/A","0272","N/A","N/A","1293.60","1293.60","1293.60","N/A","N/A","N/A","1293.60","1293.60","N/A","1293.60","1293.60","1293.60","1293.60","1293.60","1293.60","1293.60","1293.60","1293.60","1293.60"
"5","N/A","BIT DRILL ANK FX MGMT 2.7MM","N/A","N/A","0272","N/A","N/A","280.50","280.50","280.50","N/A","N/A","N/A","280.50","280.50","N/A","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50","280.50"
"5","N/A","BIT DRILL AO 2.7X125MM","N/A","N/A","0272","N/A","N/A","752.40","752.40","752.40","N/A","N/A","N/A","752.40","752.40","N/A","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40"
"5","N/A","BIT DRILL AO 3.2X300MM","N/A","N/A","0272","N/A","N/A","752.40","752.40","752.40","N/A","N/A","N/A","752.40","752.40","N/A","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40"
"5","N/A","BIT DRILL AO SKYLINE 12MM","N/A","N/A","0272","N/A","N/A","1138.50","1138.50","1138.50","N/A","N/A","N/A","1138.50","1138.50","N/A","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50","1138.50"
"5","N/A","BIT DRILL AXSOS SHORT LKNG 3.1X216MM","N/A","N/A","0272","N/A","N/A","1164.24","1164.24","1164.24","N/A","N/A","N/A","1164.24","1164.24","N/A","1164.24","1164.24","1164.24","1164.24","1164.24","1164.24","1164.24","1164.24","1164.24","1164.24"
"5","N/A","BIT DRILL AXSOS SHORT NLCK 2.5X16MM","N/A","N/A","0272","N/A","N/A","1182.72","1182.72","1182.72","N/A","N/A","N/A","1182.72","1182.72","N/A","1182.72","1182.72","1182.72","1182.72","1182.72","1182.72","1182.72","1182.72","1182.72","1182.72"
"5","N/A","BIT DRILL AXSOS SHORT NLCK TI 3.2X216MM","N/A","N/A","0272","N/A","N/A","1090.32","1090.32","1090.32","N/A","N/A","N/A","1090.32","1090.32","N/A","1090.32","1090.32","1090.32","1090.32","1090.32","1090.32","1090.32","1090.32","1090.32","1090.32"
"5","N/A","BIT DRILL CAL 1.7MM","N/A","N/A","0272","N/A","N/A","260.70","260.70","260.70","N/A","N/A","N/A","260.70","260.70","N/A","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70","260.70"
"5","N/A","BIT DRILL CAL 2MM","N/A","N/A","0272","N/A","N/A","669.24","669.24","669.24","N/A","N/A","N/A","669.24","669.24","N/A","669.24","669.24","669.24","669.24","669.24","669.24","669.24","669.24","669.24","669.24"
"5","N/A","BIT DRILL CAL QCP 2.8X250MM","N/A","N/A","0272","N/A","N/A","410.85","410.85","410.85","N/A","N/A","N/A","410.85","410.85","N/A","410.85","410.85","410.85","410.85","410.85","410.85","410.85","410.85","410.85","410.85"
"5","N/A","BIT DRILL CAL W/ STOP 2.5MM","N/A","N/A","0272","N/A","N/A","410.85","410.85","410.85","N/A","N/A","N/A","410.85","410.85","N/A","410.85","410.85","410.85","410.85","410.85","410.85","410.85","410.85","410.85","410.85"
"5","N/A","BIT DRILL CALIBRATED 2.5MM","N/A","N/A","0272","N/A","N/A","716.76","716.76","716.76","N/A","N/A","N/A","716.76","716.76","N/A","716.76","716.76","716.76","716.76","716.76","716.76","716.76","716.76","716.76","716.76"
"5","N/A","BIT DRILL CALIBRATED 2.0MM","N/A","N/A","0272","N/A","N/A","669.24","669.24","669.24","N/A","N/A","N/A","669.24","669.24","N/A","669.24","669.24","669.24","669.24","669.24","669.24","669.24","669.24","669.24","669.24"
"5","N/A","BIT DRILL CALIBRATED 2.7MM","N/A","N/A","0272","N/A","N/A","405.90","405.90","405.90","N/A","N/A","N/A","405.90","405.90","N/A","405.90","405.90","405.90","405.90","405.90","405.90","405.90","405.90","405.90","405.90"
"5","N/A","BIT DRILL CALIBRATED SHORT 4.3MM","N/A","N/A","0272","N/A","N/A","557.70","557.70","557.70","N/A","N/A","N/A","557.70","557.70","N/A","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70","557.70"
"5","N/A","BIT DRILL CANN 2.6MM","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","BIT DRILL CANN MINI HUDSON 3MM","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","BIT DRILL CANN QCP 2.7X160MM","N/A","N/A","0272","N/A","N/A","1402.37","1402.37","1402.37","N/A","N/A","N/A","1402.37","1402.37","N/A","1402.37","1402.37","1402.37","1402.37","1402.37","1402.37","1402.37","1402.37","1402.37","1402.37"
"5","N/A","BIT DRILL CANN QCP 3.2X170MM","N/A","N/A","0272","N/A","N/A","1377.72","1377.72","1377.72","N/A","N/A","N/A","1377.72","1377.72","N/A","1377.72","1377.72","1377.72","1377.72","1377.72","1377.72","1377.72","1377.72","1377.72","1377.72"
"5","N/A","BIT DRILL CANN QCP 5X300MM","N/A","N/A","0272","N/A","N/A","1385.93","1385.93","1385.93","N/A","N/A","N/A","1385.93","1385.93","N/A","1385.93","1385.93","1385.93","1385.93","1385.93","1385.93","1385.93","1385.93","1385.93","1385.93"
"5","N/A","BIT DRILL CANN QK CONN 1.9MM","N/A","N/A","0272","N/A","N/A","739.20","739.20","739.20","N/A","N/A","N/A","739.20","739.20","N/A","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20","739.20"
"5","N/A","BIT DRILL CANN QR 3.0/4.0MM","N/A","N/A","0272","N/A","N/A","899.36","899.36","899.36","N/A","N/A","N/A","899.36","899.36","N/A","899.36","899.36","899.36","899.36","899.36","899.36","899.36","899.36","899.36","899.36"
"5","N/A","BIT DRILL CANN QUICKFIX 1.7MM","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","BIT DRILL CANN QUICKFIX 2.2MM","N/A","N/A","0272","N/A","N/A","643.50","643.50","643.50","N/A","N/A","N/A","643.50","643.50","N/A","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50","643.50"
"5","N/A","BIT DRILL CANN SM JOINT 2MM","N/A","N/A","0272","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","BIT DRILL CANN STEPPED 6MM/9MM","N/A","N/A","0272","N/A","N/A","2043.29","2043.29","2043.29","N/A","N/A","N/A","2043.29","2043.29","N/A","2043.29","2043.29","2043.29","2043.29","2043.29","2043.29","2043.29","2043.29","2043.29","2043.29"
"5","N/A","BIT DRILL CANNULATED 1.6MM","N/A","N/A","0272","N/A","N/A","1463.42","1463.42","1463.42","N/A","N/A","N/A","1463.42","1463.42","N/A","1463.42","1463.42","1463.42","1463.42","1463.42","1463.42","1463.42","1463.42","1463.42","1463.42"
"5","N/A","BIT DRILL CANNULATED 1.8MM","N/A","N/A","0272","N/A","N/A","722.70","722.70","722.70","N/A","N/A","N/A","722.70","722.70","N/A","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70","722.70"
"5","N/A","BIT DRILL CANNULATED 2.0 MM","N/A","N/A","0272","N/A","N/A","1462.78","1462.78","1462.78","N/A","N/A","N/A","1462.78","1462.78","N/A","1462.78","1462.78","1462.78","1462.78","1462.78","1462.78","1462.78","1462.78","1462.78","1462.78"
"5","N/A","BIT DRILL CANNULATED 2.75MM","N/A","N/A","0272","N/A","N/A","1155.00","1155.00","1155.00","N/A","N/A","N/A","1155.00","1155.00","N/A","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00","1155.00"
"5","N/A","BIT DRILL CANNULATED 2.7MM","N/A","N/A","0272","N/A","N/A","1551.83","1551.83","1551.83","N/A","N/A","N/A","1551.83","1551.83","N/A","1551.83","1551.83","1551.83","1551.83","1551.83","1551.83","1551.83","1551.83","1551.83","1551.83"
"5","N/A","BIT DRILL CANNULATED 3.0MM","N/A","N/A","0272","N/A","N/A","1521.79","1521.79","1521.79","N/A","N/A","N/A","1521.79","1521.79","N/A","1521.79","1521.79","1521.79","1521.79","1521.79","1521.79","1521.79","1521.79","1521.79","1521.79"
"5","N/A","BIT DRILL CANNULATED 3.0X110MM F/45MM SCREWS","N/A","N/A","0272","N/A","N/A","1062.60","1062.60","1062.60","N/A","N/A","N/A","1062.60","1062.60","N/A","1062.60","1062.60","1062.60","1062.60","1062.60","1062.60","1062.60","1062.60","1062.60","1062.60"
"5","N/A","BIT DRILL CANNULATED 5.0MM","N/A","N/A","0272","N/A","N/A","660.90","660.90","660.90","N/A","N/A","N/A","660.90","660.90","N/A","660.90","660.90","660.90","660.90","660.90","660.90","660.90","660.90","660.90","660.90"
"5","N/A","BIT DRILL CENTRAL SCRW 3.2MM","N/A","N/A","0272","N/A","N/A","445.50","445.50","445.50","N/A","N/A","N/A","445.50","445.50","N/A","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50"
"5","N/A","BIT DRILL CINCHLOCK FLEX HARD BONE","N/A","N/A","0272","N/A","N/A","868.40","868.40","868.40","N/A","N/A","N/A","868.40","868.40","N/A","868.40","868.40","868.40","868.40","868.40","868.40","868.40","868.40","868.40","868.40"
"5","N/A","BIT DRILL CMF 2X62MM","N/A","N/A","0272","N/A","N/A","520.44","520.44","520.44","N/A","N/A","N/A","520.44","520.44","N/A","520.44","520.44","520.44","520.44","520.44","520.44","520.44","520.44","520.44","520.44"
"5","N/A","BIT DRILL COLINK AFX 1.9X50MM","N/A","N/A","0272","N/A","N/A","752.40","752.40","752.40","N/A","N/A","N/A","752.40","752.40","N/A","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40"
"5","N/A","BIT DRILL COLINK AFX 2.5X60MM","N/A","N/A","0272","N/A","N/A","752.40","752.40","752.40","N/A","N/A","N/A","752.40","752.40","N/A","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40"
"5","N/A","BIT DRILL COLOR WL 1.6X115MM","N/A","N/A","0272","N/A","N/A","778.11","778.11","778.11","N/A","N/A","N/A","778.11","778.11","N/A","778.11","778.11","778.11","778.11","778.11","778.11","778.11","778.11","778.11","778.11"
"5","N/A","BIT DRILL COUNTERSINK CANNULATED 2.7MM","N/A","N/A","0272","N/A","N/A","415.80","415.80","415.80","N/A","N/A","N/A","415.80","415.80","N/A","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80"
"5","N/A","BIT DRILL DVR SYS 2.5MM","N/A","N/A","0272","N/A","N/A","386.10","386.10","386.10","N/A","N/A","N/A","386.10","386.10","N/A","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10"
"5","N/A","BIT DRILL EVOS W/ AO QC SHORT 2.0MM","N/A","N/A","0272","N/A","N/A","650.10","650.10","650.10","N/A","N/A","N/A","650.10","650.10","N/A","650.10","650.10","650.10","650.10","650.10","650.10","650.10","650.10","650.10","650.10"
"5","N/A","BIT DRILL EVOS W/ AO QC SHORT 2.5MM","N/A","N/A","0272","N/A","N/A","553.08","553.08","553.08","N/A","N/A","N/A","553.08","553.08","N/A","553.08","553.08","553.08","553.08","553.08","553.08","553.08","553.08","553.08","553.08"
"5","N/A","BIT DRILL EVOS W/ AO QC SHORT 3.5MM","N/A","N/A","0272","N/A","N/A","894.30","894.30","894.30","N/A","N/A","N/A","894.30","894.30","N/A","894.30","894.30","894.30","894.30","894.30","894.30","894.30","894.30","894.30","894.30"
"5","N/A","BIT DRILL FAST DVR SYS 2MM","N/A","N/A","0272","N/A","N/A","386.10","386.10","386.10","N/A","N/A","N/A","386.10","386.10","N/A","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10","386.10"
"5","N/A","HCHG OPTIME IMPLANTS","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","HOOK BLADE WIDE","N/A","N/A","0278","N/A","N/A","1881.00","1881.00","1881.00","N/A","N/A","N/A","1881.00","1881.00","N/A","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00"
"5","N/A","HOOK SPINAL WD TI EXPD 5.5 8MM","N/A","N/A","0278","N/A","N/A","1881.00","1881.00","1881.00","N/A","N/A","N/A","1881.00","1881.00","N/A","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00","1881.00"
"5","N/A","IMPLANT BLOCK BONE CUSTOM","N/A","N/A","0278","N/A","N/A","28050.00","28050.00","28050.00","N/A","N/A","N/A","28050.00","28050.00","N/A","28050.00","28050.00","28050.00","28050.00","28050.00","28050.00","28050.00","28050.00","28050.00","28050.00"
"5","N/A","IMPLANT COCHLEAR NUCLEUS CI622","N/A","N/A","0278","N/A","N/A","135465.00","135465.00","135465.00","N/A","N/A","N/A","135465.00","135465.00","N/A","135465.00","135465.00","135465.00","135465.00","135465.00","135465.00","135465.00","135465.00","135465.00","135465.00"
"5","N/A","IMPLANT EYELID BERGHAUS/SCHROM PLATINUM 1.2GM","N/A","N/A","0278","N/A","N/A","2768.70","2768.70","2768.70","N/A","N/A","N/A","2768.70","2768.70","N/A","2768.70","2768.70","2768.70","2768.70","2768.70","2768.70","2768.70","2768.70","2768.70","2768.70"
"5","N/A","IMPLANT MEDPOR 3D RT SMALL","N/A","N/A","0278","N/A","N/A","7647.75","7647.75","7647.75","N/A","N/A","N/A","7647.75","7647.75","N/A","7647.75","7647.75","7647.75","7647.75","7647.75","7647.75","7647.75","7647.75","7647.75","7647.75"
"5","N/A","IMPLANT NASAL LATERA (NOT FOR ORDERING CHARGING ONLY)","N/A","N/A","0278","N/A","N/A","6.60","6.60","6.60","N/A","N/A","N/A","6.60","6.60","N/A","6.60","6.60","6.60","6.60","6.60","6.60","6.60","6.60","6.60","6.60"
"5","N/A","IMPLANT ORBITAL IPS TI","N/A","N/A","0278","N/A","N/A","17490.00","17490.00","17490.00","N/A","N/A","N/A","17490.00","17490.00","N/A","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00","17490.00"
"5","N/A","IMPLANT PROPEL MOMETASONE","N/A","N/A","0278","N/A","N/A","3407.25","3407.25","3407.25","N/A","N/A","N/A","3407.25","3407.25","N/A","3407.25","3407.25","3407.25","3407.25","3407.25","3407.25","3407.25","3407.25","3407.25","3407.25"
"5","N/A","IMPLANT SINUS PROPEL MINI 4X16MM","N/A","N/A","0278","N/A","N/A","3377.79","3377.79","3377.79","N/A","N/A","N/A","3377.79","3377.79","N/A","3377.79","3377.79","3377.79","3377.79","3377.79","3377.79","3377.79","3377.79","3377.79","3377.79"
"5","N/A","IMPLANT SPHERE MEDPOR 18MM","N/A","N/A","0278","N/A","N/A","1855.85","1855.85","1855.85","N/A","N/A","N/A","1855.85","1855.85","N/A","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85"
"5","N/A","IMPLANT SPHERE MEDPOR 20MM","N/A","N/A","0278","N/A","N/A","1855.85","1855.85","1855.85","N/A","N/A","N/A","1855.85","1855.85","N/A","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85","1855.85"
"5","N/A","IMPLANT STERNAL SGL TALON LG 14MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","IMPLANT STERNAL SGL TALON MD 14MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","IMPLANT STERNAL SGL TALON MD 17MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","IMPLANT STERNAL SGL TALON XL 14MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","IMPLANT STERNAL SGL TALON XL 17MM","N/A","N/A","0278","N/A","N/A","4712.40","4712.40","4712.40","N/A","N/A","N/A","4712.40","4712.40","N/A","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40","4712.40"
"5","N/A","IMPLANT THORACIC SYNEX ENDPLATE KYPHOTIC TI -5 DEG 23-31MM","N/A","N/A","0278","N/A","N/A","14793.11","14793.11","14793.11","N/A","N/A","N/A","14793.11","14793.11","N/A","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11"
"5","N/A","INJECTOR BONE CMT DRILLABLE STER 5ML","N/A","N/A","0278","N/A","N/A","4516.61","4516.61","4516.61","N/A","N/A","N/A","4516.61","4516.61","N/A","4516.61","4516.61","4516.61","4516.61","4516.61","4516.61","4516.61","4516.61","4516.61","4516.61"
"5","N/A","KEY CORRECTION VERSE","N/A","N/A","0278","N/A","N/A","881.10","881.10","881.10","N/A","N/A","N/A","881.10","881.10","N/A","881.10","881.10","881.10","881.10","881.10","881.10","881.10","881.10","881.10","881.10"
"5","N/A","KIT ACUTE ANT CRUCIATE REPAIR","N/A","N/A","0278","N/A","N/A","3712.50","3712.50","3712.50","N/A","N/A","N/A","3712.50","3712.50","N/A","3712.50","3712.50","3712.50","3712.50","3712.50","3712.50","3712.50","3712.50","3712.50","3712.50"
"5","N/A","KIT BEAD QUICKSET MINI I2B 10G","N/A","N/A","0278","N/A","N/A","3324.75","3324.75","3324.75","N/A","N/A","N/A","3324.75","3324.75","N/A","3324.75","3324.75","3324.75","3324.75","3324.75","3324.75","3324.75","3324.75","3324.75","3324.75"
"5","N/A","KIT BONE VOID FILLER OSTEOCRETE 10CC","N/A","N/A","0278","N/A","N/A","11550.00","11550.00","11550.00","N/A","N/A","N/A","11550.00","11550.00","N/A","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00"
"5","N/A","KIT CEMENT BONE INJ HA 10CC","N/A","N/A","0278","N/A","N/A","12884.26","12884.26","12884.26","N/A","N/A","N/A","12884.26","12884.26","N/A","12884.26","12884.26","12884.26","12884.26","12884.26","12884.26","12884.26","12884.26","12884.26","12884.26"
"5","N/A","KIT CEMENT BONE INJ HA 3CC","N/A","N/A","0278","N/A","N/A","4330.99","4330.99","4330.99","N/A","N/A","N/A","4330.99","4330.99","N/A","4330.99","4330.99","4330.99","4330.99","4330.99","4330.99","4330.99","4330.99","4330.99","4330.99"
"5","N/A","KIT CEMENT BONE INJ HA 5CC","N/A","N/A","0278","N/A","N/A","6830.21","6830.21","6830.21","N/A","N/A","N/A","6830.21","6830.21","N/A","6830.21","6830.21","6830.21","6830.21","6830.21","6830.21","6830.21","6830.21","6830.21","6830.21"
"5","N/A","KIT CONFIDENCE CEMENT SPINAL 11CC","N/A","N/A","0278","N/A","N/A","3393.06","3393.06","3393.06","N/A","N/A","N/A","3393.06","3393.06","N/A","3393.06","3393.06","3393.06","3393.06","3393.06","3393.06","3393.06","3393.06","3393.06","3393.06"
"5","N/A","KIT GRAFT ACH TENDON SPEEDBRIDGE","N/A","N/A","0278","N/A","N/A","5742.00","5742.00","5742.00","N/A","N/A","N/A","5742.00","5742.00","N/A","5742.00","5742.00","5742.00","5742.00","5742.00","5742.00","5742.00","5742.00","5742.00","5742.00"
"5","N/A","KIT IMPLANT MEDPORE CUSTOM PLUS L","N/A","N/A","0278","N/A","N/A","65626.18","65626.18","65626.18","N/A","N/A","N/A","65626.18","65626.18","N/A","65626.18","65626.18","65626.18","65626.18","65626.18","65626.18","65626.18","65626.18","65626.18","65626.18"
"5","N/A","KIT LEAD INTERSTIM MICRO 28MM","N/A","N/A","0278","N/A","N/A","15028.20","15028.20","15028.20","N/A","N/A","N/A","15028.20","15028.20","N/A","15028.20","15028.20","15028.20","15028.20","15028.20","15028.20","15028.20","15028.20","15028.20","15028.20"
"5","N/A","KIT LEAD NEUROPACE DL-330-10-K","N/A","N/A","0278","N/A","N/A","13530.00","13530.00","13530.00","N/A","N/A","N/A","13530.00","13530.00","N/A","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00","13530.00"
"5","N/A","KIT LEAD OCTRODE 60CM","N/A","N/A","0278","N/A","N/A","7537.79","7537.79","7537.79","N/A","N/A","N/A","7537.79","7537.79","N/A","7537.79","7537.79","7537.79","7537.79","7537.79","7537.79","7537.79","7537.79","7537.79","7537.79"
"5","N/A","KIT LEAD TRIAL OCTRODE 60CM","N/A","N/A","0278","N/A","N/A","4390.83","4390.83","4390.83","N/A","N/A","N/A","4390.83","4390.83","N/A","4390.83","4390.83","4390.83","4390.83","4390.83","4390.83","4390.83","4390.83","4390.83","4390.83"
"5","N/A","KIT RECHARGEABLE NEUROSTIMULATOR","N/A","N/A","0278","N/A","N/A","9078.30","9078.30","9078.30","N/A","N/A","N/A","9078.30","9078.30","N/A","9078.30","9078.30","9078.30","9078.30","9078.30","9078.30","9078.30","9078.30","9078.30","9078.30"
"5","N/A","KIT REP 4 BTN DRL PN INSRTR LRG EYLT NDL SHLDR PECTORALIS","N/A","N/A","0278","N/A","N/A","5445.00","5445.00","5445.00","N/A","N/A","N/A","5445.00","5445.00","N/A","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00"
"5","N/A","KIT REPAIR IMPLANT TIGHTROPE KNOTLESS SYNDESMOSIS SS","N/A","N/A","0278","N/A","N/A","2904.00","2904.00","2904.00","N/A","N/A","N/A","2904.00","2904.00","N/A","2904.00","2904.00","2904.00","2904.00","2904.00","2904.00","2904.00","2904.00","2904.00","2904.00"
"5","N/A","KIT REPAIR LIGAMENT AUGMENTATION INTERNALBRACE","N/A","N/A","0278","N/A","N/A","4933.50","4933.50","4933.50","N/A","N/A","N/A","4933.50","4933.50","N/A","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50"
"5","N/A","KIT REVISION PIN/BUSHING REPLACEMENT SM/REG","N/A","N/A","0278","N/A","N/A","4059.00","4059.00","4059.00","N/A","N/A","N/A","4059.00","4059.00","N/A","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00"
"5","N/A","KIT SHUNT POLARIS SPV COMPLETE","N/A","N/A","0278","N/A","N/A","12318.08","12318.08","12318.08","N/A","N/A","N/A","12318.08","12318.08","N/A","12318.08","12318.08","12318.08","12318.08","12318.08","12318.08","12318.08","12318.08","12318.08","12318.08"
"5","N/A","LEAD NERVE STIM SI VNS 43CM","N/A","N/A","0278","N/A","N/A","26365.90","26365.90","26365.90","N/A","N/A","N/A","26365.90","26365.90","N/A","26365.90","26365.90","26365.90","26365.90","26365.90","26365.90","26365.90","26365.90","26365.90","26365.90"
"5","N/A","LEAD NEUROSTIMULATOR KT DBS 3387S-40","N/A","N/A","0278","N/A","N/A","9702.00","9702.00","9702.00","N/A","N/A","N/A","9702.00","9702.00","N/A","9702.00","9702.00","9702.00","9702.00","9702.00","9702.00","9702.00","9702.00","9702.00","9702.00"
"5","N/A","LEAD NEUROSTIMULATOR KT DBS 3389S-40","N/A","N/A","0278","N/A","N/A","10015.50","10015.50","10015.50","N/A","N/A","N/A","10015.50","10015.50","N/A","10015.50","10015.50","10015.50","10015.50","10015.50","10015.50","10015.50","10015.50","10015.50","10015.50"
"5","N/A","LEAD OCTAPOLAR VECTRIS 1.3MMX60CM","N/A","N/A","0278","N/A","N/A","7425.00","7425.00","7425.00","N/A","N/A","N/A","7425.00","7425.00","N/A","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00"
"5","N/A","MARKER BIOPSY BREAST SNMK TI HEART 14GX10CM","N/A","N/A","0278","N/A","N/A","178.48","178.48","178.48","N/A","N/A","N/A","178.48","178.48","N/A","178.48","178.48","178.48","178.48","178.48","178.48","178.48","178.48","178.48","178.48"
"5","N/A","MARKER BIOPSY BREAST SNMK TI RIBBON 14GX10CM","N/A","N/A","0278","N/A","N/A","213.87","213.87","213.87","N/A","N/A","N/A","213.87","213.87","N/A","213.87","213.87","213.87","213.87","213.87","213.87","213.87","213.87","213.87","213.87"
"5","N/A","MARKER BIOPSY BRST DISP EVIVA 13G","N/A","N/A","0278","N/A","N/A","244.20","244.20","244.20","N/A","N/A","N/A","244.20","244.20","N/A","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20"
"5","N/A","MARKER BIOPSY BRST TRIMARK SHAPE 2","N/A","N/A","0278","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","MARKER BIOPSY CORK SHAPE F/CELER SECURMARK","N/A","N/A","0278","N/A","N/A","2458.50","2458.50","2458.50","N/A","N/A","N/A","2458.50","2458.50","N/A","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50"
"5","N/A","MARKER BIOPSY TOPHAT SHAPE F/CELER SECURMARK","N/A","N/A","0278","N/A","N/A","2458.50","2458.50","2458.50","N/A","N/A","N/A","2458.50","2458.50","N/A","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50","2458.50"
"5","N/A","MARKER BIOZORB 2X2X1","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","MARKER BREAST BIOPSY TUMARK PRO Q BREVERA STD 18G 129.5MM","N/A","N/A","0278","N/A","N/A","250.80","250.80","250.80","N/A","N/A","N/A","250.80","250.80","N/A","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80","250.80"
"5","N/A","MARKER BREAST BIOPSY TUMARK PRO Q EVIVA 18G 132MM","N/A","N/A","0278","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","MARKER BREAST BIOPSY TUMARK PRO X 18G 100MM","N/A","N/A","0278","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","MARKER BREAST BIOPSY TUMARK VISION 18G 100MM","N/A","N/A","0278","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","MARKER BREAST BIOPSY TUMARK VISION BREVERA PET 18G 123.5MM","N/A","N/A","0278","N/A","N/A","297.00","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","MARKER BREAST BIOPSY TUMARK VISION BREVERA STD 18G 127.5MM","N/A","N/A","0278","N/A","N/A","273.57","273.57","273.57","N/A","N/A","N/A","273.57","273.57","N/A","273.57","273.57","273.57","273.57","273.57","273.57","273.57","273.57","273.57","273.57"
"5","N/A","MARKER BREAST BIOPSY TUMARK VISION EVIVA 18G 129.5MM","N/A","N/A","0278","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","MARKER BREAST BIOPSY ULTRACOR TWIRL RING 17GX10CM","N/A","N/A","0278","N/A","N/A","227.44","227.44","227.44","N/A","N/A","N/A","227.44","227.44","N/A","227.44","227.44","227.44","227.44","227.44","227.44","227.44","227.44","227.44","227.44"
"5","N/A","MARKER BREAST COIL 17GX10CM","N/A","N/A","0278","N/A","N/A","178.48","178.48","178.48","N/A","N/A","N/A","178.48","178.48","N/A","178.48","178.48","178.48","178.48","178.48","178.48","178.48","178.48","178.48","178.48"
"5","N/A","MARKER BREAST COIL 3 SHAPE","N/A","N/A","0278","N/A","N/A","318.20","318.20","318.20","N/A","N/A","N/A","318.20","318.20","N/A","318.20","318.20","318.20","318.20","318.20","318.20","318.20","318.20","318.20","318.20"
"5","N/A","MARKER BREAST COIL BARREL SHAPE","N/A","N/A","0278","N/A","N/A","318.20","318.20","318.20","N/A","N/A","N/A","318.20","318.20","N/A","318.20","318.20","318.20","318.20","318.20","318.20","318.20","318.20","318.20","318.20"
"5","N/A","MARKER BREAST COIL BUTTERFLY SHAPE","N/A","N/A","0278","N/A","N/A","288.06","288.06","288.06","N/A","N/A","N/A","288.06","288.06","N/A","288.06","288.06","288.06","288.06","288.06","288.06","288.06","288.06","288.06","288.06"
"5","N/A","MARKER BREAST SS MARGINMAP 10MM","N/A","N/A","0278","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","MARKER FIDUCIAL BIOZORB 2X2CM","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","MARKER FIDUCIAL BIOZORB 2X3CM","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","MARKER GRAFT A/C LOCATOR U-SHAPE SILICONE","N/A","N/A","0278","N/A","N/A","51.38","51.38","51.38","N/A","N/A","N/A","51.38","51.38","N/A","51.38","51.38","51.38","51.38","51.38","51.38","51.38","51.38","51.38","51.38"
"5","N/A","MARKER SKIN TI 1ST SHAPE 13G","N/A","N/A","0278","N/A","N/A","231.00","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","MARKER SKIN TI SEC SHAPE 13G","N/A","N/A","0278","N/A","N/A","244.20","244.20","244.20","N/A","N/A","N/A","244.20","244.20","N/A","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20","244.20"
"5","N/A","MESH CONTOUR MATRIXNEURO SM ARC TI 0.6MM","N/A","N/A","0278","N/A","N/A","2782.07","2782.07","2782.07","N/A","N/A","N/A","2782.07","2782.07","N/A","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07"
"5","N/A","MESH CONTOUR MATRIXNEURO TI 38X45MM","N/A","N/A","0278","N/A","N/A","4832.69","4832.69","4832.69","N/A","N/A","N/A","4832.69","4832.69","N/A","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69"
"5","N/A","MESH CRANIAL MATRIXNEURO LRG ARC CONTOUR TI 0.4X78MM","N/A","N/A","0278","N/A","N/A","4326.47","4326.47","4326.47","N/A","N/A","N/A","4326.47","4326.47","N/A","4326.47","4326.47","4326.47","4326.47","4326.47","4326.47","4326.47","4326.47","4326.47","4326.47"
"5","N/A","MESH CRANIAL MATRIXNEURO SM TI 0.4MM","N/A","N/A","0278","N/A","N/A","2782.07","2782.07","2782.07","N/A","N/A","N/A","2782.07","2782.07","N/A","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07","2782.07"
"5","N/A","MESH CRANIAL MATRIXNEURO TI 38X45X0.4MM","N/A","N/A","0278","N/A","N/A","4832.69","4832.69","4832.69","N/A","N/A","N/A","4832.69","4832.69","N/A","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69","4832.69"
"5","N/A","MIXER CEMENT KT KYPHON 20G","N/A","N/A","0278","N/A","N/A","755.37","755.37","755.37","N/A","N/A","N/A","755.37","755.37","N/A","755.37","755.37","755.37","755.37","755.37","755.37","755.37","755.37","755.37","755.37"
"5","N/A","MODEL TRAINING VSP BUNDLE ORTHOGNATHIC","N/A","N/A","0278","N/A","N/A","10058.40","10058.40","10058.40","N/A","N/A","N/A","10058.40","10058.40","N/A","10058.40","10058.40","10058.40","10058.40","10058.40","10058.40","10058.40","10058.40","10058.40","10058.40"
"5","N/A","MONITOR CARDIAC BIOMONITOR III","N/A","N/A","0278","N/A","N/A","17430.00","17430.00","17430.00","N/A","N/A","N/A","17430.00","17430.00","N/A","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00"
"5","N/A","MONITOR CARDIAC BIOMONITOR IIIM","N/A","N/A","0278","N/A","N/A","17430.00","17430.00","17430.00","N/A","N/A","N/A","17430.00","17430.00","N/A","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00","17430.00"
"5","N/A","MONITOR CARDIAC INSERTABLE LUX-DX","N/A","N/A","0278","N/A","N/A","18675.00","18675.00","18675.00","N/A","N/A","N/A","18675.00","18675.00","N/A","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00","18675.00"
"5","N/A","MONITOR CARDIAC REVEAL LINQ - SYSTEM","N/A","N/A","0278","N/A","N/A","20106.75","20106.75","20106.75","N/A","N/A","N/A","20106.75","20106.75","N/A","20106.75","20106.75","20106.75","20106.75","20106.75","20106.75","20106.75","20106.75","20106.75","20106.75"
"5","N/A","NAIL INTRAMEDULLARY INTERTAN 130D 10MMX34CM LT","N/A","N/A","0278","N/A","N/A","11187.00","11187.00","11187.00","N/A","N/A","N/A","11187.00","11187.00","N/A","11187.00","11187.00","11187.00","11187.00","11187.00","11187.00","11187.00","11187.00","11187.00","11187.00"
"5","N/A","NAIL TROCHANTERIC 130 DEG RT 11MMX33","N/A","N/A","0278","N/A","N/A","6981.98","6981.98","6981.98","N/A","N/A","N/A","6981.98","6981.98","N/A","6981.98","6981.98","6981.98","6981.98","6981.98","6981.98","6981.98","6981.98","6981.98","6981.98"
"5","N/A","NEEDLE MARKER FIDUCIAL GOLD 18G 1.0X5.0MM","N/A","N/A","0278","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","NEUROSTIMULATOR IMPLANTABLE KT ACTIVA RC","N/A","N/A","0278","N/A","N/A","86460.00","86460.00","86460.00","N/A","N/A","N/A","86460.00","86460.00","N/A","86460.00","86460.00","86460.00","86460.00","86460.00","86460.00","86460.00","86460.00","86460.00","86460.00"
"5","N/A","NUT ORTHOPEDIC T2 F/CONDYLE 5.0MM SCREW","N/A","N/A","0278","N/A","N/A","880.11","880.11","880.11","N/A","N/A","N/A","880.11","880.11","N/A","880.11","880.11","880.11","880.11","880.11","880.11","880.11","880.11","880.11","880.11"
"5","N/A","PATCH BOVINE PERICARDIAL 0.8X8CM","N/A","N/A","0278","N/A","N/A","478.50","478.50","478.50","N/A","N/A","N/A","478.50","478.50","N/A","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50","478.50"
"5","N/A","PATCH CARDIOVASCULAR XENOSURE 0.8X8CM","N/A","N/A","0278","N/A","N/A","456.90","456.90","456.90","N/A","N/A","N/A","456.90","456.90","N/A","456.90","456.90","456.90","456.90","456.90","456.90","456.90","456.90","456.90","456.90"
"5","N/A","PATCH DURA REPAIR SYNTHECEL 2.5X7.5CM","N/A","N/A","0278","N/A","N/A","1362.08","1362.08","1362.08","N/A","N/A","N/A","1362.08","1362.08","N/A","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08"
"5","N/A","PATCH DURA SYNTHECEL REPAIR 2.5X7.5CM","N/A","N/A","0278","N/A","N/A","1362.08","1362.08","1362.08","N/A","N/A","N/A","1362.08","1362.08","N/A","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08","1362.08"
"5","N/A","PATCH DURA SYNTHECEL REPAIR MATRIX 10.0X12.0CM","N/A","N/A","0278","N/A","N/A","4480.91","4480.91","4480.91","N/A","N/A","N/A","4480.91","4480.91","N/A","4480.91","4480.91","4480.91","4480.91","4480.91","4480.91","4480.91","4480.91","4480.91","4480.91"
"5","N/A","PATCH DURA SYNTHECEL REPAIR MATRIX 5.0X5.0CM","N/A","N/A","0278","N/A","N/A","1507.94","1507.94","1507.94","N/A","N/A","N/A","1507.94","1507.94","N/A","1507.94","1507.94","1507.94","1507.94","1507.94","1507.94","1507.94","1507.94","1507.94","1507.94"
"5","N/A","PATCH DURAL SYNTHECEL REPAIR MATRX 7.5X7.5CM","N/A","N/A","0278","N/A","N/A","2543.76","2543.76","2543.76","N/A","N/A","N/A","2543.76","2543.76","N/A","2543.76","2543.76","2543.76","2543.76","2543.76","2543.76","2543.76","2543.76","2543.76","2543.76"
"5","N/A","PATCH HEMASHIELD FINESSE 0.3X6"","N/A","N/A","0278","N/A","N/A","426.26","426.26","426.26","N/A","N/A","N/A","426.26","426.26","N/A","426.26","426.26","426.26","426.26","426.26","426.26","426.26","426.26","426.26","426.26"
"5","N/A","PATCH TISSUE SOFT SCLERAL 1X1CM","N/A","N/A","0278","N/A","N/A","825.00","825.00","825.00","N/A","N/A","N/A","825.00","825.00","N/A","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00","825.00"
"5","N/A","PEG FIXATION LKNG 2.7X18MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG FIXATION LKNG SMTH 2.2MX20MM","N/A","N/A","0278","N/A","N/A","415.80","415.80","415.80","N/A","N/A","N/A","415.80","415.80","N/A","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80","415.80"
"5","N/A","PEG FIXATION THRD NLCK 2.7X18MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG FIXATION THRD NLCK 2.7X24MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING NON THRD 2.7X12MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING SMOOTH GEMINUS 2.0X12MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING SMTH GEMINUS 2X23MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING SMTH N/S DVR 2X18MM","N/A","N/A","0278","N/A","N/A","323.40","323.40","323.40","N/A","N/A","N/A","323.40","323.40","N/A","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40","323.40"
"5","N/A","PEG LOCKING THRD GEMINUS 2.3X14MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING THRD GEMINUS 2.3X16MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING THRD GEMINUS 2.3X18MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING THRD GEMINUS 2.3X20MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING THRD GEMINUS 2.3X21MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING THRD GEMINUS 2.3X22MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING THRD GEMINUS 2.7X14MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PEG LOCKING THREADED 2.3X17MM","N/A","N/A","0278","N/A","N/A","237.60","237.60","237.60","N/A","N/A","N/A","237.60","237.60","N/A","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60","237.60"
"5","N/A","PIN DISTRACTION 12MM","N/A","N/A","0278","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","PIN FIXATION STER PNK 0.78"","N/A","N/A","0278","N/A","N/A","2.81","2.81","2.81","N/A","N/A","N/A","2.81","2.81","N/A","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81","2.81"
"5","N/A","PIN STEINMANN SGL TROCAR 5MS 2.2MMX9"","N/A","N/A","0278","N/A","N/A","752.40","752.40","752.40","N/A","N/A","N/A","752.40","752.40","N/A","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40","752.40"
"5","N/A","PLATE BONE GORILLA MTP 5 DEG SHORT LT","N/A","N/A","0278","N/A","N/A","1772.93","1772.93","1772.93","N/A","N/A","N/A","1772.93","1772.93","N/A","1772.93","1772.93","1772.93","1772.93","1772.93","1772.93","1772.93","1772.93","1772.93","1772.93"
"5","N/A","PLATE BONE MICRO DBL Y LP 8MM 6H","N/A","N/A","0278","N/A","N/A","1024.82","1024.82","1024.82","N/A","N/A","N/A","1024.82","1024.82","N/A","1024.82","1024.82","1024.82","1024.82","1024.82","1024.82","1024.82","1024.82","1024.82","1024.82"
"5","N/A","PLUG 2 VASCULAR AMPLATZER 10X14MM","N/A","N/A","0278","N/A","N/A","2910.60","2910.60","2910.60","N/A","N/A","N/A","2910.60","2910.60","N/A","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60"
"5","N/A","PLUG 2 VASCULAR AMPLATZER 16X22MM","N/A","N/A","0278","N/A","N/A","2910.60","2910.60","2910.60","N/A","N/A","N/A","2910.60","2910.60","N/A","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60"
"5","N/A","PLUG 2 VASCULAR AMPLATZER 9X12MM","N/A","N/A","0278","N/A","N/A","2910.60","2910.60","2910.60","N/A","N/A","N/A","2910.60","2910.60","N/A","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60","2910.60"
"5","N/A","PLUG CABLE AXSOS LATERAL TI 5MM","N/A","N/A","0278","N/A","N/A","764.61","764.61","764.61","N/A","N/A","N/A","764.61","764.61","N/A","764.61","764.61","764.61","764.61","764.61","764.61","764.61","764.61","764.61","764.61"
"5","N/A","PLUG CONNECTOR MEDTRONIC DBS","N/A","N/A","0278","N/A","N/A","990.00","990.00","990.00","N/A","N/A","N/A","990.00","990.00","N/A","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00","990.00"
"5","N/A","PLUG PUNCTUM ULTRA SILICONE STL .05MM","N/A","N/A","0278","N/A","N/A","112.38","112.38","112.38","N/A","N/A","N/A","112.38","112.38","N/A","112.38","112.38","112.38","112.38","112.38","112.38","112.38","112.38","112.38","112.38"
"5","N/A","PROSTHESIS ALTO ADJ TOTAL W/INTEGRATED FOOTPLATE SHOE","N/A","N/A","0278","N/A","N/A","1610.40","1610.40","1610.40","N/A","N/A","N/A","1610.40","1610.40","N/A","1610.40","1610.40","1610.40","1610.40","1610.40","1610.40","1610.40","1610.40","1610.40","1610.40"
"5","N/A","PROSTHESIS ANATOEMIC 17MM STERILE","N/A","N/A","0278","N/A","N/A","2293.50","2293.50","2293.50","N/A","N/A","N/A","2293.50","2293.50","N/A","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50","2293.50"
"5","N/A","PROSTHESIS KARTUSH INCUS CANN 2.75","N/A","N/A","0278","N/A","N/A","1190.51","1190.51","1190.51","N/A","N/A","N/A","1190.51","1190.51","N/A","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51"
"5","N/A","PROSTHESIS KARTUSH INCUS CANN 3.9MM","N/A","N/A","0278","N/A","N/A","1190.51","1190.51","1190.51","N/A","N/A","N/A","1190.51","1190.51","N/A","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51","1190.51"
"5","N/A","PROSTHESIS OSSICULAR ADJ PARTIAL 2.00-5.60MM","N/A","N/A","0278","N/A","N/A","1287.00","1287.00","1287.00","N/A","N/A","N/A","1287.00","1287.00","N/A","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00","1287.00"
"5","N/A","PROSTHESIS OSSICULAR BOJRAB ALTO PARTIAL TI 2.00-5.60MM","N/A","N/A","0278","N/A","N/A","1376.10","1376.10","1376.10","N/A","N/A","N/A","1376.10","1376.10","N/A","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10"
"5","N/A","PROSTHESIS OSSICULAR BOJRAB TI ADJ TOTAL 3.00-7.00MM","N/A","N/A","0278","N/A","N/A","1376.10","1376.10","1376.10","N/A","N/A","N/A","1376.10","1376.10","N/A","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10","1376.10"
"5","N/A","PROSTHESIS PISTON ECLIPSE 0.6X4.0MM","N/A","N/A","0278","N/A","N/A","1102.20","1102.20","1102.20","N/A","N/A","N/A","1102.20","1102.20","N/A","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20"
"5","N/A","PROSTHESIS PISTON ECLIPSE 0.6X4.25","N/A","N/A","0278","N/A","N/A","1102.20","1102.20","1102.20","N/A","N/A","N/A","1102.20","1102.20","N/A","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20"
"5","N/A","PROSTHESIS PISTON ECLIPSE 0.6X4.5","N/A","N/A","0278","N/A","N/A","1102.20","1102.20","1102.20","N/A","N/A","N/A","1102.20","1102.20","N/A","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20","1102.20"
"5","N/A","PROSTHESIS URINARY AMS 800 61-70CM H2O","N/A","N/A","0278","N/A","N/A","10329.00","10329.00","10329.00","N/A","N/A","N/A","10329.00","10329.00","N/A","10329.00","10329.00","10329.00","10329.00","10329.00","10329.00","10329.00","10329.00","10329.00","10329.00"
"5","N/A","PROTECTOR NERVE AXOGUARD 10X20MM","N/A","N/A","0278","N/A","N/A","7365.60","7365.60","7365.60","N/A","N/A","N/A","7365.60","7365.60","N/A","7365.60","7365.60","7365.60","7365.60","7365.60","7365.60","7365.60","7365.60","7365.60","7365.60"
"5","N/A","PROTECTOR NERVE AXOGUARD 10X40MM","N/A","N/A","0278","N/A","N/A","8880.30","8880.30","8880.30","N/A","N/A","N/A","8880.30","8880.30","N/A","8880.30","8880.30","8880.30","8880.30","8880.30","8880.30","8880.30","8880.30","8880.30","8880.30"
"5","N/A","PROTECTOR NERVE AXOGUARD 2X20MM","N/A","N/A","0278","N/A","N/A","7269.90","7269.90","7269.90","N/A","N/A","N/A","7269.90","7269.90","N/A","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90"
"5","N/A","PROTECTOR NERVE AXOGUARD 3.5X20MM","N/A","N/A","0278","N/A","N/A","7269.90","7269.90","7269.90","N/A","N/A","N/A","7269.90","7269.90","N/A","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90","7269.90"
"5","N/A","PROTECTOR NERVE AXOGUARD 3.5X40MM","N/A","N/A","0278","N/A","N/A","8647.65","8647.65","8647.65","N/A","N/A","N/A","8647.65","8647.65","N/A","8647.65","8647.65","8647.65","8647.65","8647.65","8647.65","8647.65","8647.65","8647.65","8647.65"
"5","N/A","PROTECTOR NERVE AXOGUARD 7X40MM","N/A","N/A","0278","N/A","N/A","8649.30","8649.30","8649.30","N/A","N/A","N/A","8649.30","8649.30","N/A","8649.30","8649.30","8649.30","8649.30","8649.30","8649.30","8649.30","8649.30","8649.30","8649.30"
"5","N/A","PUMP URINARY INHIBIZONE AMS 800","N/A","N/A","0278","N/A","N/A","22093.50","22093.50","22093.50","N/A","N/A","N/A","22093.50","22093.50","N/A","22093.50","22093.50","22093.50","22093.50","22093.50","22093.50","22093.50","22093.50","22093.50","22093.50"
"5","N/A","PUTTY DBM 10.0CC W/BIOV","N/A","N/A","0278","N/A","N/A","8569.28","8569.28","8569.28","N/A","N/A","N/A","8569.28","8569.28","N/A","8569.28","8569.28","8569.28","8569.28","8569.28","8569.28","8569.28","8569.28","8569.28","8569.28"
"5","N/A","PUTTY DBM ALLOSYNC 5CC","N/A","N/A","0278","N/A","N/A","2570.70","2570.70","2570.70","N/A","N/A","N/A","2570.70","2570.70","N/A","2570.70","2570.70","2570.70","2570.70","2570.70","2570.70","2570.70","2570.70","2570.70","2570.70"
"5","N/A","PUTTY DEMINERALIZED BN MATRIX FREEZE DRIED DBX 1ML","N/A","N/A","0278","N/A","N/A","775.50","775.50","775.50","N/A","N/A","N/A","775.50","775.50","N/A","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50","775.50"
"5","N/A","PUTTY DEMINERALIZED BN MATRIX FREEZE DRIED DBX 2.5","N/A","N/A","0278","N/A","N/A","1716.00","1716.00","1716.00","N/A","N/A","N/A","1716.00","1716.00","N/A","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00"
"5","N/A","PUTTY NOVOGRO 10CC","N/A","N/A","0278","N/A","N/A","11550.00","11550.00","11550.00","N/A","N/A","N/A","11550.00","11550.00","N/A","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00","11550.00"
"5","N/A","PUTTY NOVOGRO 2.5CC 1-1.4MM","N/A","N/A","0278","N/A","N/A","5775.00","5775.00","5775.00","N/A","N/A","N/A","5775.00","5775.00","N/A","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00","5775.00"
"5","N/A","PUTTY NOVOGRO 5CC 1-1.4MM","N/A","N/A","0278","N/A","N/A","6600.00","6600.00","6600.00","N/A","N/A","N/A","6600.00","6600.00","N/A","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00"
"5","N/A","PUTTY NOVOGRO 5CC 1-2MM","N/A","N/A","0278","N/A","N/A","6600.00","6600.00","6600.00","N/A","N/A","N/A","6600.00","6600.00","N/A","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00"
"5","N/A","RESERVOIR VENTRICULAR BTM INLET 1.1ML","N/A","N/A","0278","N/A","N/A","1295.91","1295.91","1295.91","N/A","N/A","N/A","1295.91","1295.91","N/A","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91"
"5","N/A","RESERVOIR VENTRICULAR SIDE INLET 0.3ML","N/A","N/A","0278","N/A","N/A","1295.91","1295.91","1295.91","N/A","N/A","N/A","1295.91","1295.91","N/A","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91","1295.91"
"5","N/A","RESTRICTOR CEMENT FEM BUCK 25MM","N/A","N/A","0278","N/A","N/A","1154.20","1154.20","1154.20","N/A","N/A","N/A","1154.20","1154.20","N/A","1154.20","1154.20","1154.20","1154.20","1154.20","1154.20","1154.20","1154.20","1154.20","1154.20"
"5","N/A","RESTRICTOR CEMENT W/ NOZZLE","N/A","N/A","0278","N/A","N/A","666.19","666.19","666.19","N/A","N/A","N/A","666.19","666.19","N/A","666.19","666.19","666.19","666.19","666.19","666.19","666.19","666.19","666.19","666.19"
"5","N/A","RING ANNULOPLASTY 690R CONTOUR 3D 26","N/A","N/A","0278","N/A","N/A","8910.00","8910.00","8910.00","N/A","N/A","N/A","8910.00","8910.00","N/A","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00"
"5","N/A","RING ANNULOPLASTY 690R CONTOUR 3D 28","N/A","N/A","0278","N/A","N/A","8910.00","8910.00","8910.00","N/A","N/A","N/A","8910.00","8910.00","N/A","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00"
"5","N/A","RING ANNULOPLASTY 690R CONTOUR 3D 32","N/A","N/A","0278","N/A","N/A","8910.00","8910.00","8910.00","N/A","N/A","N/A","8910.00","8910.00","N/A","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00","8910.00"
"5","N/A","RING ANNULOPLASTY SEMI RIGID 28MM","N/A","N/A","0278","N/A","N/A","6600.00","6600.00","6600.00","N/A","N/A","N/A","6600.00","6600.00","N/A","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00","6600.00"
"5","N/A","RING ANNULOPLASTY SEMI RIGID 32MM","N/A","N/A","0278","N/A","N/A","6517.50","6517.50","6517.50","N/A","N/A","N/A","6517.50","6517.50","N/A","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50"
"5","N/A","RING ANNULOPLASTY SEMI RIGID 34MM","N/A","N/A","0278","N/A","N/A","6517.50","6517.50","6517.50","N/A","N/A","N/A","6517.50","6517.50","N/A","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50"
"5","N/A","RING ANNULOPLASTY SEMI RIGID 36MM","N/A","N/A","0278","N/A","N/A","6517.50","6517.50","6517.50","N/A","N/A","N/A","6517.50","6517.50","N/A","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50"
"5","N/A","RING ANNULOPLASTY SEMI RIGID 38MM","N/A","N/A","0278","N/A","N/A","6517.50","6517.50","6517.50","N/A","N/A","N/A","6517.50","6517.50","N/A","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50","6517.50"
"5","N/A","RING ANNULOPLASTY TRICUSPID PHYSIO 30","N/A","N/A","0278","N/A","N/A","6507.60","6507.60","6507.60","N/A","N/A","N/A","6507.60","6507.60","N/A","6507.60","6507.60","6507.60","6507.60","6507.60","6507.60","6507.60","6507.60","6507.60","6507.60"
"5","N/A","RING CAPSULAR REFORM 10-12.3MM","N/A","N/A","0278","N/A","N/A","656.70","656.70","656.70","N/A","N/A","N/A","656.70","656.70","N/A","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70"
"5","N/A","RING CAPSULAR REFORM 12-14.5MM","N/A","N/A","0278","N/A","N/A","656.70","656.70","656.70","N/A","N/A","N/A","656.70","656.70","N/A","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70","656.70"
"5","N/A","ROD LORDOTIC VIPER 2 200MM","N/A","N/A","0278","N/A","N/A","1911.36","1911.36","1911.36","N/A","N/A","N/A","1911.36","1911.36","N/A","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36"
"5","N/A","ROD LORDOTIC VIPER 2 40MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD LORDOTIC VIPER 2 50MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD LORDOTIC VIPER 2 55MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD LORDOTIC VIPER 2 65MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD LORDOTIC VIPER 2 80MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD LORDOTIC VIPER 2 90MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD LORDOTIC VIPER2 45MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD MULTI AXIAL TI RELINE 5.5X35MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD MULTI AXIAL TI RELINE 5.5X40MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD MULTI AXIAL TI RELINE 5.5X45MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD MULTI AXIAL TI RELINE 5.5X50MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD MULTI AXIAL TI RELINE 5.5X75MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD MULTI AXIAL TI RELINE 5.5X80MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD MULTI AXIAL TI RELINE 5.5X90MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD O STR TI RELINE 5.5X300MM","N/A","N/A","0278","N/A","N/A","1384.10","1384.10","1384.10","N/A","N/A","N/A","1384.10","1384.10","N/A","1384.10","1384.10","1384.10","1384.10","1384.10","1384.10","1384.10","1384.10","1384.10","1384.10"
"5","N/A","ROD OCCIPITAL MNR LP TI 3.5X220MM","N/A","N/A","0278","N/A","N/A","2388.71","2388.71","2388.71","N/A","N/A","N/A","2388.71","2388.71","N/A","2388.71","2388.71","2388.71","2388.71","2388.71","2388.71","2388.71","2388.71","2388.71","2388.71"
"5","N/A","ROD PRE CONTRD VUEPOINT II 80","N/A","N/A","0278","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","ROD PRE LORDOSED CURVED 5.5X85MM (BREMER)","N/A","N/A","0278","N/A","N/A","875.16","875.16","875.16","N/A","N/A","N/A","875.16","875.16","N/A","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16"
"5","N/A","ROD PRE LORDOSED LINE 5.5X35MM","N/A","N/A","0278","N/A","N/A","875.16","875.16","875.16","N/A","N/A","N/A","875.16","875.16","N/A","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16"
"5","N/A","ROD PRE LORDOSED LINE 5.5X45MM","N/A","N/A","0278","N/A","N/A","875.16","875.16","875.16","N/A","N/A","N/A","875.16","875.16","N/A","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16"
"5","N/A","ROD PRE LORDOSED LINE 5.5X55MM","N/A","N/A","0278","N/A","N/A","875.16","875.16","875.16","N/A","N/A","N/A","875.16","875.16","N/A","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16"
"5","N/A","ROD PRE LORDOSED LINE 5.5X65MM","N/A","N/A","0278","N/A","N/A","875.16","875.16","875.16","N/A","N/A","N/A","875.16","875.16","N/A","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16"
"5","N/A","ROD PRE LORDOSED LINE 5.5X75MM","N/A","N/A","0278","N/A","N/A","875.16","875.16","875.16","N/A","N/A","N/A","875.16","875.16","N/A","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16"
"5","N/A","ROD PRE LORDOSED LINE 5.5X95MM","N/A","N/A","0278","N/A","N/A","875.16","875.16","875.16","N/A","N/A","N/A","875.16","875.16","N/A","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16","875.16"
"5","N/A","ROD PREBENT ROMEO 2 5.4X35MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ROD PREBENT ROMEO 2 5.4X40MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ROD PREBENT ROMEO 2 5.4X45MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ROD PREBENT ROMEO 2 5.4X70MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ROD PREBENT ROMEO 2 TI 5.4X60MM (SPINEA)","N/A","N/A","0278","N/A","N/A","1760.00","1760.00","1760.00","N/A","N/A","N/A","1760.00","1760.00","N/A","1760.00","1760.00","1760.00","1760.00","1760.00","1760.00","1760.00","1760.00","1760.00","1760.00"
"5","N/A","ROD PREBENT VUEPOINT2 3.5X60MM","N/A","N/A","0278","N/A","N/A","904.20","904.20","904.20","N/A","N/A","N/A","904.20","904.20","N/A","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20"
"5","N/A","ROD RELINE LORDOTIC 5.5X110","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD RELINE LORDOTIC 5.5X90MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD RELINE LP ADJ XCON 30-35","N/A","N/A","0278","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","ROD RELINE MAS LORDOTIC TI 5.5X60MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD RELINE MAS LORDOTIC TITANIUM 5.5X70MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD RELINE MAS TI 5.5X100MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD RELINE MAS TI 5.5X55MM","N/A","N/A","0278","N/A","N/A","1567.50","1567.50","1567.50","N/A","N/A","N/A","1567.50","1567.50","N/A","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50","1567.50"
"5","N/A","ROD RELINE-O FIXED X-CONN 5.5/35MM","N/A","N/A","0278","N/A","N/A","3515.38","3515.38","3515.38","N/A","N/A","N/A","3515.38","3515.38","N/A","3515.38","3515.38","3515.38","3515.38","3515.38","3515.38","3515.38","3515.38","3515.38","3515.38"
"5","N/A","ROD RELINE-O LP 35/42X5.5MM","N/A","N/A","0278","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","ROD RELINE-O TITANIUM LORDOTIC 5.5X45MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL COCR PRE-CONTOUR MEDIUM 5.5MM","N/A","N/A","0278","N/A","N/A","2877.60","2877.60","2877.60","N/A","N/A","N/A","2877.60","2877.60","N/A","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60"
"5","N/A","ROD SPINAL EXPEDIUM COCR CONTOUR 5.5X320MM","N/A","N/A","0278","N/A","N/A","2320.56","2320.56","2320.56","N/A","N/A","N/A","2320.56","2320.56","N/A","2320.56","2320.56","2320.56","2320.56","2320.56","2320.56","2320.56","2320.56","2320.56","2320.56"
"5","N/A","ROD SPINAL EXPEDIUM PRE-CONTOUR SHORT COCR 5.5MM","N/A","N/A","0278","N/A","N/A","2877.60","2877.60","2877.60","N/A","N/A","N/A","2877.60","2877.60","N/A","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60","2877.60"
"5","N/A","ROD SPINAL HARD TI N/S 6X250MM","N/A","N/A","0278","N/A","N/A","919.51","919.51","919.51","N/A","N/A","N/A","919.51","919.51","N/A","919.51","919.51","919.51","919.51","919.51","919.51","919.51","919.51","919.51","919.51"
"5","N/A","ROD SPINAL HARD TI N/S 6X500MM","N/A","N/A","0278","N/A","N/A","919.51","919.51","919.51","N/A","N/A","N/A","919.51","919.51","N/A","919.51","919.51","919.51","919.51","919.51","919.51","919.51","919.51","919.51","919.51"
"5","N/A","ROD SPINAL HEX END TI 5.5X480MM","N/A","N/A","0278","N/A","N/A","1313.40","1313.40","1313.40","N/A","N/A","N/A","1313.40","1313.40","N/A","1313.40","1313.40","1313.40","1313.40","1313.40","1313.40","1313.40","1313.40","1313.40","1313.40"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X035MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X25MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X40MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X45MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X50MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X55MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X60MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL LORDOTIC TI 3.5X65MM","N/A","N/A","0278","N/A","N/A","1240.80","1240.80","1240.80","N/A","N/A","N/A","1240.80","1240.80","N/A","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80","1240.80"
"5","N/A","ROD SPINAL MATRIX STR 5.5X80X400MM","N/A","N/A","0278","N/A","N/A","1526.88","1526.88","1526.88","N/A","N/A","N/A","1526.88","1526.88","N/A","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88"
"5","N/A","ROD SPINAL PREBENT ROMEO 5.4X90MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ROD SPINAL RELINE COCR LATERAL OFFSET TI 5.5MM","N/A","N/A","0278","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","ROD SPINAL RELINE-C PRE-BENT TI 3.5X100MM","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","ROD SPINAL RELINE-C PRE-BENT TI 3.5X50MM","N/A","N/A","0278","N/A","N/A","3856.88","3856.88","3856.88","N/A","N/A","N/A","3856.88","3856.88","N/A","3856.88","3856.88","3856.88","3856.88","3856.88","3856.88","3856.88","3856.88","3856.88","3856.88"
"5","N/A","ROD SPINAL RELINE-C PRE-BENT TI 3.5X60MM","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","ROD SPINAL RELINE-C PRE-BENT TI 3.5X70MM","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","ROD SPINAL RELINE-C PRE-BENT TI 3.5X80MM","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","ROD SPINAL RELINE-C PRE-BENT TI 3.5X90MM","N/A","N/A","0278","N/A","N/A","3630.00","3630.00","3630.00","N/A","N/A","N/A","3630.00","3630.00","N/A","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00","3630.00"
"5","N/A","ROD SPINAL RELINE-O COCR STR 5.5X500MM","N/A","N/A","0278","N/A","N/A","2090.00","2090.00","2090.00","N/A","N/A","N/A","2090.00","2090.00","N/A","2090.00","2090.00","2090.00","2090.00","2090.00","2090.00","2090.00","2090.00","2090.00","2090.00"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X100MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X110MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X120MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X40MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X45MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X50MM","N/A","N/A","0278","N/A","N/A","1463.00","1463.00","1463.00","N/A","N/A","N/A","1463.00","1463.00","N/A","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X70MM","N/A","N/A","0278","N/A","N/A","1463.00","1463.00","1463.00","N/A","N/A","N/A","1463.00","1463.00","N/A","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00","1463.00"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X75MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X80MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL RELINE-O LORDOTIC TI 5.5X90MM","N/A","N/A","0278","N/A","N/A","1097.25","1097.25","1097.25","N/A","N/A","N/A","1097.25","1097.25","N/A","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25","1097.25"
"5","N/A","ROD SPINAL SOFT TI N/S 6X50MM","N/A","N/A","0278","N/A","N/A","647.73","647.73","647.73","N/A","N/A","N/A","647.73","647.73","N/A","647.73","647.73","647.73","647.73","647.73","647.73","647.73","647.73","647.73","647.73"
"5","N/A","ROD SPINAL STR PRECONTURED HARD TI 65X400MM","N/A","N/A","0278","N/A","N/A","1526.88","1526.88","1526.88","N/A","N/A","N/A","1526.88","1526.88","N/A","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88"
"5","N/A","ROD SPINAL STR TI 3.5X120MM","N/A","N/A","0278","N/A","N/A","1364.88","1364.88","1364.88","N/A","N/A","N/A","1364.88","1364.88","N/A","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88","1364.88"
"5","N/A","ROD SPINAL STRAIGHT L400 MM L65","N/A","N/A","0278","N/A","N/A","1526.88","1526.88","1526.88","N/A","N/A","N/A","1526.88","1526.88","N/A","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88","1526.88"
"5","N/A","ROD SPINAL VUEPOINT II 3.5X240MM","N/A","N/A","0278","N/A","N/A","904.20","904.20","904.20","N/A","N/A","N/A","904.20","904.20","N/A","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20"
"5","N/A","ROD SPINAL VUEPOINT II CURVE TI 3.5X40MM","N/A","N/A","0278","N/A","N/A","904.20","904.20","904.20","N/A","N/A","N/A","904.20","904.20","N/A","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20"
"5","N/A","ROD SPINAL VUEPOINT II CURVE TI 9.0X3.5MM","N/A","N/A","0278","N/A","N/A","904.20","904.20","904.20","N/A","N/A","N/A","904.20","904.20","N/A","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20","904.20"
"5","N/A","ROD SPNL 300MM 5.5MM REL-O STR COCR NS","N/A","N/A","0278","N/A","N/A","1524.60","1524.60","1524.60","N/A","N/A","N/A","1524.60","1524.60","N/A","1524.60","1524.60","1524.60","1524.60","1524.60","1524.60","1524.60","1524.60","1524.60","1524.60"
"5","N/A","ROD STRAIGHT COBALT CHROME ROMEO 5.4X500MM (SPINEA)","N/A","N/A","0278","N/A","N/A","2200.00","2200.00","2200.00","N/A","N/A","N/A","2200.00","2200.00","N/A","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00","2200.00"
"5","N/A","ROD STRAIGHT COCR VIPER 2 5.5X480MM","N/A","N/A","0278","N/A","N/A","2290.33","2290.33","2290.33","N/A","N/A","N/A","2290.33","2290.33","N/A","2290.33","2290.33","2290.33","2290.33","2290.33","2290.33","2290.33","2290.33","2290.33","2290.33"
"5","N/A","ROD STRAIGHT PERLA TI 3.5X30MM","N/A","N/A","0278","N/A","N/A","859.65","859.65","859.65","N/A","N/A","N/A","859.65","859.65","N/A","859.65","859.65","859.65","859.65","859.65","859.65","859.65","859.65","859.65","859.65"
"5","N/A","ROD STRAIGHT PERLA TI 3.5X40MM","N/A","N/A","0278","N/A","N/A","859.65","859.65","859.65","N/A","N/A","N/A","859.65","859.65","N/A","859.65","859.65","859.65","859.65","859.65","859.65","859.65","859.65","859.65","859.65"
"5","N/A","ROD STRAIGHT ROMEO 2 5.4X100MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ROD STRAIGHT ROMEO 2 5.4X140MM","N/A","N/A","0278","N/A","N/A","1320.00","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","ROD VIPER5.5X300MM","N/A","N/A","0278","N/A","N/A","1911.36","1911.36","1911.36","N/A","N/A","N/A","1911.36","1911.36","N/A","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36","1911.36"
"5","N/A","ROD VUEPOINT II HINGED","N/A","N/A","0278","N/A","N/A","3738.90","3738.90","3738.90","N/A","N/A","N/A","3738.90","3738.90","N/A","3738.90","3738.90","3738.90","3738.90","3738.90","3738.90","3738.90","3738.90","3738.90","3738.90"
"5","N/A","ROD X-CON RELINE 5.5 40-50MM","N/A","N/A","0278","N/A","N/A","3382.50","3382.50","3382.50","N/A","N/A","N/A","3382.50","3382.50","N/A","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50","3382.50"
"5","N/A","SCLERAL SILAS #42 BAND","N/A","N/A","0278","N/A","N/A","50.16","50.16","50.16","N/A","N/A","N/A","50.16","50.16","N/A","50.16","50.16","50.16","50.16","50.16","50.16","50.16","50.16","50.16","50.16"
"5","N/A","SCREW BONE CANNULATED LP P/T TI 4.5X80MM","N/A","N/A","0278","N/A","N/A","577.50","577.50","577.50","N/A","N/A","N/A","577.50","577.50","N/A","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50","577.50"
"5","N/A","SCREW BONE REFLECTION SPHERICAL HEAD 6.5X50MM","N/A","N/A","0278","N/A","N/A","4320.00","4320.00","4320.00","N/A","N/A","N/A","4320.00","4320.00","N/A","4320.00","4320.00","4320.00","4320.00","4320.00","4320.00","4320.00","4320.00","4320.00","4320.00"
"5","N/A","SCREW CAGE ECLIPSE LRG 40MM","N/A","N/A","0278","N/A","N/A","3263.70","3263.70","3263.70","N/A","N/A","N/A","3263.70","3263.70","N/A","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70"
"5","N/A","SCREW CAGE ECLIPSE MED 35MM","N/A","N/A","0278","N/A","N/A","3263.70","3263.70","3263.70","N/A","N/A","N/A","3263.70","3263.70","N/A","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70","3263.70"
"5","N/A","SCREW SET UNITIZED EXP 5.5","N/A","N/A","0278","N/A","N/A","508.96","508.96","508.96","N/A","N/A","N/A","508.96","508.96","N/A","508.96","508.96","508.96","508.96","508.96","508.96","508.96","508.96","508.96","508.96"
"5","N/A","SCREW VERSE EXP 6.0X45MM","N/A","N/A","0278","N/A","N/A","3613.60","3613.60","3613.60","N/A","N/A","N/A","3613.60","3613.60","N/A","3613.60","3613.60","3613.60","3613.60","3613.60","3613.60","3613.60","3613.60","3613.60","3613.60"
"5","N/A","SET APPLICATOR BREAST LOCALIZER 20 5CM (U/S)","N/A","N/A","0278","N/A","N/A","907.50","907.50","907.50","N/A","N/A","N/A","907.50","907.50","N/A","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50","907.50"
"5","N/A","SET ENDCAP SCRW TI X-CORE MINI","N/A","N/A","0278","N/A","N/A","816.75","816.75","816.75","N/A","N/A","N/A","816.75","816.75","N/A","816.75","816.75","816.75","816.75","816.75","816.75","816.75","816.75","816.75","816.75"
"5","N/A","SET SCREW VUEPOINT II STATIC CROSS CONNECTOR","N/A","N/A","0278","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","SET STENT URETERAL UNIVERSA SOFT 7F 18CM","N/A","N/A","0278","N/A","N/A","306.97","306.97","306.97","N/A","N/A","N/A","306.97","306.97","N/A","306.97","306.97","306.97","306.97","306.97","306.97","306.97","306.97","306.97","306.97"
"5","N/A","SET SYSTEM OTSC 12/6T 220CM","N/A","N/A","0278","N/A","N/A","1864.50","1864.50","1864.50","N/A","N/A","N/A","1864.50","1864.50","N/A","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50","1864.50"
"5","N/A","SHEET SILASTIC SILICON .020"","N/A","N/A","0278","N/A","N/A","1.78","1.78","1.78","N/A","N/A","N/A","1.78","1.78","N/A","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78"
"5","N/A","SHEET SILASTIC SILICON .040" 6X8","N/A","N/A","0278","N/A","N/A","1.78","1.78","1.78","N/A","N/A","N/A","1.78","1.78","N/A","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78"
"5","N/A","SHEET SQUARE SYNPOR 50X50X1.5MM","N/A","N/A","0278","N/A","N/A","1377.82","1377.82","1377.82","N/A","N/A","N/A","1377.82","1377.82","N/A","1377.82","1377.82","1377.82","1377.82","1377.82","1377.82","1377.82","1377.82","1377.82","1377.82"
"5","N/A","SHEETSILCION.040","N/A","N/A","0278","N/A","N/A","1.78","1.78","1.78","N/A","N/A","N/A","1.78","1.78","N/A","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78","1.78"
"5","N/A","SHUNT GLAUCOMA MINI P50 EXPRESS","N/A","N/A","0278","N/A","N/A","3448.50","3448.50","3448.50","N/A","N/A","N/A","3448.50","3448.50","N/A","3448.50","3448.50","3448.50","3448.50","3448.50","3448.50","3448.50","3448.50","3448.50","3448.50"
"5","N/A","SLEEVE SCLERAL 72 S-3071 RND SI","N/A","N/A","0278","N/A","N/A","32.06","32.06","32.06","N/A","N/A","N/A","32.06","32.06","N/A","32.06","32.06","32.06","32.06","32.06","32.06","32.06","32.06","32.06","32.06"
"5","N/A","SLEEVE SCLERAL SI 1-2.1MM","N/A","N/A","0278","N/A","N/A","39.60","39.60","39.60","N/A","N/A","N/A","39.60","39.60","N/A","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60","39.60"
"5","N/A","SLING URETHRAL ADVANCE XP MALE KIT","N/A","N/A","0278","N/A","N/A","24931.50","24931.50","24931.50","N/A","N/A","N/A","24931.50","24931.50","N/A","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50"
"5","N/A","SPACER ACIF LORDOTIC STD 7MM","N/A","N/A","0278","N/A","N/A","8245.22","8245.22","8245.22","N/A","N/A","N/A","8245.22","8245.22","N/A","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22"
"5","N/A","SPACER ACIF LORDOTIC VA 8MM","N/A","N/A","0278","N/A","N/A","8245.22","8245.22","8245.22","N/A","N/A","N/A","8245.22","8245.22","N/A","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22","8245.22"
"5","N/A","SPACER ANTERIOR CERV FUSION PARALLEL 5MM","N/A","N/A","0278","N/A","N/A","4920.30","4920.30","4920.30","N/A","N/A","N/A","4920.30","4920.30","N/A","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30"
"5","N/A","SPACER ANTERIOR CERV FUSION PARALLEL 6MM","N/A","N/A","0278","N/A","N/A","4920.30","4920.30","4920.30","N/A","N/A","N/A","4920.30","4920.30","N/A","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30"
"5","N/A","SPACER ANTERIOR CERV FUSION PARALLEL 7MM","N/A","N/A","0278","N/A","N/A","4920.30","4920.30","4920.30","N/A","N/A","N/A","4920.30","4920.30","N/A","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30"
"5","N/A","SPACER ANTERIOR CERV FUSION PARALLEL 8MM","N/A","N/A","0278","N/A","N/A","4920.30","4920.30","4920.30","N/A","N/A","N/A","4920.30","4920.30","N/A","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30","4920.30"
"5","N/A","SPACER EVOLUTION SYNFIX 10 DEG 12MM SMALL","N/A","N/A","0278","N/A","N/A","19750.50","19750.50","19750.50","N/A","N/A","N/A","19750.50","19750.50","N/A","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50"
"5","N/A","SPACER EVOLUTION SYNFIX 10 DEG 15X11.4MM SMALL","N/A","N/A","0278","N/A","N/A","19750.50","19750.50","19750.50","N/A","N/A","N/A","19750.50","19750.50","N/A","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50"
"5","N/A","SPACER EVOLUTION SYNFIX 10.5MM SMALL","N/A","N/A","0278","N/A","N/A","19750.50","19750.50","19750.50","N/A","N/A","N/A","19750.50","19750.50","N/A","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50"
"5","N/A","SPACER LORDOTIC 8MM","N/A","N/A","0278","N/A","N/A","3960.00","3960.00","3960.00","N/A","N/A","N/A","3960.00","3960.00","N/A","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00"
"5","N/A","SPACER LORDOTIC 9MM","N/A","N/A","0278","N/A","N/A","3960.00","3960.00","3960.00","N/A","N/A","N/A","3960.00","3960.00","N/A","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00"
"5","N/A","SPACER SPINAL SUPERION TI ISP 12MM","N/A","N/A","0278","N/A","N/A","15675.00","15675.00","15675.00","N/A","N/A","N/A","15675.00","15675.00","N/A","15675.00","15675.00","15675.00","15675.00","15675.00","15675.00","15675.00","15675.00","15675.00","15675.00"
"5","N/A","SPACER SPINAL SUPERION TI ISP 14MM","N/A","N/A","0278","N/A","N/A","20900.00","20900.00","20900.00","N/A","N/A","N/A","20900.00","20900.00","N/A","20900.00","20900.00","20900.00","20900.00","20900.00","20900.00","20900.00","20900.00","20900.00","20900.00"
"5","N/A","SPACER SYNFIX ALIF MED 13.5X9.4MM 10DEG","N/A","N/A","0278","N/A","N/A","19750.50","19750.50","19750.50","N/A","N/A","N/A","19750.50","19750.50","N/A","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50","19750.50"
"5","N/A","SPACER TAPERED -3 (DEPUY)","N/A","N/A","0278","N/A","N/A","737.55","737.55","737.55","N/A","N/A","N/A","737.55","737.55","N/A","737.55","737.55","737.55","737.55","737.55","737.55","737.55","737.55","737.55","737.55"
"5","N/A","SPHERE EMBOLIZATION BLU 300-500MIC","N/A","N/A","0278","N/A","N/A","801.90","801.90","801.90","N/A","N/A","N/A","801.90","801.90","N/A","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90"
"5","N/A","SPHERE EMBOLIZATION GRN 700-900MIC","N/A","N/A","0278","N/A","N/A","801.90","801.90","801.90","N/A","N/A","N/A","801.90","801.90","N/A","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90"
"5","N/A","SPHERE EMBOLIZATION RED 500-700MIC","N/A","N/A","0278","N/A","N/A","801.90","801.90","801.90","N/A","N/A","N/A","801.90","801.90","N/A","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90"
"5","N/A","SPHERE EMBOLIZATION YEL 100-300MIC","N/A","N/A","0278","N/A","N/A","801.90","801.90","801.90","N/A","N/A","N/A","801.90","801.90","N/A","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90","801.90"
"5","N/A","SPHERE EYE SI STER 16MM","N/A","N/A","0278","N/A","N/A","191.40","191.40","191.40","N/A","N/A","N/A","191.40","191.40","N/A","191.40","191.40","191.40","191.40","191.40","191.40","191.40","191.40","191.40","191.40"
"5","N/A","SPHERE EYE STER PMMA VENUS 20","N/A","N/A","0278","N/A","N/A","178.20","178.20","178.20","N/A","N/A","N/A","178.20","178.20","N/A","178.20","178.20","178.20","178.20","178.20","178.20","178.20","178.20","178.20","178.20"
"5","N/A","SPHERE ORBITAL MESH WRAPPED 20MM","N/A","N/A","0278","N/A","N/A","1650.00","1650.00","1650.00","N/A","N/A","N/A","1650.00","1650.00","N/A","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00","1650.00"
"5","N/A","STEM FEMORAL PROSTALAC SZ 3 MOLD","N/A","N/A","0278","N/A","N/A","12934.35","12934.35","12934.35","N/A","N/A","N/A","12934.35","12934.35","N/A","12934.35","12934.35","12934.35","12934.35","12934.35","12934.35","12934.35","12934.35","12934.35","12934.35"
"5","N/A","STENT AQUEOUS ISTENT INJECT TRABECULAR MICRO-BYPASS","N/A","N/A","0278","N/A","N/A","7425.00","7425.00","7425.00","N/A","N/A","N/A","7425.00","7425.00","N/A","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00","7425.00"
"5","N/A","STENT BICANALICULUS S1-1450","N/A","N/A","0278","N/A","N/A","269.50","269.50","269.50","N/A","N/A","N/A","269.50","269.50","N/A","269.50","269.50","269.50","269.50","269.50","269.50","269.50","269.50","269.50","269.50"
"5","N/A","STENT BILIARY ADVANIX 10F 7CM","N/A","N/A","0278","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","STENT BILIARY ADVANIX 10FR 5CM","N/A","N/A","0278","N/A","N/A","181.50","181.50","181.50","N/A","N/A","N/A","181.50","181.50","N/A","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50","181.50"
"5","N/A","STENT BILIARY RX ADVANIX 10FR 12CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 10FR 5CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 10FR 7CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 10FR 9CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 7F 5CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 7FR 12CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 7FR 15CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 7FR 7CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY RX ADVANIX 7FR 9CM","N/A","N/A","0278","N/A","N/A","442.20","442.20","442.20","N/A","N/A","N/A","442.20","442.20","N/A","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20","442.20"
"5","N/A","STENT BILIARY ZIMMON 2 PIGTAIL 7FX5CM","N/A","N/A","0278","N/A","N/A","455.40","455.40","455.40","N/A","N/A","N/A","455.40","455.40","N/A","455.40","455.40","455.40","455.40","455.40","455.40","455.40","455.40","455.40","455.40"
"5","N/A","STENT EMBOLIZATION PIPELINE SHIELD 4.5X20MM","N/A","N/A","0278","N/A","N/A","44698.50","44698.50","44698.50","N/A","N/A","N/A","44698.50","44698.50","N/A","44698.50","44698.50","44698.50","44698.50","44698.50","44698.50","44698.50","44698.50","44698.50","44698.50"
"5","N/A","STENT EMBOLIZATION PIPELINE SHIELD 4.5X25MM","N/A","N/A","0278","N/A","N/A","46431.00","46431.00","46431.00","N/A","N/A","N/A","46431.00","46431.00","N/A","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00"
"5","N/A","STENT EMBOLIZATION PIPELINE SHIELD 4X25MM","N/A","N/A","0278","N/A","N/A","46431.00","46431.00","46431.00","N/A","N/A","N/A","46431.00","46431.00","N/A","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00","46431.00"
"5","N/A","STENT GLIDEX PERCUFLEX 8F 24CM","N/A","N/A","0278","N/A","N/A","407.88","407.88","407.88","N/A","N/A","N/A","407.88","407.88","N/A","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88"
"5","N/A","STENT GLIDEX PRCFLX 8FR 22CM","N/A","N/A","0278","N/A","N/A","407.88","407.88","407.88","N/A","N/A","N/A","407.88","407.88","N/A","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88"
"5","N/A","STENT GLIDEX PRCFLX 8FR 26CM","N/A","N/A","0278","N/A","N/A","407.88","407.88","407.88","N/A","N/A","N/A","407.88","407.88","N/A","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88"
"5","N/A","STENT GLIDEX PRCFLX 8FR 28CM","N/A","N/A","0278","N/A","N/A","407.88","407.88","407.88","N/A","N/A","N/A","407.88","407.88","N/A","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88","407.88"
"5","N/A","STENT GRAFT THORACIC CONFORM 20F 28X28X10CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 20F 31X26MMX10CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 20F 31X31MMX15CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 20F 31X31MMX20CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 22F 34X34MMX10CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 22F 37X37MMX10CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 22F 37X37MMX15CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 22F 40X40MMX10CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 22F 40X40X15CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 22F 40X40X20CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 24F 45X45MMX10CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 24F 45X45MMX15CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT THORACIC CONFORM 24F 45X45MMX20CM","N/A","N/A","0278","N/A","N/A","60967.50","60967.50","60967.50","N/A","N/A","N/A","60967.50","60967.50","N/A","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50","60967.50"
"5","N/A","STENT GRAFT VALIANT NAVION STR 40X34X200MM","N/A","N/A","0278","N/A","N/A","70933.50","70933.50","70933.50","N/A","N/A","N/A","70933.50","70933.50","N/A","70933.50","70933.50","70933.50","70933.50","70933.50","70933.50","70933.50","70933.50","70933.50","70933.50"
"5","N/A","STENT GRAFT VALIANT NAVION STR CS 34X34X90MM","N/A","N/A","0278","N/A","N/A","61033.50","61033.50","61033.50","N/A","N/A","N/A","61033.50","61033.50","N/A","61033.50","61033.50","61033.50","61033.50","61033.50","61033.50","61033.50","61033.50","61033.50","61033.50"
"5","N/A","STENT GRAFT VALIANT PROXIMAL 46X46X212MM","N/A","N/A","0278","N/A","N/A","64333.50","64333.50","64333.50","N/A","N/A","N/A","64333.50","64333.50","N/A","64333.50","64333.50","64333.50","64333.50","64333.50","64333.50","64333.50","64333.50","64333.50","64333.50"
"5","N/A","STENT MONOCANALICULARL MONOKA WIDE 4MM","N/A","N/A","0278","N/A","N/A","330.00","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","STENT NEPHROURETERAL PRCFLX 8FR 22CM","N/A","N/A","0278","N/A","N/A","328.55","328.55","328.55","N/A","N/A","N/A","328.55","328.55","N/A","328.55","328.55","328.55","328.55","328.55","328.55","328.55","328.55","328.55","328.55"
"5","N/A","STENT NEPHROURETERAL PRCFLX 8FR 26CM","N/A","N/A","0278","N/A","N/A","328.55","328.55","328.55","N/A","N/A","N/A","328.55","328.55","N/A","328.55","328.55","328.55","328.55","328.55","328.55","328.55","328.55","328.55","328.55"
"5","N/A","STENT PANCREATIC ADVANIX 5FX3CM","N/A","N/A","0278","N/A","N/A","254.73","254.73","254.73","N/A","N/A","N/A","254.73","254.73","N/A","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73"
"5","N/A","STENT PANCREATIC ADVANIX 5FX5CM","N/A","N/A","0278","N/A","N/A","254.73","254.73","254.73","N/A","N/A","N/A","254.73","254.73","N/A","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73"
"5","N/A","STENT PANCREATIC GEENEN 5FR 5CM","N/A","N/A","0278","N/A","N/A","234.30","234.30","234.30","N/A","N/A","N/A","234.30","234.30","N/A","234.30","234.30","234.30","234.30","234.30","234.30","234.30","234.30","234.30","234.30"
"5","N/A","STENT PANCREATIC GEENEN 5FR 7CM","N/A","N/A","0278","N/A","N/A","234.30","234.30","234.30","N/A","N/A","N/A","234.30","234.30","N/A","234.30","234.30","234.30","234.30","234.30","234.30","234.30","234.30","234.30","234.30"
"5","N/A","STENT PANCREATIC STR W/BARB 5FX5CM","N/A","N/A","0278","N/A","N/A","254.73","254.73","254.73","N/A","N/A","N/A","254.73","254.73","N/A","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73","254.73"
"5","N/A","STENT PIPELINE FLEX 3.5X18MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 3.75X14MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 3X20MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 4.25X14MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 4.25X20MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 4.25X30MM","N/A","N/A","0278","N/A","N/A","44220.00","44220.00","44220.00","N/A","N/A","N/A","44220.00","44220.00","N/A","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00"
"5","N/A","STENT PIPELINE FLEX 4.5X20MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 4X14MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 4X20MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 4X30MM","N/A","N/A","0278","N/A","N/A","44220.00","44220.00","44220.00","N/A","N/A","N/A","44220.00","44220.00","N/A","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00","44220.00"
"5","N/A","STENT PIPELINE FLEX 5X10MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT PIPELINE FLEX 5X18MM","N/A","N/A","0278","N/A","N/A","42570.00","42570.00","42570.00","N/A","N/A","N/A","42570.00","42570.00","N/A","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00","42570.00"
"5","N/A","STENT POLARIS ULTRA 5FR 10CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 5FR 12MM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 5FR 14MM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 6F 22CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 6FR 24CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 6FR 26CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 8FR 22CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 8FR 24CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT POLARIS ULTRA 8FR 26CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT SINUS 4.0MM","N/A","N/A","0278","N/A","N/A","3415.50","3415.50","3415.50","N/A","N/A","N/A","3415.50","3415.50","N/A","3415.50","3415.50","3415.50","3415.50","3415.50","3415.50","3415.50","3415.50","3415.50","3415.50"
"5","N/A","STENT URETERAL FILIFORM DBL PIGTAIL 7.0F 22CM","N/A","N/A","0278","N/A","N/A","416.26","416.26","416.26","N/A","N/A","N/A","416.26","416.26","N/A","416.26","416.26","416.26","416.26","416.26","416.26","416.26","416.26","416.26","416.26"
"5","N/A","STENT URETERAL METALLIC RESONANCE 6F 24CM","N/A","N/A","0278","N/A","N/A","3211.16","3211.16","3211.16","N/A","N/A","N/A","3211.16","3211.16","N/A","3211.16","3211.16","3211.16","3211.16","3211.16","3211.16","3211.16","3211.16","3211.16","3211.16"
"5","N/A","STENT URETERAL POLARIS LOOP 6FR 24","N/A","N/A","0278","N/A","N/A","485.69","485.69","485.69","N/A","N/A","N/A","485.69","485.69","N/A","485.69","485.69","485.69","485.69","485.69","485.69","485.69","485.69","485.69","485.69"
"5","N/A","STENT URETERAL POLARIS ULTRA 6F 20CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT URETERAL POLARIS ULTRA 8F 28CM","N/A","N/A","0278","N/A","N/A","459.43","459.43","459.43","N/A","N/A","N/A","459.43","459.43","N/A","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43","459.43"
"5","N/A","STENT URETERAL PRCFLX+ 4.8FR 20CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 4.8FR 22CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 4.8FR 24CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 4.8FR 26CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 4.8FR 28CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 6FR 20CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 6FR 22CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 6FR 24CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 6FR 26CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 6FR 28CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 7FR 22CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 7FR 24CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 7FR 26CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL PRCFLX+ 7FR 28CM","N/A","N/A","0278","N/A","N/A","364.98","364.98","364.98","N/A","N/A","N/A","364.98","364.98","N/A","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98","364.98"
"5","N/A","STENT URETERAL ST KWART 6FR 22-32","N/A","N/A","0278","N/A","N/A","379.10","379.10","379.10","N/A","N/A","N/A","379.10","379.10","N/A","379.10","379.10","379.10","379.10","379.10","379.10","379.10","379.10","379.10","379.10"
"5","N/A","STENT URINARY DIVERSION 7FX90CM","N/A","N/A","0278","N/A","N/A","356.07","356.07","356.07","N/A","N/A","N/A","356.07","356.07","N/A","356.07","356.07","356.07","356.07","356.07","356.07","356.07","356.07","356.07","356.07"
"5","N/A","STENT URINARY DIVERSION 8FX90CM","N/A","N/A","0278","N/A","N/A","356.07","356.07","356.07","N/A","N/A","N/A","356.07","356.07","N/A","356.07","356.07","356.07","356.07","356.07","356.07","356.07","356.07","356.07","356.07"
"5","N/A","STRIP SCLERAL SI 0.75X3.5X125","N/A","N/A","0278","N/A","N/A","51.33","51.33","51.33","N/A","N/A","N/A","51.33","51.33","N/A","51.33","51.33","51.33","51.33","51.33","51.33","51.33","51.33","51.33","51.33"
"5","N/A","SULFATE CALCIUM STIMULAN 10CC","N/A","N/A","0278","N/A","N/A","5445.00","5445.00","5445.00","N/A","N/A","N/A","5445.00","5445.00","N/A","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00"
"5","N/A","SYNEX W/LGE ENDPLATES 33-48MM 10DEG AO","N/A","N/A","0278","N/A","N/A","14793.11","14793.11","14793.11","N/A","N/A","N/A","14793.11","14793.11","N/A","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11","14793.11"
"5","N/A","SYSTEM CARDIOMEMS PLUM SENSOR DELIVERY","N/A","N/A","0278","N/A","N/A","75735.00","75735.00","75735.00","N/A","N/A","N/A","75735.00","75735.00","N/A","75735.00","75735.00","75735.00","75735.00","75735.00","75735.00","75735.00","75735.00","75735.00","75735.00"
"5","N/A","SYSTEM CEMENT TEKNIMED HIGHV+","N/A","N/A","0278","N/A","N/A","7480.00","7480.00","7480.00","N/A","N/A","N/A","7480.00","7480.00","N/A","7480.00","7480.00","7480.00","7480.00","7480.00","7480.00","7480.00","7480.00","7480.00","7480.00"
"5","N/A","SYSTEM CLOSURE VASCADE 5F","N/A","N/A","0278","N/A","N/A","660.00","660.00","660.00","N/A","N/A","N/A","660.00","660.00","N/A","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00","660.00"
"5","N/A","SYSTEM CLOSURE VASCADE 6-7F","N/A","N/A","0278","N/A","N/A","671.79","671.79","671.79","N/A","N/A","N/A","671.79","671.79","N/A","671.79","671.79","671.79","671.79","671.79","671.79","671.79","671.79","671.79","671.79"
"5","N/A","SYSTEM CLOSURE VASCADE MVP VENOUS 6-12F","N/A","N/A","0278","N/A","N/A","792.00","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","SYSTEM EMBOLIZATION WEB SL 017" 6X3MM","N/A","N/A","0278","N/A","N/A","51711.83","51711.83","51711.83","N/A","N/A","N/A","51711.83","51711.83","N/A","51711.83","51711.83","51711.83","51711.83","51711.83","51711.83","51711.83","51711.83","51711.83","51711.83"
"5","N/A","SYSTEM EMBOLIZATION WEB SL 027" 8X3MM","N/A","N/A","0278","N/A","N/A","46868.25","46868.25","46868.25","N/A","N/A","N/A","46868.25","46868.25","N/A","46868.25","46868.25","46868.25","46868.25","46868.25","46868.25","46868.25","46868.25","46868.25","46868.25"
"5","N/A","SYSTEM FIXATION EXTERNAL DIGIT WIGIT","N/A","N/A","0278","N/A","N/A","5362.50","5362.50","5362.50","N/A","N/A","N/A","5362.50","5362.50","N/A","5362.50","5362.50","5362.50","5362.50","5362.50","5362.50","5362.50","5362.50","5362.50","5362.50"
"5","N/A","SYSTEM FIXATION MENISCAL CINCH","N/A","N/A","0278","N/A","N/A","940.50","940.50","940.50","N/A","N/A","N/A","940.50","940.50","N/A","940.50","940.50","940.50","940.50","940.50","940.50","940.50","940.50","940.50","940.50"
"5","N/A","SYSTEM IMPLANT CPR MINI SCORPION DX","N/A","N/A","0278","N/A","N/A","3613.50","3613.50","3613.50","N/A","N/A","N/A","3613.50","3613.50","N/A","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50","3613.50"
"5","N/A","SYSTEM IMPLANT FDL 5.5MM","N/A","N/A","0278","N/A","N/A","4933.50","4933.50","4933.50","N/A","N/A","N/A","4933.50","4933.50","N/A","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50"
"5","N/A","SYSTEM IMPLANT MULTI STERNALOCK 360","N/A","N/A","0278","N/A","N/A","13272.60","13272.60","13272.60","N/A","N/A","N/A","13272.60","13272.60","N/A","13272.60","13272.60","13272.60","13272.60","13272.60","13272.60","13272.60","13272.60","13272.60","13272.60"
"5","N/A","SYSTEM IMPLANT TIGHTROPE ABS OPEN","N/A","N/A","0278","N/A","N/A","640.20","640.20","640.20","N/A","N/A","N/A","640.20","640.20","N/A","640.20","640.20","640.20","640.20","640.20","640.20","640.20","640.20","640.20","640.20"
"5","N/A","SYSTEM IMPLANT TIGHTROPE XP KNOTLESS SYNDESMOSIS SS","N/A","N/A","0278","N/A","N/A","4933.50","4933.50","4933.50","N/A","N/A","N/A","4933.50","4933.50","N/A","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50","4933.50"
"5","N/A","SYSTEM IMPLANT UROLIFT","N/A","N/A","0278","N/A","N/A","3217.50","3217.50","3217.50","N/A","N/A","N/A","3217.50","3217.50","N/A","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50","3217.50"
"5","N/A","SYSTEM MARKER FIDUCIAL EUS BEACON PRELOADED 22G","N/A","N/A","0278","N/A","N/A","1980.00","1980.00","1980.00","N/A","N/A","N/A","1980.00","1980.00","N/A","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00","1980.00"
"5","N/A","SYSTEM MITRACLIP VALVE G4 BUNDLE","N/A","N/A","0278","N/A","N/A","99000.00","99000.00","99000.00","N/A","N/A","N/A","99000.00","99000.00","N/A","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00"
"5","N/A","SYSTEM NASAL IMPLANT LATERA 20MM","N/A","N/A","0278","N/A","N/A","3960.00","3960.00","3960.00","N/A","N/A","N/A","3960.00","3960.00","N/A","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00"
"5","N/A","SYSTEM NASAL IMPLANT LATERA ABSORBABLE 3/PK","N/A","N/A","0278","N/A","N/A","3960.00","3960.00","3960.00","N/A","N/A","N/A","3960.00","3960.00","N/A","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00","3960.00"
"5","N/A","SYSTEM NAV6 EMBOSHIELD 5MMX190CM","N/A","N/A","0278","N/A","N/A","6435.00","6435.00","6435.00","N/A","N/A","N/A","6435.00","6435.00","N/A","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00","6435.00"
"5","N/A","SYSTEM ONE IN ALL RALLY MV 70G","N/A","N/A","0278","N/A","N/A","1359.60","1359.60","1359.60","N/A","N/A","N/A","1359.60","1359.60","N/A","1359.60","1359.60","1359.60","1359.60","1359.60","1359.60","1359.60","1359.60","1359.60","1359.60"
"5","N/A","SYSTEM ONE IN ALL RALLY MV AB 70G","N/A","N/A","0278","N/A","N/A","2034.00","2034.00","2034.00","N/A","N/A","N/A","2034.00","2034.00","N/A","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00"
"5","N/A","SYSTEM REPAIR DISTAL BICEP STER","N/A","N/A","0278","N/A","N/A","2805.00","2805.00","2805.00","N/A","N/A","N/A","2805.00","2805.00","N/A","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00","2805.00"
"5","N/A","TIRE SCLERAL BUCKLING SI 7X2.5","N/A","N/A","0278","N/A","N/A","69.30","69.30","69.30","N/A","N/A","N/A","69.30","69.30","N/A","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30"
"5","N/A","TISSUE GRAFIX CORE 16MM (2 SQ CM)","N/A","N/A","0278","N/A","N/A","735.08","735.08","735.08","N/A","N/A","N/A","735.08","735.08","N/A","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08"
"5","N/A","TISSUE GRAFIX PRIME 1.5X2CM","N/A","N/A","0278","N/A","N/A","871.20","871.20","871.20","N/A","N/A","N/A","871.20","871.20","N/A","871.20","871.20","871.20","871.20","871.20","871.20","871.20","871.20","871.20","871.20"
"5","N/A","TISSUE GRAFIX PRIME 2X3CM","N/A","N/A","0278","N/A","N/A","547.25","547.25","547.25","N/A","N/A","N/A","547.25","547.25","N/A","547.25","547.25","547.25","547.25","547.25","547.25","547.25","547.25","547.25","547.25"
"5","N/A","TISSUE STRAVIX 2X4CM","N/A","N/A","0278","N/A","N/A","5643.00","5643.00","5643.00","N/A","N/A","N/A","5643.00","5643.00","N/A","5643.00","5643.00","5643.00","5643.00","5643.00","5643.00","5643.00","5643.00","5643.00","5643.00"
"5","N/A","TISSUE STRAVIX 3X6CM","N/A","N/A","0278","N/A","N/A","9801.00","9801.00","9801.00","N/A","N/A","N/A","9801.00","9801.00","N/A","9801.00","9801.00","9801.00","9801.00","9801.00","9801.00","9801.00","9801.00","9801.00","9801.00"
"5","N/A","TOTAL SHOULDER (FX SHLDR)","N/A","N/A","0278","N/A","N/A","20685.60","20685.60","20685.60","N/A","N/A","N/A","20685.60","20685.60","N/A","20685.60","20685.60","20685.60","20685.60","20685.60","20685.60","20685.60","20685.60","20685.60","20685.60"
"5","N/A","TRANSCONNECTOR ROD MATRIX TI 30-33MM","N/A","N/A","0278","N/A","N/A","2617.23","2617.23","2617.23","N/A","N/A","N/A","2617.23","2617.23","N/A","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23"
"5","N/A","TRANSCONNECTOR SPINE 38-47MM","N/A","N/A","0278","N/A","N/A","2617.23","2617.23","2617.23","N/A","N/A","N/A","2617.23","2617.23","N/A","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23","2617.23"
"5","N/A","TUBE EAR ARMSTRONG GROMMET","N/A","N/A","0278","N/A","N/A","68.75","68.75","68.75","N/A","N/A","N/A","68.75","68.75","N/A","68.75","68.75","68.75","68.75","68.75","68.75","68.75","68.75","68.75","68.75"
"5","N/A","TUBE TEAR DUCT CRAWFORD SS SILICONE","N/A","N/A","0278","N/A","N/A","209.00","209.00","209.00","N/A","N/A","N/A","209.00","209.00","N/A","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00"
"5","N/A","TUBE TRACHEOSTOMY LARYTUBE 8/36 9.5X12X36MM","N/A","N/A","0278","N/A","N/A","445.50","445.50","445.50","N/A","N/A","N/A","445.50","445.50","N/A","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50"
"5","N/A","TUBE TRACHEOSTOMY LARYTUBE 8/55 9.5X12X55MM","N/A","N/A","0278","N/A","N/A","445.50","445.50","445.50","N/A","N/A","N/A","445.50","445.50","N/A","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50","445.50"
"5","N/A","TUBE VENTILATION GOODE T SI 1.14MM","N/A","N/A","0278","N/A","N/A","143.22","143.22","143.22","N/A","N/A","N/A","143.22","143.22","N/A","143.22","143.22","143.22","143.22","143.22","143.22","143.22","143.22","143.22","143.22"
"5","N/A","TUBE VENTILATION PAPARELLA TY 2 1.14MM","N/A","N/A","0278","N/A","N/A","62.34","62.34","62.34","N/A","N/A","N/A","62.34","62.34","N/A","62.34","62.34","62.34","62.34","62.34","62.34","62.34","62.34","62.34","62.34"
"5","N/A","TUBE VENTILATION TPR DURAVENT 1.27X4.5","N/A","N/A","0278","N/A","N/A","78.51","78.51","78.51","N/A","N/A","N/A","78.51","78.51","N/A","78.51","78.51","78.51","78.51","78.51","78.51","78.51","78.51","78.51","78.51"
"5","N/A","USE #00127385 DRESSING WOUND PURAPLY AM 5X5CM","N/A","N/A","0278","N/A","N/A","8580.00","8580.00","8580.00","N/A","N/A","N/A","8580.00","8580.00","N/A","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00","8580.00"
"5","N/A","VALVE AORTIC EVOLUT PRO+ 29MM","N/A","N/A","0278","N/A","N/A","99000.00","99000.00","99000.00","N/A","N/A","N/A","99000.00","99000.00","N/A","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00"
"5","N/A","VALVE AORTIC EVOLUT PRO+ 34MM","N/A","N/A","0278","N/A","N/A","99000.00","99000.00","99000.00","N/A","N/A","N/A","99000.00","99000.00","N/A","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00","99000.00"
"5","N/A","VALVE AORTIC HMSHL MASTERS 25MM","N/A","N/A","0278","N/A","N/A","15180.00","15180.00","15180.00","N/A","N/A","N/A","15180.00","15180.00","N/A","15180.00","15180.00","15180.00","15180.00","15180.00","15180.00","15180.00","15180.00","15180.00","15180.00"
"5","N/A","VALVE AORTIC HMSHL MASTERS 27MM","N/A","N/A","0278","N/A","N/A","17572.50","17572.50","17572.50","N/A","N/A","N/A","17572.50","17572.50","N/A","17572.50","17572.50","17572.50","17572.50","17572.50","17572.50","17572.50","17572.50","17572.50","17572.50"
"5","N/A","VALVE AORTIC MAGNA EASE 21MM","N/A","N/A","0278","N/A","N/A","18981.60","18981.60","18981.60","N/A","N/A","N/A","18981.60","18981.60","N/A","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60"
"5","N/A","VALVE AORTIC MAGNA EASE 23MM","N/A","N/A","0278","N/A","N/A","19499.23","19499.23","19499.23","N/A","N/A","N/A","19499.23","19499.23","N/A","19499.23","19499.23","19499.23","19499.23","19499.23","19499.23","19499.23","19499.23","19499.23","19499.23"
"5","N/A","VALVE AORTIC MAGNA EASE 25MM","N/A","N/A","0278","N/A","N/A","18981.60","18981.60","18981.60","N/A","N/A","N/A","18981.60","18981.60","N/A","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60"
"5","N/A","VALVE AORTIC MAGNA EASE 27MM","N/A","N/A","0278","N/A","N/A","19887.45","19887.45","19887.45","N/A","N/A","N/A","19887.45","19887.45","N/A","19887.45","19887.45","19887.45","19887.45","19887.45","19887.45","19887.45","19887.45","19887.45","19887.45"
"5","N/A","VALVE AORTIC MAGNA EASE 29MM","N/A","N/A","0278","N/A","N/A","18981.60","18981.60","18981.60","N/A","N/A","N/A","18981.60","18981.60","N/A","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60"
"5","N/A","VALVE AORTIC SUPRA ANNULAR 25MM","N/A","N/A","0278","N/A","N/A","12999.10","12999.10","12999.10","N/A","N/A","N/A","12999.10","12999.10","N/A","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10"
"5","N/A","VALVE CEREBROSPINAL FLU STRATA II REG","N/A","N/A","0278","N/A","N/A","17322.09","17322.09","17322.09","N/A","N/A","N/A","17322.09","17322.09","N/A","17322.09","17322.09","17322.09","17322.09","17322.09","17322.09","17322.09","17322.09","17322.09","17322.09"
"5","N/A","VALVE COMMANDER SAPIEN 3 29MM","N/A","N/A","0278","N/A","N/A","107250.00","107250.00","107250.00","N/A","N/A","N/A","107250.00","107250.00","N/A","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00"
"5","N/A","VALVE COMMANDER SAPIEN 3 ULTRA 20MM","N/A","N/A","0278","N/A","N/A","107250.00","107250.00","107250.00","N/A","N/A","N/A","107250.00","107250.00","N/A","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00"
"5","N/A","VALVE COMMANDER SAPIEN 3 ULTRA 23MM","N/A","N/A","0278","N/A","N/A","107250.00","107250.00","107250.00","N/A","N/A","N/A","107250.00","107250.00","N/A","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00"
"5","N/A","VALVE COMMANDER SAPIEN 3 ULTRA 26MM","N/A","N/A","0278","N/A","N/A","107250.00","107250.00","107250.00","N/A","N/A","N/A","107250.00","107250.00","N/A","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00","107250.00"
"5","N/A","VALVE DRAINAGE SF DELTA REG LVL 1","N/A","N/A","0278","N/A","N/A","5026.56","5026.56","5026.56","N/A","N/A","N/A","5026.56","5026.56","N/A","5026.56","5026.56","5026.56","5026.56","5026.56","5026.56","5026.56","5026.56","5026.56","5026.56"
"5","N/A","VALVE GLAUCOMA FLEX SI 13X16MM","N/A","N/A","0278","N/A","N/A","2310.00","2310.00","2310.00","N/A","N/A","N/A","2310.00","2310.00","N/A","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00","2310.00"
"5","N/A","VALVE MITRAL EXPANDED MASTERS 27","N/A","N/A","0278","N/A","N/A","12985.50","12985.50","12985.50","N/A","N/A","N/A","12985.50","12985.50","N/A","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50"
"5","N/A","VALVE MITRAL EXPANDED MASTERS 29","N/A","N/A","0278","N/A","N/A","12985.50","12985.50","12985.50","N/A","N/A","N/A","12985.50","12985.50","N/A","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50"
"5","N/A","VALVE MITRAL MAGNA EASE 25MM","N/A","N/A","0278","N/A","N/A","18981.60","18981.60","18981.60","N/A","N/A","N/A","18981.60","18981.60","N/A","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60","18981.60"
"5","N/A","VALVE MITRAL MECH MASTERS 23MM","N/A","N/A","0278","N/A","N/A","12985.50","12985.50","12985.50","N/A","N/A","N/A","12985.50","12985.50","N/A","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50","12985.50"
"5","N/A","VALVE MITRAL MOSAIC 25X18MM","N/A","N/A","0278","N/A","N/A","16170.00","16170.00","16170.00","N/A","N/A","N/A","16170.00","16170.00","N/A","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00","16170.00"
"5","N/A","VALVE MITRAL MOSAIC 27X19MM","N/A","N/A","0278","N/A","N/A","16500.00","16500.00","16500.00","N/A","N/A","N/A","16500.00","16500.00","N/A","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00"
"5","N/A","VALVE MITRAL MOSAIC 29X20.5MM","N/A","N/A","0278","N/A","N/A","16452.86","16452.86","16452.86","N/A","N/A","N/A","16452.86","16452.86","N/A","16452.86","16452.86","16452.86","16452.86","16452.86","16452.86","16452.86","16452.86","16452.86","16452.86"
"5","N/A","VALVE MITRAL MOSAIC 31X22MM","N/A","N/A","0278","N/A","N/A","16500.00","16500.00","16500.00","N/A","N/A","N/A","16500.00","16500.00","N/A","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00","16500.00"
"5","N/A","VALVE MITRAL OPTIFORM 27MM","N/A","N/A","0278","N/A","N/A","12999.10","12999.10","12999.10","N/A","N/A","N/A","12999.10","12999.10","N/A","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10","12999.10"
"5","N/A","VALVE MITRAL OPTIFORM 29MM","N/A","N/A","0278","N/A","N/A","12252.90","12252.90","12252.90","N/A","N/A","N/A","12252.90","12252.90","N/A","12252.90","12252.90","12252.90","12252.90","12252.90","12252.90","12252.90","12252.90","12252.90","12252.90"
"5","N/A","VALVE MITRAL STENTED EPIC 29MM","N/A","N/A","0278","N/A","N/A","19479.90","19479.90","19479.90","N/A","N/A","N/A","19479.90","19479.90","N/A","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90"
"5","N/A","VALVE MITRAL STENTED EPIC 33MM","N/A","N/A","0278","N/A","N/A","19479.90","19479.90","19479.90","N/A","N/A","N/A","19479.90","19479.90","N/A","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90","19479.90"
"5","N/A","VALVE SHUNT PERFRM 1 STRATA II","N/A","N/A","0278","N/A","N/A","6210.27","6210.27","6210.27","N/A","N/A","N/A","6210.27","6210.27","N/A","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27"
"5","N/A","VALVE SHUNT PERFRM 1.5 DELTA","N/A","N/A","0278","N/A","N/A","6210.27","6210.27","6210.27","N/A","N/A","N/A","6210.27","6210.27","N/A","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27","6210.27"
"5","N/A","VALVE SHUNT POLARIS ADJ ANTECHAMBER 10-140MM","N/A","N/A","0278","N/A","N/A","14604.98","14604.98","14604.98","N/A","N/A","N/A","14604.98","14604.98","N/A","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98"
"5","N/A","VALVE SHUNT POLARIS ADJ ANTECHAMBER 30-200MM","N/A","N/A","0278","N/A","N/A","12284.87","12284.87","12284.87","N/A","N/A","N/A","12284.87","12284.87","N/A","12284.87","12284.87","12284.87","12284.87","12284.87","12284.87","12284.87","12284.87","12284.87","12284.87"
"5","N/A","VALVE SHUNT POLARIS ADJ ANTECHAMBER 80-400MM","N/A","N/A","0278","N/A","N/A","14604.98","14604.98","14604.98","N/A","N/A","N/A","14604.98","14604.98","N/A","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98","14604.98"
"5","N/A","WASHER ORTHO TI 10MM","N/A","N/A","0278","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","WASHER ORTHOPEDIC 4MM SCREW","N/A","N/A","0278","N/A","N/A","332.48","332.48","332.48","N/A","N/A","N/A","332.48","332.48","N/A","332.48","332.48","332.48","332.48","332.48","332.48","332.48","332.48","332.48","332.48"
"5","N/A","WASHER ORTHOPEDIC SM SCRW 7MM","N/A","N/A","0278","N/A","N/A","86.65","86.65","86.65","N/A","N/A","N/A","86.65","86.65","N/A","86.65","86.65","86.65","86.65","86.65","86.65","86.65","86.65","86.65","86.65"
"5","N/A","WASHER ORTHOPEDIC TI F/3.75MM SCREW","N/A","N/A","0278","N/A","N/A","165.00","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","WASHER SYNTHES 6.5MM F/3.0MM CANN SCREWS","N/A","N/A","0278","N/A","N/A","93.79","93.79","93.79","N/A","N/A","N/A","93.79","93.79","N/A","93.79","93.79","93.79","93.79","93.79","93.79","93.79","93.79","93.79","93.79"
"5","N/A","WEDGE EVAN ALLOSYNC 22X22X10MM","N/A","N/A","0278","N/A","N/A","5445.00","5445.00","5445.00","N/A","N/A","N/A","5445.00","5445.00","N/A","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00"
"5","N/A","WEDGE EVAN ALLOSYNC 22X22X6.5MM","N/A","N/A","0278","N/A","N/A","5445.00","5445.00","5445.00","N/A","N/A","N/A","5445.00","5445.00","N/A","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00"
"5","N/A","WEDGE EVAN ALLOSYNC 22X22X8MM","N/A","N/A","0278","N/A","N/A","5445.00","5445.00","5445.00","N/A","N/A","N/A","5445.00","5445.00","N/A","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00","5445.00"
"5","N/A","WIRE K .035X3"","N/A","N/A","0278","N/A","N/A","105.60","105.60","105.60","N/A","N/A","N/A","105.60","105.60","N/A","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60","105.60"
"5","N/A","WIRE K COLAG SGL TROCAR .045X5"","N/A","N/A","0278","N/A","N/A","375.97","375.97","375.97","N/A","N/A","N/A","375.97","375.97","N/A","375.97","375.97","375.97","375.97","375.97","375.97","375.97","375.97","375.97","375.97"
"5","N/A","WIRE K COLAG SGL TROCAR .062X5"","N/A","N/A","0278","N/A","N/A","376.03","376.03","376.03","N/A","N/A","N/A","376.03","376.03","N/A","376.03","376.03","376.03","376.03","376.03","376.03","376.03","376.03","376.03","376.03"
"5","N/A","WIRE K COLAG SGL TROCAR .087X7"","N/A","N/A","0278","N/A","N/A","376.05","376.05","376.05","N/A","N/A","N/A","376.05","376.05","N/A","376.05","376.05","376.05","376.05","376.05","376.05","376.05","376.05","376.05","376.05"
"5","N/A","WIRE K DOUBLE TROCAR .045X4"","N/A","N/A","0278","N/A","N/A","132.00","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","WIRE K EXACTECH EQUINOXE 3X250MM","N/A","N/A","0278","N/A","N/A","501.60","501.60","501.60","N/A","N/A","N/A","501.60","501.60","N/A","501.60","501.60","501.60","501.60","501.60","501.60","501.60","501.60","501.60","501.60"
"5","N/A","WIRE K FIXATION 1.0X100MM","N/A","N/A","0278","N/A","N/A","696.30","696.30","696.30","N/A","N/A","N/A","696.30","696.30","N/A","696.30","696.30","696.30","696.30","696.30","696.30","696.30","696.30","696.30","696.30"
"5","N/A","WIRE K FIXATION PANTA 2 2.5X150MM","N/A","N/A","0278","N/A","N/A","308.88","308.88","308.88","N/A","N/A","N/A","308.88","308.88","N/A","308.88","308.88","308.88","308.88","308.88","308.88","308.88","308.88","308.88","308.88"
"5","N/A","WIRE K FIXATION PERI-LOC 1.6X150MM","N/A","N/A","0278","N/A","N/A","114.48","114.48","114.48","N/A","N/A","N/A","114.48","114.48","N/A","114.48","114.48","114.48","114.48","114.48","114.48","114.48","114.48","114.48","114.48"
"5","N/A","WIRE K FIXATION PERI-LOC 2.0X150MM","N/A","N/A","0278","N/A","N/A","114.48","114.48","114.48","N/A","N/A","N/A","114.48","114.48","N/A","114.48","114.48","114.48","114.48","114.48","114.48","114.48","114.48","114.48","114.48"
"5","N/A","WIRE K FIXATION SS 2.5MM","N/A","N/A","0278","N/A","N/A","369.60","369.60","369.60","N/A","N/A","N/A","369.60","369.60","N/A","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60","369.60"
"5","N/A","WIRE K FIXATION T2 SS 3.0X285MM","N/A","N/A","0278","N/A","N/A","531.30","531.30","531.30","N/A","N/A","N/A","531.30","531.30","N/A","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30","531.30"
"5","N/A","WIRE K FIXATION TEMP 1.8X310MM","N/A","N/A","0278","N/A","N/A","522.06","522.06","522.06","N/A","N/A","N/A","522.06","522.06","N/A","522.06","522.06","522.06","522.06","522.06","522.06","522.06","522.06","522.06","522.06"
"5","N/A","WIRE K FIXATION TEMP BAYONET TIP 1.6MM","N/A","N/A","0278","N/A","N/A","161.70","161.70","161.70","N/A","N/A","N/A","161.70","161.70","N/A","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70","161.70"
"5","N/A","WIRE K FIXATION TEMP SS 2.0MM","N/A","N/A","0278","N/A","N/A","148.50","148.50","148.50","N/A","N/A","N/A","148.50","148.50","N/A","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50","148.50"
"5","N/A","WIRE K FIXATION TROCAR POINT SS 1.6X150MM","N/A","N/A","0278","N/A","N/A","304.43","304.43","304.43","N/A","N/A","N/A","304.43","304.43","N/A","304.43","304.43","304.43","304.43","304.43","304.43","304.43","304.43","304.43","304.43"
"5","N/A","WIRE K IBS SGL TROCAR LRG 2.0X200MM","N/A","N/A","0278","N/A","N/A","481.80","481.80","481.80","N/A","N/A","N/A","481.80","481.80","N/A","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80"
"5","N/A","WIRE K IBS SHARP TIP 1.6X150MM","N/A","N/A","0278","N/A","N/A","481.80","481.80","481.80","N/A","N/A","N/A","481.80","481.80","N/A","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80","481.80"
"5","N/A","WIRE K REDUCT DBL TROCAR 1.4X165MM","N/A","N/A","0278","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","WIRE K REDUCT TEMP FIX DBL TROCAR 0.9X152MM","N/A","N/A","0278","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 1.2X150MM","N/A","N/A","0278","N/A","N/A","77.03","77.03","77.03","N/A","N/A","N/A","77.03","77.03","N/A","77.03","77.03","77.03","77.03","77.03","77.03","77.03","77.03","77.03","77.03"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 1.6X150MM","N/A","N/A","0278","N/A","N/A","85.80","85.80","85.80","N/A","N/A","N/A","85.80","85.80","N/A","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80","85.80"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 2.0X200MM","N/A","N/A","0278","N/A","N/A","75.08","75.08","75.08","N/A","N/A","N/A","75.08","75.08","N/A","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 2.3X150MM","N/A","N/A","0278","N/A","N/A","75.08","75.08","75.08","N/A","N/A","N/A","75.08","75.08","N/A","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 2.3X200MM","N/A","N/A","0278","N/A","N/A","79.20","79.20","79.20","N/A","N/A","N/A","79.20","79.20","N/A","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20","79.20"
"5","N/A","WIRE K SINGLE ENDED TROCAR TIP SMOOTH 2.3X230MM","N/A","N/A","0278","N/A","N/A","75.08","75.08","75.08","N/A","N/A","N/A","75.08","75.08","N/A","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08","75.08"
"5","N/A","WIRE K TEMP FIX STD TIP .9X152MM","N/A","N/A","0278","N/A","N/A","59.40","59.40","59.40","N/A","N/A","N/A","59.40","59.40","N/A","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40","59.40"
"5","N/A","WIRE K TEMP FIX STD TIP 1.5X127MM","N/A","N/A","0278","N/A","N/A","59.64","59.64","59.64","N/A","N/A","N/A","59.64","59.64","N/A","59.64","59.64","59.64","59.64","59.64","59.64","59.64","59.64","59.64","59.64"
"5","N/A","WIRE K TEMP FIX STD TIP 2.0X152MM","N/A","N/A","0278","N/A","N/A","69.30","69.30","69.30","N/A","N/A","N/A","69.30","69.30","N/A","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30"
"5","N/A","WIRE K TEMP FIX W/TROCAR TIP 2.0X150MM","N/A","N/A","0278","N/A","N/A","52.80","52.80","52.80","N/A","N/A","N/A","52.80","52.80","N/A","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80","52.80"
"5","N/A","WIRE KIRSCHNER 1.1X100MM","N/A","N/A","0278","N/A","N/A","66.00","66.00","66.00","N/A","N/A","N/A","66.00","66.00","N/A","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00","66.00"
"5","N/A","WIRE KIRSCHNER BEVEL TIP NIT PRECEPT","N/A","N/A","0278","N/A","N/A","247.50","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","WIRE KIRSCHNER DIAMOND POINT TRD SS 1.1X22.9MM","N/A","N/A","0278","N/A","N/A","69.30","69.30","69.30","N/A","N/A","N/A","69.30","69.30","N/A","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30","69.30"
"5","N/A","WIRE KIRSCHNER SGL TROCAR SMOOTH/PLAIN SS .045 9"X1.1MM","N/A","N/A","0278","N/A","N/A","12.87","12.87","12.87","N/A","N/A","N/A","12.87","12.87","N/A","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87"
"5","N/A","WIRE KIRSCHNER SGL TROCAR SMOOTH/PLAIN SS 035 9"X0.9MM","N/A","N/A","0278","N/A","N/A","12.87","12.87","12.87","N/A","N/A","N/A","12.87","12.87","N/A","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87"
"5","N/A","WIRE KIRSCHNER SINGLE TROCAR .062X9"","N/A","N/A","0278","N/A","N/A","12.87","12.87","12.87","N/A","N/A","N/A","12.87","12.87","N/A","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87","12.87"
"5","N/A","WIRE KIRSCHNER SS 1.6MM","N/A","N/A","0278","N/A","N/A","128.70","128.70","128.70","N/A","N/A","N/A","128.70","128.70","N/A","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70","128.70"
"5","N/A","WIRE KIRSCHNER TROCAR N/S 0.035X9"","N/A","N/A","0278","N/A","N/A","10.93","10.93","10.93","N/A","N/A","N/A","10.93","10.93","N/A","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93"
"5","N/A","WIRE KIRSCHNER TROCAR SS N/S 0.045X9"","N/A","N/A","0278","N/A","N/A","10.93","10.93","10.93","N/A","N/A","N/A","10.93","10.93","N/A","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93"
"5","N/A","WIRE KIRSCHNER TROCAR SS N/S 0.062X9"","N/A","N/A","0278","N/A","N/A","10.93","10.93","10.93","N/A","N/A","N/A","10.93","10.93","N/A","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93","10.93"
"5","N/A","WIRE KIRSCHNER W/ 5MM TRD TIP SS 1.6X150MM","N/A","N/A","0278","N/A","N/A","52.31","52.31","52.31","N/A","N/A","N/A","52.31","52.31","N/A","52.31","52.31","52.31","52.31","52.31","52.31","52.31","52.31","52.31","52.31"
"5","N/A","WIRE KIRSCHNER W/ TROCAR POINT SS 0.8X70MM","N/A","N/A","0278","N/A","N/A","24.11","24.11","24.11","N/A","N/A","N/A","24.11","24.11","N/A","24.11","24.11","24.11","24.11","24.11","24.11","24.11","24.11","24.11","24.11"
"5","N/A","WIRE KIRSCHNER W/ TROCAR TIP SS 1.25X150MM","N/A","N/A","0278","N/A","N/A","27.66","27.66","27.66","N/A","N/A","N/A","27.66","27.66","N/A","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66"
"5","N/A","WIRE KIRSCHNER W/ TROCAR TIP SS 1.6X150MM","N/A","N/A","0278","N/A","N/A","27.66","27.66","27.66","N/A","N/A","N/A","27.66","27.66","N/A","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66"
"5","N/A","WIRE KIRSCHNER W/ TROCAR TIP SS 2.0X150MM","N/A","N/A","0278","N/A","N/A","27.66","27.66","27.66","N/A","N/A","N/A","27.66","27.66","N/A","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66","27.66"
"5","N/A","WIRE LOCALIZATION GHIATA 20GX5CM NDL","N/A","N/A","0278","N/A","N/A","57.71","57.71","57.71","N/A","N/A","N/A","57.71","57.71","N/A","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71","57.71"
"5","N/A","XX TISSUE GRAFIX PL 16MM DISC (2 SQ CM)","N/A","N/A","0278","N/A","N/A","735.08","735.08","735.08","N/A","N/A","N/A","735.08","735.08","N/A","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08"
"5","N/A","XX ALLODERM 1X4CM (4 SQ CM)","N/A","N/A","0278","N/A","N/A","254.10","254.10","254.10","N/A","N/A","N/A","254.10","254.10","N/A","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10","254.10"
"5","N/A","XX ALLODERM 2X4CM (8 SQ CM)","N/A","N/A","0278","N/A","N/A","1998.56","1998.56","1998.56","N/A","N/A","N/A","1998.56","1998.56","N/A","1998.56","1998.56","1998.56","1998.56","1998.56","1998.56","1998.56","1998.56","1998.56","1998.56"
"5","N/A","XX ALLODERM 8X16CM RTU (128 SQ CM)","N/A","N/A","0278","N/A","N/A","117.51","117.51","117.51","N/A","N/A","N/A","117.51","117.51","N/A","117.51","117.51","117.51","117.51","117.51","117.51","117.51","117.51","117.51","117.51"
"5","N/A","XX ALLODERM CONTOUR MED 8X16CM (128 SQ CM)","N/A","N/A","0278","N/A","N/A","124.78","124.78","124.78","N/A","N/A","N/A","124.78","124.78","N/A","124.78","124.78","124.78","124.78","124.78","124.78","124.78","124.78","124.78","124.78"
"5","N/A","XX ARTHROFLEX 4X7CM (28 SQ CM)","N/A","N/A","0278","N/A","N/A","458.35","458.35","458.35","N/A","N/A","N/A","458.35","458.35","N/A","458.35","458.35","458.35","458.35","458.35","458.35","458.35","458.35","458.35","458.35"
"5","N/A","XX DERMACELL 4X12 (48 SQ CM)","N/A","N/A","0278","N/A","N/A","91.02","91.02","91.02","N/A","N/A","N/A","91.02","91.02","N/A","91.02","91.02","91.02","91.02","91.02","91.02","91.02","91.02","91.02","91.02"
"5","N/A","XX DERMACELL 6X16CM (96 SQ CM)","N/A","N/A","0278","N/A","N/A","92.40","92.40","92.40","N/A","N/A","N/A","92.40","92.40","N/A","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40"
"5","N/A","XX DERMACELL 8X16CM (128 SQ CM)","N/A","N/A","0278","N/A","N/A","92.40","92.40","92.40","N/A","N/A","N/A","92.40","92.40","N/A","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40","92.40"
"5","N/A","XX DRESSING WOUND PURAPLY AM 5X5CM (25 SQ CM)","N/A","N/A","0278","N/A","N/A","343.20","343.20","343.20","N/A","N/A","N/A","343.20","343.20","N/A","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20","343.20"
"5","N/A","XX GRAFT JACKET 4X8CM (32 SQ CM)","N/A","N/A","0278","N/A","N/A","499.64","499.64","499.64","N/A","N/A","N/A","499.64","499.64","N/A","499.64","499.64","499.64","499.64","499.64","499.64","499.64","499.64","499.64","499.64"
"5","N/A","XX MESH PRIMATRIX 8X12CM (96 SQ CM)","N/A","N/A","0278","N/A","N/A","138.93","138.93","138.93","N/A","N/A","N/A","138.93","138.93","N/A","138.93","138.93","138.93","138.93","138.93","138.93","138.93","138.93","138.93","138.93"
"5","N/A","XX STRATTICE 10X20CM (200 SQ CM)","N/A","N/A","0278","N/A","N/A","96.67","96.67","96.67","N/A","N/A","N/A","96.67","96.67","N/A","96.67","96.67","96.67","96.67","96.67","96.67","96.67","96.67","96.67","96.67"
"5","N/A","XX STRATTICE 6X10CM (60 SQ CM)","N/A","N/A","0278","N/A","N/A","103.51","103.51","103.51","N/A","N/A","N/A","103.51","103.51","N/A","103.51","103.51","103.51","103.51","103.51","103.51","103.51","103.51","103.51","103.51"
"5","N/A","XX STRATTICE PLIABLE 6X8CM (48 SQ CM)","N/A","N/A","0278","N/A","N/A","96.94","96.94","96.94","N/A","N/A","N/A","96.94","96.94","N/A","96.94","96.94","96.94","96.94","96.94","96.94","96.94","96.94","96.94","96.94"
"5","N/A","XX TISSUE EPIFIX 2X2CM (4 SQ CM)","N/A","N/A","0278","N/A","N/A","701.25","701.25","701.25","N/A","N/A","N/A","701.25","701.25","N/A","701.25","701.25","701.25","701.25","701.25","701.25","701.25","701.25","701.25","701.25"
"5","N/A","XX TISSUE EPIFIX 2X3CM (6 SQ CM)","N/A","N/A","0278","N/A","N/A","628.09","628.09","628.09","N/A","N/A","N/A","628.09","628.09","N/A","628.09","628.09","628.09","628.09","628.09","628.09","628.09","628.09","628.09","628.09"
"5","N/A","XX TISSUE EPIFIX 2X4CM (8 SQ CM)","N/A","N/A","0278","N/A","N/A","530.05","530.05","530.05","N/A","N/A","N/A","530.05","530.05","N/A","530.05","530.05","530.05","530.05","530.05","530.05","530.05","530.05","530.05","530.05"
"5","N/A","XX TISSUE GRAFIX CORE 3X4CM (12 SQ CM)","N/A","N/A","0278","N/A","N/A","334.13","334.13","334.13","N/A","N/A","N/A","334.13","334.13","N/A","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13"
"5","N/A","XX TISSUE GRAFIX CORE 5X5CM (25 SQ CM)","N/A","N/A","0278","N/A","N/A","356.40","356.40","356.40","N/A","N/A","N/A","356.40","356.40","N/A","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40"
"5","N/A","XX TISSUE GRAFIX PL 1.5X2CM (3 SQ CM)","N/A","N/A","0278","N/A","N/A","871.20","871.20","871.20","N/A","N/A","N/A","871.20","871.20","N/A","871.20","871.20","871.20","871.20","871.20","871.20","871.20","871.20","871.20","871.20"
"5","N/A","XX TISSUE GRAFIX PL 2X3CM (6 SQ CM)","N/A","N/A","0278","N/A","N/A","547.25","547.25","547.25","N/A","N/A","N/A","547.25","547.25","N/A","547.25","547.25","547.25","547.25","547.25","547.25","547.25","547.25","547.25","547.25"
"5","N/A","XX TISSUE GRAFIX PL 3X4CM (12 SQ CM)","N/A","N/A","0278","N/A","N/A","334.13","334.13","334.13","N/A","N/A","N/A","334.13","334.13","N/A","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13","334.13"
"5","N/A","XX TISSUE GRAFIX PRIME 16MM (2 SQ CM)","N/A","N/A","0278","N/A","N/A","735.08","735.08","735.08","N/A","N/A","N/A","735.08","735.08","N/A","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08","735.08"
"5","N/A","XX TISSUE GRAFIX PRIME 5X5CM (25 SQ CM)","N/A","N/A","0278","N/A","N/A","356.40","356.40","356.40","N/A","N/A","N/A","356.40","356.40","N/A","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40","356.40"
"5","N/A","XX TISSUE GRAFIX XC 7.5X15CM (112.50 SQ CM)","N/A","N/A","0278","N/A","N/A","221.87","221.87","221.87","N/A","N/A","N/A","221.87","221.87","N/A","221.87","221.87","221.87","221.87","221.87","221.87","221.87","221.87","221.87","221.87"
"5","N/A","XX TRANZGRAFT FASCIA 5X9 (45 SQ CM)","N/A","N/A","0278","N/A","N/A","220.00","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","YOKE REINFORCED ORTHO SALVAGE SYS","N/A","N/A","0278","N/A","N/A","3682.80","3682.80","3682.80","N/A","N/A","N/A","3682.80","3682.80","N/A","3682.80","3682.80","3682.80","3682.80","3682.80","3682.80","3682.80","3682.80","3682.80","3682.80"
"5","N/A","HCHG IRRADIATION OF BLOOD PRODUCT, EA UNIT","N/A","N/A","0300","N/A","N/A","147.00","147.00","147.00","N/A","N/A","N/A","147.00","147.00","N/A","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00"
"5","N/A","HCHG LAB MISC TEST","N/A","N/A","0300","N/A","N/A","1520.00","1520.00","1520.00","N/A","N/A","N/A","1520.00","1520.00","N/A","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00"
"5","N/A","HCHG MISC SERVICES","N/A","N/A","0300","N/A","N/A","1520.00","1520.00","1520.00","N/A","N/A","N/A","1520.00","1520.00","N/A","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00","1520.00"
"5","N/A","HCHG CT RESEARCH LTD SCAN","N/A","N/A","0352","N/A","N/A","1032.00","1032.00","1032.00","N/A","N/A","N/A","1032.00","1032.00","N/A","1032.00","1032.00","1032.00","1032.00","1032.00","1032.00","1032.00","1032.00","1032.00","1032.00"
"5","N/A","HCHG OR CV THORACIC 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","4786.00","4786.00","4786.00","N/A","N/A","N/A","4786.00","4786.00","N/A","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00"
"5","N/A","HCHG OR CV THORACIC EA ADDL MIN","N/A","N/A","0360","N/A","N/A","160.00","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG OR DENTAL 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","2822.00","2822.00","2822.00","N/A","N/A","N/A","2822.00","2822.00","N/A","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00"
"5","N/A","HCHG OR DENTAL EA ADDL MIN","N/A","N/A","0360","N/A","N/A","94.00","94.00","94.00","N/A","N/A","N/A","94.00","94.00","N/A","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00"
"5","N/A","HCHG OR ENT 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","2224.00","2224.00","2224.00","N/A","N/A","N/A","2224.00","2224.00","N/A","2224.00","2224.00","2224.00","2224.00","2224.00","2224.00","2224.00","2224.00","2224.00","2224.00"
"5","N/A","HCHG OR ENT EA ADDL MIN","N/A","N/A","0360","N/A","N/A","74.00","74.00","74.00","N/A","N/A","N/A","74.00","74.00","N/A","74.00","74.00","74.00","74.00","74.00","74.00","74.00","74.00","74.00","74.00"
"5","N/A","HCHG OR EYE 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","2402.00","2402.00","2402.00","N/A","N/A","N/A","2402.00","2402.00","N/A","2402.00","2402.00","2402.00","2402.00","2402.00","2402.00","2402.00","2402.00","2402.00","2402.00"
"5","N/A","HCHG OR EYE ADDL MIN","N/A","N/A","0360","N/A","N/A","81.00","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG OR GENERAL 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","2887.00","2887.00","2887.00","N/A","N/A","N/A","2887.00","2887.00","N/A","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00","2887.00"
"5","N/A","HCHG OR GENERAL EA ADDL MIN","N/A","N/A","0360","N/A","N/A","95.00","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG OR GU 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","3103.00","3103.00","3103.00","N/A","N/A","N/A","3103.00","3103.00","N/A","3103.00","3103.00","3103.00","3103.00","3103.00","3103.00","3103.00","3103.00","3103.00","3103.00"
"5","N/A","HCHG OR GU EA ADDL MIN","N/A","N/A","0360","N/A","N/A","104.00","104.00","104.00","N/A","N/A","N/A","104.00","104.00","N/A","104.00","104.00","104.00","104.00","104.00","104.00","104.00","104.00","104.00","104.00"
"5","N/A","HCHG OR INFUSION 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","2915.00","2915.00","2915.00","N/A","N/A","N/A","2915.00","2915.00","N/A","2915.00","2915.00","2915.00","2915.00","2915.00","2915.00","2915.00","2915.00","2915.00","2915.00"
"5","N/A","HCHG OR INFUSION ADDL MIN","N/A","N/A","0360","N/A","N/A","98.00","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","HCHG OR MAJOR TRAUMA 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","4700.00","4700.00","4700.00","N/A","N/A","N/A","4700.00","4700.00","N/A","4700.00","4700.00","4700.00","4700.00","4700.00","4700.00","4700.00","4700.00","4700.00","4700.00"
"5","N/A","HCHG OR MAJOR TRAUMA EA ADDL MIN","N/A","N/A","0360","N/A","N/A","158.00","158.00","158.00","N/A","N/A","N/A","158.00","158.00","N/A","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00"
"5","N/A","HCHG OR NEURO 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","4105.00","4105.00","4105.00","N/A","N/A","N/A","4105.00","4105.00","N/A","4105.00","4105.00","4105.00","4105.00","4105.00","4105.00","4105.00","4105.00","4105.00","4105.00"
"5","N/A","HCHG OR NEURO EA ADDL MIN","N/A","N/A","0360","N/A","N/A","137.00","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG OR OB/GYN 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","2045.00","2045.00","2045.00","N/A","N/A","N/A","2045.00","2045.00","N/A","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00"
"5","N/A","HCHG OR OB/GYN ADDL MIN","N/A","N/A","0360","N/A","N/A","71.00","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG OR ONCO 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","508.00","508.00","508.00","N/A","N/A","N/A","508.00","508.00","N/A","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00"
"5","N/A","HCHG OR ONCO ADDL MIN","N/A","N/A","0360","N/A","N/A","17.00","17.00","17.00","N/A","N/A","N/A","17.00","17.00","N/A","17.00","17.00","17.00","17.00","17.00","17.00","17.00","17.00","17.00","17.00"
"5","N/A","HCHG OR ORAL 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","2760.00","2760.00","2760.00","N/A","N/A","N/A","2760.00","2760.00","N/A","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00","2760.00"
"5","N/A","HCHG OR ORAL EA ADDL MIN","N/A","N/A","0360","N/A","N/A","93.00","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG OR ORTHO 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","3820.00","3820.00","3820.00","N/A","N/A","N/A","3820.00","3820.00","N/A","3820.00","3820.00","3820.00","3820.00","3820.00","3820.00","3820.00","3820.00","3820.00","3820.00"
"5","N/A","HCHG OR ORTHO EA ADDL MIN","N/A","N/A","0360","N/A","N/A","127.00","127.00","127.00","N/A","N/A","N/A","127.00","127.00","N/A","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00"
"5","N/A","HCHG OR PAIN MGMT 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","982.00","982.00","982.00","N/A","N/A","N/A","982.00","982.00","N/A","982.00","982.00","982.00","982.00","982.00","982.00","982.00","982.00","982.00","982.00"
"5","N/A","HCHG OR PAIN MGMT ADDL MIN","N/A","N/A","0360","N/A","N/A","34.00","34.00","34.00","N/A","N/A","N/A","34.00","34.00","N/A","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00"
"5","N/A","HCHG OR PLASTIC 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","4289.00","4289.00","4289.00","N/A","N/A","N/A","4289.00","4289.00","N/A","4289.00","4289.00","4289.00","4289.00","4289.00","4289.00","4289.00","4289.00","4289.00","4289.00"
"5","N/A","HCHG OR PLASTIC EA ADDL MIN","N/A","N/A","0360","N/A","N/A","142.00","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG OR URO 1ST 15 MIN","N/A","N/A","0360","N/A","N/A","433.00","433.00","433.00","N/A","N/A","N/A","433.00","433.00","N/A","433.00","433.00","433.00","433.00","433.00","433.00","433.00","433.00","433.00","433.00"
"5","N/A","HCHG OR URO EA ADDL MIN","N/A","N/A","0360","N/A","N/A","15.00","15.00","15.00","N/A","N/A","N/A","15.00","15.00","N/A","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00","15.00"
"5","N/A","HCHG SURG CT ASP","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT ASP ABDOMEN","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT ASP CHEST","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT ASP FACIAL","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT ASP NECK","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT ASP PELVIS","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX ABDOMEN","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX CHEST","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX FACIAL","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX LIVER","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX MUSCLE/BONE","N/A","N/A","0360","N/A","N/A","1595.00","1595.00","1595.00","N/A","N/A","N/A","1595.00","1595.00","N/A","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00"
"5","N/A","HCHG SURG CT BX NECK","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX PANCREAS","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX PELVIS","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT BX SPINE","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT DRAIN ABDOMEN","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT DRAIN CHEST","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT DRAIN NECK","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG SURG CT DRAIN PELVIS","N/A","N/A","0360","N/A","N/A","1804.00","1804.00","1804.00","N/A","N/A","N/A","1804.00","1804.00","N/A","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00","1804.00"
"5","N/A","HCHG BRONCH (BEDSIDE)","N/A","N/A","0361","N/A","N/A","546.00","546.00","546.00","N/A","N/A","N/A","546.00","546.00","N/A","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00"
"5","N/A","HCHG ECMO MONITOR INITIAL HOUR","N/A","N/A","0361","N/A","N/A","5463.00","5463.00","5463.00","N/A","N/A","N/A","5463.00","5463.00","N/A","5463.00","5463.00","5463.00","5463.00","5463.00","5463.00","5463.00","5463.00","5463.00","5463.00"
"5","N/A","HCHG ECMO MONITOR SUBSEQUENT HOUR","N/A","N/A","0361","N/A","N/A","568.00","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","HCHG INJ EPIDURAL OF BLD/CLOT","N/A","N/A","0361","N/A","N/A","856.00","856.00","856.00","N/A","N/A","N/A","856.00","856.00","N/A","856.00","856.00","856.00","856.00","856.00","856.00","856.00","856.00","856.00","856.00"
"5","N/A","HCHG REPAIR VAGINAL LACERATION","N/A","N/A","0361","N/A","N/A","3444.00","3444.00","3444.00","N/A","N/A","N/A","3444.00","3444.00","N/A","3444.00","3444.00","3444.00","3444.00","3444.00","3444.00","3444.00","3444.00","3444.00","3444.00"
"5","N/A","HCHG TRACH (BEDSIDE)","N/A","N/A","0361","N/A","N/A","597.00","597.00","597.00","N/A","N/A","N/A","597.00","597.00","N/A","597.00","597.00","597.00","597.00","597.00","597.00","597.00","597.00","597.00","597.00"
"5","N/A","HCHG ANALGESIA TIME 1ST 15 MIN","N/A","N/A","0370","N/A","N/A","977.00","977.00","977.00","N/A","N/A","N/A","977.00","977.00","N/A","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00"
"5","N/A","HCHG ANALGESIA TIME EA ADDL MIN","N/A","N/A","0370","N/A","N/A","13.00","13.00","13.00","N/A","N/A","N/A","13.00","13.00","N/A","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00"
"5","N/A","HCHG ANESTH TIME 1ST 15 MIN (GEN IV)","N/A","N/A","0370","N/A","N/A","1254.00","1254.00","1254.00","N/A","N/A","N/A","1254.00","1254.00","N/A","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00","1254.00"
"5","N/A","HCHG ANESTH TIME 1ST 15 MIN (LOCAL I)","N/A","N/A","0370","N/A","N/A","448.00","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG ANESTH TIME 1ST 15 MIN (LOCAL II)","N/A","N/A","0370","N/A","N/A","967.00","967.00","967.00","N/A","N/A","N/A","967.00","967.00","N/A","967.00","967.00","967.00","967.00","967.00","967.00","967.00","967.00","967.00","967.00"
"5","N/A","HCHG ANESTH TIME 1ST 15 MIN (OHS V)","N/A","N/A","0370","N/A","N/A","4360.00","4360.00","4360.00","N/A","N/A","N/A","4360.00","4360.00","N/A","4360.00","4360.00","4360.00","4360.00","4360.00","4360.00","4360.00","4360.00","4360.00","4360.00"
"5","N/A","HCHG ANESTH TIME 1ST 15 MIN (REG III)","N/A","N/A","0370","N/A","N/A","1117.00","1117.00","1117.00","N/A","N/A","N/A","1117.00","1117.00","N/A","1117.00","1117.00","1117.00","1117.00","1117.00","1117.00","1117.00","1117.00","1117.00","1117.00"
"5","N/A","HCHG ANESTH TIME 1ST HR (GEN VI)","N/A","N/A","0370","N/A","N/A","1940.00","1940.00","1940.00","N/A","N/A","N/A","1940.00","1940.00","N/A","1940.00","1940.00","1940.00","1940.00","1940.00","1940.00","1940.00","1940.00","1940.00","1940.00"
"5","N/A","HCHG ANESTH TIME 1ST HR (LOCAL I SURGEON)","N/A","N/A","0370","N/A","N/A","314.00","314.00","314.00","N/A","N/A","N/A","314.00","314.00","N/A","314.00","314.00","314.00","314.00","314.00","314.00","314.00","314.00","314.00","314.00"
"5","N/A","HCHG ANESTH TIME 1ST HR (REG III)","N/A","N/A","0370","N/A","N/A","1666.00","1666.00","1666.00","N/A","N/A","N/A","1666.00","1666.00","N/A","1666.00","1666.00","1666.00","1666.00","1666.00","1666.00","1666.00","1666.00","1666.00","1666.00"
"5","N/A","HCHG ANESTH TIME EA ADDL 15 MIN (GEN VI)","N/A","N/A","0370","N/A","N/A","221.00","221.00","221.00","N/A","N/A","N/A","221.00","221.00","N/A","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00"
"5","N/A","HCHG ANESTH TIME EA ADDL MIN (GEN IV)","N/A","N/A","0370","N/A","N/A","19.00","19.00","19.00","N/A","N/A","N/A","19.00","19.00","N/A","19.00","19.00","19.00","19.00","19.00","19.00","19.00","19.00","19.00","19.00"
"5","N/A","HCHG ANESTH TIME EA ADDL MIN (LOCAL I)","N/A","N/A","0370","N/A","N/A","2.26","2.26","2.26","N/A","N/A","N/A","2.26","2.26","N/A","2.26","2.26","2.26","2.26","2.26","2.26","2.26","2.26","2.26","2.26"
"5","N/A","HCHG ANESTH TIME EA ADDL MIN (LOCAL II)","N/A","N/A","0370","N/A","N/A","13.00","13.00","13.00","N/A","N/A","N/A","13.00","13.00","N/A","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00","13.00"
"5","N/A","HCHG ANESTH TIME EA ADDL MIN (OHS V)","N/A","N/A","0370","N/A","N/A","58.00","58.00","58.00","N/A","N/A","N/A","58.00","58.00","N/A","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00"
"5","N/A","HCHG ANESTH TIME EA ADDL MIN (REG III)","N/A","N/A","0370","N/A","N/A","16.00","16.00","16.00","N/A","N/A","N/A","16.00","16.00","N/A","16.00","16.00","16.00","16.00","16.00","16.00","16.00","16.00","16.00","16.00"
"5","N/A","HCHG NO PRE-NOTIFICATION FULL TRAUMA","N/A","N/A","0450","N/A","N/A","38895.00","38895.00","38895.00","N/A","N/A","N/A","38895.00","38895.00","N/A","38895.00","38895.00","38895.00","38895.00","38895.00","38895.00","38895.00","38895.00","38895.00","38895.00"
"5","N/A","HCHG NO PRE-NOTIFICATION MODIFIED TRAUMA","N/A","N/A","0450","N/A","N/A","25533.00","25533.00","25533.00","N/A","N/A","N/A","25533.00","25533.00","N/A","25533.00","25533.00","25533.00","25533.00","25533.00","25533.00","25533.00","25533.00","25533.00","25533.00"
"5","N/A","HCHG TRAUMA UPGRADE","N/A","N/A","0450","N/A","N/A","13364.00","13364.00","13364.00","N/A","N/A","N/A","13364.00","13364.00","N/A","13364.00","13364.00","13364.00","13364.00","13364.00","13364.00","13364.00","13364.00","13364.00","13364.00"
"5","N/A","HCHG HEPCON","N/A","N/A","0480","N/A","N/A","2650.00","2650.00","2650.00","N/A","N/A","N/A","2650.00","2650.00","N/A","2650.00","2650.00","2650.00","2650.00","2650.00","2650.00","2650.00","2650.00","2650.00","2650.00"
"5","N/A","HCHG OR CARDIOLOGY 1ST 15 MIN","N/A","N/A","0480","N/A","N/A","1163.00","1163.00","1163.00","N/A","N/A","N/A","1163.00","1163.00","N/A","1163.00","1163.00","1163.00","1163.00","1163.00","1163.00","1163.00","1163.00","1163.00","1163.00"
"5","N/A","HCHG OR CARDIOLOGY EA ADDL MIN","N/A","N/A","0480","N/A","N/A","77.00","77.00","77.00","N/A","N/A","N/A","77.00","77.00","N/A","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00"
"5","N/A","HCHG SUP SER OPEN HT SUR","N/A","N/A","0480","N/A","N/A","6943.00","6943.00","6943.00","N/A","N/A","N/A","6943.00","6943.00","N/A","6943.00","6943.00","6943.00","6943.00","6943.00","6943.00","6943.00","6943.00","6943.00","6943.00"
"5","N/A","HCHG CI CORONARY EA ADDL MIN","N/A","N/A","0481","N/A","N/A","264.00","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","HCHG CI CORONARY 1ST 15 MIN","N/A","N/A","0481","N/A","N/A","3951.00","3951.00","3951.00","N/A","N/A","N/A","3951.00","3951.00","N/A","3951.00","3951.00","3951.00","3951.00","3951.00","3951.00","3951.00","3951.00","3951.00","3951.00"
"5","N/A","HCHG CI EP 1ST 15 MIN","N/A","N/A","0481","N/A","N/A","2891.00","2891.00","2891.00","N/A","N/A","N/A","2891.00","2891.00","N/A","2891.00","2891.00","2891.00","2891.00","2891.00","2891.00","2891.00","2891.00","2891.00","2891.00"
"5","N/A","HCHG CI EP EA ADDL MIN","N/A","N/A","0481","N/A","N/A","194.00","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","HCHG CI PERIPHERAL 1ST 15 MIN","N/A","N/A","0481","N/A","N/A","2169.00","2169.00","2169.00","N/A","N/A","N/A","2169.00","2169.00","N/A","2169.00","2169.00","2169.00","2169.00","2169.00","2169.00","2169.00","2169.00","2169.00","2169.00"
"5","N/A","HCHG CI PERIPHERAL EA ADDL MIN","N/A","N/A","0481","N/A","N/A","144.00","144.00","144.00","N/A","N/A","N/A","144.00","144.00","N/A","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00"
"5","N/A","HCHG CI STRUCTURAL/TAVR 1ST 15 MIN","N/A","N/A","0481","N/A","N/A","4583.00","4583.00","4583.00","N/A","N/A","N/A","4583.00","4583.00","N/A","4583.00","4583.00","4583.00","4583.00","4583.00","4583.00","4583.00","4583.00","4583.00","4583.00"
"5","N/A","HCHG CI STRUCTURAL/TAVR EA ADDL MIN","N/A","N/A","0481","N/A","N/A","307.00","307.00","307.00","N/A","N/A","N/A","307.00","307.00","N/A","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00"
"5","N/A","HCHG PERC. CLOSURE OF PARA-VALVR LEAK","N/A","N/A","0481","N/A","N/A","13681.00","13681.00","13681.00","N/A","N/A","N/A","13681.00","13681.00","N/A","13681.00","13681.00","13681.00","13681.00","13681.00","13681.00","13681.00","13681.00","13681.00","13681.00"
"5","N/A","HCHG ANESTH INJ STELLATE GANGLION","N/A","N/A","0490","N/A","N/A","2016.00","2016.00","2016.00","N/A","N/A","N/A","2016.00","2016.00","N/A","2016.00","2016.00","2016.00","2016.00","2016.00","2016.00","2016.00","2016.00","2016.00","2016.00"
"5","N/A","HCHG ARTHRO W LAT RELEASE GEN ANESTH","N/A","N/A","0490","N/A","N/A","6544.00","6544.00","6544.00","N/A","N/A","N/A","6544.00","6544.00","N/A","6544.00","6544.00","6544.00","6544.00","6544.00","6544.00","6544.00","6544.00","6544.00","6544.00"
"5","N/A","HCHG ARTHRO W LAT RELEASE LOC NO OP","N/A","N/A","0490","N/A","N/A","5499.00","5499.00","5499.00","N/A","N/A","N/A","5499.00","5499.00","N/A","5499.00","5499.00","5499.00","5499.00","5499.00","5499.00","5499.00","5499.00","5499.00","5499.00"
"5","N/A","HCHG ARTHRO W LAT RELEASE REG W OP","N/A","N/A","0490","N/A","N/A","6177.00","6177.00","6177.00","N/A","N/A","N/A","6177.00","6177.00","N/A","6177.00","6177.00","6177.00","6177.00","6177.00","6177.00","6177.00","6177.00","6177.00","6177.00"
"5","N/A","HCHG CL 1 REG/LOC W OPER","N/A","N/A","0490","N/A","N/A","1763.00","1763.00","1763.00","N/A","N/A","N/A","1763.00","1763.00","N/A","1763.00","1763.00","1763.00","1763.00","1763.00","1763.00","1763.00","1763.00","1763.00","1763.00"
"5","N/A","HCHG EPIDURAL CERV/THOR SINGL","N/A","N/A","0490","N/A","N/A","1746.00","1746.00","1746.00","N/A","N/A","N/A","1746.00","1746.00","N/A","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00"
"5","N/A","HCHG EPIDURAL LUMB/CAUDAL CONT","N/A","N/A","0490","N/A","N/A","1746.00","1746.00","1746.00","N/A","N/A","N/A","1746.00","1746.00","N/A","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00","1746.00"
"5","N/A","HCHG I&D SHOULDER ABSCESS","N/A","N/A","0490","N/A","N/A","335.00","335.00","335.00","N/A","N/A","N/A","335.00","335.00","N/A","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00"
"5","N/A","HCHG TRABECULOTOMY GENERAL","N/A","N/A","0490","N/A","N/A","5835.00","5835.00","5835.00","N/A","N/A","N/A","5835.00","5835.00","N/A","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00"
"5","N/A","HCHG CHART COPY: OFF-SITE","N/A","N/A","0510","N/A","N/A","25.00","25.00","25.00","N/A","N/A","N/A","25.00","25.00","N/A","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00"
"5","N/A","HCHG CHART COPY: ONSITE","N/A","N/A","0510","N/A","N/A","8.00","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","HCHG CWMP PROGRAM FEE","N/A","N/A","0510","N/A","N/A","323.00","323.00","323.00","N/A","N/A","N/A","323.00","323.00","N/A","323.00","323.00","323.00","323.00","323.00","323.00","323.00","323.00","323.00","323.00"
"5","N/A","HCHG DRUG/ALCOHOL TESTING: FOLLOW-UP","N/A","N/A","0510","N/A","N/A","211.00","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","HCHG DRUG/ALCOHOL TESTING: INITIAL","N/A","N/A","0510","N/A","N/A","119.00","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","HCHG EVALUATION: FIT FOR DUTY","N/A","N/A","0510","N/A","N/A","257.00","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","HCHG FLU VACCINE","N/A","N/A","0510","N/A","N/A","71.00","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG MMR VACCINE","N/A","N/A","0510","N/A","N/A","276.00","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG PE: TRANSFERS","N/A","N/A","0510","N/A","N/A","249.00","249.00","249.00","N/A","N/A","N/A","249.00","249.00","N/A","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00"
"5","N/A","HCHG PPD SCREEN/MONITORING","N/A","N/A","0510","N/A","N/A","36.00","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A","HCHG PRE-EMP PHYS EXAM","N/A","N/A","0510","N/A","N/A","389.00","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","HCHG RTW CLEARANCE SHORT","N/A","N/A","0510","N/A","N/A","93.00","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG RTW: DRUG/ALCOHOL SCREENING","N/A","N/A","0510","N/A","N/A","224.00","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","HCHG SURVEILLANCE VISIT","N/A","N/A","0510","N/A","N/A","93.00","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG TDAP VACCINE","N/A","N/A","0510","N/A","N/A","167.00","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG TETANUS-DIPTHERIA VACCINE","N/A","N/A","0510","N/A","N/A","94.00","94.00","94.00","N/A","N/A","N/A","94.00","94.00","N/A","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00"
"5","N/A","HCHG VARIVAX","N/A","N/A","0510","N/A","N/A","509.00","509.00","509.00","N/A","N/A","N/A","509.00","509.00","N/A","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00"
"5","N/A","HCHG WELLNESS VISIT","N/A","N/A","0510","N/A","N/A","93.00","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG AMNIO INFUSION","N/A","N/A","0710","N/A","N/A","145.00","145.00","145.00","N/A","N/A","N/A","145.00","145.00","N/A","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00"
"5","N/A","HCHG L&D RECOVERY 2 HRS","N/A","N/A","0710","N/A","N/A","888.00","888.00","888.00","N/A","N/A","N/A","888.00","888.00","N/A","888.00","888.00","888.00","888.00","888.00","888.00","888.00","888.00","888.00","888.00"
"5","N/A","HCHG L&D RECOVERY 3 HRS","N/A","N/A","0710","N/A","N/A","1242.00","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","HCHG L&D RECOVERY 4 HRS","N/A","N/A","0710","N/A","N/A","1595.00","1595.00","1595.00","N/A","N/A","N/A","1595.00","1595.00","N/A","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00","1595.00"
"5","N/A","HCHG L&D RECOVERY 5 HRS","N/A","N/A","0710","N/A","N/A","1951.00","1951.00","1951.00","N/A","N/A","N/A","1951.00","1951.00","N/A","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00","1951.00"
"5","N/A","HCHG L&D RECOVERY 6 HRS","N/A","N/A","0710","N/A","N/A","2303.00","2303.00","2303.00","N/A","N/A","N/A","2303.00","2303.00","N/A","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00","2303.00"
"5","N/A","HCHG L&D RECOVERY 7 HRS","N/A","N/A","0710","N/A","N/A","2658.00","2658.00","2658.00","N/A","N/A","N/A","2658.00","2658.00","N/A","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00"
"5","N/A","HCHG L&D RECOVERY 8 HRS","N/A","N/A","0710","N/A","N/A","3011.00","3011.00","3011.00","N/A","N/A","N/A","3011.00","3011.00","N/A","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00"
"5","N/A","HCHG L&D RECOVERY ROOM 1HR","N/A","N/A","0710","N/A","N/A","534.00","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","HCHG ADMIN SARSCOV2 30MCG/0.3ML 1ST","0001A","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG ADMIN SARSCOV2 30MCG/0.3ML 2ND","0002A","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","HCHG ADMIN SARSCOV2 100MCG/0.5ML 1ST","0011A","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG ADMIN SARSCOV2 100MCG/0.5ML 2ND","0012A","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","HCHG ADM SARSCOV2 5X1010VP/.5ML 1ST","0021A","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG ADM SARSCOV2 5X1010VP/.5ML 2ND","0022A","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","HCHG ADM SARSCOV2 VAC AD26 .5ML","0031A","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","CT PERFUSION W/CONTRAST CBF","0042T","N/A","N/A","N/A","N/A","N/A","2390.00","2390.00","N/A","N/A","N/A","2390.00","2390.00","N/A","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00"
"5","N/A","HCHG CT PERFUSION W/CONTRAST","0042T","N/A","N/A","N/A","N/A","N/A","2390.00","2390.00","N/A","N/A","N/A","2390.00","2390.00","N/A","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00","2390.00"
"5","N/A","HCHG INJ DIAG/THER PV W/ULTRSND, C/T;SING LVL","0213T","N/A","N/A","N/A","N/A","N/A","2059.00","2059.00","N/A","N/A","N/A","2059.00","2059.00","N/A","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00"
"5","N/A","NJX PARAVERT W/US CER/THOR","0213T","N/A","N/A","N/A","N/A","N/A","2059.00","2059.00","N/A","N/A","N/A","2059.00","2059.00","N/A","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00"
"5","N/A","HCHG INJ DIAG/THER PV W/ULTRSND, C/T; 2ND LVL","0214T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","NJX PARAVERT W/US CER/THOR","0214T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","HCHG INJ DIAG/THER, PV W/ULTRSND, C/T;3RD/ADDL LVL","0215T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","NJX PARAVERT W/US CER/THOR","0215T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","HCHG INJ DIAG/THER, PV W/ULTRSND, L/S;SING LVL","0216T","N/A","N/A","N/A","N/A","N/A","2059.00","2059.00","N/A","N/A","N/A","2059.00","2059.00","N/A","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00"
"5","N/A","NJX PARAVERT W/US LUMB/SAC","0216T","N/A","N/A","N/A","N/A","N/A","2059.00","2059.00","N/A","N/A","N/A","2059.00","2059.00","N/A","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00","2059.00"
"5","N/A","HCHG INJ DIAG/THER, PV W/ULTRSND, L/S;2ND LVL","0217T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","NJX PARAVERT W/US LUMB/SAC","0217T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","HCHG INJ DIAG/THER, PV W/ULTRSND, L/S;3RD/ADDL LVL","0218T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","NJX PARAVERT W/US LUMB/SAC","0218T","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","NJX PLATELET PLASMA","0232T","N/A","N/A","N/A","N/A","N/A","9133.84","9133.84","N/A","N/A","N/A","9133.84","9133.84","N/A","9133.84","9133.84","9133.84","9133.84","9133.84","9133.84","9133.84","9133.84","9133.84","9133.84"
"5","N/A","HCHG TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN/PERC, INCL RADIOLOGICAL S&I, BRACHIOCEPHALIC TRUNCK AND BRANCHES, EACH VESSEL","0237T","N/A","N/A","N/A","N/A","N/A","17270.00","17270.00","N/A","N/A","N/A","17270.00","17270.00","N/A","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00"
"5","N/A","TRLUML PERIP ATHRC BRCHIOCPH","0237T","N/A","N/A","N/A","N/A","N/A","17270.00","17270.00","N/A","N/A","N/A","17270.00","17270.00","N/A","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00","17270.00"
"5","N/A","HCHG TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN/PERC, INCL RADIOLOGICAL S&I, ILIAC ART, @ VESSEL","0238T","N/A","N/A","N/A","N/A","N/A","44363.00","44363.00","N/A","N/A","N/A","44363.00","44363.00","N/A","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00"
"5","N/A","TRLUML PERIP ATHRC ILIAC ART","0238T","N/A","N/A","N/A","N/A","N/A","44363.00","44363.00","N/A","N/A","N/A","44363.00","44363.00","N/A","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00","44363.00"
"5","N/A","HCHG IMPLT/RPL CRTD SNS DEV TOTAL SYSTEM","0266T","N/A","N/A","N/A","N/A","N/A","5609.00","5609.00","N/A","N/A","N/A","5609.00","5609.00","N/A","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00"
"5","N/A","IMPLT/RPL CRTD SNS DEV TOTAL","0266T","N/A","N/A","N/A","N/A","N/A","5609.00","5609.00","N/A","N/A","N/A","5609.00","5609.00","N/A","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00","5609.00"
"5","N/A","HCHG IMPLT/RPL CRTD SNS DEV LEAD ONLY","0267T","N/A","N/A","N/A","N/A","N/A","4469.00","4469.00","N/A","N/A","N/A","4469.00","4469.00","N/A","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00"
"5","N/A","IMPLT/RPL CRTD SNS DEV LEAD","0267T","N/A","N/A","N/A","N/A","N/A","4469.00","4469.00","N/A","N/A","N/A","4469.00","4469.00","N/A","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00","4469.00"
"5","N/A","HCHG IMPLT/RPL CRTD SNS DEV GEN ONLY","0268T","N/A","N/A","N/A","N/A","N/A","4477.00","4477.00","N/A","N/A","N/A","4477.00","4477.00","N/A","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00"
"5","N/A","IMPLT/RPL CRTD SNS DEV GEN","0268T","N/A","N/A","N/A","N/A","N/A","4477.00","4477.00","N/A","N/A","N/A","4477.00","4477.00","N/A","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00","4477.00"
"5","N/A","HCHG REV/REMVL CRTD SNS DEV TOTAL SYSTEM","0269T","N/A","N/A","N/A","N/A","N/A","7183.00","7183.00","N/A","N/A","N/A","7183.00","7183.00","N/A","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00"
"5","N/A","REV/REMVL CRTD SNS DEV TOTAL","0269T","N/A","N/A","N/A","N/A","N/A","7183.00","7183.00","N/A","N/A","N/A","7183.00","7183.00","N/A","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00","7183.00"
"5","N/A","HCHG REV/REMVL CRTD SNS DEV LEAD ONLY","0270T","N/A","N/A","N/A","N/A","N/A","4786.00","4786.00","N/A","N/A","N/A","4786.00","4786.00","N/A","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00"
"5","N/A","REV/REMVL CRTD SNS DEV LEAD","0270T","N/A","N/A","N/A","N/A","N/A","4786.00","4786.00","N/A","N/A","N/A","4786.00","4786.00","N/A","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00","4786.00"
"5","N/A","HCHG REV/REMVL CRTD SNS DEV GEN ONLY","0271T","N/A","N/A","N/A","N/A","N/A","3933.00","3933.00","N/A","N/A","N/A","3933.00","3933.00","N/A","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00"
"5","N/A","REV/REMVL CRTD SNS DEV GEN","0271T","N/A","N/A","N/A","N/A","N/A","3933.00","3933.00","N/A","N/A","N/A","3933.00","3933.00","N/A","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00","3933.00"
"5","N/A","HCHG INTERROGATE CRTD SNS DEV (IN PERSON)","0272T","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","INTERROGATE CRTD SNS DEV","0272T","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","HCHG INTERROGATE CRTD SNS W/PGRMG (IN PERSON)","0273T","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","INTERROGATE CRTD SNS W/PGRMG","0273T","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG TRANS CATH MITRAL VALVE IMPLANT/REPLC - TMVR -PERC FEMORAL","0483T","N/A","N/A","N/A","N/A","N/A","25991.00","25991.00","N/A","N/A","N/A","25991.00","25991.00","N/A","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00"
"5","N/A","TMVI PERCUTANEOUS APPROACH","0483T","N/A","N/A","N/A","N/A","N/A","25991.00","25991.00","N/A","N/A","N/A","25991.00","25991.00","N/A","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00"
"5","N/A","HCHG TRANS CATH MITRAL VALVE IMPLANT/REPLC - TMVR -TRANSTHORACIC","0484T","N/A","N/A","N/A","N/A","N/A","22168.00","22168.00","N/A","N/A","N/A","22168.00","22168.00","N/A","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00"
"5","N/A","TMVI TRANSTHORACIC EXPOSURE","0484T","N/A","N/A","N/A","N/A","N/A","22168.00","22168.00","N/A","N/A","N/A","22168.00","22168.00","N/A","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00","22168.00"
"5","N/A","EV FEMPOP ARTL REVSC","0505T","N/A","N/A","N/A","N/A","N/A","14442.00","14442.00","N/A","N/A","N/A","14442.00","14442.00","N/A","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00"
"5","N/A","HCHG EV FEMPOP ARTL REVSC","0505T","N/A","N/A","N/A","N/A","N/A","14442.00","14442.00","N/A","N/A","N/A","14442.00","14442.00","N/A","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00","14442.00"
"5","N/A","HCHG TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV","0545T","N/A","N/A","N/A","N/A","N/A","25991.00","25991.00","N/A","N/A","N/A","25991.00","25991.00","N/A","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00"
"5","N/A","TCAT TV ANNULUS RCNSTJ","0545T","N/A","N/A","N/A","N/A","N/A","25991.00","25991.00","N/A","N/A","N/A","25991.00","25991.00","N/A","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00"
"5","N/A","HCHG TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS","0569T","N/A","N/A","N/A","N/A","N/A","16263.00","16263.00","N/A","N/A","N/A","16263.00","16263.00","N/A","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00"
"5","N/A","TTVR PERQ APPR 1ST PROSTH","0569T","N/A","N/A","N/A","N/A","N/A","16263.00","16263.00","N/A","N/A","N/A","16263.00","16263.00","N/A","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00"
"5","N/A","HCHG TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS","0570T","N/A","N/A","N/A","N/A","N/A","6626.00","6626.00","N/A","N/A","N/A","6626.00","6626.00","N/A","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00"
"5","N/A","TTVR PERQ EA ADDL PROSTH","0570T","N/A","N/A","N/A","N/A","N/A","6626.00","6626.00","N/A","N/A","N/A","6626.00","6626.00","N/A","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00"
"5","N/A","HCHG REM INTERROG DEV ICDS TECH","0579T","N/A","N/A","N/A","N/A","N/A","128.00","128.00","N/A","N/A","N/A","128.00","128.00","N/A","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00"
"5","N/A","REM INTERROG DEV ICDS TECH","0579T","N/A","N/A","N/A","N/A","N/A","128.00","128.00","N/A","N/A","N/A","128.00","128.00","N/A","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00"
"5","N/A","HCHG FNA BX W/US GDN 1ST LES","10005","N/A","N/A","N/A","N/A","N/A","5238.94","5238.94","N/A","N/A","N/A","5238.94","5238.94","N/A","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94"
"5","N/A","FNA BX W/US GDN 1ST LES","10005","N/A","N/A","N/A","N/A","37846.03","5238.94","5238.94","N/A","N/A","N/A","5238.94","5238.94","N/A","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94","5238.94"
"5","N/A","FNA BX W/US GDN EA ADDL","10006","N/A","N/A","N/A","N/A","37846.03","7809.60","7809.60","N/A","N/A","N/A","7809.60","7809.60","N/A","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60"
"5","N/A","HCHG FNA BX W/US GDN EA ADDL","10006","N/A","N/A","N/A","N/A","N/A","7809.60","7809.60","N/A","N/A","N/A","7809.60","7809.60","N/A","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60","7809.60"
"5","N/A","HCHG FNA BX W/FLUOR GDN 1ST LES","10007","N/A","N/A","N/A","N/A","N/A","9643.19","9643.19","N/A","N/A","N/A","9643.19","9643.19","N/A","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19"
"5","N/A","FNA BX W/FLUOR GDN 1ST LES","10007","N/A","N/A","N/A","N/A","37846.03","9643.19","9643.19","N/A","N/A","N/A","9643.19","9643.19","N/A","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19"
"5","N/A","FNA BX W/FLUOR GDN EA ADDL","10008","N/A","N/A","N/A","N/A","37846.03","1886.00","1886.00","N/A","N/A","N/A","1886.00","1886.00","N/A","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00"
"5","N/A","HCHG FNA BX W/FLUOR GDN EA ADDL","10008","N/A","N/A","N/A","N/A","N/A","1886.00","1886.00","N/A","N/A","N/A","1886.00","1886.00","N/A","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00","1886.00"
"5","N/A","HCHG FNA BX W/CT GDN 1ST LES","10009","N/A","N/A","N/A","N/A","N/A","8130.73","8130.73","N/A","N/A","N/A","8130.73","8130.73","N/A","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73"
"5","N/A","FNA BX W/CT GDN 1ST LES","10009","N/A","N/A","N/A","N/A","37846.03","8130.73","8130.73","N/A","N/A","N/A","8130.73","8130.73","N/A","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73","8130.73"
"5","N/A","FNA BX W/CT GDN EA ADDL","10010","N/A","N/A","N/A","N/A","37846.03","8088.27","8088.27","N/A","N/A","N/A","8088.27","8088.27","N/A","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27"
"5","N/A","HCHG FNA BX W/CT GDN EA ADDL","10010","N/A","N/A","N/A","N/A","N/A","8088.27","8088.27","N/A","N/A","N/A","8088.27","8088.27","N/A","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27","8088.27"
"5","N/A","HCHG FNA BX W/MR GDN 1ST LES","10011","N/A","N/A","N/A","N/A","N/A","2681.00","2681.00","N/A","N/A","N/A","2681.00","2681.00","N/A","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00"
"5","N/A","FNA BX W/MR GDN 1ST LES","10011","N/A","N/A","N/A","N/A","37846.03","2681.00","2681.00","N/A","N/A","N/A","2681.00","2681.00","N/A","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00"
"5","N/A","FNA BX W/MR GDN EA ADDL","10012","N/A","N/A","N/A","N/A","37846.03","2681.00","2681.00","N/A","N/A","N/A","2681.00","2681.00","N/A","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00"
"5","N/A","HCHG FNA BX W/MR GDN EA ADDL","10012","N/A","N/A","N/A","N/A","N/A","2681.00","2681.00","N/A","N/A","N/A","2681.00","2681.00","N/A","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00","2681.00"
"5","N/A","HCHG FNA WO IMG GUID","10021","N/A","N/A","N/A","N/A","N/A","3021.12","3021.12","N/A","N/A","N/A","3021.12","3021.12","N/A","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12"
"5","N/A","FNA BX W/O IMG GDN 1ST LES","10021","N/A","N/A","N/A","N/A","37846.03","3021.12","3021.12","N/A","N/A","N/A","3021.12","3021.12","N/A","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12","3021.12"
"5","N/A","GUIDE CATHET FLUID DRAINAGE","10030","N/A","N/A","N/A","N/A","N/A","1998.00","1998.00","N/A","N/A","N/A","1998.00","1998.00","N/A","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00"
"5","N/A","HCHG IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE","10030","N/A","N/A","N/A","N/A","N/A","1998.00","1998.00","N/A","N/A","N/A","1998.00","1998.00","N/A","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00"
"5","N/A","HCHG PERQ DEV SOFT TISS 1ST IMAG","10035","N/A","N/A","N/A","N/A","N/A","21385.95","21385.95","N/A","N/A","N/A","21385.95","21385.95","N/A","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95"
"5","N/A","PERQ DEV SOFT TISS 1ST IMAG","10035","N/A","N/A","N/A","N/A","N/A","21385.95","21385.95","N/A","N/A","N/A","21385.95","21385.95","N/A","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95","21385.95"
"5","N/A","HCHG PERQ DEV SOFT TISS ADD IMAG","10036","N/A","N/A","N/A","N/A","N/A","36230.86","36230.86","N/A","N/A","N/A","36230.86","36230.86","N/A","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86"
"5","N/A","PERQ DEV SOFT TISS ADD IMAG","10036","N/A","N/A","N/A","N/A","N/A","36230.86","36230.86","N/A","N/A","N/A","36230.86","36230.86","N/A","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86","36230.86"
"5","N/A","HCHG ACNE SURGERY","10040","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","ACNE SURGERY","10040","N/A","N/A","N/A","N/A","55537.06","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","DRAINAGE OF SKIN ABSCESS","10060","N/A","N/A","N/A","N/A","54989.25","15605.19","15605.19","N/A","N/A","N/A","15605.19","15605.19","N/A","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19"
"5","N/A","HCHG I & D OF ABSCESS SIMPLE","10060","N/A","N/A","N/A","N/A","N/A","15605.19","15605.19","N/A","N/A","N/A","15605.19","15605.19","N/A","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19"
"5","N/A","HCHG I&D ABSC SIMP/SNGL","10060","N/A","N/A","N/A","N/A","N/A","15605.19","15605.19","N/A","N/A","N/A","15605.19","15605.19","N/A","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19"
"5","N/A","HCHG I&D ABSCESS SIMP","10060","N/A","N/A","N/A","N/A","N/A","15605.19","15605.19","N/A","N/A","N/A","15605.19","15605.19","N/A","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19","15605.19"
"5","N/A","HCHG I&D ABSCESS COMPLEX","10061","N/A","N/A","N/A","N/A","N/A","12956.77","12956.77","N/A","N/A","N/A","12956.77","12956.77","N/A","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77"
"5","N/A","HCHG I&D ABSCESS COMPLICAT/MULT","10061","N/A","N/A","N/A","N/A","N/A","12956.77","12956.77","N/A","N/A","N/A","12956.77","12956.77","N/A","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77"
"5","N/A","DRAINAGE OF SKIN ABSCESS","10061","N/A","N/A","N/A","N/A","54989.25","12956.77","12956.77","N/A","N/A","N/A","12956.77","12956.77","N/A","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77","12956.77"
"5","N/A","DRAINAGE OF PILONIDAL CYST","10080","N/A","N/A","N/A","N/A","N/A","1164.00","1164.00","N/A","N/A","N/A","1164.00","1164.00","N/A","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00"
"5","N/A","HCHG DRAINAGE OF PILONIDAL CYST; SIMPLE","10080","N/A","N/A","N/A","N/A","N/A","1164.00","1164.00","N/A","N/A","N/A","1164.00","1164.00","N/A","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00"
"5","N/A","HCHG I&D PILONIDA CYST SIMP","10080","N/A","N/A","N/A","N/A","N/A","1164.00","1164.00","N/A","N/A","N/A","1164.00","1164.00","N/A","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00"
"5","N/A","DRAINAGE OF PILONIDAL CYST","10081","N/A","N/A","N/A","N/A","N/A","18572.28","18572.28","N/A","N/A","N/A","18572.28","18572.28","N/A","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28"
"5","N/A","HCHG DRAINAGE OF PILONIDAL CYST","10081","N/A","N/A","N/A","N/A","N/A","18572.28","18572.28","N/A","N/A","N/A","18572.28","18572.28","N/A","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28"
"5","N/A","HCHG DRAINAGE OF PILONIDAL CYST; COMPLICATED","10081","N/A","N/A","N/A","N/A","N/A","18572.28","18572.28","N/A","N/A","N/A","18572.28","18572.28","N/A","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28","18572.28"
"5","N/A","HCHG I&R FB SIMP","10120","N/A","N/A","N/A","N/A","N/A","8835.44","8835.44","N/A","N/A","N/A","8835.44","8835.44","N/A","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44"
"5","N/A","HCHG INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE","10120","N/A","N/A","N/A","N/A","N/A","8835.44","8835.44","N/A","N/A","N/A","8835.44","8835.44","N/A","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44"
"5","N/A","REMOVE FOREIGN BODY","10120","N/A","N/A","N/A","N/A","64369.57","8835.44","8835.44","N/A","N/A","N/A","8835.44","8835.44","N/A","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44","8835.44"
"5","N/A","REMOVE FOREIGN BODY","10121","N/A","N/A","N/A","N/A","64369.57","14500.68","14500.68","N/A","N/A","N/A","14500.68","14500.68","N/A","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68"
"5","N/A","HCHG I&R FB COMPLICAT","10121","N/A","N/A","N/A","N/A","N/A","14500.68","14500.68","N/A","N/A","N/A","14500.68","14500.68","N/A","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68"
"5","N/A","HCHG INCISION & REMOVAL FB SQ; COMPL","10121","N/A","N/A","N/A","N/A","N/A","14500.68","14500.68","N/A","N/A","N/A","14500.68","14500.68","N/A","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68","14500.68"
"5","N/A","HCHG I&D HEMATOMA/SEROMA","10140","N/A","N/A","N/A","N/A","N/A","18327.87","18327.87","N/A","N/A","N/A","18327.87","18327.87","N/A","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87"
"5","N/A","HCHG I&D HEMATOMA/SEROMA/FLUID","10140","N/A","N/A","N/A","N/A","N/A","18327.87","18327.87","N/A","N/A","N/A","18327.87","18327.87","N/A","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87"
"5","N/A","HCHG I&D HEMATOMA/SEROMA/FLUID COLL","10140","N/A","N/A","N/A","N/A","N/A","18327.87","18327.87","N/A","N/A","N/A","18327.87","18327.87","N/A","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87"
"5","N/A","DRAINAGE OF HEMATOMA/FLUID","10140","N/A","N/A","N/A","N/A","55167.18","18327.87","18327.87","N/A","N/A","N/A","18327.87","18327.87","N/A","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87","18327.87"
"5","N/A","HCHG PUNCT ASP ABSC/HEMA/BULLA/CYST","10160","N/A","N/A","N/A","N/A","N/A","3724.21","3724.21","N/A","N/A","N/A","3724.21","3724.21","N/A","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21"
"5","N/A","HCHG PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST","10160","N/A","N/A","N/A","N/A","N/A","3724.21","3724.21","N/A","N/A","N/A","3724.21","3724.21","N/A","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21"
"5","N/A","PUNCTURE DRAINAGE OF LESION","10160","N/A","N/A","N/A","N/A","N/A","3724.21","3724.21","N/A","N/A","N/A","3724.21","3724.21","N/A","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21","3724.21"
"5","N/A","HCHG COMPLEX DRAINAGE POSTOP WOUND INFECTION","10180","N/A","N/A","N/A","N/A","N/A","4840.00","4840.00","N/A","N/A","N/A","4840.00","4840.00","N/A","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00"
"5","N/A","HCHG COMPLEX DRAINAGE, WOUND","10180","N/A","N/A","N/A","N/A","N/A","4840.00","4840.00","N/A","N/A","N/A","4840.00","4840.00","N/A","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00"
"5","N/A","COMPLEX DRAINAGE WOUND","10180","N/A","N/A","N/A","N/A","55247.63","4840.00","4840.00","N/A","N/A","N/A","4840.00","4840.00","N/A","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00","4840.00"
"5","N/A","DEBRIDE INFECTED SKIN","11000","N/A","N/A","N/A","N/A","N/A","1004.00","1004.00","N/A","N/A","N/A","1004.00","1004.00","N/A","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00"
"5","N/A","HCHG DEBRIDE ECZEMA OR INFECT SKIN","11000","N/A","N/A","N/A","N/A","N/A","1004.00","1004.00","N/A","N/A","N/A","1004.00","1004.00","N/A","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00"
"5","N/A","DEBRIDE INFECTED SKIN ADD-ON","11001","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG DEBRIDE INFECTED SKIN ADD-ON","11001","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG EACH ADDITIONAL SKIN BIOPSY","11001","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG DEBRIDE OPN FX/DISLOC","11010","N/A","N/A","N/A","N/A","N/A","20063.08","20063.08","N/A","N/A","N/A","20063.08","20063.08","N/A","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08"
"5","N/A","HCHG DEBRIDE SKIN AT FIX SITE","11010","N/A","N/A","N/A","N/A","N/A","20063.08","20063.08","N/A","N/A","N/A","20063.08","20063.08","N/A","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08"
"5","N/A","DEBRIDE SKIN AT FX SITE","11010","N/A","N/A","N/A","N/A","80693.22","20063.08","20063.08","N/A","N/A","N/A","20063.08","20063.08","N/A","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08"
"5","N/A","DEBRIDE SKIN MUSC AT FX SITE","11011","N/A","N/A","N/A","N/A","91616.19","3460.00","3460.00","N/A","N/A","N/A","3460.00","3460.00","N/A","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00"
"5","N/A","HCHG DEBRIDE OPN FX/DISLOC SK/SQ/MUSC","11011","N/A","N/A","N/A","N/A","N/A","3460.00","3460.00","N/A","N/A","N/A","3460.00","3460.00","N/A","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00","3460.00"
"5","N/A","HCHG DEBRIDE OPN FX/DISLOC SK/SQ/MUSC/BONE","11012","N/A","N/A","N/A","N/A","N/A","19863.46","19863.46","N/A","N/A","N/A","19863.46","19863.46","N/A","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46"
"5","N/A","DEB SKIN BONE AT FX SITE","11012","N/A","N/A","N/A","N/A","100717.61","19863.46","19863.46","N/A","N/A","N/A","19863.46","19863.46","N/A","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46","19863.46"
"5","N/A","DEB SUBQ TISSUE 20 SQ CM/<","11042","N/A","N/A","N/A","N/A","80693.22","16102.23","16102.23","N/A","N/A","N/A","16102.23","16102.23","N/A","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23"
"5","N/A","HCHG DEBRIDE SKIN & SUBQ TISS","11042","N/A","N/A","N/A","N/A","N/A","16102.23","16102.23","N/A","N/A","N/A","16102.23","16102.23","N/A","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23"
"5","N/A","HCHG DEBRIDEMENT, SUBQ, 1ST 20 SQ CM OR LESS","11042","N/A","N/A","N/A","N/A","N/A","16102.23","16102.23","N/A","N/A","N/A","16102.23","16102.23","N/A","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23","16102.23"
"5","N/A","HCHG DEBRIDEMENT MUSCLE/FASCIA, 1ST 20 SQ CM OR LESS","11043","N/A","N/A","N/A","N/A","N/A","9435.96","9435.96","N/A","N/A","N/A","9435.96","9435.96","N/A","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96"
"5","N/A","HCHG DEBRIDEMENT, MUSCLE/FASCIA, 1ST 20 SQ CM OR LESS","11043","N/A","N/A","N/A","N/A","N/A","9435.96","9435.96","N/A","N/A","N/A","9435.96","9435.96","N/A","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96"
"5","N/A","DEB MUSC/FASCIA 20 SQ CM/<","11043","N/A","N/A","N/A","N/A","80863.79","9435.96","9435.96","N/A","N/A","N/A","9435.96","9435.96","N/A","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96","9435.96"
"5","N/A","DEB BONE 20 SQ CM/<","11044","N/A","N/A","N/A","N/A","88343.61","10869.72","10869.72","N/A","N/A","N/A","10869.72","10869.72","N/A","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72"
"5","N/A","HCHG DEBRIDE SKIN/SQ/MUSC/BONE","11044","N/A","N/A","N/A","N/A","N/A","10869.72","10869.72","N/A","N/A","N/A","10869.72","10869.72","N/A","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72"
"5","N/A","HCHG DEBRIDEMENT, BONE, 1ST 20 SQ CM OR LESS","11044","N/A","N/A","N/A","N/A","N/A","10869.72","10869.72","N/A","N/A","N/A","10869.72","10869.72","N/A","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72","10869.72"
"5","N/A","HCHG DEBRIDEMENT SUBQ TISSUE, EA ADDL 20 SQ CM OR PART THEREOF","11045","N/A","N/A","N/A","N/A","N/A","13326.16","13326.16","N/A","N/A","N/A","13326.16","13326.16","N/A","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16"
"5","N/A","HCHG DEBRIDEMENT, SUBQ TISSUE, @ ADDL 20 SQ CM OR PART THEREOF","11045","N/A","N/A","N/A","N/A","N/A","13326.16","13326.16","N/A","N/A","N/A","13326.16","13326.16","N/A","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16"
"5","N/A","HCHG DEBRIDEMENT, SUBQ, EA ADDL 20 SQ CM OR PART THEREOF","11045","N/A","N/A","N/A","N/A","N/A","13326.16","13326.16","N/A","N/A","N/A","13326.16","13326.16","N/A","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16"
"5","N/A","DEB SUBQ TISSUE ADD-ON","11045","N/A","N/A","N/A","N/A","80693.22","13326.16","13326.16","N/A","N/A","N/A","13326.16","13326.16","N/A","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16","13326.16"
"5","N/A","DEB MUSC/FASCIA ADD-ON","11046","N/A","N/A","N/A","N/A","91012.60","11993.97","11993.97","N/A","N/A","N/A","11993.97","11993.97","N/A","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97"
"5","N/A","HCHG DEBRIDEMENT, MUSCLE/FASCIA, @ ADDL 20 SQ CM OR PART THEREOF","11046","N/A","N/A","N/A","N/A","N/A","11993.97","11993.97","N/A","N/A","N/A","11993.97","11993.97","N/A","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97"
"5","N/A","HCHG DEBRIDEMENT, MUSCLE/FASCIA, EA ADDL 20 SQ CM OR PART THEREOF","11046","N/A","N/A","N/A","N/A","N/A","11993.97","11993.97","N/A","N/A","N/A","11993.97","11993.97","N/A","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97","11993.97"
"5","N/A","HCHG DEBRIDEMENT, BONE, @ ADDL 20 SQ CM OR PART THEREOF","11047","N/A","N/A","N/A","N/A","N/A","15946.69","15946.69","N/A","N/A","N/A","15946.69","15946.69","N/A","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69"
"5","N/A","HCHG DEBRIDEMENT, BONE, EA ADDL 20 SQ CM OR PART THEREOF","11047","N/A","N/A","N/A","N/A","N/A","15946.69","15946.69","N/A","N/A","N/A","15946.69","15946.69","N/A","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69"
"5","N/A","DEB BONE ADD-ON","11047","N/A","N/A","N/A","N/A","88343.61","15946.69","15946.69","N/A","N/A","N/A","15946.69","15946.69","N/A","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69","15946.69"
"5","N/A","HCHG PARE/CUT BENIGN SKIN LESIONS","11055","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","HCHG PARING OF BENIGN LESION SGL","11055","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","TRIM SKIN LESION","11055","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","HCHG PARING OF BENIGN LESION 2-4LES","11056","N/A","N/A","N/A","N/A","N/A","414.00","414.00","N/A","N/A","N/A","414.00","414.00","N/A","414.00","414.00","414.00","414.00","414.00","414.00","414.00","414.00","414.00","414.00"
"5","N/A","TRIM SKIN LESIONS 2 TO 4","11056","N/A","N/A","N/A","N/A","N/A","414.00","414.00","N/A","N/A","N/A","414.00","414.00","N/A","414.00","414.00","414.00","414.00","414.00","414.00","414.00","414.00","414.00","414.00"
"5","N/A","HCHG PARING OF BENIGN LESION >4LES","11057","N/A","N/A","N/A","N/A","N/A","551.00","551.00","N/A","N/A","N/A","551.00","551.00","N/A","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00"
"5","N/A","TRIM SKIN LESIONS OVER 4","11057","N/A","N/A","N/A","N/A","N/A","551.00","551.00","N/A","N/A","N/A","551.00","551.00","N/A","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00","551.00"
"5","N/A","HCHG TANGNTL BX SKIN SINGLE LES","11102","N/A","N/A","N/A","N/A","N/A","765.00","765.00","N/A","N/A","N/A","765.00","765.00","N/A","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00"
"5","N/A","TANGNTL BX SKIN SINGLE LES","11102","N/A","N/A","N/A","N/A","N/A","765.00","765.00","N/A","N/A","N/A","765.00","765.00","N/A","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00"
"5","N/A","HCHG TANGNTL BX SKIN EA SEP/ADDL","11103","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","TANGNTL BX SKIN EA SEP/ADDL","11103","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","HCHG PUNCH BX SKIN SINGLE LESION","11104","N/A","N/A","N/A","N/A","N/A","9683.94","9683.94","N/A","N/A","N/A","9683.94","9683.94","N/A","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94"
"5","N/A","PUNCH BX SKIN SINGLE LESION","11104","N/A","N/A","N/A","N/A","N/A","9683.94","9683.94","N/A","N/A","N/A","9683.94","9683.94","N/A","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94","9683.94"
"5","N/A","HCHG PUNCH BX SKIN EA SEP/ADDL","11105","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","HCHG PUNCH BX SKIN EA SEP/ADDL LESION","11105","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","PUNCH BX SKIN EA SEP/ADDL","11105","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","HCHG INCAL BX SKN SINGLE LES","11106","N/A","N/A","N/A","N/A","N/A","14873.51","14873.51","N/A","N/A","N/A","14873.51","14873.51","N/A","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51"
"5","N/A","INCAL BX SKN SINGLE LES","11106","N/A","N/A","N/A","N/A","N/A","14873.51","14873.51","N/A","N/A","N/A","14873.51","14873.51","N/A","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51"
"5","N/A","HCHG INCAL BX SKN EA SEP/ADDL","11107","N/A","N/A","N/A","N/A","N/A","14873.51","14873.51","N/A","N/A","N/A","14873.51","14873.51","N/A","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51"
"5","N/A","INCAL BX SKN EA SEP/ADDL","11107","N/A","N/A","N/A","N/A","N/A","14873.51","14873.51","N/A","N/A","N/A","14873.51","14873.51","N/A","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51","14873.51"
"5","N/A","HCHG REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15","11200","N/A","N/A","N/A","N/A","N/A","8698.28","8698.28","N/A","N/A","N/A","8698.28","8698.28","N/A","8698.28","8698.28","8698.28","8698.28","8698.28","8698.28","8698.28","8698.28","8698.28","8698.28"
"5","N/A","REMOVAL OF SKIN TAGS 4.0 CM","11406","N/A","N/A","N/A","N/A","N/A","10769.27","10769.27","N/A","N/A","N/A","10769.27","10769.27","N/A","10769.27","10769.27","10769.27","10769.27","10769.27","10769.27","10769.27","10769.27","10769.27","10769.27"
"5","N/A","HCHG EXC B9 LES MRGN XCP SK TG S/N/H/F/G 0.5 CM/<","11420","N/A","N/A","N/A","N/A","N/A","8889.63","8889.63","N/A","N/A","N/A","8889.63","8889.63","N/A","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63"
"5","N/A","EXC H-F-NK-SP B9+MARG 0.5/<","11420","N/A","N/A","N/A","N/A","78770.10","8889.63","8889.63","N/A","N/A","N/A","8889.63","8889.63","N/A","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63","8889.63"
"5","N/A","EXC H-F-NK-SP B9+MARG 0.6-1","11421","N/A","N/A","N/A","N/A","78032.80","5941.78","5941.78","N/A","N/A","N/A","5941.78","5941.78","N/A","5941.78","5941.78","5941.78","5941.78","5941.78","5941.78","5941.78","5941.78","5941.78","5941.78"
"5","N/A","EXC H-F-NK-SP B9+MARG 1.1-2","11422","N/A","N/A","N/A","N/A","77439.80","9910.61","9910.61","N/A","N/A","N/A","9910.61","9910.61","N/A","9910.61","9910.61","9910.61","9910.61","9910.61","9910.61","9910.61","9910.61","9910.61","9910.61"
"5","N/A","EXC H-F-NK-SP B9+MARG 2.1-3","11423","N/A","N/A","N/A","N/A","77342.22","10893.18","10893.18","N/A","N/A","N/A","10893.18","10893.18","N/A","10893.18","10893.18","10893.18","10893.18","10893.18","10893.18","10893.18","10893.18","10893.18","10893.18"
"5","N/A","EXC H-F-NK-SP B9+MARG 3.1-4","11424","N/A","N/A","N/A","N/A","77439.80","11137.82","11137.82","N/A","N/A","N/A","11137.82","11137.82","N/A","11137.82","11137.82","11137.82","11137.82","11137.82","11137.82","11137.82","11137.82","11137.82","11137.82"
"5","N/A","EXC H-F-NK-SP B9+MARG >4 CM","11426","N/A","N/A","N/A","N/A","82200.69","11110.29","11110.29","N/A","N/A","N/A","11110.29","11110.29","N/A","11110.29","11110.29","11110.29","11110.29","11110.29","11110.29","11110.29","11110.29","11110.29","11110.29"
"5","N/A","EXC FACE-MM B9+MARG 0.5 CM/<","11440","N/A","N/A","N/A","N/A","71386.48","7884.44","7884.44","N/A","N/A","N/A","7884.44","7884.44","N/A","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44"
"5","N/A","HCHG EXC FACE-MM B9+MARG 0.5CM/<","11440","N/A","N/A","N/A","N/A","N/A","7884.44","7884.44","N/A","N/A","N/A","7884.44","7884.44","N/A","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44","7884.44"
"5","N/A","EXC FACE-MM B9+MARG 0.6-1 CM","11441","N/A","N/A","N/A","N/A","71386.48","8962.43","8962.43","N/A","N/A","N/A","8962.43","8962.43","N/A","8962.43","8962.43","8962.43","8962.43","8962.43","8962.43","8962.43","8962.43","8962.43","8962.43"
"5","N/A","EXC FACE-MM B9+MARG 1.1-2 CM","11442","N/A","N/A","N/A","N/A","71386.48","8878.21","8878.21","N/A","N/A","N/A","8878.21","8878.21","N/A","8878.21","8878.21","8878.21","8878.21","8878.21","8878.21","8878.21","8878.21","8878.21","8878.21"
"5","N/A","EXC FACE-MM B9+MARG 2.1-3 CM","11443","N/A","N/A","N/A","N/A","71386.48","10011.71","10011.71","N/A","N/A","N/A","10011.71","10011.71","N/A","10011.71","10011.71","10011.71","10011.71","10011.71","10011.71","10011.71","10011.71","10011.71","10011.71"
"5","N/A","EXC FACE-MM B9+MARG 3.1-4 CM","11444","N/A","N/A","N/A","N/A","70875.88","11834.27","11834.27","N/A","N/A","N/A","11834.27","11834.27","N/A","11834.27","11834.27","11834.27","11834.27","11834.27","11834.27","11834.27","11834.27","11834.27","11834.27"
"5","N/A","EXC FACE-MM B9+MARG >4 CM","11446","N/A","N/A","N/A","N/A","71386.48","15239.36","15239.36","N/A","N/A","N/A","15239.36","15239.36","N/A","15239.36","15239.36","15239.36","15239.36","15239.36","15239.36","15239.36","15239.36","15239.36","15239.36"
"5","N/A","REMOVAL SWEAT GLAND LESION","11450","N/A","N/A","N/A","N/A","N/A","9247.80","9247.80","N/A","N/A","N/A","9247.80","9247.80","N/A","9247.80","9247.80","9247.80","9247.80","9247.80","9247.80","9247.80","9247.80","9247.80","9247.80"
"5","N/A","REMOVAL SWEAT GLAND LESION","11462","N/A","N/A","N/A","N/A","N/A","7216.19","7216.19","N/A","N/A","N/A","7216.19","7216.19","N/A","7216.19","7216.19","7216.19","7216.19","7216.19","7216.19","7216.19","7216.19","7216.19","7216.19"
"5","N/A","EXC TR-EXT MAL+MARG 0.5 CM/<","11600","N/A","N/A","N/A","N/A","82473.52","15678.67","15678.67","N/A","N/A","N/A","15678.67","15678.67","N/A","15678.67","15678.67","15678.67","15678.67","15678.67","15678.67","15678.67","15678.67","15678.67","15678.67"
"5","N/A","EXC TR-EXT MAL+MARG 0.6-1 CM","11601","N/A","N/A","N/A","N/A","79371.66","24954.31","24954.31","N/A","N/A","N/A","24954.31","24954.31","N/A","24954.31","24954.31","24954.31","24954.31","24954.31","24954.31","24954.31","24954.31","24954.31","24954.31"
"5","N/A","EXC TR-EXT MAL+MARG 1.1-2 CM","11602","N/A","N/A","N/A","N/A","79642.42","17614.67","17614.67","N/A","N/A","N/A","17614.67","17614.67","N/A","17614.67","17614.67","17614.67","17614.67","17614.67","17614.67","17614.67","17614.67","17614.67","17614.67"
"5","N/A","EXC TR-EXT MAL+MARG 2.1-3 CM","11603","N/A","N/A","N/A","N/A","79642.42","11345.61","11345.61","N/A","N/A","N/A","11345.61","11345.61","N/A","11345.61","11345.61","11345.61","11345.61","11345.61","11345.61","11345.61","11345.61","11345.61","11345.61"
"5","N/A","EXC TR-EXT MAL+MARG 3.1-4 CM","11604","N/A","N/A","N/A","N/A","79642.42","14468.63","14468.63","N/A","N/A","N/A","14468.63","14468.63","N/A","14468.63","14468.63","14468.63","14468.63","14468.63","14468.63","14468.63","14468.63","14468.63","14468.63"
"5","N/A","EXC TR-EXT MAL+MARG >4 CM","11606","N/A","N/A","N/A","N/A","79642.42","19496.14","19496.14","N/A","N/A","N/A","19496.14","19496.14","N/A","19496.14","19496.14","19496.14","19496.14","19496.14","19496.14","19496.14","19496.14","19496.14","19496.14"
"5","N/A","EXC S/N/H/F/G MAL+MRG 1.1-2","11622","N/A","N/A","N/A","N/A","N/A","14111.03","14111.03","N/A","N/A","N/A","14111.03","14111.03","N/A","14111.03","14111.03","14111.03","14111.03","14111.03","14111.03","14111.03","14111.03","14111.03","14111.03"
"5","N/A","EXC S/N/H/F/G MAL+MRG 3.1-4","11624","N/A","N/A","N/A","N/A","N/A","13775.21","13775.21","N/A","N/A","N/A","13775.21","13775.21","N/A","13775.21","13775.21","13775.21","13775.21","13775.21","13775.21","13775.21","13775.21","13775.21","13775.21"
"5","N/A","EXC S/N/H/F/G MAL+MRG >4 CM","11626","N/A","N/A","N/A","N/A","N/A","15234.94","15234.94","N/A","N/A","N/A","15234.94","15234.94","N/A","15234.94","15234.94","15234.94","15234.94","15234.94","15234.94","15234.94","15234.94","15234.94","15234.94"
"5","N/A","EXC F/E/E/N/L MAL+MRG 0.5CM<","11640","N/A","N/A","N/A","N/A","N/A","5139.62","5139.62","N/A","N/A","N/A","5139.62","5139.62","N/A","5139.62","5139.62","5139.62","5139.62","5139.62","5139.62","5139.62","5139.62","5139.62","5139.62"
"5","N/A","EXC F/E/E/N/L MAL+MRG 0.6-1","11641","N/A","N/A","N/A","N/A","N/A","10694.60","10694.60","N/A","N/A","N/A","10694.60","10694.60","N/A","10694.60","10694.60","10694.60","10694.60","10694.60","10694.60","10694.60","10694.60","10694.60","10694.60"
"5","N/A","EXC F/E/E/N/L MAL+MRG 1.1-2","11642","N/A","N/A","N/A","N/A","N/A","10858.71","10858.71","N/A","N/A","N/A","10858.71","10858.71","N/A","10858.71","10858.71","10858.71","10858.71","10858.71","10858.71","10858.71","10858.71","10858.71","10858.71"
"5","N/A","EXC F/E/E/N/L MAL+MRG 2.1-3","11643","N/A","N/A","N/A","N/A","N/A","11917.94","11917.94","N/A","N/A","N/A","11917.94","11917.94","N/A","11917.94","11917.94","11917.94","11917.94","11917.94","11917.94","11917.94","11917.94","11917.94","11917.94"
"5","N/A","EXC F/E/E/N/L MAL+MRG 3.1-4","11644","N/A","N/A","N/A","N/A","N/A","10014.37","10014.37","N/A","N/A","N/A","10014.37","10014.37","N/A","10014.37","10014.37","10014.37","10014.37","10014.37","10014.37","10014.37","10014.37","10014.37","10014.37"
"5","N/A","EXC F/E/E/N/L MAL+MRG >4 CM","11646","N/A","N/A","N/A","N/A","N/A","13373.95","13373.95","N/A","N/A","N/A","13373.95","13373.95","N/A","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95"
"5","N/A","HCHG EXTERNAL EAR; LESION, EXCISION, MALIGNANT","11646","N/A","N/A","N/A","N/A","N/A","13373.95","13373.95","N/A","N/A","N/A","13373.95","13373.95","N/A","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95","13373.95"
"5","N/A","HCHG TRIM NONDYSTROPHIC NAILS, ANY #","11719","N/A","N/A","N/A","N/A","N/A","146.00","146.00","N/A","N/A","N/A","146.00","146.00","N/A","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00"
"5","N/A","TRIM NAIL(S) ANY NUMBER","11719","N/A","N/A","N/A","N/A","N/A","146.00","146.00","N/A","N/A","N/A","146.00","146.00","N/A","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00"
"5","N/A","DEBRIDE NAIL 1-5","11720","N/A","N/A","N/A","N/A","N/A","193.00","193.00","N/A","N/A","N/A","193.00","193.00","N/A","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00"
"5","N/A","HCHG DEBRIDE OF NAIL (1-5)","11720","N/A","N/A","N/A","N/A","N/A","193.00","193.00","N/A","N/A","N/A","193.00","193.00","N/A","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00"
"5","N/A","HCHG DEBRIDE OF NAILS 1-5","11720","N/A","N/A","N/A","N/A","N/A","193.00","193.00","N/A","N/A","N/A","193.00","193.00","N/A","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00"
"5","N/A","DEBRIDE NAIL 6 OR MORE","11721","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","HCHG DEBRIDE OF NAILS 6 OR MORE","11721","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","HCHG AVULSION NAIL PLATE SNGL","11730","N/A","N/A","N/A","N/A","N/A","9651.93","9651.93","N/A","N/A","N/A","9651.93","9651.93","N/A","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93"
"5","N/A","HCHG AVULSION OF NAIL PLATE","11730","N/A","N/A","N/A","N/A","N/A","9651.93","9651.93","N/A","N/A","N/A","9651.93","9651.93","N/A","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93"
"5","N/A","REMOVAL OF NAIL PLATE","11730","N/A","N/A","N/A","N/A","N/A","9651.93","9651.93","N/A","N/A","N/A","9651.93","9651.93","N/A","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93","9651.93"
"5","N/A","HCHG AVULSION EA ADDL NAIL","11732","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","HCHG AVULSION NAIL PLATE EA ADDL","11732","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","REMOVE NAIL PLATE ADD-ON","11732","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","DRAIN BLOOD FROM UNDER NAIL","11740","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","HCHG EVAC SUBUNGUAL HEMATOMA","11740","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","HCHG EXCISION OF NAIL - PARTIAL OR COMPLETE","11750","N/A","N/A","N/A","N/A","N/A","10584.98","10584.98","N/A","N/A","N/A","10584.98","10584.98","N/A","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98"
"5","N/A","HCHG REMOVE NAIL & MATRIX PERM","11750","N/A","N/A","N/A","N/A","N/A","10584.98","10584.98","N/A","N/A","N/A","10584.98","10584.98","N/A","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98"
"5","N/A","REMOVAL OF NAIL BED","11750","N/A","N/A","N/A","N/A","N/A","10584.98","10584.98","N/A","N/A","N/A","10584.98","10584.98","N/A","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98","10584.98"
"5","N/A","BIOPSY NAIL UNIT","11755","N/A","N/A","N/A","N/A","57571.05","7743.59","7743.59","N/A","N/A","N/A","7743.59","7743.59","N/A","7743.59","7743.59","7743.59","7743.59","7743.59","7743.59","7743.59","7743.59","7743.59","7743.59"
"5","N/A","HCHG REPAIR OF NAIL BED","11760","N/A","N/A","N/A","N/A","N/A","17590.11","17590.11","N/A","N/A","N/A","17590.11","17590.11","N/A","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11"
"5","N/A","REPAIR OF NAIL BED","11760","N/A","N/A","N/A","N/A","N/A","17590.11","17590.11","N/A","N/A","N/A","17590.11","17590.11","N/A","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11","17590.11"
"5","N/A","HCHG RECONSTRUCTION OF NAIL BED","11762","N/A","N/A","N/A","N/A","N/A","4997.00","4997.00","N/A","N/A","N/A","4997.00","4997.00","N/A","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00"
"5","N/A","RECONSTRUCTION OF NAIL BED","11762","N/A","N/A","N/A","N/A","97366.96","4997.00","4997.00","N/A","N/A","N/A","4997.00","4997.00","N/A","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00","4997.00"
"5","N/A","EXCISION OF NAIL FOLD TOE","11765","N/A","N/A","N/A","N/A","N/A","11218.88","11218.88","N/A","N/A","N/A","11218.88","11218.88","N/A","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88"
"5","N/A","HCHG WEDGE EXC SKIN/NAIL FOLD (INGRWN)","11765","N/A","N/A","N/A","N/A","N/A","11218.88","11218.88","N/A","N/A","N/A","11218.88","11218.88","N/A","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88","11218.88"
"5","N/A","HCHG REMOVAL OF PILONIDAL LESION","11770","N/A","N/A","N/A","N/A","N/A","10673.44","10673.44","N/A","N/A","N/A","10673.44","10673.44","N/A","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44"
"5","N/A","REMOVE PILONIDAL CYST SIMPLE","11770","N/A","N/A","N/A","N/A","N/A","10673.44","10673.44","N/A","N/A","N/A","10673.44","10673.44","N/A","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44","10673.44"
"5","N/A","REMOVE PILONIDAL CYST EXTEN","11771","N/A","N/A","N/A","N/A","98545.01","12166.23","12166.23","N/A","N/A","N/A","12166.23","12166.23","N/A","12166.23","12166.23","12166.23","12166.23","12166.23","12166.23","12166.23","12166.23","12166.23","12166.23"
"5","N/A","REMOVE PILONIDAL CYST COMPL","11772","N/A","N/A","N/A","N/A","98545.01","14083.14","14083.14","N/A","N/A","N/A","14083.14","14083.14","N/A","14083.14","14083.14","14083.14","14083.14","14083.14","14083.14","14083.14","14083.14","14083.14","14083.14"
"5","N/A","HCHG INJ INTRALESION, UP TO AND INCLUDING 7 LESIONS","11900","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","HCHG INJECTION INTO SKIN LESIONS","11900","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","INJECT SKIN LESIONS 30.0 CM","12007","N/A","N/A","N/A","N/A","N/A","1369.00","1369.00","N/A","N/A","N/A","1369.00","1369.00","N/A","1369.00","1369.00","1369.00","1369.00","1369.00","1369.00","1369.00","1369.00","1369.00","1369.00"
"5","N/A","HCHG SIMPLE REPAIR SUP WND FACE/EARS/NOSE/LIPS/MUCOUSMEMBRANE ; 2.5CM/<","12011","N/A","N/A","N/A","N/A","N/A","9685.14","9685.14","N/A","N/A","N/A","9685.14","9685.14","N/A","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14"
"5","N/A","HCHG SUTURE SIMP-FACE+-2.5 OR LESS","12011","N/A","N/A","N/A","N/A","N/A","9685.14","9685.14","N/A","N/A","N/A","9685.14","9685.14","N/A","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14"
"5","N/A","RPR F/E/E/N/L/M 2.5 CM/<","12011","N/A","N/A","N/A","N/A","N/A","9685.14","9685.14","N/A","N/A","N/A","9685.14","9685.14","N/A","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14","9685.14"
"5","N/A","HCHG SUTURE SIMP-FACE+-2.6-5.0","12013","N/A","N/A","N/A","N/A","N/A","562.00","562.00","N/A","N/A","N/A","562.00","562.00","N/A","562.00","562.00","562.00","562.00","562.00","562.00","562.00","562.00","562.00","562.00"
"5","N/A","RPR F/E/E/N/L/M 2.6-5.0 CM","12013","N/A","N/A","N/A","N/A","N/A","562.00","562.00","N/A","N/A","N/A","562.00","562.00","N/A","562.00","562.00","562.00","562.00","562.00","562.00","562.00","562.00","562.00","562.00"
"5","N/A","HCHG SUTURE SIMP-FACE+-5.1-7.5","12014","N/A","N/A","N/A","N/A","N/A","723.00","723.00","N/A","N/A","N/A","723.00","723.00","N/A","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00"
"5","N/A","RPR F/E/E/N/L/M 5.1-7.5 CM","12014","N/A","N/A","N/A","N/A","N/A","723.00","723.00","N/A","N/A","N/A","723.00","723.00","N/A","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00"
"5","N/A","HCHG SUTURE SIMP-FACE+-7.6-12.5","12015","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","RPR F/E/E/N/L/M 7.6-12.5 CM","12015","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","HCHG SUTURE SIMP-FACE+-12.6-20.0","12016","N/A","N/A","N/A","N/A","N/A","1235.00","1235.00","N/A","N/A","N/A","1235.00","1235.00","N/A","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00"
"5","N/A","RPR FE/E/EN/L/M 12.6-20.0 CM","12016","N/A","N/A","N/A","N/A","N/A","1235.00","1235.00","N/A","N/A","N/A","1235.00","1235.00","N/A","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00","1235.00"
"5","N/A","HCHG SUTURE SIMP-FACE+-20.1-30.0","12017","N/A","N/A","N/A","N/A","N/A","1465.00","1465.00","N/A","N/A","N/A","1465.00","1465.00","N/A","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00"
"5","N/A","RPR FE/E/EN/L/M 20.1-30.0 CM","12017","N/A","N/A","N/A","N/A","N/A","1465.00","1465.00","N/A","N/A","N/A","1465.00","1465.00","N/A","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00","1465.00"
"5","N/A","HCHG SUTURE SIMP-FACE+-OVER 30.0","12018","N/A","N/A","N/A","N/A","N/A","1663.00","1663.00","N/A","N/A","N/A","1663.00","1663.00","N/A","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00"
"5","N/A","RPR F/E/E/N/L/M >30.0 CM","12018","N/A","N/A","N/A","N/A","N/A","1663.00","1663.00","N/A","N/A","N/A","1663.00","1663.00","N/A","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00","1663.00"
"5","N/A","CLOSURE OF SPLIT WOUND","12020","N/A","N/A","N/A","N/A","N/A","14558.23","14558.23","N/A","N/A","N/A","14558.23","14558.23","N/A","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23"
"5","N/A","HCHG TX SPLIT WOUND SIMP CLOSURE","12020","N/A","N/A","N/A","N/A","N/A","14558.23","14558.23","N/A","N/A","N/A","14558.23","14558.23","N/A","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23","14558.23"
"5","N/A","CLOSURE OF SPLIT WOUND","12021","N/A","N/A","N/A","N/A","N/A","977.00","977.00","N/A","N/A","N/A","977.00","977.00","N/A","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00"
"5","N/A","HCHG TX WND DEHISCENCE W PACKING","12021","N/A","N/A","N/A","N/A","N/A","977.00","977.00","N/A","N/A","N/A","977.00","977.00","N/A","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00"
"5","N/A","HCHG SUTURE INTER-SCALP+-2.5 OR LESS","12031","N/A","N/A","N/A","N/A","N/A","11757.42","11757.42","N/A","N/A","N/A","11757.42","11757.42","N/A","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42"
"5","N/A","INTMD RPR S/A/T/EXT 2.5 CM/<","12031","N/A","N/A","N/A","N/A","52426.49","11757.42","11757.42","N/A","N/A","N/A","11757.42","11757.42","N/A","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42","11757.42"
"5","N/A","INTMD RPR S/A/T/EXT 2.6-7.5","12032","N/A","N/A","N/A","N/A","52426.49","11858.97","11858.97","N/A","N/A","N/A","11858.97","11858.97","N/A","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97"
"5","N/A","HCHG SUTURE INTER-SCALP+-2.6-7.5","12032","N/A","N/A","N/A","N/A","N/A","11858.97","11858.97","N/A","N/A","N/A","11858.97","11858.97","N/A","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97","11858.97"
"5","N/A","HCHG SUTURE INTER-SCALP+-7.6-12.5","12034","N/A","N/A","N/A","N/A","N/A","15693.39","15693.39","N/A","N/A","N/A","15693.39","15693.39","N/A","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39"
"5","N/A","INTMD RPR S/TR/EXT 7.6-12.5","12034","N/A","N/A","N/A","N/A","52426.49","15693.39","15693.39","N/A","N/A","N/A","15693.39","15693.39","N/A","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39","15693.39"
"5","N/A","INTMD RPR S/A/T/EXT 12.6-20","12035","N/A","N/A","N/A","N/A","52426.49","19704.23","19704.23","N/A","N/A","N/A","19704.23","19704.23","N/A","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23"
"5","N/A","HCHG SUTURE INTER-SCALP+-12.6-20.0","12035","N/A","N/A","N/A","N/A","N/A","19704.23","19704.23","N/A","N/A","N/A","19704.23","19704.23","N/A","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23","19704.23"
"5","N/A","HCHG SUTURE INTER-SCALP+-20.1-30.0","12036","N/A","N/A","N/A","N/A","N/A","17962.55","17962.55","N/A","N/A","N/A","17962.55","17962.55","N/A","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55"
"5","N/A","INTMD RPR S/A/T/EXT 20.1-30","12036","N/A","N/A","N/A","N/A","52426.49","17962.55","17962.55","N/A","N/A","N/A","17962.55","17962.55","N/A","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55","17962.55"
"5","N/A","INTMD RPR S/TR/EXT >30.0 CM","12037","N/A","N/A","N/A","N/A","52426.49","2728.00","2728.00","N/A","N/A","N/A","2728.00","2728.00","N/A","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00"
"5","N/A","HCHG SUTURE INTER-SCALP+-OVER 30.0","12037","N/A","N/A","N/A","N/A","N/A","2728.00","2728.00","N/A","N/A","N/A","2728.00","2728.00","N/A","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00"
"5","N/A","HCHG SUTURE INTER-NECK+-2.5 OR LESS","12041","N/A","N/A","N/A","N/A","N/A","11168.10","11168.10","N/A","N/A","N/A","11168.10","11168.10","N/A","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10"
"5","N/A","INTMD RPR N-HF/GENIT 2.5CM/<","12041","N/A","N/A","N/A","N/A","48706.20","11168.10","11168.10","N/A","N/A","N/A","11168.10","11168.10","N/A","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10","11168.10"
"5","N/A","INTMD RPR N-HF/GENIT2.6-7.5","12042","N/A","N/A","N/A","N/A","48706.20","10918.75","10918.75","N/A","N/A","N/A","10918.75","10918.75","N/A","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75"
"5","N/A","HCHG SUTURE INTER-NECK+-2.6-7.5","12042","N/A","N/A","N/A","N/A","N/A","10918.75","10918.75","N/A","N/A","N/A","10918.75","10918.75","N/A","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75","10918.75"
"5","N/A","HCHG SUTURE INTER-NECK+-7.6-12.5","12044","N/A","N/A","N/A","N/A","N/A","13169.47","13169.47","N/A","N/A","N/A","13169.47","13169.47","N/A","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47"
"5","N/A","INTMD RPR N-HF/GENIT7.6-12.5","12044","N/A","N/A","N/A","N/A","48706.20","13169.47","13169.47","N/A","N/A","N/A","13169.47","13169.47","N/A","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47","13169.47"
"5","N/A","INTMD RPR N-HF/GENIT12.6-20","12045","N/A","N/A","N/A","N/A","48706.20","883.00","883.00","N/A","N/A","N/A","883.00","883.00","N/A","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00"
"5","N/A","HCHG SUTURE INTER-NECK+-12.6-20.0","12045","N/A","N/A","N/A","N/A","N/A","883.00","883.00","N/A","N/A","N/A","883.00","883.00","N/A","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00"
"5","N/A","HCHG SUTURE INTER-NECK+-20.1-30.0","12046","N/A","N/A","N/A","N/A","N/A","1013.00","1013.00","N/A","N/A","N/A","1013.00","1013.00","N/A","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00"
"5","N/A","INTMD RPR N-HF/GENIT20.1-30","12046","N/A","N/A","N/A","N/A","48706.20","1013.00","1013.00","N/A","N/A","N/A","1013.00","1013.00","N/A","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00","1013.00"
"5","N/A","INTMD RPR N-HF/GENIT >30.0CM","12047","N/A","N/A","N/A","N/A","48706.20","2728.00","2728.00","N/A","N/A","N/A","2728.00","2728.00","N/A","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00"
"5","N/A","HCHG SUTURE INTER-NECK+-OVER 30.0","12047","N/A","N/A","N/A","N/A","N/A","2728.00","2728.00","N/A","N/A","N/A","2728.00","2728.00","N/A","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00","2728.00"
"5","N/A","HCHG INTMD WND REPAIR FACE/MM =< 2.5 CM","12051","N/A","N/A","N/A","N/A","N/A","9149.73","9149.73","N/A","N/A","N/A","9149.73","9149.73","N/A","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73"
"5","N/A","HCHG SUTURE INTER-FACE+-2.5 OR LESS","12051","N/A","N/A","N/A","N/A","N/A","9149.73","9149.73","N/A","N/A","N/A","9149.73","9149.73","N/A","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73"
"5","N/A","INTMD RPR FACE/MM 2.5 CM/<","12051","N/A","N/A","N/A","N/A","60429.60","9149.73","9149.73","N/A","N/A","N/A","9149.73","9149.73","N/A","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73","9149.73"
"5","N/A","INTMD RPR FACE/MM 2.6-5.0 CM","12052","N/A","N/A","N/A","N/A","60429.60","11503.09","11503.09","N/A","N/A","N/A","11503.09","11503.09","N/A","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09"
"5","N/A","HCHG SUTURE INTER-FACE+-2.6-5.0","12052","N/A","N/A","N/A","N/A","N/A","11503.09","11503.09","N/A","N/A","N/A","11503.09","11503.09","N/A","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09","11503.09"
"5","N/A","HCHG SUTURE INTER-FACE+-5.1-7.5","12053","N/A","N/A","N/A","N/A","N/A","13849.52","13849.52","N/A","N/A","N/A","13849.52","13849.52","N/A","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52"
"5","N/A","INTMD RPR FACE/MM 5.1-7.5 CM","12053","N/A","N/A","N/A","N/A","60429.60","13849.52","13849.52","N/A","N/A","N/A","13849.52","13849.52","N/A","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52","13849.52"
"5","N/A","INTMD RPR FACE/MM 7.6-12.5CM","12054","N/A","N/A","N/A","N/A","60429.60","1466.00","1466.00","N/A","N/A","N/A","1466.00","1466.00","N/A","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00"
"5","N/A","HCHG SUTURE INTER-FACE+-7.6-12.5","12054","N/A","N/A","N/A","N/A","N/A","1466.00","1466.00","N/A","N/A","N/A","1466.00","1466.00","N/A","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00","1466.00"
"5","N/A","HCHG SUTURE INTER-FACE+-12.6-20.0","12055","N/A","N/A","N/A","N/A","N/A","16586.46","16586.46","N/A","N/A","N/A","16586.46","16586.46","N/A","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46"
"5","N/A","INTMD RPR FACE/MM 12.6-20 CM","12055","N/A","N/A","N/A","N/A","60429.60","16586.46","16586.46","N/A","N/A","N/A","16586.46","16586.46","N/A","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46","16586.46"
"5","N/A","INTMD RPR FACE/MM 20.1-30.0","12056","N/A","N/A","N/A","N/A","60429.60","2221.00","2221.00","N/A","N/A","N/A","2221.00","2221.00","N/A","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00"
"5","N/A","HCHG SUTURE INTER-FACE+-20.1-30.0","12056","N/A","N/A","N/A","N/A","N/A","2221.00","2221.00","N/A","N/A","N/A","2221.00","2221.00","N/A","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00","2221.00"
"5","N/A","HCHG SUTURE INTER-FACE+-OVER 30.0","12057","N/A","N/A","N/A","N/A","N/A","2515.00","2515.00","N/A","N/A","N/A","2515.00","2515.00","N/A","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00"
"5","N/A","INTMD RPR FACE/MM >30.0 CM","12057","N/A","N/A","N/A","N/A","60429.60","2515.00","2515.00","N/A","N/A","N/A","2515.00","2515.00","N/A","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00"
"5","N/A","CMPLX RPR TRUNK 1.1-2.5 CM","13100","N/A","N/A","N/A","N/A","N/A","24464.22","24464.22","N/A","N/A","N/A","24464.22","24464.22","N/A","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22"
"5","N/A","HCHG SUTURE COMPLEX-TRUNK-1.1-2.5","13100","N/A","N/A","N/A","N/A","N/A","24464.22","24464.22","N/A","N/A","N/A","24464.22","24464.22","N/A","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22","24464.22"
"5","N/A","CMPLX RPR TRUNK 2.6-7.5 CM","13101","N/A","N/A","N/A","N/A","N/A","23216.10","23216.10","N/A","N/A","N/A","23216.10","23216.10","N/A","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10"
"5","N/A","HCHG SUTURE COMPLEX-TRUNK-2.6-7.5","13101","N/A","N/A","N/A","N/A","N/A","23216.10","23216.10","N/A","N/A","N/A","23216.10","23216.10","N/A","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10","23216.10"
"5","N/A","CMPLX RPR TRUNK ADDL 5CM/<","13102","N/A","N/A","N/A","N/A","N/A","22400.38","22400.38","N/A","N/A","N/A","22400.38","22400.38","N/A","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38"
"5","N/A","HCHG SUTURE COMPLEX-TRUNK-ADDL 5","13102","N/A","N/A","N/A","N/A","N/A","22400.38","22400.38","N/A","N/A","N/A","22400.38","22400.38","N/A","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38","22400.38"
"5","N/A","HCHG SUTURE COMPLEX-SCALP+-1.1-2.5","13120","N/A","N/A","N/A","N/A","N/A","978.00","978.00","N/A","N/A","N/A","978.00","978.00","N/A","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00"
"5","N/A","CMPLX RPR S/A/L 1.1-2.5 CM","13120","N/A","N/A","N/A","N/A","57219.35","978.00","978.00","N/A","N/A","N/A","978.00","978.00","N/A","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00","978.00"
"5","N/A","CMPLX RPR S/A/L 2.6-7.5 CM","13121","N/A","N/A","N/A","N/A","57219.35","21512.25","21512.25","N/A","N/A","N/A","21512.25","21512.25","N/A","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25"
"5","N/A","HCHG SUTURE COMPLEX-SCALP+-2.6-7.5","13121","N/A","N/A","N/A","N/A","N/A","21512.25","21512.25","N/A","N/A","N/A","21512.25","21512.25","N/A","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25","21512.25"
"5","N/A","HCHG SUTURE COMPLEX-SCALP+-ADDL 5","13122","N/A","N/A","N/A","N/A","N/A","20525.37","20525.37","N/A","N/A","N/A","20525.37","20525.37","N/A","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37"
"5","N/A","CMPLX RPR S/A/L ADDL 5 CM/>","13122","N/A","N/A","N/A","N/A","57219.35","20525.37","20525.37","N/A","N/A","N/A","20525.37","20525.37","N/A","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37","20525.37"
"5","N/A","CMPLX RPR F/C/C/M/N/AX/G/H/F","13131","N/A","N/A","N/A","N/A","53696.77","977.00","977.00","N/A","N/A","N/A","977.00","977.00","N/A","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00"
"5","N/A","HCHG SUTURE COMPLEX-FOREH+-1.1-2.5","13131","N/A","N/A","N/A","N/A","N/A","977.00","977.00","N/A","N/A","N/A","977.00","977.00","N/A","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00","977.00"
"5","N/A","HCHG SUTURE COMPLEX-FOREH+-2.6-7.5","13132","N/A","N/A","N/A","N/A","N/A","15191.83","15191.83","N/A","N/A","N/A","15191.83","15191.83","N/A","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83"
"5","N/A","CMPLX RPR F/C/C/M/N/AX/G/H/F","13132","N/A","N/A","N/A","N/A","53696.77","15191.83","15191.83","N/A","N/A","N/A","15191.83","15191.83","N/A","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83","15191.83"
"5","N/A","CMPLX RPR F/C/C/M/N/AX/G/H/F","13133","N/A","N/A","N/A","N/A","53696.77","18981.53","18981.53","N/A","N/A","N/A","18981.53","18981.53","N/A","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53"
"5","N/A","HCHG SUTURE COMPLEX-FOREH+-ADDL 5","13133","N/A","N/A","N/A","N/A","N/A","18981.53","18981.53","N/A","N/A","N/A","18981.53","18981.53","N/A","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53","18981.53"
"5","N/A","HCHG EXTERNAL EAR; REPAIR, COMPLEX","13151","N/A","N/A","N/A","N/A","N/A","9908.94","9908.94","N/A","N/A","N/A","9908.94","9908.94","N/A","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94"
"5","N/A","HCHG SUTURE COMPLEX-EYEL+-1.1-2.5","13151","N/A","N/A","N/A","N/A","N/A","9908.94","9908.94","N/A","N/A","N/A","9908.94","9908.94","N/A","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94"
"5","N/A","CMPLX RPR E/N/E/L 1.1-2.5 CM","13151","N/A","N/A","N/A","N/A","60429.60","9908.94","9908.94","N/A","N/A","N/A","9908.94","9908.94","N/A","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94","9908.94"
"5","N/A","CMPLX RPR E/N/E/L 2.6-7.5 CM","13152","N/A","N/A","N/A","N/A","61124.01","14519.30","14519.30","N/A","N/A","N/A","14519.30","14519.30","N/A","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30"
"5","N/A","HCHG SUTURE COMPLEX-EYEL+-2.6-7.5","13152","N/A","N/A","N/A","N/A","N/A","14519.30","14519.30","N/A","N/A","N/A","14519.30","14519.30","N/A","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30","14519.30"
"5","N/A","HCHG SUTURE COMPLEX-EYEL+-ADDL 5","13153","N/A","N/A","N/A","N/A","N/A","406.00","406.00","N/A","N/A","N/A","406.00","406.00","N/A","406.00","406.00","406.00","406.00","406.00","406.00","406.00","406.00","406.00","406.00"
"5","N/A","CMPLX RPR E/N/E/L ADDL 5CM/<","13153","N/A","N/A","N/A","N/A","61124.01","406.00","406.00","N/A","N/A","N/A","406.00","406.00","N/A","406.00","406.00","406.00","406.00","406.00","406.00","406.00","406.00","406.00","406.00"
"5","N/A","LATE CLOSURE OF WOUND","13160","N/A","N/A","N/A","N/A","54255.45","14111.29","14111.29","N/A","N/A","N/A","14111.29","14111.29","N/A","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29"
"5","N/A","HCHG SECONDARY CLOSURE SURG WOUND/DEHSN EXTESV/COMPLIC","13160","N/A","N/A","N/A","N/A","N/A","14111.29","14111.29","N/A","N/A","N/A","14111.29","14111.29","N/A","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29","14111.29"
"5","N/A","TIS TRNFR TRUNK 10 SQ CM/<","14000","N/A","N/A","N/A","N/A","N/A","10725.67","10725.67","N/A","N/A","N/A","10725.67","10725.67","N/A","10725.67","10725.67","10725.67","10725.67","10725.67","10725.67","10725.67","10725.67","10725.67","10725.67"
"5","N/A","TIS TRNFR TRUNK 10.1-30SQCM","14001","N/A","N/A","N/A","N/A","N/A","19747.71","19747.71","N/A","N/A","N/A","19747.71","19747.71","N/A","19747.71","19747.71","19747.71","19747.71","19747.71","19747.71","19747.71","19747.71","19747.71","19747.71"
"5","N/A","HCHG ADJ TRANS SCLP ARM/&LEG10CM/LE","14020","N/A","N/A","N/A","N/A","N/A","11879.61","11879.61","N/A","N/A","N/A","11879.61","11879.61","N/A","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61"
"5","N/A","TIS TRNFR S/A/L 10 SQ CM/<","14020","N/A","N/A","N/A","N/A","N/A","11879.61","11879.61","N/A","N/A","N/A","11879.61","11879.61","N/A","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61","11879.61"
"5","N/A","TIS TRNFR S/A/L 10.1-30 SQCM","14021","N/A","N/A","N/A","N/A","N/A","30414.39","30414.39","N/A","N/A","N/A","30414.39","30414.39","N/A","30414.39","30414.39","30414.39","30414.39","30414.39","30414.39","30414.39","30414.39","30414.39","30414.39"
"5","N/A","HCHG ADJ TISS TRANSF FACE <10CM","14040","N/A","N/A","N/A","N/A","N/A","11676.23","11676.23","N/A","N/A","N/A","11676.23","11676.23","N/A","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23"
"5","N/A","TIS TRNFR F/C/C/M/N/A/G/H/F","14040","N/A","N/A","N/A","N/A","36462.91","11676.23","11676.23","N/A","N/A","N/A","11676.23","11676.23","N/A","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23","11676.23"
"5","N/A","TIS TRNFR F/C/C/M/N/A/G/H/F","14041","N/A","N/A","N/A","N/A","36462.91","11215.28","11215.28","N/A","N/A","N/A","11215.28","11215.28","N/A","11215.28","11215.28","11215.28","11215.28","11215.28","11215.28","11215.28","11215.28","11215.28","11215.28"
"5","N/A","HCHG ADJ TISS TRANSF EYEL<10.1CM2","14060","N/A","N/A","N/A","N/A","N/A","9956.88","9956.88","N/A","N/A","N/A","9956.88","9956.88","N/A","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88"
"5","N/A","HCHG EXTERNAL EAR; RECONSTRUCTION, WITH TISSUE TRANSFER","14060","N/A","N/A","N/A","N/A","N/A","9956.88","9956.88","N/A","N/A","N/A","9956.88","9956.88","N/A","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88"
"5","N/A","TIS TRNFR E/N/E/L 10 SQ CM/<","14060","N/A","N/A","N/A","N/A","N/A","9956.88","9956.88","N/A","N/A","N/A","9956.88","9956.88","N/A","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88","9956.88"
"5","N/A","TIS TRNFR E/N/E/L10.1-30SQCM","14061","N/A","N/A","N/A","N/A","N/A","22345.40","22345.40","N/A","N/A","N/A","22345.40","22345.40","N/A","22345.40","22345.40","22345.40","22345.40","22345.40","22345.40","22345.40","22345.40","22345.40","22345.40"
"5","N/A","TIS TRNFR ANY 30.1-60 SQ CM","14301","N/A","N/A","N/A","N/A","36462.91","12903.23","12903.23","N/A","N/A","N/A","12903.23","12903.23","N/A","12903.23","12903.23","12903.23","12903.23","12903.23","12903.23","12903.23","12903.23","12903.23","12903.23"
"5","N/A","TIS TRNFR ADDL 30 SQ CM","14302","N/A","N/A","N/A","N/A","36462.91","15838.67","15838.67","N/A","N/A","N/A","15838.67","15838.67","N/A","15838.67","15838.67","15838.67","15838.67","15838.67","15838.67","15838.67","15838.67","15838.67","15838.67"
"5","N/A","WOUND PREP F/N/HF/G","15004","N/A","N/A","N/A","N/A","82728.56","16837.81","16837.81","N/A","N/A","N/A","16837.81","16837.81","N/A","16837.81","16837.81","16837.81","16837.81","16837.81","16837.81","16837.81","16837.81","16837.81","16837.81"
"5","N/A","HCHG PINCH GRAFT SNGL/MULT <2CM DIA","15050","N/A","N/A","N/A","N/A","N/A","1528.00","1528.00","N/A","N/A","N/A","1528.00","1528.00","N/A","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00"
"5","N/A","SKIN PINCH GRAFT","15050","N/A","N/A","N/A","N/A","N/A","1528.00","1528.00","N/A","N/A","N/A","1528.00","1528.00","N/A","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00","1528.00"
"5","N/A","SKIN SPLT GRFT TRNK/ARM/LEG","15100","N/A","N/A","N/A","N/A","86740.33","15727.66","15727.66","N/A","N/A","N/A","15727.66","15727.66","N/A","15727.66","15727.66","15727.66","15727.66","15727.66","15727.66","15727.66","15727.66","15727.66","15727.66"
"5","N/A","SKIN SPLT GRFT T/A/L ADD-ON","15101","N/A","N/A","N/A","N/A","N/A","21167.18","21167.18","N/A","N/A","N/A","21167.18","21167.18","N/A","21167.18","21167.18","21167.18","21167.18","21167.18","21167.18","21167.18","21167.18","21167.18","21167.18"
"5","N/A","SKN SPLT A-GRFT FAC/NCK/HF/G","15120","N/A","N/A","N/A","N/A","80472.68","14304.48","14304.48","N/A","N/A","N/A","14304.48","14304.48","N/A","14304.48","14304.48","14304.48","14304.48","14304.48","14304.48","14304.48","14304.48","14304.48","14304.48"
"5","N/A","SKIN FULL GRAFT SCLP/ARM/LEG","15220","N/A","N/A","N/A","N/A","56310.33","15996.17","15996.17","N/A","N/A","N/A","15996.17","15996.17","N/A","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17"
"5","N/A","SKIN FULL GRAFT ADD-ON","15221","N/A","N/A","N/A","N/A","56310.33","15996.17","15996.17","N/A","N/A","N/A","15996.17","15996.17","N/A","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17","15996.17"
"5","N/A","HCHG FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/<","15240","N/A","N/A","N/A","N/A","N/A","14923.14","14923.14","N/A","N/A","N/A","14923.14","14923.14","N/A","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14"
"5","N/A","SKIN FULL GRFT FACE/GENIT/HF","15240","N/A","N/A","N/A","N/A","N/A","14923.14","14923.14","N/A","N/A","N/A","14923.14","14923.14","N/A","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14","14923.14"
"5","N/A","SKIN FULL GRAFT EEN & LIPS","15260","N/A","N/A","N/A","N/A","49567.08","10283.66","10283.66","N/A","N/A","N/A","10283.66","10283.66","N/A","10283.66","10283.66","10283.66","10283.66","10283.66","10283.66","10283.66","10283.66","10283.66","10283.66"
"5","N/A","SKIN SUB GRAFT TRNK/ARM/LEG","15271","N/A","N/A","N/A","N/A","218932.41","10400.40","10400.40","N/A","N/A","N/A","10400.40","10400.40","N/A","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40"
"5","N/A","HCHG APP SKIN SUB GRFT TRUNK, ARMS, LEGS, WOUND 100CM2;1ST 25CM2","15271","N/A","N/A","N/A","N/A","N/A","10400.40","10400.40","N/A","N/A","N/A","10400.40","10400.40","N/A","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40","10400.40"
"5","N/A","HCHG APP SKIN SUB GRFT TRUNK, ARMS, LEGS, WOUND 100CM2; EA ADDL 25CM2","15272","N/A","N/A","N/A","N/A","N/A","12357.17","12357.17","N/A","N/A","N/A","12357.17","12357.17","N/A","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17"
"5","N/A","SKIN SUB GRAFT T/A/L ADD-ON","15272","N/A","N/A","N/A","N/A","218932.41","12357.17","12357.17","N/A","N/A","N/A","12357.17","12357.17","N/A","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17","12357.17"
"5","N/A","SKIN SUB GRFT T/ARM/LG CHILD","15273","N/A","N/A","N/A","N/A","218932.41","117266.48","117266.48","N/A","N/A","N/A","117266.48","117266.48","N/A","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48"
"5","N/A","HCHG APP SKIN SUB GRFT TRUNK, ARMS, LEGS, WOUND SURF >=100CM2;1ST 100CM2","15273","N/A","N/A","N/A","N/A","N/A","117266.48","117266.48","N/A","N/A","N/A","117266.48","117266.48","N/A","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48","117266.48"
"5","N/A","HCHG APP SKIN SUB GRFT TRUNK,ARMS, LEGS, WOUND SURF >=100CM2;EA ADDL 100CM2","15274","N/A","N/A","N/A","N/A","N/A","107199.00","107199.00","N/A","N/A","N/A","107199.00","107199.00","N/A","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00"
"5","N/A","SKN SUB GRFT T/A/L CHILD ADD","15274","N/A","N/A","N/A","N/A","218932.41","107199.00","107199.00","N/A","N/A","N/A","107199.00","107199.00","N/A","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00","107199.00"
"5","N/A","SKIN SUB GRAFT FACE/NK/HF/G","15275","N/A","N/A","N/A","N/A","147641.20","8920.07","8920.07","N/A","N/A","N/A","8920.07","8920.07","N/A","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07"
"5","N/A","HCHG APP SKIN SUB GRFT FACE, NECK, FEET, WOUND 100CM2;1ST 25CM2","15275","N/A","N/A","N/A","N/A","N/A","8920.07","8920.07","N/A","N/A","N/A","8920.07","8920.07","N/A","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07","8920.07"
"5","N/A","HCHG APP SKIN SUB GRFT FACE, NECK, FEET, WOUND 100CM2;EA ADDL 25CM2","15276","N/A","N/A","N/A","N/A","N/A","13487.05","13487.05","N/A","N/A","N/A","13487.05","13487.05","N/A","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05"
"5","N/A","SKIN SUB GRAFT F/N/HF/G ADDL","15276","N/A","N/A","N/A","N/A","147641.20","13487.05","13487.05","N/A","N/A","N/A","13487.05","13487.05","N/A","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05","13487.05"
"5","N/A","SKN SUB GRFT F/N/HF/G CHILD","15277","N/A","N/A","N/A","N/A","147641.20","9668.10","9668.10","N/A","N/A","N/A","9668.10","9668.10","N/A","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10"
"5","N/A","HCHG APP SKIN SUB GRFT FACE, NECK, FEET, WOUND SURF >=100CM2;1ST 100CM2","15277","N/A","N/A","N/A","N/A","N/A","9668.10","9668.10","N/A","N/A","N/A","9668.10","9668.10","N/A","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10","9668.10"
"5","N/A","HCHG APP SKIN SUB GRFT FACE, NECK, FEET, WOUND SURF >=100CM2;EA ADDL 100CM2","15278","N/A","N/A","N/A","N/A","N/A","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","SKN SUB GRFT F/N/HF/G CH ADD","15278","N/A","N/A","N/A","N/A","147641.20","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","PEDCLE FH/CH/CH/M/N/AX/G/H/F","15574","N/A","N/A","N/A","N/A","65530.84","9637.23","9637.23","N/A","N/A","N/A","9637.23","9637.23","N/A","9637.23","9637.23","9637.23","9637.23","9637.23","9637.23","9637.23","9637.23","9637.23","9637.23"
"5","N/A","PEDICLE E/N/E/L/NTRORAL","15576","N/A","N/A","N/A","N/A","66840.56","10105.87","10105.87","N/A","N/A","N/A","10105.87","10105.87","N/A","10105.87","10105.87","10105.87","10105.87","10105.87","10105.87","10105.87","10105.87","10105.87","10105.87"
"5","N/A","DELAY FLAP F/C/C/N/AX/G/H/F","15620","N/A","N/A","N/A","N/A","59100.50","10832.29","10832.29","N/A","N/A","N/A","10832.29","10832.29","N/A","10832.29","10832.29","10832.29","10832.29","10832.29","10832.29","10832.29","10832.29","10832.29","10832.29"
"5","N/A","DELAY FLAP EYE/NOS/EAR/LIP","15630","N/A","N/A","N/A","N/A","66840.56","8394.94","8394.94","N/A","N/A","N/A","8394.94","8394.94","N/A","8394.94","8394.94","8394.94","8394.94","8394.94","8394.94","8394.94","8394.94","8394.94","8394.94"
"5","N/A","TRANSFER SKIN PEDICLE FLAP","15650","N/A","N/A","N/A","N/A","68419.89","6242.62","6242.62","N/A","N/A","N/A","6242.62","6242.62","N/A","6242.62","6242.62","6242.62","6242.62","6242.62","6242.62","6242.62","6242.62","6242.62","6242.62"
"5","N/A","MDFC FLAP W/PRSRV VASC PEDCL","15730","N/A","N/A","N/A","N/A","66840.56","8226.48","8226.48","N/A","N/A","N/A","8226.48","8226.48","N/A","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48"
"5","N/A","HCHG MIDFACE FLAP (IE, ZYGOMATICOFACIAL FLAP) W PRESERVATION OF VASCULAR PEDICLE(S)","15730","N/A","N/A","N/A","N/A","N/A","8226.48","8226.48","N/A","N/A","N/A","8226.48","8226.48","N/A","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48","8226.48"
"5","N/A","FOREHEAD FLAP W/VASC PEDICLE","15731","N/A","N/A","N/A","N/A","66840.56","16681.13","16681.13","N/A","N/A","N/A","16681.13","16681.13","N/A","16681.13","16681.13","16681.13","16681.13","16681.13","16681.13","16681.13","16681.13","16681.13","16681.13"
"5","N/A","MUSC MYOQ/FSCQ FLP H&N PEDCL","15733","N/A","N/A","N/A","N/A","230003.40","14294.29","14294.29","N/A","N/A","N/A","14294.29","14294.29","N/A","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29"
"5","N/A","HCHG MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; HEAD AND NECK W NAMED CUSCULAR PEDICLE","15733","N/A","N/A","N/A","N/A","N/A","14294.29","14294.29","N/A","N/A","N/A","14294.29","14294.29","N/A","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29","14294.29"
"5","N/A","MUSCLE-SKIN GRAFT TRUNK","15734","N/A","N/A","N/A","N/A","93381.58","18395.37","18395.37","N/A","N/A","N/A","18395.37","18395.37","N/A","18395.37","18395.37","18395.37","18395.37","18395.37","18395.37","18395.37","18395.37","18395.37","18395.37"
"5","N/A","MUSCLE-SKIN GRAFT ARM","15736","N/A","N/A","N/A","N/A","497012.97","4475.00","4475.00","N/A","N/A","N/A","4475.00","4475.00","N/A","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00"
"5","N/A","HCHG MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; UPPER EXTREMITY","15736","N/A","N/A","N/A","N/A","N/A","4475.00","4475.00","N/A","N/A","N/A","4475.00","4475.00","N/A","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00","4475.00"
"5","N/A","HCHG MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; LOWER EXTREMITY","15738","N/A","N/A","N/A","N/A","N/A","27730.23","27730.23","N/A","N/A","N/A","27730.23","27730.23","N/A","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23"
"5","N/A","MUSCLE-SKIN GRAFT LEG","15738","N/A","N/A","N/A","N/A","166156.83","27730.23","27730.23","N/A","N/A","N/A","27730.23","27730.23","N/A","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23","27730.23"
"5","N/A","ISLAND PEDICLE FLAP GRAFT","15740","N/A","N/A","N/A","N/A","68419.89","11408.29","11408.29","N/A","N/A","N/A","11408.29","11408.29","N/A","11408.29","11408.29","11408.29","11408.29","11408.29","11408.29","11408.29","11408.29","11408.29","11408.29"
"5","N/A","NEUROVASCULAR PEDICLE FLAP","15750","N/A","N/A","N/A","N/A","74751.21","9020.21","9020.21","N/A","N/A","N/A","9020.21","9020.21","N/A","9020.21","9020.21","9020.21","9020.21","9020.21","9020.21","9020.21","9020.21","9020.21","9020.21"
"5","N/A","COMPOSITE SKIN GRAFT","15760","N/A","N/A","N/A","N/A","56310.33","8928.81","8928.81","N/A","N/A","N/A","8928.81","8928.81","N/A","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81"
"5","N/A","HCHG GRAFT; COMPOSITE","15760","N/A","N/A","N/A","N/A","N/A","8928.81","8928.81","N/A","N/A","N/A","8928.81","8928.81","N/A","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81","8928.81"
"5","N/A","GRFG AUTOL SOFT TISS DIR EXC","15769","N/A","N/A","N/A","N/A","N/A","16405.17","16405.17","N/A","N/A","N/A","16405.17","16405.17","N/A","16405.17","16405.17","16405.17","16405.17","16405.17","16405.17","16405.17","16405.17","16405.17","16405.17"
"5","N/A","GRFG AUTOL FAT LIPO 50 CC/<","15771","N/A","N/A","N/A","N/A","N/A","54427.57","54427.57","N/A","N/A","N/A","54427.57","54427.57","N/A","54427.57","54427.57","54427.57","54427.57","54427.57","54427.57","54427.57","54427.57","54427.57","54427.57"
"5","N/A","GRFG AUTOL FAT LIPO EA ADDL","15772","N/A","N/A","N/A","N/A","N/A","54571.08","54571.08","N/A","N/A","N/A","54571.08","54571.08","N/A","54571.08","54571.08","54571.08","54571.08","54571.08","54571.08","54571.08","54571.08","54571.08","54571.08"
"5","N/A","GRFG AUTOL FAT LIPO 25 CC/<","15773","N/A","N/A","N/A","N/A","58487.78","13518.81","13518.81","N/A","N/A","N/A","13518.81","13518.81","N/A","13518.81","13518.81","13518.81","13518.81","13518.81","13518.81","13518.81","13518.81","13518.81","13518.81"
"5","N/A","ACELLULAR DERM MATRIX IMPLT","15777","N/A","N/A","N/A","N/A","144806.25","65763.47","65763.47","N/A","N/A","N/A","65763.47","65763.47","N/A","65763.47","65763.47","65763.47","65763.47","65763.47","65763.47","65763.47","65763.47","65763.47","65763.47"
"5","N/A","REVISION OF LOWER EYELID","15820","N/A","N/A","N/A","N/A","N/A","9005.00","9005.00","N/A","N/A","N/A","9005.00","9005.00","N/A","9005.00","9005.00","9005.00","9005.00","9005.00","9005.00","9005.00","9005.00","9005.00","9005.00"
"5","N/A","REVISION OF UPPER EYELID","15822","N/A","N/A","N/A","N/A","N/A","7717.98","7717.98","N/A","N/A","N/A","7717.98","7717.98","N/A","7717.98","7717.98","7717.98","7717.98","7717.98","7717.98","7717.98","7717.98","7717.98","7717.98"
"5","N/A","REVISION OF UPPER EYELID","15823","N/A","N/A","N/A","N/A","N/A","8026.84","8026.84","N/A","N/A","N/A","8026.84","8026.84","N/A","8026.84","8026.84","8026.84","8026.84","8026.84","8026.84","8026.84","8026.84","8026.84","8026.84"
"5","N/A","EXC SKIN ABD","15830","N/A","N/A","N/A","N/A","55620.33","26932.38","26932.38","N/A","N/A","N/A","26932.38","26932.38","N/A","26932.38","26932.38","26932.38","26932.38","26932.38","26932.38","26932.38","26932.38","26932.38","26932.38"
"5","N/A","EXCISE EXCESSIVE SKIN THIGH","15832","N/A","N/A","N/A","N/A","N/A","39657.02","39657.02","N/A","N/A","N/A","39657.02","39657.02","N/A","39657.02","39657.02","39657.02","39657.02","39657.02","39657.02","39657.02","39657.02","39657.02","39657.02"
"5","N/A","EXCISE EXCESSIVE SKIN ARM","15836","N/A","N/A","N/A","N/A","N/A","30619.55","30619.55","N/A","N/A","N/A","30619.55","30619.55","N/A","30619.55","30619.55","30619.55","30619.55","30619.55","30619.55","30619.55","30619.55","30619.55","30619.55"
"5","N/A","EXCISE EXCESS SKIN & TISSUE","15839","N/A","N/A","N/A","N/A","N/A","13348.95","13348.95","N/A","N/A","N/A","13348.95","13348.95","N/A","13348.95","13348.95","13348.95","13348.95","13348.95","13348.95","13348.95","13348.95","13348.95","13348.95"
"5","N/A","REMOVE SUTURES SAME SURGEON","15850","N/A","N/A","N/A","N/A","N/A","5636.85","5636.85","N/A","N/A","N/A","5636.85","5636.85","N/A","5636.85","5636.85","5636.85","5636.85","5636.85","5636.85","5636.85","5636.85","5636.85","5636.85"
"5","N/A","REMOVE SUTURES DIFF SURGEON","15851","N/A","N/A","N/A","N/A","N/A","5687.72","5687.72","N/A","N/A","N/A","5687.72","5687.72","N/A","5687.72","5687.72","5687.72","5687.72","5687.72","5687.72","5687.72","5687.72","5687.72","5687.72"
"5","N/A","SUCTION LIPECTOMY HEAD&NECK","15876","N/A","N/A","N/A","N/A","N/A","20719.89","20719.89","N/A","N/A","N/A","20719.89","20719.89","N/A","20719.89","20719.89","20719.89","20719.89","20719.89","20719.89","20719.89","20719.89","20719.89","20719.89"
"5","N/A","SUCTION LIPECTOMY TRUNK","15877","N/A","N/A","N/A","N/A","N/A","15727.21","15727.21","N/A","N/A","N/A","15727.21","15727.21","N/A","15727.21","15727.21","15727.21","15727.21","15727.21","15727.21","15727.21","15727.21","15727.21","15727.21"
"5","N/A","HCHG BURN INIT TREAT 1ST DEGREE","16000","N/A","N/A","N/A","N/A","N/A","437.00","437.00","N/A","N/A","N/A","437.00","437.00","N/A","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00"
"5","N/A","INITIAL TREATMENT OF BURN(S)","16000","N/A","N/A","N/A","N/A","N/A","437.00","437.00","N/A","N/A","N/A","437.00","437.00","N/A","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00"
"5","N/A","DRESS/DEBRID P-THICK BURN S","16020","N/A","N/A","N/A","N/A","N/A","649.00","649.00","N/A","N/A","N/A","649.00","649.00","N/A","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00"
"5","N/A","HCHG BURN WO ANESTH SML","16020","N/A","N/A","N/A","N/A","N/A","649.00","649.00","N/A","N/A","N/A","649.00","649.00","N/A","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00"
"5","N/A","HCHG DRESSINGS/DEBRIDEMENT OF PARTIAL-THICKNESS BURNS,INIT/SUBQ; SMALL","16020","N/A","N/A","N/A","N/A","N/A","649.00","649.00","N/A","N/A","N/A","649.00","649.00","N/A","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00"
"5","N/A","DRESS/DEBRID P-THICK BURN M","16025","N/A","N/A","N/A","N/A","N/A","811.00","811.00","N/A","N/A","N/A","811.00","811.00","N/A","811.00","811.00","811.00","811.00","811.00","811.00","811.00","811.00","811.00","811.00"
"5","N/A","HCHG BURN WO ANESTH MED","16025","N/A","N/A","N/A","N/A","N/A","811.00","811.00","N/A","N/A","N/A","811.00","811.00","N/A","811.00","811.00","811.00","811.00","811.00","811.00","811.00","811.00","811.00","811.00"
"5","N/A","DRESS/DEBRID P-THICK BURN L","16030","N/A","N/A","N/A","N/A","N/A","968.00","968.00","N/A","N/A","N/A","968.00","968.00","N/A","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00"
"5","N/A","HCHG BURN WO ANESTH LG","16030","N/A","N/A","N/A","N/A","N/A","968.00","968.00","N/A","N/A","N/A","968.00","968.00","N/A","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00"
"5","N/A","HCHG DRESSINGS/DEBRIDEMENT OF PARTIAL-THICKNESS BURNS,INIT/SUBQ; LARGE","16030","N/A","N/A","N/A","N/A","N/A","968.00","968.00","N/A","N/A","N/A","968.00","968.00","N/A","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00","968.00"
"5","N/A","HCHG INCISION OF BURN SCAB, INITI","16035","N/A","N/A","N/A","N/A","N/A","10572.09","10572.09","N/A","N/A","N/A","10572.09","10572.09","N/A","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09"
"5","N/A","INCISION OF BURN SCAB INITI","16035","N/A","N/A","N/A","N/A","N/A","10572.09","10572.09","N/A","N/A","N/A","10572.09","10572.09","N/A","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09","10572.09"
"5","N/A","HCHG DESTR CUT VASC LES; 10 SQ CM/<","17106","N/A","N/A","N/A","N/A","N/A","1258.00","1258.00","N/A","N/A","N/A","1258.00","1258.00","N/A","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00"
"5","N/A","HCHG DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM","17106","N/A","N/A","N/A","N/A","N/A","1258.00","1258.00","N/A","N/A","N/A","1258.00","1258.00","N/A","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00"
"5","N/A","DESTRUCTION OF SKIN LESIONS","17106","N/A","N/A","N/A","N/A","98990.84","1258.00","1258.00","N/A","N/A","N/A","1258.00","1258.00","N/A","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00","1258.00"
"5","N/A","DESTRUCT B9 LESION 1-14","17110","N/A","N/A","N/A","N/A","98990.84","8213.50","8213.50","N/A","N/A","N/A","8213.50","8213.50","N/A","8213.50","8213.50","8213.50","8213.50","8213.50","8213.50","8213.50","8213.50","8213.50","8213.50"
"5","N/A","CHEM CAUT OF GRANLTJ TISSUE","17250","N/A","N/A","N/A","N/A","98990.84","9798.54","9798.54","N/A","N/A","N/A","9798.54","9798.54","N/A","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54"
"5","N/A","HCHG WOUND CAUTERY CHEMICAL","17250","N/A","N/A","N/A","N/A","N/A","9798.54","9798.54","N/A","N/A","N/A","9798.54","9798.54","N/A","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54","9798.54"
"5","N/A","DESTRUCTION OF SKIN LESIONS","17266","N/A","N/A","N/A","N/A","N/A","24497.46","24497.46","N/A","N/A","N/A","24497.46","24497.46","N/A","24497.46","24497.46","24497.46","24497.46","24497.46","24497.46","24497.46","24497.46","24497.46","24497.46"
"5","N/A","DESTRUCTION OF SKIN LESIONS","17280","N/A","N/A","N/A","N/A","N/A","509.00","509.00","N/A","N/A","N/A","509.00","509.00","N/A","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00"
"5","N/A","HCHG EXTERNAL EAR, LESION, DESTRUCTION, MALIGNANT","17280","N/A","N/A","N/A","N/A","N/A","509.00","509.00","N/A","N/A","N/A","509.00","509.00","N/A","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00","509.00"
"5","N/A","SKIN TISSUE PROCEDURE","17999","N/A","N/A","N/A","N/A","98990.84","15926.99","15926.99","N/A","N/A","N/A","15926.99","15926.99","N/A","15926.99","15926.99","15926.99","15926.99","15926.99","15926.99","15926.99","15926.99","15926.99","15926.99"
"5","N/A","DRAINAGE OF BREAST LESION","19000","N/A","N/A","N/A","N/A","N/A","3855.13","3855.13","N/A","N/A","N/A","3855.13","3855.13","N/A","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13"
"5","N/A","HCHG PUNCT ASP CYST BREAST","19000","N/A","N/A","N/A","N/A","N/A","3855.13","3855.13","N/A","N/A","N/A","3855.13","3855.13","N/A","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13","3855.13"
"5","N/A","DRAIN BREAST LESION ADD-ON","19001","N/A","N/A","N/A","N/A","N/A","469.00","469.00","N/A","N/A","N/A","469.00","469.00","N/A","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00"
"5","N/A","HCHG PUNCT ASP CYST BREAST EA ADDL","19001","N/A","N/A","N/A","N/A","N/A","469.00","469.00","N/A","N/A","N/A","469.00","469.00","N/A","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00","469.00"
"5","N/A","HCHG MASTOTOMY W EXPL/DRN ABSC, DEEP","19020","N/A","N/A","N/A","N/A","N/A","9483.54","9483.54","N/A","N/A","N/A","9483.54","9483.54","N/A","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54"
"5","N/A","INCISION OF BREAST LESION","19020","N/A","N/A","N/A","N/A","40713.62","9483.54","9483.54","N/A","N/A","N/A","9483.54","9483.54","N/A","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54","9483.54"
"5","N/A","HCHG INJ MAMMARY DUCTOGRAM","19030","N/A","N/A","N/A","N/A","N/A","223.00","223.00","N/A","N/A","N/A","223.00","223.00","N/A","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00"
"5","N/A","INJECTION FOR BREAST X-RAY","19030","N/A","N/A","N/A","N/A","N/A","223.00","223.00","N/A","N/A","N/A","223.00","223.00","N/A","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00"
"5","N/A","BX BREAST 1ST LESION STRTCTC","19081","N/A","N/A","N/A","N/A","N/A","5355.33","5355.33","N/A","N/A","N/A","5355.33","5355.33","N/A","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33"
"5","N/A","HCHG BX BREAST 1ST LESION INCL STRTCTC","19081","N/A","N/A","N/A","N/A","N/A","5355.33","5355.33","N/A","N/A","N/A","5355.33","5355.33","N/A","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33","5355.33"
"5","N/A","BX BREAST ADD LESION STRTCTC","19082","N/A","N/A","N/A","N/A","N/A","834.00","834.00","N/A","N/A","N/A","834.00","834.00","N/A","834.00","834.00","834.00","834.00","834.00","834.00","834.00","834.00","834.00","834.00"
"5","N/A","HCHG BX BREAST EA ADDL LESION INCL STRTCTC","19082","N/A","N/A","N/A","N/A","N/A","834.00","834.00","N/A","N/A","N/A","834.00","834.00","N/A","834.00","834.00","834.00","834.00","834.00","834.00","834.00","834.00","834.00","834.00"
"5","N/A","BX BREAST 1ST LESION US IMAG","19083","N/A","N/A","N/A","N/A","N/A","5189.94","5189.94","N/A","N/A","N/A","5189.94","5189.94","N/A","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94"
"5","N/A","HCHG BX BREAST 1ST LESION INCL US IMAG","19083","N/A","N/A","N/A","N/A","N/A","5189.94","5189.94","N/A","N/A","N/A","5189.94","5189.94","N/A","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94","5189.94"
"5","N/A","BX BREAST ADD LESION US IMAG","19084","N/A","N/A","N/A","N/A","N/A","6870.78","6870.78","N/A","N/A","N/A","6870.78","6870.78","N/A","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78"
"5","N/A","HCHG BX BREAST EA ADDL LESION INCL US IMAG","19084","N/A","N/A","N/A","N/A","N/A","6870.78","6870.78","N/A","N/A","N/A","6870.78","6870.78","N/A","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78","6870.78"
"5","N/A","BX BREAST 1ST LESION MR IMAG","19085","N/A","N/A","N/A","N/A","N/A","5093.47","5093.47","N/A","N/A","N/A","5093.47","5093.47","N/A","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47"
"5","N/A","HCHG BX BREAST 1ST LESION INCL MR GUIDE","19085","N/A","N/A","N/A","N/A","N/A","5093.47","5093.47","N/A","N/A","N/A","5093.47","5093.47","N/A","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47","5093.47"
"5","N/A","BX BREAST ADD LESION MR IMAG","19086","N/A","N/A","N/A","N/A","N/A","6137.91","6137.91","N/A","N/A","N/A","6137.91","6137.91","N/A","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91"
"5","N/A","HCHG BX BREAST EA ADDL LESION INCL MR GUIDE","19086","N/A","N/A","N/A","N/A","N/A","6137.91","6137.91","N/A","N/A","N/A","6137.91","6137.91","N/A","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91","6137.91"
"5","N/A","BX BREAST PERCUT W/O IMAGE","19100","N/A","N/A","N/A","N/A","N/A","2669.00","2669.00","N/A","N/A","N/A","2669.00","2669.00","N/A","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00"
"5","N/A","HCHG CNB BREAST WO IMG GUIDE","19100","N/A","N/A","N/A","N/A","N/A","2669.00","2669.00","N/A","N/A","N/A","2669.00","2669.00","N/A","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00"
"5","N/A","HCHG OPEN - INCIS BREAST BX","19101","N/A","N/A","N/A","N/A","N/A","17644.75","17644.75","N/A","N/A","N/A","17644.75","17644.75","N/A","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75"
"5","N/A","BIOPSY OF BREAST OPEN","19101","N/A","N/A","N/A","N/A","44934.58","17644.75","17644.75","N/A","N/A","N/A","17644.75","17644.75","N/A","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75","17644.75"
"5","N/A","REMOVAL OF BREAST LESION","19120","N/A","N/A","N/A","N/A","N/A","11412.23","11412.23","N/A","N/A","N/A","11412.23","11412.23","N/A","11412.23","11412.23","11412.23","11412.23","11412.23","11412.23","11412.23","11412.23","11412.23","11412.23"
"5","N/A","EXCISION BREAST LESION","19125","N/A","N/A","N/A","N/A","N/A","16198.19","16198.19","N/A","N/A","N/A","16198.19","16198.19","N/A","16198.19","16198.19","16198.19","16198.19","16198.19","16198.19","16198.19","16198.19","16198.19","16198.19"
"5","N/A","EXCISION ADDL BREAST LESION","19126","N/A","N/A","N/A","N/A","N/A","20277.09","20277.09","N/A","N/A","N/A","20277.09","20277.09","N/A","20277.09","20277.09","20277.09","20277.09","20277.09","20277.09","20277.09","20277.09","20277.09","20277.09"
"5","N/A","HCHG PERQ DEVICE BREAST 1ST LESION INCL MAMMO GUIDE","19281","N/A","N/A","N/A","N/A","N/A","24073.44","24073.44","N/A","N/A","N/A","24073.44","24073.44","N/A","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44"
"5","N/A","PERQ DEVICE BREAST 1ST IMAG","19281","N/A","N/A","N/A","N/A","N/A","24073.44","24073.44","N/A","N/A","N/A","24073.44","24073.44","N/A","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44","24073.44"
"5","N/A","HCHG PERQ DEVICE BREAST EA ADDL LESION INCL MAMMO GUIDE","19282","N/A","N/A","N/A","N/A","N/A","28932.00","28932.00","N/A","N/A","N/A","28932.00","28932.00","N/A","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00"
"5","N/A","PERQ DEVICE BREAST EA IMAG","19282","N/A","N/A","N/A","N/A","N/A","28932.00","28932.00","N/A","N/A","N/A","28932.00","28932.00","N/A","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00","28932.00"
"5","N/A","HCHG PERQ DEV BREAST 1ST LESION INCL US IMAG","19285","N/A","N/A","N/A","N/A","N/A","17751.79","17751.79","N/A","N/A","N/A","17751.79","17751.79","N/A","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79"
"5","N/A","PERQ DEV BREAST 1ST US IMAG","19285","N/A","N/A","N/A","N/A","N/A","17751.79","17751.79","N/A","N/A","N/A","17751.79","17751.79","N/A","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79","17751.79"
"5","N/A","HCHG PERQ DEV BREAST EA ADDL LESION INCL US IMAG","19286","N/A","N/A","N/A","N/A","N/A","26407.83","26407.83","N/A","N/A","N/A","26407.83","26407.83","N/A","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83"
"5","N/A","PERQ DEV BREAST ADD US IMAG","19286","N/A","N/A","N/A","N/A","N/A","26407.83","26407.83","N/A","N/A","N/A","26407.83","26407.83","N/A","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83","26407.83"
"5","N/A","REMOVAL OF BREAST TISSUE","19300","N/A","N/A","N/A","N/A","N/A","21275.36","21275.36","N/A","N/A","N/A","21275.36","21275.36","N/A","21275.36","21275.36","21275.36","21275.36","21275.36","21275.36","21275.36","21275.36","21275.36","21275.36"
"5","N/A","PARTIAL MASTECTOMY","19301","N/A","N/A","N/A","N/A","N/A","23124.26","23124.26","N/A","N/A","N/A","23124.26","23124.26","N/A","23124.26","23124.26","23124.26","23124.26","23124.26","23124.26","23124.26","23124.26","23124.26","23124.26"
"5","N/A","P-MASTECTOMY W/LN REMOVAL","19302","N/A","N/A","N/A","N/A","N/A","31135.85","31135.85","N/A","N/A","N/A","31135.85","31135.85","N/A","31135.85","31135.85","31135.85","31135.85","31135.85","31135.85","31135.85","31135.85","31135.85","31135.85"
"5","N/A","MAST SIMPLE COMPLETE","19303","N/A","N/A","N/A","N/A","68514.10","29949.46","29949.46","N/A","N/A","N/A","29949.46","29949.46","N/A","29949.46","29949.46","29949.46","29949.46","29949.46","29949.46","29949.46","29949.46","29949.46","29949.46"
"5","N/A","MAST MOD RAD","19307","N/A","N/A","N/A","N/A","63679.62","35358.90","35358.90","N/A","N/A","N/A","35358.90","35358.90","N/A","35358.90","35358.90","35358.90","35358.90","35358.90","35358.90","35358.90","35358.90","35358.90","35358.90"
"5","N/A","SUSPENSION OF BREAST","19316","N/A","N/A","N/A","N/A","N/A","27791.18","27791.18","N/A","N/A","N/A","27791.18","27791.18","N/A","27791.18","27791.18","27791.18","27791.18","27791.18","27791.18","27791.18","27791.18","27791.18","27791.18"
"5","N/A","REDUCTION OF LARGE BREAST","19318","N/A","N/A","N/A","N/A","N/A","32817.90","32817.90","N/A","N/A","N/A","32817.90","32817.90","N/A","32817.90","32817.90","32817.90","32817.90","32817.90","32817.90","32817.90","32817.90","32817.90","32817.90"
"5","N/A","ENLARGE BREAST WITH IMPLANT","19325","N/A","N/A","N/A","N/A","55198.18","15462.41","15462.41","N/A","N/A","N/A","15462.41","15462.41","N/A","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41"
"5","N/A","REMOVAL OF IMPLANT MATERIAL","19330","N/A","N/A","N/A","N/A","47671.94","15462.41","15462.41","N/A","N/A","N/A","15462.41","15462.41","N/A","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41","15462.41"
"5","N/A","IMMEDIATE BREAST PROSTHESIS","19340","N/A","N/A","N/A","N/A","55198.18","31942.32","31942.32","N/A","N/A","N/A","31942.32","31942.32","N/A","31942.32","31942.32","31942.32","31942.32","31942.32","31942.32","31942.32","31942.32","31942.32","31942.32"
"5","N/A","DELAYED BREAST PROSTHESIS","19342","N/A","N/A","N/A","N/A","55198.18","53246.64","53246.64","N/A","N/A","N/A","53246.64","53246.64","N/A","53246.64","53246.64","53246.64","53246.64","53246.64","53246.64","53246.64","53246.64","53246.64","53246.64"
"5","N/A","BREAST RECONSTRUCTION","19350","N/A","N/A","N/A","N/A","N/A","42076.92","42076.92","N/A","N/A","N/A","42076.92","42076.92","N/A","42076.92","42076.92","42076.92","42076.92","42076.92","42076.92","42076.92","42076.92","42076.92","42076.92"
"5","N/A","BREAST RECONSTRUCTION","19357","N/A","N/A","N/A","N/A","45600.93","48567.96","48567.96","N/A","N/A","N/A","48567.96","48567.96","N/A","48567.96","48567.96","48567.96","48567.96","48567.96","48567.96","48567.96","48567.96","48567.96","48567.96"
"5","N/A","SURGERY OF BREAST CAPSULE","19370","N/A","N/A","N/A","N/A","N/A","45772.36","45772.36","N/A","N/A","N/A","45772.36","45772.36","N/A","45772.36","45772.36","45772.36","45772.36","45772.36","45772.36","45772.36","45772.36","45772.36","45772.36"
"5","N/A","REMOVAL OF BREAST CAPSULE","19371","N/A","N/A","N/A","N/A","47671.94","32180.79","32180.79","N/A","N/A","N/A","32180.79","32180.79","N/A","32180.79","32180.79","32180.79","32180.79","32180.79","32180.79","32180.79","32180.79","32180.79","32180.79"
"5","N/A","REVISE BREAST RECONSTRUCTION","19380","N/A","N/A","N/A","N/A","N/A","44883.91","44883.91","N/A","N/A","N/A","44883.91","44883.91","N/A","44883.91","44883.91","44883.91","44883.91","44883.91","44883.91","44883.91","44883.91","44883.91","44883.91"
"5","N/A","HCHG EXPL PENETR WOUND NECK(-59)","20100","N/A","N/A","N/A","N/A","N/A","61701.78","61701.78","N/A","N/A","N/A","61701.78","61701.78","N/A","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78"
"5","N/A","EXPLORE WOUND NECK","20100","N/A","N/A","N/A","N/A","66955.35","61701.78","61701.78","N/A","N/A","N/A","61701.78","61701.78","N/A","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78","61701.78"
"5","N/A","EXPLORE WOUND CHEST","20101","N/A","N/A","N/A","N/A","N/A","4536.00","4536.00","N/A","N/A","N/A","4536.00","4536.00","N/A","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00"
"5","N/A","HCHG EXPL PENETR WOUND CHEST(-59)","20101","N/A","N/A","N/A","N/A","N/A","4536.00","4536.00","N/A","N/A","N/A","4536.00","4536.00","N/A","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00","4536.00"
"5","N/A","HCHG EXPL PENETR WOUND ABD","20102","N/A","N/A","N/A","N/A","N/A","47623.92","47623.92","N/A","N/A","N/A","47623.92","47623.92","N/A","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92"
"5","N/A","EXPLORE WOUND ABDOMEN","20102","N/A","N/A","N/A","N/A","55620.33","47623.92","47623.92","N/A","N/A","N/A","47623.92","47623.92","N/A","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92","47623.92"
"5","N/A","EXPLORE WOUND EXTREMITY","20103","N/A","N/A","N/A","N/A","N/A","22841.23","22841.23","N/A","N/A","N/A","22841.23","22841.23","N/A","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23"
"5","N/A","HCHG EXPL PENETR WOUND EXTREM","20103","N/A","N/A","N/A","N/A","N/A","22841.23","22841.23","N/A","N/A","N/A","22841.23","22841.23","N/A","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23","22841.23"
"5","N/A","DEEP MUSCLE BIOPSY","20205","N/A","N/A","N/A","N/A","139959.32","11095.58","11095.58","N/A","N/A","N/A","11095.58","11095.58","N/A","11095.58","11095.58","11095.58","11095.58","11095.58","11095.58","11095.58","11095.58","11095.58","11095.58"
"5","N/A","NEEDLE BIOPSY MUSCLE","20206","N/A","N/A","N/A","N/A","122597.60","6837.67","6837.67","N/A","N/A","N/A","6837.67","6837.67","N/A","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67"
"5","N/A","HCHG BX MUSCLE PERC NDL","20206","N/A","N/A","N/A","N/A","N/A","6837.67","6837.67","N/A","N/A","N/A","6837.67","6837.67","N/A","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67","6837.67"
"5","N/A","HCHG BX BONE SUPERFICIAL","20220","N/A","N/A","N/A","N/A","N/A","8500.89","8500.89","N/A","N/A","N/A","8500.89","8500.89","N/A","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89"
"5","N/A","BONE BIOPSY TROCAR/NEEDLE","20220","N/A","N/A","N/A","N/A","90175.78","8500.89","8500.89","N/A","N/A","N/A","8500.89","8500.89","N/A","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89","8500.89"
"5","N/A","BONE BIOPSY TROCAR/NEEDLE","20225","N/A","N/A","N/A","N/A","84138.28","7999.16","7999.16","N/A","N/A","N/A","7999.16","7999.16","N/A","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16"
"5","N/A","HCHG BX BONE DEEP","20225","N/A","N/A","N/A","N/A","N/A","7999.16","7999.16","N/A","N/A","N/A","7999.16","7999.16","N/A","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16","7999.16"
"5","N/A","BONE BIOPSY OPEN SUPERFICIAL","20240","N/A","N/A","N/A","N/A","107001.18","12916.06","12916.06","N/A","N/A","N/A","12916.06","12916.06","N/A","12916.06","12916.06","12916.06","12916.06","12916.06","12916.06","12916.06","12916.06","12916.06","12916.06"
"5","N/A","BONE BIOPSY OPEN DEEP","20245","N/A","N/A","N/A","N/A","108591.86","27273.81","27273.81","N/A","N/A","N/A","27273.81","27273.81","N/A","27273.81","27273.81","27273.81","27273.81","27273.81","27273.81","27273.81","27273.81","27273.81","27273.81"
"5","N/A","HCHG INJ OF SINUS TRACT","20501","N/A","N/A","N/A","N/A","N/A","1447.01","1447.01","N/A","N/A","N/A","1447.01","1447.01","N/A","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01"
"5","N/A","INJECT SINUS TRACT FOR X-RAY","20501","N/A","N/A","N/A","N/A","N/A","1447.01","1447.01","N/A","N/A","N/A","1447.01","1447.01","N/A","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01","1447.01"
"5","N/A","HCHG REMOVAL OF FOREIGN BODY - SIMPLE","20520","N/A","N/A","N/A","N/A","N/A","3312.00","3312.00","N/A","N/A","N/A","3312.00","3312.00","N/A","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00"
"5","N/A","REMOVAL OF FOREIGN BODY","20520","N/A","N/A","N/A","N/A","89834.77","3312.00","3312.00","N/A","N/A","N/A","3312.00","3312.00","N/A","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00","3312.00"
"5","N/A","REMOVAL OF FOREIGN BODY","20525","N/A","N/A","N/A","N/A","89834.77","13248.75","13248.75","N/A","N/A","N/A","13248.75","13248.75","N/A","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75"
"5","N/A","HCHG REMOVAL OF FOREIGN BODY - COMPLEX","20525","N/A","N/A","N/A","N/A","N/A","13248.75","13248.75","N/A","N/A","N/A","13248.75","13248.75","N/A","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75","13248.75"
"5","N/A","HCHG INJECTION, THERAPEUTIC CARPAL TUNNEL","20526","N/A","N/A","N/A","N/A","N/A","11459.02","11459.02","N/A","N/A","N/A","11459.02","11459.02","N/A","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02"
"5","N/A","HCHG THER INJ CARP TUNNEL","20526","N/A","N/A","N/A","N/A","N/A","11459.02","11459.02","N/A","N/A","N/A","11459.02","11459.02","N/A","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02"
"5","N/A","THER INJECTION CARP TUNNEL","20526","N/A","N/A","N/A","N/A","N/A","11459.02","11459.02","N/A","N/A","N/A","11459.02","11459.02","N/A","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02","11459.02"
"5","N/A","HCHG INJECTION ENZYME PALMAR FASCIAL CORD","20527","N/A","N/A","N/A","N/A","N/A","715.00","715.00","N/A","N/A","N/A","715.00","715.00","N/A","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00"
"5","N/A","INJ DUPUYTREN CORD W/ENZYME","20527","N/A","N/A","N/A","N/A","N/A","715.00","715.00","N/A","N/A","N/A","715.00","715.00","N/A","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00"
"5","N/A","HCHG INJ SGL TENDON SHTH OR LIGAMENT","20550","N/A","N/A","N/A","N/A","N/A","1749.38","1749.38","N/A","N/A","N/A","1749.38","1749.38","N/A","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38"
"5","N/A","HCHG INJ TEND SHEATH/LIGA/GANG CYST","20550","N/A","N/A","N/A","N/A","N/A","1749.38","1749.38","N/A","N/A","N/A","1749.38","1749.38","N/A","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38"
"5","N/A","HCHG INJECTION SINGLE TENDON SHEATH","20550","N/A","N/A","N/A","N/A","N/A","1749.38","1749.38","N/A","N/A","N/A","1749.38","1749.38","N/A","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38"
"5","N/A","INJ TENDON SHEATH/LIGAMENT","20550","N/A","N/A","N/A","N/A","N/A","1749.38","1749.38","N/A","N/A","N/A","1749.38","1749.38","N/A","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38","1749.38"
"5","N/A","HCHG INJ TEND ORINGIN INSERTION","20551","N/A","N/A","N/A","N/A","N/A","56902.39","56902.39","N/A","N/A","N/A","56902.39","56902.39","N/A","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39"
"5","N/A","HCHG INJ TENDON ORIGIN/INSERTION","20551","N/A","N/A","N/A","N/A","N/A","56902.39","56902.39","N/A","N/A","N/A","56902.39","56902.39","N/A","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39"
"5","N/A","INJ TENDON ORIGIN/INSERTION","20551","N/A","N/A","N/A","N/A","N/A","56902.39","56902.39","N/A","N/A","N/A","56902.39","56902.39","N/A","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39","56902.39"
"5","N/A","HCHG INJ SNGL/MULT TRIGGER PTS 1-2 MUSC","20552","N/A","N/A","N/A","N/A","N/A","1714.60","1714.60","N/A","N/A","N/A","1714.60","1714.60","N/A","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60"
"5","N/A","HCHG INJ TRIGGER POINT 1/2 MUSCL","20552","N/A","N/A","N/A","N/A","N/A","1714.60","1714.60","N/A","N/A","N/A","1714.60","1714.60","N/A","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60"
"5","N/A","INJ TRIGGER POINT 1/2 MUSCL","20552","N/A","N/A","N/A","N/A","N/A","1714.60","1714.60","N/A","N/A","N/A","1714.60","1714.60","N/A","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60","1714.60"
"5","N/A","HCHG INJECT TRIGGER POINTS =/> 3","20553","N/A","N/A","N/A","N/A","N/A","1648.35","1648.35","N/A","N/A","N/A","1648.35","1648.35","N/A","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35"
"5","N/A","HCHG INJECT TRIGGER POINTS, =/> 3","20553","N/A","N/A","N/A","N/A","N/A","1648.35","1648.35","N/A","N/A","N/A","1648.35","1648.35","N/A","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35"
"5","N/A","INJECT TRIGGER POINTS 3/>","20553","N/A","N/A","N/A","N/A","N/A","1648.35","1648.35","N/A","N/A","N/A","1648.35","1648.35","N/A","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35","1648.35"
"5","N/A","DRAIN/INJ JOINT/BURSA W/O US","20600","N/A","N/A","N/A","N/A","N/A","13307.76","13307.76","N/A","N/A","N/A","13307.76","13307.76","N/A","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76"
"5","N/A","HCHG ARTHROCENTESIS SMALL BURSA","20600","N/A","N/A","N/A","N/A","N/A","13307.76","13307.76","N/A","N/A","N/A","13307.76","13307.76","N/A","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76"
"5","N/A","HCHG ARTHROCENTESIS SMALL JNT","20600","N/A","N/A","N/A","N/A","N/A","13307.76","13307.76","N/A","N/A","N/A","13307.76","13307.76","N/A","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76"
"5","N/A","HCHG FLUORO ARTHROCENTESIS SMALL JOINT","20600","N/A","N/A","N/A","N/A","N/A","13307.76","13307.76","N/A","N/A","N/A","13307.76","13307.76","N/A","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76"
"5","N/A","HCHG SURG ARTHROCENTESIS/INJ SMALL JNT/BURSA","20600","N/A","N/A","N/A","N/A","N/A","13307.76","13307.76","N/A","N/A","N/A","13307.76","13307.76","N/A","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76","13307.76"
"5","N/A","DRAIN/INJ JOINT/BURSA W/O US","20605","N/A","N/A","N/A","N/A","N/A","1620.55","1620.55","N/A","N/A","N/A","1620.55","1620.55","N/A","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55"
"5","N/A","HCHG ANKLE ASPIRATION","20605","N/A","N/A","N/A","N/A","N/A","1620.55","1620.55","N/A","N/A","N/A","1620.55","1620.55","N/A","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55"
"5","N/A","HCHG ARTHROCENTESIS INTERM JNT","20605","N/A","N/A","N/A","N/A","N/A","1620.55","1620.55","N/A","N/A","N/A","1620.55","1620.55","N/A","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55"
"5","N/A","HCHG DRAIN/INJ INTER JOINT/BURSA W/O US","20605","N/A","N/A","N/A","N/A","N/A","1620.55","1620.55","N/A","N/A","N/A","1620.55","1620.55","N/A","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55"
"5","N/A","HCHG FLUORO ARTHROCENTESIS MEDIUM JOINT","20605","N/A","N/A","N/A","N/A","N/A","1620.55","1620.55","N/A","N/A","N/A","1620.55","1620.55","N/A","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55","1620.55"
"5","N/A","DRAIN/INJ JOINT/BURSA W/US","20606","N/A","N/A","N/A","N/A","N/A","4702.62","4702.62","N/A","N/A","N/A","4702.62","4702.62","N/A","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62"
"5","N/A","HCHG ARTHROCENTESIS MED JT (WRIST, ELBOW, ANKLE) W/GUIDE","20606","N/A","N/A","N/A","N/A","N/A","4702.62","4702.62","N/A","N/A","N/A","4702.62","4702.62","N/A","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62","4702.62"
"5","N/A","DRAIN/INJ JOINT/BURSA W/O US","20610","N/A","N/A","N/A","N/A","N/A","2014.28","2014.28","N/A","N/A","N/A","2014.28","2014.28","N/A","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28"
"5","N/A","HCHG ARTHROCENTESIS MAJOR BURSA","20610","N/A","N/A","N/A","N/A","N/A","2014.28","2014.28","N/A","N/A","N/A","2014.28","2014.28","N/A","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28"
"5","N/A","HCHG ARTHROCENTESIS MAJOR JNT","20610","N/A","N/A","N/A","N/A","N/A","2014.28","2014.28","N/A","N/A","N/A","2014.28","2014.28","N/A","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28"
"5","N/A","HCHG FLUORO ARTHROCENTESIS LARGE JOINT","20610","N/A","N/A","N/A","N/A","N/A","2014.28","2014.28","N/A","N/A","N/A","2014.28","2014.28","N/A","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28","2014.28"
"5","N/A","DRAIN/INJ JOINT/BURSA W/US","20611","N/A","N/A","N/A","N/A","N/A","3045.20","3045.20","N/A","N/A","N/A","3045.20","3045.20","N/A","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20"
"5","N/A","HCHG ARTHROCENTESIS LRG JT (SHLDR, HIP, KNEE) W/GUIDE","20611","N/A","N/A","N/A","N/A","N/A","3045.20","3045.20","N/A","N/A","N/A","3045.20","3045.20","N/A","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20"
"5","N/A","HCHG DRAIN/INJ MAJOR JOINT/BURSA W/US","20611","N/A","N/A","N/A","N/A","N/A","3045.20","3045.20","N/A","N/A","N/A","3045.20","3045.20","N/A","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20","3045.20"
"5","N/A","ASPIRATE/INJ GANGLION CYST","20612","N/A","N/A","N/A","N/A","N/A","48909.17","48909.17","N/A","N/A","N/A","48909.17","48909.17","N/A","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17"
"5","N/A","HCHG ASPIRATE/INJ GANGLION CYST","20612","N/A","N/A","N/A","N/A","N/A","48909.17","48909.17","N/A","N/A","N/A","48909.17","48909.17","N/A","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17","48909.17"
"5","N/A","HCHG TREATMENT OF BONE CYST","20615","N/A","N/A","N/A","N/A","N/A","9867.61","9867.61","N/A","N/A","N/A","9867.61","9867.61","N/A","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61"
"5","N/A","TREATMENT OF BONE CYST","20615","N/A","N/A","N/A","N/A","N/A","9867.61","9867.61","N/A","N/A","N/A","9867.61","9867.61","N/A","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61","9867.61"
"5","N/A","HCHG INSERT WIRE/PIN WTRAC SEP PROC","20650","N/A","N/A","N/A","N/A","N/A","8423.00","8423.00","N/A","N/A","N/A","8423.00","8423.00","N/A","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00"
"5","N/A","INSERT AND REMOVE BONE PIN","20650","N/A","N/A","N/A","N/A","N/A","8423.00","8423.00","N/A","N/A","N/A","8423.00","8423.00","N/A","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00","8423.00"
"5","N/A","REMOVAL OF FIXATION DEVICE","20665","N/A","N/A","N/A","N/A","N/A","13477.04","13477.04","N/A","N/A","N/A","13477.04","13477.04","N/A","13477.04","13477.04","13477.04","13477.04","13477.04","13477.04","13477.04","13477.04","13477.04","13477.04"
"5","N/A","HCHG REMOVE OF IMPLANT SUPERFIC","20670","N/A","N/A","N/A","N/A","N/A","8954.55","8954.55","N/A","N/A","N/A","8954.55","8954.55","N/A","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55"
"5","N/A","REMOVAL OF SUPPORT IMPLANT","20670","N/A","N/A","N/A","N/A","37848.71","8954.55","8954.55","N/A","N/A","N/A","8954.55","8954.55","N/A","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55","8954.55"
"5","N/A","REMOVAL OF SUPPORT IMPLANT","20680","N/A","N/A","N/A","N/A","70069.83","14154.61","14154.61","N/A","N/A","N/A","14154.61","14154.61","N/A","14154.61","14154.61","14154.61","14154.61","14154.61","14154.61","14154.61","14154.61","14154.61","14154.61"
"5","N/A","APPLY BONE FIXATION DEVICE","20690","N/A","N/A","N/A","N/A","51382.58","27161.72","27161.72","N/A","N/A","N/A","27161.72","27161.72","N/A","27161.72","27161.72","27161.72","27161.72","27161.72","27161.72","27161.72","27161.72","27161.72","27161.72"
"5","N/A","APPLY BONE FIXATION DEVICE","20692","N/A","N/A","N/A","N/A","51382.58","15200.15","15200.15","N/A","N/A","N/A","15200.15","15200.15","N/A","15200.15","15200.15","15200.15","15200.15","15200.15","15200.15","15200.15","15200.15","15200.15","15200.15"
"5","N/A","REMOVE BONE FIXATION DEVICE","20694","N/A","N/A","N/A","N/A","N/A","16648.02","16648.02","N/A","N/A","N/A","16648.02","16648.02","N/A","16648.02","16648.02","16648.02","16648.02","16648.02","16648.02","16648.02","16648.02","16648.02","16648.02"
"5","N/A","MNL PREP&INSJ DP RX DLVR DEV","20700","N/A","N/A","N/A","N/A","N/A","29646.12","29646.12","N/A","N/A","N/A","29646.12","29646.12","N/A","29646.12","29646.12","29646.12","29646.12","29646.12","29646.12","29646.12","29646.12","29646.12","29646.12"
"5","N/A","REMOVAL OF BONE FOR GRAFT","20900","N/A","N/A","N/A","N/A","88531.25","42782.75","42782.75","N/A","N/A","N/A","42782.75","42782.75","N/A","42782.75","42782.75","42782.75","42782.75","42782.75","42782.75","42782.75","42782.75","42782.75","42782.75"
"5","N/A","REMOVAL OF BONE FOR GRAFT","20902","N/A","N/A","N/A","N/A","88531.25","33045.44","33045.44","N/A","N/A","N/A","33045.44","33045.44","N/A","33045.44","33045.44","33045.44","33045.44","33045.44","33045.44","33045.44","33045.44","33045.44","33045.44"
"5","N/A","REMOVE CARTILAGE FOR GRAFT","20910","N/A","N/A","N/A","N/A","68324.76","23573.34","23573.34","N/A","N/A","N/A","23573.34","23573.34","N/A","23573.34","23573.34","23573.34","23573.34","23573.34","23573.34","23573.34","23573.34","23573.34","23573.34"
"5","N/A","REMOVE CARTILAGE FOR GRAFT","20912","N/A","N/A","N/A","N/A","N/A","16265.08","16265.08","N/A","N/A","N/A","16265.08","16265.08","N/A","16265.08","16265.08","16265.08","16265.08","16265.08","16265.08","16265.08","16265.08","16265.08","16265.08"
"5","N/A","SP BONE ALGRFT MORSEL ADD-ON","20930","N/A","N/A","N/A","N/A","161205.41","71372.13","71372.13","N/A","N/A","N/A","71372.13","71372.13","N/A","71372.13","71372.13","71372.13","71372.13","71372.13","71372.13","71372.13","71372.13","71372.13","71372.13"
"5","N/A","SP BONE ALGRFT STRUCT ADD-ON","20931","N/A","N/A","N/A","N/A","161205.41","49026.83","49026.83","N/A","N/A","N/A","49026.83","49026.83","N/A","49026.83","49026.83","49026.83","49026.83","49026.83","49026.83","49026.83","49026.83","49026.83","49026.83"
"5","N/A","SP BONE AGRFT LOCAL ADD-ON","20936","N/A","N/A","N/A","N/A","152798.93","78365.47","78365.47","N/A","N/A","N/A","78365.47","78365.47","N/A","78365.47","78365.47","78365.47","78365.47","78365.47","78365.47","78365.47","78365.47","78365.47","78365.47"
"5","N/A","SP BONE AGRFT MORSEL ADD-ON","20937","N/A","N/A","N/A","N/A","146730.35","40954.20","40954.20","N/A","N/A","N/A","40954.20","40954.20","N/A","40954.20","40954.20","40954.20","40954.20","40954.20","40954.20","40954.20","40954.20","40954.20","40954.20"
"5","N/A","FLUID PRESSURE MUSCLE","20950","N/A","N/A","N/A","N/A","N/A","1164.00","1164.00","N/A","N/A","N/A","1164.00","1164.00","N/A","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00"
"5","N/A","HCHG MON FL PRESS DETEC COMPART","20950","N/A","N/A","N/A","N/A","N/A","1164.00","1164.00","N/A","N/A","N/A","1164.00","1164.00","N/A","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00","1164.00"
"5","N/A","HCHG ABLATION, BONE TUMOR","20982","N/A","N/A","N/A","N/A","N/A","20683.76","20683.76","N/A","N/A","N/A","20683.76","20683.76","N/A","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76"
"5","N/A","ABLATE BONE TUMOR(S) PERQ","20982","N/A","N/A","N/A","N/A","62044.56","20683.76","20683.76","N/A","N/A","N/A","20683.76","20683.76","N/A","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76","20683.76"
"5","N/A","EXC FACE LES SC <2 CM","21011","N/A","N/A","N/A","N/A","66905.64","11998.37","11998.37","N/A","N/A","N/A","11998.37","11998.37","N/A","11998.37","11998.37","11998.37","11998.37","11998.37","11998.37","11998.37","11998.37","11998.37","11998.37"
"5","N/A","EXC FACE LES SBQ 2 CM/>","21012","N/A","N/A","N/A","N/A","66905.64","13560.65","13560.65","N/A","N/A","N/A","13560.65","13560.65","N/A","13560.65","13560.65","13560.65","13560.65","13560.65","13560.65","13560.65","13560.65","13560.65","13560.65"
"5","N/A","EXC FACE TUM DEEP 2 CM/>","21014","N/A","N/A","N/A","N/A","66905.64","11199.32","11199.32","N/A","N/A","N/A","11199.32","11199.32","N/A","11199.32","11199.32","11199.32","11199.32","11199.32","11199.32","11199.32","11199.32","11199.32","11199.32"
"5","N/A","RESECT FACE/SCALP TUM 2 CM/>","21016","N/A","N/A","N/A","N/A","66905.64","12810.58","12810.58","N/A","N/A","N/A","12810.58","12810.58","N/A","12810.58","12810.58","12810.58","12810.58","12810.58","12810.58","12810.58","12810.58","12810.58","12810.58"
"5","N/A","EXCISION OF BONE LOWER JAW","21025","N/A","N/A","N/A","N/A","114397.25","9281.69","9281.69","N/A","N/A","N/A","9281.69","9281.69","N/A","9281.69","9281.69","9281.69","9281.69","9281.69","9281.69","9281.69","9281.69","9281.69","9281.69"
"5","N/A","EXCISION OF FACIAL BONE(S)","21026","N/A","N/A","N/A","N/A","91105.48","13068.71","13068.71","N/A","N/A","N/A","13068.71","13068.71","N/A","13068.71","13068.71","13068.71","13068.71","13068.71","13068.71","13068.71","13068.71","13068.71","13068.71"
"5","N/A","EXCISE MANDIBLE LESION","21040","N/A","N/A","N/A","N/A","114397.25","30065.90","30065.90","N/A","N/A","N/A","30065.90","30065.90","N/A","30065.90","30065.90","30065.90","30065.90","30065.90","30065.90","30065.90","30065.90","30065.90","30065.90"
"5","N/A","LEFORT I-1 PIECE W/O GRAFT","21141","N/A","N/A","N/A","N/A","84689.73","37921.27","37921.27","N/A","N/A","N/A","37921.27","37921.27","N/A","37921.27","37921.27","37921.27","37921.27","37921.27","37921.27","37921.27","37921.27","37921.27","37921.27"
"5","N/A","RECONST LWR JAW W/O GRAFT","21193","N/A","N/A","N/A","N/A","N/A","26982.04","26982.04","N/A","N/A","N/A","26982.04","26982.04","N/A","26982.04","26982.04","26982.04","26982.04","26982.04","26982.04","26982.04","26982.04","26982.04","26982.04"
"5","N/A","RECONST LWR JAW W/FIXATION","21196","N/A","N/A","N/A","N/A","N/A","33260.85","33260.85","N/A","N/A","N/A","33260.85","33260.85","N/A","33260.85","33260.85","33260.85","33260.85","33260.85","33260.85","33260.85","33260.85","33260.85","33260.85"
"5","N/A","HCHG GRAFT; AUTOGENOUS, RIB CARTILAGE TO EAR","21230","N/A","N/A","N/A","N/A","N/A","24294.52","24294.52","N/A","N/A","N/A","24294.52","24294.52","N/A","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52"
"5","N/A","RIB CARTILAGE GRAFT","21230","N/A","N/A","N/A","N/A","61124.01","24294.52","24294.52","N/A","N/A","N/A","24294.52","24294.52","N/A","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52","24294.52"
"5","N/A","EAR CARTILAGE GRAFT","21235","N/A","N/A","N/A","N/A","61124.01","19718.91","19718.91","N/A","N/A","N/A","19718.91","19718.91","N/A","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91"
"5","N/A","HCHG GRAFT; AUTOGENOUS, EAR CARTILAGE TO NOSE OR EAR","21235","N/A","N/A","N/A","N/A","N/A","19718.91","19718.91","N/A","N/A","N/A","19718.91","19718.91","N/A","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91","19718.91"
"5","N/A","REVISION OF EYELID","21280","N/A","N/A","N/A","N/A","N/A","6368.57","6368.57","N/A","N/A","N/A","6368.57","6368.57","N/A","6368.57","6368.57","6368.57","6368.57","6368.57","6368.57","6368.57","6368.57","6368.57","6368.57"
"5","N/A","REVISION OF EYELID","21282","N/A","N/A","N/A","N/A","N/A","10066.14","10066.14","N/A","N/A","N/A","10066.14","10066.14","N/A","10066.14","10066.14","10066.14","10066.14","10066.14","10066.14","10066.14","10066.14","10066.14","10066.14"
"5","N/A","CRANIO/MAXILLOFACIAL SURGERY","21299","N/A","N/A","N/A","N/A","140966.42","7804.92","7804.92","N/A","N/A","N/A","7804.92","7804.92","N/A","7804.92","7804.92","7804.92","7804.92","7804.92","7804.92","7804.92","7804.92","7804.92","7804.92"
"5","N/A","CLOSED TX NOSE FX W/O MANJ","21310","N/A","N/A","N/A","N/A","N/A","10176.73","10176.73","N/A","N/A","N/A","10176.73","10176.73","N/A","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73"
"5","N/A","HCHG CLSD TX NASAL BONE FX WO MANIP","21310","N/A","N/A","N/A","N/A","N/A","10176.73","10176.73","N/A","N/A","N/A","10176.73","10176.73","N/A","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73","10176.73"
"5","N/A","CLOSED TX NOSE FX W/O STABLJ","21315","N/A","N/A","N/A","N/A","N/A","10299.52","10299.52","N/A","N/A","N/A","10299.52","10299.52","N/A","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52"
"5","N/A","HCHG CLSD TX NASAL BONE FX WO STABIL","21315","N/A","N/A","N/A","N/A","N/A","10299.52","10299.52","N/A","N/A","N/A","10299.52","10299.52","N/A","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52","10299.52"
"5","N/A","CLOSED TX NOSE FX W/ STABLJ","21320","N/A","N/A","N/A","N/A","N/A","8848.74","8848.74","N/A","N/A","N/A","8848.74","8848.74","N/A","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74"
"5","N/A","HCHG CLSD TRTMT OF NASAL BONE FX W/STABILIZATION","21320","N/A","N/A","N/A","N/A","N/A","8848.74","8848.74","N/A","N/A","N/A","8848.74","8848.74","N/A","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74","8848.74"
"5","N/A","HCHG FRACTURE, OPEN TREATMENT","21325","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","OPEN TX NOSE FX UNCOMPLICATD","21325","N/A","N/A","N/A","N/A","149056.48","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","OPEN TX NOSE FX W/SKELE FIXJ","21330","N/A","N/A","N/A","N/A","149056.48","32950.73","32950.73","N/A","N/A","N/A","32950.73","32950.73","N/A","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73"
"5","N/A","HCHG FRACTURE, PERCUTANEOUS TREATMENT W FIXATION","21330","N/A","N/A","N/A","N/A","N/A","32950.73","32950.73","N/A","N/A","N/A","32950.73","32950.73","N/A","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73","32950.73"
"5","N/A","CLOSED TX SEPTAL&NOSE FX","21337","N/A","N/A","N/A","N/A","N/A","12453.07","12453.07","N/A","N/A","N/A","12453.07","12453.07","N/A","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07"
"5","N/A","HCHG TREAT NASAL SEPTAL FRACTURE","21337","N/A","N/A","N/A","N/A","N/A","12453.07","12453.07","N/A","N/A","N/A","12453.07","12453.07","N/A","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07","12453.07"
"5","N/A","HCHG FRACTURE, PERCUTANEOUS TREATMENT","21340","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","PERQ TX NASOETHMOID FX","21340","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","CLOSED TX NOSE/JAW FX","21345","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG FRACTURE, CLOSED TREATMENT","21345","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","OPN TX DPRSD ZYGOMATIC ARCH","21356","N/A","N/A","N/A","N/A","N/A","8773.94","8773.94","N/A","N/A","N/A","8773.94","8773.94","N/A","8773.94","8773.94","8773.94","8773.94","8773.94","8773.94","8773.94","8773.94","8773.94","8773.94"
"5","N/A","OPN TX ORBIT PERIORBTL IMPLT","21390","N/A","N/A","N/A","N/A","39654.81","28168.48","28168.48","N/A","N/A","N/A","28168.48","28168.48","N/A","28168.48","28168.48","28168.48","28168.48","28168.48","28168.48","28168.48","28168.48","28168.48","28168.48"
"5","N/A","CLOSED TX ORBIT W/O MANIPULJ","21400","N/A","N/A","N/A","N/A","N/A","1490.00","1490.00","N/A","N/A","N/A","1490.00","1490.00","N/A","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00"
"5","N/A","HCHG TREAT EYE SOCKET FRACTURE","21400","N/A","N/A","N/A","N/A","N/A","1490.00","1490.00","N/A","N/A","N/A","1490.00","1490.00","N/A","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00"
"5","N/A","OPN TX ORBIT FX W/IMPLANT","21407","N/A","N/A","N/A","N/A","74220.52","13725.80","13725.80","N/A","N/A","N/A","13725.80","13725.80","N/A","13725.80","13725.80","13725.80","13725.80","13725.80","13725.80","13725.80","13725.80","13725.80","13725.80"
"5","N/A","HCHG CLSD TX MAND/MAX ALVEOLAR","21440","N/A","N/A","N/A","N/A","N/A","4483.00","4483.00","N/A","N/A","N/A","4483.00","4483.00","N/A","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00"
"5","N/A","TREAT DENTAL RIDGE FRACTURE","21440","N/A","N/A","N/A","N/A","N/A","4483.00","4483.00","N/A","N/A","N/A","4483.00","4483.00","N/A","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00","4483.00"
"5","N/A","HCHG TREAT LOWER JAW FX WO MANIPULATION","21450","N/A","N/A","N/A","N/A","N/A","1381.00","1381.00","N/A","N/A","N/A","1381.00","1381.00","N/A","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00"
"5","N/A","TREAT LOWER JAW FRACTURE","21450","N/A","N/A","N/A","N/A","N/A","1381.00","1381.00","N/A","N/A","N/A","1381.00","1381.00","N/A","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00","1381.00"
"5","N/A","HCHG TREAT LOWER JAW FRACTURE","21451","N/A","N/A","N/A","N/A","N/A","4498.00","4498.00","N/A","N/A","N/A","4498.00","4498.00","N/A","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00"
"5","N/A","TREAT LOWER JAW FRACTURE","21451","N/A","N/A","N/A","N/A","N/A","4498.00","4498.00","N/A","N/A","N/A","4498.00","4498.00","N/A","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00","4498.00"
"5","N/A","TREAT LOWER JAW FRACTURE","21453","N/A","N/A","N/A","N/A","N/A","28689.09","28689.09","N/A","N/A","N/A","28689.09","28689.09","N/A","28689.09","28689.09","28689.09","28689.09","28689.09","28689.09","28689.09","28689.09","28689.09","28689.09"
"5","N/A","HCHG OPEN TX MANDIBULAR FX WO INTERDENT FIXATION","21461","N/A","N/A","N/A","N/A","N/A","9022.00","9022.00","N/A","N/A","N/A","9022.00","9022.00","N/A","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00"
"5","N/A","TREAT LOWER JAW FRACTURE","21461","N/A","N/A","N/A","N/A","N/A","9022.00","9022.00","N/A","N/A","N/A","9022.00","9022.00","N/A","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00","9022.00"
"5","N/A","TREAT LOWER JAW FRACTURE","21462","N/A","N/A","N/A","N/A","69993.47","25756.74","25756.74","N/A","N/A","N/A","25756.74","25756.74","N/A","25756.74","25756.74","25756.74","25756.74","25756.74","25756.74","25756.74","25756.74","25756.74","25756.74"
"5","N/A","TREAT LOWER JAW FRACTURE","21470","N/A","N/A","N/A","N/A","69993.47","35046.87","35046.87","N/A","N/A","N/A","35046.87","35046.87","N/A","35046.87","35046.87","35046.87","35046.87","35046.87","35046.87","35046.87","35046.87","35046.87","35046.87"
"5","N/A","HCHG CLSD TX TMJ DISLOC","21480","N/A","N/A","N/A","N/A","N/A","458.00","458.00","N/A","N/A","N/A","458.00","458.00","N/A","458.00","458.00","458.00","458.00","458.00","458.00","458.00","458.00","458.00","458.00"
"5","N/A","RESET DISLOCATED JAW","21480","N/A","N/A","N/A","N/A","N/A","458.00","458.00","N/A","N/A","N/A","458.00","458.00","N/A","458.00","458.00","458.00","458.00","458.00","458.00","458.00","458.00","458.00","458.00"
"5","N/A","HCHG INTERDENTAL WIRING","21497","N/A","N/A","N/A","N/A","N/A","2297.00","2297.00","N/A","N/A","N/A","2297.00","2297.00","N/A","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00"
"5","N/A","INTERDENTAL WIRING","21497","N/A","N/A","N/A","N/A","N/A","2297.00","2297.00","N/A","N/A","N/A","2297.00","2297.00","N/A","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00"
"5","N/A","HCHG I&D, DEEP ABSCESS/HEMATOMA, SOFT TISSUES OF NECK/THORAX","21501","N/A","N/A","N/A","N/A","N/A","10860.71","10860.71","N/A","N/A","N/A","10860.71","10860.71","N/A","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71"
"5","N/A","DRAIN NECK/CHEST LESION","21501","N/A","N/A","N/A","N/A","43582.45","10860.71","10860.71","N/A","N/A","N/A","10860.71","10860.71","N/A","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71","10860.71"
"5","N/A","BIOPSY OF NECK/CHEST","21550","N/A","N/A","N/A","N/A","N/A","6288.10","6288.10","N/A","N/A","N/A","6288.10","6288.10","N/A","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10"
"5","N/A","HCHG BX SOFT TISSUE NECK OR THORAX","21550","N/A","N/A","N/A","N/A","N/A","6288.10","6288.10","N/A","N/A","N/A","6288.10","6288.10","N/A","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10","6288.10"
"5","N/A","EXC NECK LES SC 3 CM/>","21552","N/A","N/A","N/A","N/A","98323.77","12039.09","12039.09","N/A","N/A","N/A","12039.09","12039.09","N/A","12039.09","12039.09","12039.09","12039.09","12039.09","12039.09","12039.09","12039.09","12039.09","12039.09"
"5","N/A","EXC NECK TUM DEEP 5 CM/>","21554","N/A","N/A","N/A","N/A","95748.33","13279.88","13279.88","N/A","N/A","N/A","13279.88","13279.88","N/A","13279.88","13279.88","13279.88","13279.88","13279.88","13279.88","13279.88","13279.88","13279.88","13279.88"
"5","N/A","EXC NECK LES SC < 3 CM","21555","N/A","N/A","N/A","N/A","98323.77","9531.17","9531.17","N/A","N/A","N/A","9531.17","9531.17","N/A","9531.17","9531.17","9531.17","9531.17","9531.17","9531.17","9531.17","9531.17","9531.17","9531.17"
"5","N/A","EXC NECK TUM DEEP < 5 CM","21556","N/A","N/A","N/A","N/A","95748.33","11309.26","11309.26","N/A","N/A","N/A","11309.26","11309.26","N/A","11309.26","11309.26","11309.26","11309.26","11309.26","11309.26","11309.26","11309.26","11309.26","11309.26"
"5","N/A","RESECT NECK THORAX TUMOR<5CM","21557","N/A","N/A","N/A","N/A","98323.77","20929.34","20929.34","N/A","N/A","N/A","20929.34","20929.34","N/A","20929.34","20929.34","20929.34","20929.34","20929.34","20929.34","20929.34","20929.34","20929.34","20929.34"
"5","N/A","PARTIAL REMOVAL OF STERNUM","21620","N/A","N/A","N/A","N/A","68324.76","10130.80","10130.80","N/A","N/A","N/A","10130.80","10130.80","N/A","10130.80","10130.80","10130.80","10130.80","10130.80","10130.80","10130.80","10130.80","10130.80","10130.80"
"5","N/A","HCHG CLSD TX STERNUM FX","21820","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","TREAT STERNUM FRACTURE","21820","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","TREAT STERNUM FRACTURE","21825","N/A","N/A","N/A","N/A","N/A","56287.71","56287.71","N/A","N/A","N/A","56287.71","56287.71","N/A","56287.71","56287.71","56287.71","56287.71","56287.71","56287.71","56287.71","56287.71","56287.71","56287.71"
"5","N/A","EXC BACK LES SC < 3 CM","21930","N/A","N/A","N/A","N/A","93670.63","13270.69","13270.69","N/A","N/A","N/A","13270.69","13270.69","N/A","13270.69","13270.69","13270.69","13270.69","13270.69","13270.69","13270.69","13270.69","13270.69","13270.69"
"5","N/A","EXC BACK LES SC 3 CM/>","21931","N/A","N/A","N/A","N/A","90309.97","11169.46","11169.46","N/A","N/A","N/A","11169.46","11169.46","N/A","11169.46","11169.46","11169.46","11169.46","11169.46","11169.46","11169.46","11169.46","11169.46","11169.46"
"5","N/A","EXC BACK TUM DEEP < 5 CM","21932","N/A","N/A","N/A","N/A","65034.92","16766.54","16766.54","N/A","N/A","N/A","16766.54","16766.54","N/A","16766.54","16766.54","16766.54","16766.54","16766.54","16766.54","16766.54","16766.54","16766.54","16766.54"
"5","N/A","EXC BACK TUM DEEP 5 CM/>","21933","N/A","N/A","N/A","N/A","65034.92","13356.06","13356.06","N/A","N/A","N/A","13356.06","13356.06","N/A","13356.06","13356.06","13356.06","13356.06","13356.06","13356.06","13356.06","13356.06","13356.06","13356.06"
"5","N/A","RESECT BACK TUM 5 CM/>","21936","N/A","N/A","N/A","N/A","90531.31","16686.84","16686.84","N/A","N/A","N/A","16686.84","16686.84","N/A","16686.84","16686.84","16686.84","16686.84","16686.84","16686.84","16686.84","16686.84","16686.84","16686.84"
"5","N/A","REMOVE PART LUMBAR VERTEBRA","22102","N/A","N/A","N/A","N/A","77285.32","75938.35","75938.35","N/A","N/A","N/A","75938.35","75938.35","N/A","75938.35","75938.35","75938.35","75938.35","75938.35","75938.35","75938.35","75938.35","75938.35","75938.35"
"5","N/A","CLOSED TX VERT FX W/O MANJ","22310","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","HCHG CLSD TX VERTEBRAL BODY FX WO MANIP","22310","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","CLOSED TX VERT FX W/MANJ","22315","N/A","N/A","N/A","N/A","N/A","3448.00","3448.00","N/A","N/A","N/A","3448.00","3448.00","N/A","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00"
"5","N/A","HCHG CL TX VERTEBR FX DISLOC W CAST OR BRACE","22315","N/A","N/A","N/A","N/A","N/A","3448.00","3448.00","N/A","N/A","N/A","3448.00","3448.00","N/A","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00"
"5","N/A","HCHG CLSD TREAT OF VERTEBRAL FX/DISLOC W CAST/BRACE","22315","N/A","N/A","N/A","N/A","N/A","3448.00","3448.00","N/A","N/A","N/A","3448.00","3448.00","N/A","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00","3448.00"
"5","N/A","HCHG PERC VERT CERV/THORACIC","22510","N/A","N/A","N/A","N/A","N/A","29464.72","29464.72","N/A","N/A","N/A","29464.72","29464.72","N/A","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72"
"5","N/A","PERQ CERVICOTHORACIC INJECT","22510","N/A","N/A","N/A","N/A","72639.42","29464.72","29464.72","N/A","N/A","N/A","29464.72","29464.72","N/A","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72","29464.72"
"5","N/A","PERQ LUMBOSACRAL INJECTION","22511","N/A","N/A","N/A","N/A","64771.77","16115.15","16115.15","N/A","N/A","N/A","16115.15","16115.15","N/A","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15"
"5","N/A","HCHG PERC VERT LUMB","22511","N/A","N/A","N/A","N/A","N/A","16115.15","16115.15","N/A","N/A","N/A","16115.15","16115.15","N/A","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15","16115.15"
"5","N/A","HCHG PERC VERT CERV/THORACIC/LUMBAR EA ADDL","22512","N/A","N/A","N/A","N/A","N/A","30008.88","30008.88","N/A","N/A","N/A","30008.88","30008.88","N/A","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88"
"5","N/A","VERTEBROPLASTY ADDL INJECT","22512","N/A","N/A","N/A","N/A","67918.83","30008.88","30008.88","N/A","N/A","N/A","30008.88","30008.88","N/A","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88","30008.88"
"5","N/A","PERQ VERTEBRAL AUGMENTATION","22513","N/A","N/A","N/A","N/A","72639.42","29541.96","29541.96","N/A","N/A","N/A","29541.96","29541.96","N/A","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96"
"5","N/A","HCHG PERC VERT AGMT THORACIC","22513","N/A","N/A","N/A","N/A","N/A","29541.96","29541.96","N/A","N/A","N/A","29541.96","29541.96","N/A","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96","29541.96"
"5","N/A","HCHG PERC VERT AGMT LUMB","22514","N/A","N/A","N/A","N/A","N/A","27460.92","27460.92","N/A","N/A","N/A","27460.92","27460.92","N/A","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92"
"5","N/A","PERQ VERTEBRAL AUGMENTATION","22514","N/A","N/A","N/A","N/A","64771.77","27460.92","27460.92","N/A","N/A","N/A","27460.92","27460.92","N/A","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92","27460.92"
"5","N/A","PERQ VERTEBRAL AUGMENTATION","22515","N/A","N/A","N/A","N/A","67918.83","36270.57","36270.57","N/A","N/A","N/A","36270.57","36270.57","N/A","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57"
"5","N/A","HCHG PERC VERT AGMT THORACIC/LUMBAR EA ADDL","22515","N/A","N/A","N/A","N/A","N/A","36270.57","36270.57","N/A","N/A","N/A","36270.57","36270.57","N/A","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57","36270.57"
"5","N/A","NECK SPINE FUSE&REMOV BEL C2","22551","N/A","N/A","N/A","N/A","87114.52","57271.28","57271.28","N/A","N/A","N/A","57271.28","57271.28","N/A","57271.28","57271.28","57271.28","57271.28","57271.28","57271.28","57271.28","57271.28","57271.28","57271.28"
"5","N/A","ADDL NECK SPINE FUSION","22552","N/A","N/A","N/A","N/A","87114.52","64593.43","64593.43","N/A","N/A","N/A","64593.43","64593.43","N/A","64593.43","64593.43","64593.43","64593.43","64593.43","64593.43","64593.43","64593.43","64593.43","64593.43"
"5","N/A","NECK SPINE FUSION","22554","N/A","N/A","N/A","N/A","87114.52","54184.64","54184.64","N/A","N/A","N/A","54184.64","54184.64","N/A","54184.64","54184.64","54184.64","54184.64","54184.64","54184.64","54184.64","54184.64","54184.64","54184.64"
"5","N/A","LUMBAR SPINE FUSION","22558","N/A","N/A","N/A","N/A","135506.97","126201.76","126201.76","N/A","N/A","N/A","126201.76","126201.76","N/A","126201.76","126201.76","126201.76","126201.76","126201.76","126201.76","126201.76","126201.76","126201.76","126201.76"
"5","N/A","LUMBAR SPINE FUSION","22612","N/A","N/A","N/A","N/A","117028.68","52980.93","52980.93","N/A","N/A","N/A","52980.93","52980.93","N/A","52980.93","52980.93","52980.93","52980.93","52980.93","52980.93","52980.93","52980.93","52980.93","52980.93"
"5","N/A","SPINE FUSION EXTRA SEGMENT","22614","N/A","N/A","N/A","N/A","144304.66","38145.96","38145.96","N/A","N/A","N/A","38145.96","38145.96","N/A","38145.96","38145.96","38145.96","38145.96","38145.96","38145.96","38145.96","38145.96","38145.96","38145.96"
"5","N/A","LUMBAR SPINE FUSION COMBINED","22633","N/A","N/A","N/A","N/A","129430.52","41048.96","41048.96","N/A","N/A","N/A","41048.96","41048.96","N/A","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96"
"5","N/A","SPINE FUSION EXTRA SEGMENT","22634","N/A","N/A","N/A","N/A","128729.76","41048.96","41048.96","N/A","N/A","N/A","41048.96","41048.96","N/A","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96","41048.96"
"5","N/A","EXPLORATION OF SPINAL FUSION","22830","N/A","N/A","N/A","N/A","N/A","34574.68","34574.68","N/A","N/A","N/A","34574.68","34574.68","N/A","34574.68","34574.68","34574.68","34574.68","34574.68","34574.68","34574.68","34574.68","34574.68","34574.68"
"5","N/A","INSERT SPINE FIXATION DEVICE","22840","N/A","N/A","N/A","N/A","166092.83","130882.82","130882.82","N/A","N/A","N/A","130882.82","130882.82","N/A","130882.82","130882.82","130882.82","130882.82","130882.82","130882.82","130882.82","130882.82","130882.82","130882.82"
"5","N/A","INSERT SPINE FIXATION DEVICE","22845","N/A","N/A","N/A","N/A","N/A","54089.48","54089.48","N/A","N/A","N/A","54089.48","54089.48","N/A","54089.48","54089.48","54089.48","54089.48","54089.48","54089.48","54089.48","54089.48","54089.48","54089.48"
"5","N/A","INSERT SPINE FIXATION DEVICE","22846","N/A","N/A","N/A","N/A","N/A","109648.14","109648.14","N/A","N/A","N/A","109648.14","109648.14","N/A","109648.14","109648.14","109648.14","109648.14","109648.14","109648.14","109648.14","109648.14","109648.14","109648.14"
"5","N/A","REMOVE SPINE FIXATION DEVICE","22852","N/A","N/A","N/A","N/A","38377.54","27042.02","27042.02","N/A","N/A","N/A","27042.02","27042.02","N/A","27042.02","27042.02","27042.02","27042.02","27042.02","27042.02","27042.02","27042.02","27042.02","27042.02"
"5","N/A","INSJ BIOMECHANICAL DEVICE","22853","N/A","N/A","N/A","N/A","133439.83","71578.20","71578.20","N/A","N/A","N/A","71578.20","71578.20","N/A","71578.20","71578.20","71578.20","71578.20","71578.20","71578.20","71578.20","71578.20","71578.20","71578.20"
"5","N/A","REMOVE SPINE FIXATION DEVICE","22855","N/A","N/A","N/A","N/A","38377.54","69409.43","69409.43","N/A","N/A","N/A","69409.43","69409.43","N/A","69409.43","69409.43","69409.43","69409.43","69409.43","69409.43","69409.43","69409.43","69409.43","69409.43"
"5","N/A","CERV ARTIFIC DISKECTOMY","22856","N/A","N/A","N/A","N/A","90379.97","61276.78","61276.78","N/A","N/A","N/A","61276.78","61276.78","N/A","61276.78","61276.78","61276.78","61276.78","61276.78","61276.78","61276.78","61276.78","61276.78","61276.78"
"5","N/A","INSJ STABLJ DEV W/O DCMPRN","22869","N/A","N/A","N/A","N/A","N/A","36162.04","36162.04","N/A","N/A","N/A","36162.04","36162.04","N/A","36162.04","36162.04","36162.04","36162.04","36162.04","36162.04","36162.04","36162.04","36162.04","36162.04"
"5","N/A","INSJ STABLJ DEV W/O DCMPRN","22870","N/A","N/A","N/A","N/A","N/A","36421.85","36421.85","N/A","N/A","N/A","36421.85","36421.85","N/A","36421.85","36421.85","36421.85","36421.85","36421.85","36421.85","36421.85","36421.85","36421.85","36421.85"
"5","N/A","SPINE SURGERY PROCEDURE","22899","N/A","N/A","N/A","N/A","122772.00","8096.23","8096.23","N/A","N/A","N/A","8096.23","8096.23","N/A","8096.23","8096.23","8096.23","8096.23","8096.23","8096.23","8096.23","8096.23","8096.23","8096.23"
"5","N/A","EXC ABDL TUM DEEP < 5 CM","22900","N/A","N/A","N/A","N/A","N/A","22002.73","22002.73","N/A","N/A","N/A","22002.73","22002.73","N/A","22002.73","22002.73","22002.73","22002.73","22002.73","22002.73","22002.73","22002.73","22002.73","22002.73"
"5","N/A","EXC ABDL TUM DEEP 5 CM/>","22901","N/A","N/A","N/A","N/A","N/A","17225.17","17225.17","N/A","N/A","N/A","17225.17","17225.17","N/A","17225.17","17225.17","17225.17","17225.17","17225.17","17225.17","17225.17","17225.17","17225.17","17225.17"
"5","N/A","EXC ABD LES SC < 3 CM","22902","N/A","N/A","N/A","N/A","N/A","11970.93","11970.93","N/A","N/A","N/A","11970.93","11970.93","N/A","11970.93","11970.93","11970.93","11970.93","11970.93","11970.93","11970.93","11970.93","11970.93","11970.93"
"5","N/A","EXC ABD LES SC 3 CM/>","22903","N/A","N/A","N/A","N/A","86531.08","10224.26","10224.26","N/A","N/A","N/A","10224.26","10224.26","N/A","10224.26","10224.26","10224.26","10224.26","10224.26","10224.26","10224.26","10224.26","10224.26","10224.26"
"5","N/A","RADICAL RESECT ABD TUMOR<5CM","22904","N/A","N/A","N/A","N/A","N/A","17308.54","17308.54","N/A","N/A","N/A","17308.54","17308.54","N/A","17308.54","17308.54","17308.54","17308.54","17308.54","17308.54","17308.54","17308.54","17308.54","17308.54"
"5","N/A","RAD RESECT ABD TUMOR 5 CM/>","22905","N/A","N/A","N/A","N/A","N/A","19839.70","19839.70","N/A","N/A","N/A","19839.70","19839.70","N/A","19839.70","19839.70","19839.70","19839.70","19839.70","19839.70","19839.70","19839.70","19839.70","19839.70"
"5","N/A","EXC SHOULDER LES SC 3 CM/>","23071","N/A","N/A","N/A","N/A","75405.62","10054.26","10054.26","N/A","N/A","N/A","10054.26","10054.26","N/A","10054.26","10054.26","10054.26","10054.26","10054.26","10054.26","10054.26","10054.26","10054.26","10054.26"
"5","N/A","EXC SHOULDER TUM DEEP 5 CM/>","23073","N/A","N/A","N/A","N/A","91231.78","14652.41","14652.41","N/A","N/A","N/A","14652.41","14652.41","N/A","14652.41","14652.41","14652.41","14652.41","14652.41","14652.41","14652.41","14652.41","14652.41","14652.41"
"5","N/A","EXC SHOULDER LES SC < 3 CM","23075","N/A","N/A","N/A","N/A","75405.62","8936.49","8936.49","N/A","N/A","N/A","8936.49","8936.49","N/A","8936.49","8936.49","8936.49","8936.49","8936.49","8936.49","8936.49","8936.49","8936.49","8936.49"
"5","N/A","EXC SHOULDER TUM DEEP < 5 CM","23076","N/A","N/A","N/A","N/A","91231.78","14203.76","14203.76","N/A","N/A","N/A","14203.76","14203.76","N/A","14203.76","14203.76","14203.76","14203.76","14203.76","14203.76","14203.76","14203.76","14203.76","14203.76"
"5","N/A","RESECT SHOULDER TUMOR < 5 CM","23077","N/A","N/A","N/A","N/A","86310.35","10763.47","10763.47","N/A","N/A","N/A","10763.47","10763.47","N/A","10763.47","10763.47","10763.47","10763.47","10763.47","10763.47","10763.47","10763.47","10763.47","10763.47"
"5","N/A","RESECT SHOULDER TUMOR 5 CM/>","23078","N/A","N/A","N/A","N/A","84285.20","27903.48","27903.48","N/A","N/A","N/A","27903.48","27903.48","N/A","27903.48","27903.48","27903.48","27903.48","27903.48","27903.48","27903.48","27903.48","27903.48","27903.48"
"5","N/A","PARTIAL REMOVAL COLLAR BONE","23120","N/A","N/A","N/A","N/A","78587.78","24503.16","24503.16","N/A","N/A","N/A","24503.16","24503.16","N/A","24503.16","24503.16","24503.16","24503.16","24503.16","24503.16","24503.16","24503.16","24503.16","24503.16"
"5","N/A","HCHG INJ FOR SHOULDER","23350","N/A","N/A","N/A","N/A","N/A","4891.05","4891.05","N/A","N/A","N/A","4891.05","4891.05","N/A","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05"
"5","N/A","INJECTION FOR SHOULDER X-RAY","23350","N/A","N/A","N/A","N/A","N/A","4891.05","4891.05","N/A","N/A","N/A","4891.05","4891.05","N/A","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05","4891.05"
"5","N/A","REPAIR ROTATOR CUFF ACUTE","23410","N/A","N/A","N/A","N/A","N/A","30507.30","30507.30","N/A","N/A","N/A","30507.30","30507.30","N/A","30507.30","30507.30","30507.30","30507.30","30507.30","30507.30","30507.30","30507.30","30507.30","30507.30"
"5","N/A","REPAIR ROTATOR CUFF CHRONIC","23412","N/A","N/A","N/A","N/A","N/A","27851.20","27851.20","N/A","N/A","N/A","27851.20","27851.20","N/A","27851.20","27851.20","27851.20","27851.20","27851.20","27851.20","27851.20","27851.20","27851.20","27851.20"
"5","N/A","REPAIR OF SHOULDER","23420","N/A","N/A","N/A","N/A","N/A","29031.65","29031.65","N/A","N/A","N/A","29031.65","29031.65","N/A","29031.65","29031.65","29031.65","29031.65","29031.65","29031.65","29031.65","29031.65","29031.65","29031.65"
"5","N/A","REPAIR BICEPS TENDON","23430","N/A","N/A","N/A","N/A","53955.00","30737.83","30737.83","N/A","N/A","N/A","30737.83","30737.83","N/A","30737.83","30737.83","30737.83","30737.83","30737.83","30737.83","30737.83","30737.83","30737.83","30737.83"
"5","N/A","REMOVE/TRANSPLANT TENDON","23440","N/A","N/A","N/A","N/A","157137.65","25404.31","25404.31","N/A","N/A","N/A","25404.31","25404.31","N/A","25404.31","25404.31","25404.31","25404.31","25404.31","25404.31","25404.31","25404.31","25404.31","25404.31"
"5","N/A","REPAIR SHOULDER CAPSULE","23455","N/A","N/A","N/A","N/A","N/A","29696.26","29696.26","N/A","N/A","N/A","29696.26","29696.26","N/A","29696.26","29696.26","29696.26","29696.26","29696.26","29696.26","29696.26","29696.26","29696.26","29696.26"
"5","N/A","REPAIR SHOULDER CAPSULE","23460","N/A","N/A","N/A","N/A","N/A","49677.58","49677.58","N/A","N/A","N/A","49677.58","49677.58","N/A","49677.58","49677.58","49677.58","49677.58","49677.58","49677.58","49677.58","49677.58","49677.58","49677.58"
"5","N/A","REPAIR SHOULDER CAPSULE","23462","N/A","N/A","N/A","N/A","N/A","29090.00","29090.00","N/A","N/A","N/A","29090.00","29090.00","N/A","29090.00","29090.00","29090.00","29090.00","29090.00","29090.00","29090.00","29090.00","29090.00","29090.00"
"5","N/A","RECONSTRUCT SHOULDER JOINT","23470","N/A","N/A","N/A","N/A","62177.42","51494.01","51494.01","N/A","N/A","N/A","51494.01","51494.01","N/A","51494.01","51494.01","51494.01","51494.01","51494.01","51494.01","51494.01","51494.01","51494.01","51494.01"
"5","N/A","RECONSTRUCT SHOULDER JOINT","23472","N/A","N/A","N/A","N/A","60775.77","52632.77","52632.77","N/A","N/A","N/A","52632.77","52632.77","N/A","52632.77","52632.77","52632.77","52632.77","52632.77","52632.77","52632.77","52632.77","52632.77","52632.77"
"5","N/A","REVIS RECONST SHOULDER JOINT","23473","N/A","N/A","N/A","N/A","59633.69","66951.44","66951.44","N/A","N/A","N/A","66951.44","66951.44","N/A","66951.44","66951.44","66951.44","66951.44","66951.44","66951.44","66951.44","66951.44","66951.44","66951.44"
"5","N/A","REVIS RECONST SHOULDER JOINT","23474","N/A","N/A","N/A","N/A","59633.69","61569.67","61569.67","N/A","N/A","N/A","61569.67","61569.67","N/A","61569.67","61569.67","61569.67","61569.67","61569.67","61569.67","61569.67","61569.67","61569.67","61569.67"
"5","N/A","REVISION OF COLLAR BONE","23485","N/A","N/A","N/A","N/A","78587.78","32632.36","32632.36","N/A","N/A","N/A","32632.36","32632.36","N/A","32632.36","32632.36","32632.36","32632.36","32632.36","32632.36","32632.36","32632.36","32632.36","32632.36"
"5","N/A","HCHG CL TX CLAVICULAR FX; WO MANIP","23500","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX CLAVICLE FX WO MANIP","23500","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT CLAVICLE FRACTURE","23500","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CL TX CLAVICULAR FX; W MANIP","23505","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG CLSD TX CLAVICLE FX W MANIP","23505","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT CLAVICLE FRACTURE","23505","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT CLAVICLE FRACTURE","23515","N/A","N/A","N/A","N/A","84871.02","28941.76","28941.76","N/A","N/A","N/A","28941.76","28941.76","N/A","28941.76","28941.76","28941.76","28941.76","28941.76","28941.76","28941.76","28941.76","28941.76","28941.76"
"5","N/A","HCHG CLSD TX STERNO DISLOC W O MANIP","23520","N/A","N/A","N/A","N/A","N/A","4660.00","4660.00","N/A","N/A","N/A","4660.00","4660.00","N/A","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00"
"5","N/A","TREAT CLAVICLE DISLOCATION","23520","N/A","N/A","N/A","N/A","N/A","4660.00","4660.00","N/A","N/A","N/A","4660.00","4660.00","N/A","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00"
"5","N/A","HCHG CLSD TX STERNO DISLOC W MANIP","23525","N/A","N/A","N/A","N/A","N/A","862.00","862.00","N/A","N/A","N/A","862.00","862.00","N/A","862.00","862.00","862.00","862.00","862.00","862.00","862.00","862.00","862.00","862.00"
"5","N/A","TREAT CLAVICLE DISLOCATION","23525","N/A","N/A","N/A","N/A","N/A","862.00","862.00","N/A","N/A","N/A","862.00","862.00","N/A","862.00","862.00","862.00","862.00","862.00","862.00","862.00","862.00","862.00","862.00"
"5","N/A","HCHG CLSD TX ACROMIOCLAVICULAR DISLOC WO MANIP","23540","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","TREAT CLAVICLE DISLOCATION","23540","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","HCHG TREAT CLAVICLE DISLOCATION","23545","N/A","N/A","N/A","N/A","N/A","743.00","743.00","N/A","N/A","N/A","743.00","743.00","N/A","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00"
"5","N/A","TREAT CLAVICLE DISLOCATION","23545","N/A","N/A","N/A","N/A","N/A","743.00","743.00","N/A","N/A","N/A","743.00","743.00","N/A","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00"
"5","N/A","HCHG CLSD TX SCAPULAR FX WO MANIP","23570","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT SHOULDER BLADE FX","23570","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG TREAT SHOULDER BLADE FX","23575","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT SHOULDER BLADE FX","23575","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","HCHG CL TX PROX HUMERAL FX; WO MANIP","23600","N/A","N/A","N/A","N/A","N/A","768.00","768.00","N/A","N/A","N/A","768.00","768.00","N/A","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00"
"5","N/A","HCHG CLSD TX PROX HUMERAL FX","23600","N/A","N/A","N/A","N/A","N/A","768.00","768.00","N/A","N/A","N/A","768.00","768.00","N/A","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00"
"5","N/A","TREAT HUMERUS FRACTURE","23600","N/A","N/A","N/A","N/A","N/A","768.00","768.00","N/A","N/A","N/A","768.00","768.00","N/A","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00"
"5","N/A","HCHG CLSD TX PROX HUMERAL FX W MANIP","23605","N/A","N/A","N/A","N/A","N/A","3089.00","3089.00","N/A","N/A","N/A","3089.00","3089.00","N/A","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00"
"5","N/A","TREAT HUMERUS FRACTURE","23605","N/A","N/A","N/A","N/A","N/A","3089.00","3089.00","N/A","N/A","N/A","3089.00","3089.00","N/A","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00"
"5","N/A","TREAT HUMERUS FRACTURE","23615","N/A","N/A","N/A","N/A","83727.96","27567.08","27567.08","N/A","N/A","N/A","27567.08","27567.08","N/A","27567.08","27567.08","27567.08","27567.08","27567.08","27567.08","27567.08","27567.08","27567.08","27567.08"
"5","N/A","TREAT HUMERUS FRACTURE","23616","N/A","N/A","N/A","N/A","62177.42","31140.25","31140.25","N/A","N/A","N/A","31140.25","31140.25","N/A","31140.25","31140.25","31140.25","31140.25","31140.25","31140.25","31140.25","31140.25","31140.25","31140.25"
"5","N/A","HCHG CLSD TX GR HUM TUBEROS FX WO MANIP","23620","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","HCHG CLSD TX GT HUM TUBEROS FX WO MANIP","23620","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","TREAT HUMERUS FRACTURE","23620","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","HCHG CLSD TX GR TUBEROSITY FX W MANIP","23625","N/A","N/A","N/A","N/A","N/A","4660.00","4660.00","N/A","N/A","N/A","4660.00","4660.00","N/A","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00"
"5","N/A","HCHG TREAT HUMERUS TUBEROSITY FRACTURE W MANIP","23625","N/A","N/A","N/A","N/A","N/A","4660.00","4660.00","N/A","N/A","N/A","4660.00","4660.00","N/A","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00"
"5","N/A","TREAT HUMERUS FRACTURE","23625","N/A","N/A","N/A","N/A","N/A","4660.00","4660.00","N/A","N/A","N/A","4660.00","4660.00","N/A","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00"
"5","N/A","TREAT HUMERUS FRACTURE","23630","N/A","N/A","N/A","N/A","80137.95","55925.54","55925.54","N/A","N/A","N/A","55925.54","55925.54","N/A","55925.54","55925.54","55925.54","55925.54","55925.54","55925.54","55925.54","55925.54","55925.54","55925.54"
"5","N/A","HCHG CLSD TX SHLDR DISLOC WO ANESTH","23650","N/A","N/A","N/A","N/A","N/A","8505.76","8505.76","N/A","N/A","N/A","8505.76","8505.76","N/A","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76"
"5","N/A","TREAT SHOULDER DISLOCATION","23650","N/A","N/A","N/A","N/A","N/A","8505.76","8505.76","N/A","N/A","N/A","8505.76","8505.76","N/A","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76","8505.76"
"5","N/A","HCHG CLSD TX SHLDR DISLOC W ANESTH","23655","N/A","N/A","N/A","N/A","N/A","19605.43","19605.43","N/A","N/A","N/A","19605.43","19605.43","N/A","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43"
"5","N/A","TREAT SHOULDER DISLOCATION","23655","N/A","N/A","N/A","N/A","N/A","19605.43","19605.43","N/A","N/A","N/A","19605.43","19605.43","N/A","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43","19605.43"
"5","N/A","HCHG CLSD TX SHLDR DISLOC W FX W MANIP","23665","N/A","N/A","N/A","N/A","N/A","3166.00","3166.00","N/A","N/A","N/A","3166.00","3166.00","N/A","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00"
"5","N/A","TREAT DISLOCATION/FRACTURE","23665","N/A","N/A","N/A","N/A","N/A","3166.00","3166.00","N/A","N/A","N/A","3166.00","3166.00","N/A","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00"
"5","N/A","HCHG CLSD TX SHLDR DISLOC W NK FX W MANIP","23675","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT DISLOCATION/FRACTURE","23675","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","FIXATION OF SHOULDER","23700","N/A","N/A","N/A","N/A","N/A","6599.18","6599.18","N/A","N/A","N/A","6599.18","6599.18","N/A","6599.18","6599.18","6599.18","6599.18","6599.18","6599.18","6599.18","6599.18","6599.18","6599.18"
"5","N/A","SHOULDER SURGERY PROCEDURE","23929","N/A","N/A","N/A","N/A","N/A","5407.53","5407.53","N/A","N/A","N/A","5407.53","5407.53","N/A","5407.53","5407.53","5407.53","5407.53","5407.53","5407.53","5407.53","5407.53","5407.53","5407.53"
"5","N/A","HCHG DEEP I&D - UA/ELBOW","23930","N/A","N/A","N/A","N/A","N/A","5808.00","5808.00","N/A","N/A","N/A","5808.00","5808.00","N/A","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00"
"5","N/A","HCHG I&D UP ARM OR ELBOW,DEEP ABSCESS/HEMATOMA","23930","N/A","N/A","N/A","N/A","N/A","5808.00","5808.00","N/A","N/A","N/A","5808.00","5808.00","N/A","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00"
"5","N/A","DRAINAGE OF ARM LESION","23930","N/A","N/A","N/A","N/A","66317.91","5808.00","5808.00","N/A","N/A","N/A","5808.00","5808.00","N/A","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00"
"5","N/A","DRAINAGE OF ARM BURSA","23931","N/A","N/A","N/A","N/A","N/A","1994.00","1994.00","N/A","N/A","N/A","1994.00","1994.00","N/A","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00"
"5","N/A","HCHG I&D UP ARM OR ELBOW AREA; BURSA","23931","N/A","N/A","N/A","N/A","N/A","1994.00","1994.00","N/A","N/A","N/A","1994.00","1994.00","N/A","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00"
"5","N/A","HCHG INCISION AND DRAINAGE, UPPER ARM OR ELBOW; BURSA","23931","N/A","N/A","N/A","N/A","N/A","1994.00","1994.00","N/A","N/A","N/A","1994.00","1994.00","N/A","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00","1994.00"
"5","N/A","RELEASE ELBOW JOINT","24006","N/A","N/A","N/A","N/A","122687.67","33631.53","33631.53","N/A","N/A","N/A","33631.53","33631.53","N/A","33631.53","33631.53","33631.53","33631.53","33631.53","33631.53","33631.53","33631.53","33631.53","33631.53"
"5","N/A","EXC ARM/ELBOW LES SC 3 CM/>","24071","N/A","N/A","N/A","N/A","85758.22","12136.59","12136.59","N/A","N/A","N/A","12136.59","12136.59","N/A","12136.59","12136.59","12136.59","12136.59","12136.59","12136.59","12136.59","12136.59","12136.59","12136.59"
"5","N/A","EX ARM/ELBOW TUM DEEP 5 CM/>","24073","N/A","N/A","N/A","N/A","102048.68","12535.70","12535.70","N/A","N/A","N/A","12535.70","12535.70","N/A","12535.70","12535.70","12535.70","12535.70","12535.70","12535.70","12535.70","12535.70","12535.70","12535.70"
"5","N/A","EXC ARM/ELBOW LES SC < 3 CM","24075","N/A","N/A","N/A","N/A","85758.22","16740.99","16740.99","N/A","N/A","N/A","16740.99","16740.99","N/A","16740.99","16740.99","16740.99","16740.99","16740.99","16740.99","16740.99","16740.99","16740.99","16740.99"
"5","N/A","EX ARM/ELBOW TUM DEEP < 5 CM","24076","N/A","N/A","N/A","N/A","102048.68","9457.03","9457.03","N/A","N/A","N/A","9457.03","9457.03","N/A","9457.03","9457.03","9457.03","9457.03","9457.03","9457.03","9457.03","9457.03","9457.03","9457.03"
"5","N/A","RESECT ARM/ELBOW TUM < 5 CM","24077","N/A","N/A","N/A","N/A","85758.22","11574.86","11574.86","N/A","N/A","N/A","11574.86","11574.86","N/A","11574.86","11574.86","11574.86","11574.86","11574.86","11574.86","11574.86","11574.86","11574.86","11574.86"
"5","N/A","RESECT ARM/ELBOW TUM 5 CM/>","24079","N/A","N/A","N/A","N/A","86379.99","36502.59","36502.59","N/A","N/A","N/A","36502.59","36502.59","N/A","36502.59","36502.59","36502.59","36502.59","36502.59","36502.59","36502.59","36502.59","36502.59","36502.59"
"5","N/A","REMOVAL OF ELBOW BURSA","24105","N/A","N/A","N/A","N/A","71213.03","12889.08","12889.08","N/A","N/A","N/A","12889.08","12889.08","N/A","12889.08","12889.08","12889.08","12889.08","12889.08","12889.08","12889.08","12889.08","12889.08","12889.08"
"5","N/A","RADICAL RESECTION OF ELBOW","24149","N/A","N/A","N/A","N/A","N/A","43965.54","43965.54","N/A","N/A","N/A","43965.54","43965.54","N/A","43965.54","43965.54","43965.54","43965.54","43965.54","43965.54","43965.54","43965.54","43965.54","43965.54"
"5","N/A","HCHG REMOVE FB UPP ARM/ELBOW SUBQ","24200","N/A","N/A","N/A","N/A","N/A","2669.00","2669.00","N/A","N/A","N/A","2669.00","2669.00","N/A","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00"
"5","N/A","REMOVAL OF ARM FOREIGN BODY","24200","N/A","N/A","N/A","N/A","66317.91","2669.00","2669.00","N/A","N/A","N/A","2669.00","2669.00","N/A","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00","2669.00"
"5","N/A","HCHG INJ ELBOW","24220","N/A","N/A","N/A","N/A","N/A","3536.00","3536.00","N/A","N/A","N/A","3536.00","3536.00","N/A","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00"
"5","N/A","INJECTION FOR ELBOW X-RAY","24220","N/A","N/A","N/A","N/A","N/A","3536.00","3536.00","N/A","N/A","N/A","3536.00","3536.00","N/A","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00","3536.00"
"5","N/A","MUSCLE/TENDON TRANSFER","24301","N/A","N/A","N/A","N/A","N/A","22719.42","22719.42","N/A","N/A","N/A","22719.42","22719.42","N/A","22719.42","22719.42","22719.42","22719.42","22719.42","22719.42","22719.42","22719.42","22719.42","22719.42"
"5","N/A","HCHG REPAIR ARM TENDON/MUSCLE","24341","N/A","N/A","N/A","N/A","N/A","27189.27","27189.27","N/A","N/A","N/A","27189.27","27189.27","N/A","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27"
"5","N/A","REPAIR ARM TENDON/MUSCLE","24341","N/A","N/A","N/A","N/A","46438.03","27189.27","27189.27","N/A","N/A","N/A","27189.27","27189.27","N/A","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27","27189.27"
"5","N/A","REPAIR OF RUPTURED TENDON","24342","N/A","N/A","N/A","N/A","N/A","21736.27","21736.27","N/A","N/A","N/A","21736.27","21736.27","N/A","21736.27","21736.27","21736.27","21736.27","21736.27","21736.27","21736.27","21736.27","21736.27","21736.27"
"5","N/A","REPR ELBOW LAT LIGMNT W/TISS","24343","N/A","N/A","N/A","N/A","N/A","65699.04","65699.04","N/A","N/A","N/A","65699.04","65699.04","N/A","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04"
"5","N/A","REPR ELBW MED LIGMNT W/TISSU","24345","N/A","N/A","N/A","N/A","N/A","10569.65","10569.65","N/A","N/A","N/A","10569.65","10569.65","N/A","10569.65","10569.65","10569.65","10569.65","10569.65","10569.65","10569.65","10569.65","10569.65","10569.65"
"5","N/A","REPAIR ELBOW PERC","24357","N/A","N/A","N/A","N/A","N/A","11302.06","11302.06","N/A","N/A","N/A","11302.06","11302.06","N/A","11302.06","11302.06","11302.06","11302.06","11302.06","11302.06","11302.06","11302.06","11302.06","11302.06"
"5","N/A","REPAIR ELBOW W/DEB OPEN","24358","N/A","N/A","N/A","N/A","122687.67","11227.34","11227.34","N/A","N/A","N/A","11227.34","11227.34","N/A","11227.34","11227.34","11227.34","11227.34","11227.34","11227.34","11227.34","11227.34","11227.34","11227.34"
"5","N/A","REPAIR ELBOW DEB/ATTCH OPEN","24359","N/A","N/A","N/A","N/A","122687.67","12433.25","12433.25","N/A","N/A","N/A","12433.25","12433.25","N/A","12433.25","12433.25","12433.25","12433.25","12433.25","12433.25","12433.25","12433.25","12433.25","12433.25"
"5","N/A","REPLACE ELBOW JOINT","24363","N/A","N/A","N/A","N/A","57588.14","74988.46","74988.46","N/A","N/A","N/A","74988.46","74988.46","N/A","74988.46","74988.46","74988.46","74988.46","74988.46","74988.46","74988.46","74988.46","74988.46","74988.46"
"5","N/A","REVISE RECONST ELBOW JOINT","24371","N/A","N/A","N/A","N/A","57588.14","36780.40","36780.40","N/A","N/A","N/A","36780.40","36780.40","N/A","36780.40","36780.40","36780.40","36780.40","36780.40","36780.40","36780.40","36780.40","36780.40","36780.40"
"5","N/A","REPAIR OF HUMERUS","24430","N/A","N/A","N/A","N/A","N/A","58235.46","58235.46","N/A","N/A","N/A","58235.46","58235.46","N/A","58235.46","58235.46","58235.46","58235.46","58235.46","58235.46","58235.46","58235.46","58235.46","58235.46"
"5","N/A","REPAIR HUMERUS WITH GRAFT","24435","N/A","N/A","N/A","N/A","99528.48","55195.41","55195.41","N/A","N/A","N/A","55195.41","55195.41","N/A","55195.41","55195.41","55195.41","55195.41","55195.41","55195.41","55195.41","55195.41","55195.41","55195.41"
"5","N/A","HCHG CLSD TX HUMERAL SHFT FX WO MANIP","24500","N/A","N/A","N/A","N/A","N/A","815.00","815.00","N/A","N/A","N/A","815.00","815.00","N/A","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00"
"5","N/A","HCHG CLSD TX HUMERUS FX WO MANIP","24500","N/A","N/A","N/A","N/A","N/A","815.00","815.00","N/A","N/A","N/A","815.00","815.00","N/A","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00"
"5","N/A","TREAT HUMERUS FRACTURE","24500","N/A","N/A","N/A","N/A","N/A","815.00","815.00","N/A","N/A","N/A","815.00","815.00","N/A","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00","815.00"
"5","N/A","HCHG CLSD TX HUMERAL SHFT FX W MANIP","24505","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT HUMERUS FRACTURE","24505","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT HUMERUS FRACTURE","24515","N/A","N/A","N/A","N/A","88455.58","37587.47","37587.47","N/A","N/A","N/A","37587.47","37587.47","N/A","37587.47","37587.47","37587.47","37587.47","37587.47","37587.47","37587.47","37587.47","37587.47","37587.47"
"5","N/A","TREAT HUMERUS FRACTURE","24516","N/A","N/A","N/A","N/A","88455.58","21983.13","21983.13","N/A","N/A","N/A","21983.13","21983.13","N/A","21983.13","21983.13","21983.13","21983.13","21983.13","21983.13","21983.13","21983.13","21983.13","21983.13"
"5","N/A","HCHG CL TX SC/TC HUMERUS FX WO MANIPL","24530","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","HCHG CLSD TX SUPRA/TRANS HUM FX WO MANIP","24530","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","HCHG TX SC/TC HUMERUS FX WO MANIP","24530","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","TREAT HUMERUS FRACTURE","24530","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","HCHG CLSD TX SUPRA/TRAN HUM FX W MANIP","24535","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT HUMERUS FRACTURE","24535","N/A","N/A","N/A","N/A","39260.43","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT HUMERUS FRACTURE","24538","N/A","N/A","N/A","N/A","88455.58","18842.43","18842.43","N/A","N/A","N/A","18842.43","18842.43","N/A","18842.43","18842.43","18842.43","18842.43","18842.43","18842.43","18842.43","18842.43","18842.43","18842.43"
"5","N/A","TREAT HUMERUS FRACTURE","24545","N/A","N/A","N/A","N/A","88455.58","43524.53","43524.53","N/A","N/A","N/A","43524.53","43524.53","N/A","43524.53","43524.53","43524.53","43524.53","43524.53","43524.53","43524.53","43524.53","43524.53","43524.53"
"5","N/A","TREAT HUMERUS FRACTURE","24546","N/A","N/A","N/A","N/A","88455.58","52222.66","52222.66","N/A","N/A","N/A","52222.66","52222.66","N/A","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66"
"5","N/A","HCHG CL TX EC HUMERUS FX WO MANIP","24560","N/A","N/A","N/A","N/A","N/A","718.00","718.00","N/A","N/A","N/A","718.00","718.00","N/A","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00"
"5","N/A","HCHG CLSD TX HUMERAL EPICONDYLAR FX MEDIAL/LATERAL WO MANIP","24560","N/A","N/A","N/A","N/A","N/A","718.00","718.00","N/A","N/A","N/A","718.00","718.00","N/A","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00"
"5","N/A","TREAT HUMERUS FRACTURE","24560","N/A","N/A","N/A","N/A","N/A","718.00","718.00","N/A","N/A","N/A","718.00","718.00","N/A","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00","718.00"
"5","N/A","HCHG CLSD TX HUM EPICON FX W MANIP","24565","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT HUMERUS FRACTURE","24565","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG CL TX C HUMERUS FX WO MANIP","24576","N/A","N/A","N/A","N/A","N/A","768.00","768.00","N/A","N/A","N/A","768.00","768.00","N/A","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00"
"5","N/A","HCHG CLSD TX C HUMERUS FX WO MANIP","24576","N/A","N/A","N/A","N/A","N/A","768.00","768.00","N/A","N/A","N/A","768.00","768.00","N/A","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00"
"5","N/A","HCHG TREAT HUMERUS CONDYLAR FRACTURE W/O MANIP","24576","N/A","N/A","N/A","N/A","N/A","768.00","768.00","N/A","N/A","N/A","768.00","768.00","N/A","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00"
"5","N/A","TREAT HUMERUS FRACTURE","24576","N/A","N/A","N/A","N/A","N/A","768.00","768.00","N/A","N/A","N/A","768.00","768.00","N/A","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00","768.00"
"5","N/A","HCHG CLSD TX C HUMERUS FX W MANIP","24577","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG TREAT HUMERUS CONDYLAR FRACTURE W MANIP","24577","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT HUMERUS FRACTURE","24577","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT HUMERUS FRACTURE","24579","N/A","N/A","N/A","N/A","91323.73","32805.39","32805.39","N/A","N/A","N/A","32805.39","32805.39","N/A","32805.39","32805.39","32805.39","32805.39","32805.39","32805.39","32805.39","32805.39","32805.39","32805.39"
"5","N/A","TREAT ELBOW FRACTURE","24586","N/A","N/A","N/A","N/A","84159.06","20063.08","20063.08","N/A","N/A","N/A","20063.08","20063.08","N/A","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08"
"5","N/A","HCHG OPEN TX ELBOW PERIARTICULAR FX/DISLOC","24586","N/A","N/A","N/A","N/A","N/A","20063.08","20063.08","N/A","N/A","N/A","20063.08","20063.08","N/A","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08","20063.08"
"5","N/A","HCHG CLSD TX DISLOC ELBOW","24600","N/A","N/A","N/A","N/A","N/A","848.00","848.00","N/A","N/A","N/A","848.00","848.00","N/A","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00"
"5","N/A","TREAT ELBOW DISLOCATION","24600","N/A","N/A","N/A","N/A","N/A","848.00","848.00","N/A","N/A","N/A","848.00","848.00","N/A","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00"
"5","N/A","HCHG TREAT ELBOW DISLOCATION W/ANES","24605","N/A","N/A","N/A","N/A","N/A","5787.70","5787.70","N/A","N/A","N/A","5787.70","5787.70","N/A","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70"
"5","N/A","TREAT ELBOW DISLOCATION","24605","N/A","N/A","N/A","N/A","N/A","5787.70","5787.70","N/A","N/A","N/A","5787.70","5787.70","N/A","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70","5787.70"
"5","N/A","HCHG CL TX MONTEGGIA ELB FX W MANIP","24620","N/A","N/A","N/A","N/A","N/A","3854.00","3854.00","N/A","N/A","N/A","3854.00","3854.00","N/A","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00"
"5","N/A","HCHG CLSD TX MONTEG FX DISLOC ELBOW W MANIP","24620","N/A","N/A","N/A","N/A","N/A","3854.00","3854.00","N/A","N/A","N/A","3854.00","3854.00","N/A","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00"
"5","N/A","TREAT ELBOW FRACTURE","24620","N/A","N/A","N/A","N/A","N/A","3854.00","3854.00","N/A","N/A","N/A","3854.00","3854.00","N/A","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00","3854.00"
"5","N/A","HCHG CL TX NURSEMAID ELBOW W MANIP","24640","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","HCHG DISLOC CLSD ELBOW NM W MANIP","24640","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","TREAT ELBOW DISLOCATION","24640","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","HCHG CL TX RADIAL HD/NECK FX; WO MANIP","24650","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX RADL HEAD/NECK FX WO MANIP","24650","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT RADIUS FRACTURE","24650","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX RADL HEAD/NECK FX W MANIP","24655","N/A","N/A","N/A","N/A","N/A","11951.86","11951.86","N/A","N/A","N/A","11951.86","11951.86","N/A","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86"
"5","N/A","TREAT RADIUS FRACTURE","24655","N/A","N/A","N/A","N/A","N/A","11951.86","11951.86","N/A","N/A","N/A","11951.86","11951.86","N/A","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86","11951.86"
"5","N/A","TREAT RADIUS FRACTURE","24665","N/A","N/A","N/A","N/A","62046.77","28655.59","28655.59","N/A","N/A","N/A","28655.59","28655.59","N/A","28655.59","28655.59","28655.59","28655.59","28655.59","28655.59","28655.59","28655.59","28655.59","28655.59"
"5","N/A","TREAT RADIUS FRACTURE","24666","N/A","N/A","N/A","N/A","62046.77","65699.04","65699.04","N/A","N/A","N/A","65699.04","65699.04","N/A","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04","65699.04"
"5","N/A","HCHG CLSD TX ULNAR FRACTURE PROX END WO MANIP","24670","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","HCHG CLSD TX ULNAR FX PROX WO MANIP","24670","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","TREAT ULNAR FRACTURE","24670","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","HCHG CLSD TX ULNAR FX PROX W MANIP","24675","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT ULNAR FRACTURE","24675","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT ULNAR FRACTURE","24685","N/A","N/A","N/A","N/A","62456.27","31449.53","31449.53","N/A","N/A","N/A","31449.53","31449.53","N/A","31449.53","31449.53","31449.53","31449.53","31449.53","31449.53","31449.53","31449.53","31449.53","31449.53"
"5","N/A","UPPER ARM/ELBOW SURGERY","24999","N/A","N/A","N/A","N/A","70704.67","16885.83","16885.83","N/A","N/A","N/A","16885.83","16885.83","N/A","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83"
"5","N/A","HCHG UNLISTED PX HUMERUS OR ELBOW","24999","N/A","N/A","N/A","N/A","N/A","16885.83","16885.83","N/A","N/A","N/A","16885.83","16885.83","N/A","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83","16885.83"
"5","N/A","INCISION OF TENDON SHEATH","25000","N/A","N/A","N/A","N/A","48878.51","7770.26","7770.26","N/A","N/A","N/A","7770.26","7770.26","N/A","7770.26","7770.26","7770.26","7770.26","7770.26","7770.26","7770.26","7770.26","7770.26","7770.26"
"5","N/A","DRAINAGE OF FOREARM LESION","25028","N/A","N/A","N/A","N/A","N/A","8222.00","8222.00","N/A","N/A","N/A","8222.00","8222.00","N/A","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00"
"5","N/A","HCHG DEEP I&D ABSC - FARM/WRIST","25028","N/A","N/A","N/A","N/A","N/A","8222.00","8222.00","N/A","N/A","N/A","8222.00","8222.00","N/A","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00","8222.00"
"5","N/A","EXC FOREARM LES SC < 3 CM","25075","N/A","N/A","N/A","N/A","72342.40","10691.41","10691.41","N/A","N/A","N/A","10691.41","10691.41","N/A","10691.41","10691.41","10691.41","10691.41","10691.41","10691.41","10691.41","10691.41","10691.41","10691.41"
"5","N/A","EXC FOREARM TUM DEEP < 3 CM","25076","N/A","N/A","N/A","N/A","63650.37","14098.21","14098.21","N/A","N/A","N/A","14098.21","14098.21","N/A","14098.21","14098.21","14098.21","14098.21","14098.21","14098.21","14098.21","14098.21","14098.21","14098.21"
"5","N/A","RESECT FORARM/WRIST TUM 3CM>","25078","N/A","N/A","N/A","N/A","71790.46","13132.43","13132.43","N/A","N/A","N/A","13132.43","13132.43","N/A","13132.43","13132.43","13132.43","13132.43","13132.43","13132.43","13132.43","13132.43","13132.43","13132.43"
"5","N/A","REMOVE WRIST JOINT CARTILAGE","25107","N/A","N/A","N/A","N/A","N/A","23297.40","23297.40","N/A","N/A","N/A","23297.40","23297.40","N/A","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40"
"5","N/A","EXCISE TENDON FOREARM/WRIST","25109","N/A","N/A","N/A","N/A","157137.65","14948.41","14948.41","N/A","N/A","N/A","14948.41","14948.41","N/A","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41"
"5","N/A","REMOVE WRIST TENDON LESION","25110","N/A","N/A","N/A","N/A","157137.65","18304.00","18304.00","N/A","N/A","N/A","18304.00","18304.00","N/A","18304.00","18304.00","18304.00","18304.00","18304.00","18304.00","18304.00","18304.00","18304.00","18304.00"
"5","N/A","REMOVE WRIST TENDON LESION","25111","N/A","N/A","N/A","N/A","52941.95","10561.63","10561.63","N/A","N/A","N/A","10561.63","10561.63","N/A","10561.63","10561.63","10561.63","10561.63","10561.63","10561.63","10561.63","10561.63","10561.63","10561.63"
"5","N/A","REREMOVE WRIST TENDON LESION","25112","N/A","N/A","N/A","N/A","52941.95","9763.37","9763.37","N/A","N/A","N/A","9763.37","9763.37","N/A","9763.37","9763.37","9763.37","9763.37","9763.37","9763.37","9763.37","9763.37","9763.37","9763.37"
"5","N/A","REMOVE WRIST/FOREARM LESION","25116","N/A","N/A","N/A","N/A","157137.65","18236.07","18236.07","N/A","N/A","N/A","18236.07","18236.07","N/A","18236.07","18236.07","18236.07","18236.07","18236.07","18236.07","18236.07","18236.07","18236.07","18236.07"
"5","N/A","EXCISE WRIST TENDON SHEATH","25118","N/A","N/A","N/A","N/A","157137.65","13324.25","13324.25","N/A","N/A","N/A","13324.25","13324.25","N/A","13324.25","13324.25","13324.25","13324.25","13324.25","13324.25","13324.25","13324.25","13324.25","13324.25"
"5","N/A","REMOVAL OF FOREARM LESION","25120","N/A","N/A","N/A","N/A","52846.84","14948.41","14948.41","N/A","N/A","N/A","14948.41","14948.41","N/A","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41","14948.41"
"5","N/A","REMOVAL OF WRIST BONES","25215","N/A","N/A","N/A","N/A","N/A","20591.90","20591.90","N/A","N/A","N/A","20591.90","20591.90","N/A","20591.90","20591.90","20591.90","20591.90","20591.90","20591.90","20591.90","20591.90","20591.90","20591.90"
"5","N/A","PARTIAL REMOVAL OF ULNA","25240","N/A","N/A","N/A","N/A","52846.84","18162.02","18162.02","N/A","N/A","N/A","18162.02","18162.02","N/A","18162.02","18162.02","18162.02","18162.02","18162.02","18162.02","18162.02","18162.02","18162.02","18162.02"
"5","N/A","HCHG INJ FOR WRIST","25246","N/A","N/A","N/A","N/A","N/A","4954.64","4954.64","N/A","N/A","N/A","4954.64","4954.64","N/A","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64"
"5","N/A","INJECTION FOR WRIST X-RAY","25246","N/A","N/A","N/A","N/A","N/A","4954.64","4954.64","N/A","N/A","N/A","4954.64","4954.64","N/A","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64","4954.64"
"5","N/A","HCHG DEEP FB REM - FOREARM/WRIST","25248","N/A","N/A","N/A","N/A","N/A","8285.00","8285.00","N/A","N/A","N/A","8285.00","8285.00","N/A","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00"
"5","N/A","REMOVE FOREARM FOREIGN BODY","25248","N/A","N/A","N/A","N/A","57841.51","8285.00","8285.00","N/A","N/A","N/A","8285.00","8285.00","N/A","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00","8285.00"
"5","N/A","MANIPULATE WRIST W/ANESTHES","25259","N/A","N/A","N/A","N/A","N/A","23017.24","23017.24","N/A","N/A","N/A","23017.24","23017.24","N/A","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24"
"5","N/A","HCHG REPAIR TENDON/MUSC F-ARM/WRIST","25260","N/A","N/A","N/A","N/A","N/A","21680.73","21680.73","N/A","N/A","N/A","21680.73","21680.73","N/A","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73"
"5","N/A","REPAIR FOREARM TENDON/MUSCLE","25260","N/A","N/A","N/A","N/A","52435.39","21680.73","21680.73","N/A","N/A","N/A","21680.73","21680.73","N/A","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73"
"5","N/A","REPAIR FOREARM TENDON/MUSCLE","25270","N/A","N/A","N/A","N/A","61001.99","20399.92","20399.92","N/A","N/A","N/A","20399.92","20399.92","N/A","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92"
"5","N/A","HCHG REPAIR EXT TENDON F ARM/WRIST","25270","N/A","N/A","N/A","N/A","N/A","20399.92","20399.92","N/A","N/A","N/A","20399.92","20399.92","N/A","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92","20399.92"
"5","N/A","REPAIR FOREARM TENDON/MUSCLE","25272","N/A","N/A","N/A","N/A","61001.99","18321.69","18321.69","N/A","N/A","N/A","18321.69","18321.69","N/A","18321.69","18321.69","18321.69","18321.69","18321.69","18321.69","18321.69","18321.69","18321.69","18321.69"
"5","N/A","REVISE WRIST/FOREARM TENDON","25280","N/A","N/A","N/A","N/A","N/A","10485.44","10485.44","N/A","N/A","N/A","10485.44","10485.44","N/A","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44"
"5","N/A","INCISE WRIST/FOREARM TENDON","25290","N/A","N/A","N/A","N/A","N/A","10485.44","10485.44","N/A","N/A","N/A","10485.44","10485.44","N/A","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44","10485.44"
"5","N/A","RELEASE WRIST/FOREARM TENDON","25295","N/A","N/A","N/A","N/A","142469.81","23017.24","23017.24","N/A","N/A","N/A","23017.24","23017.24","N/A","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24","23017.24"
"5","N/A","TRANSPLANT FOREARM TENDON","25310","N/A","N/A","N/A","N/A","N/A","19247.50","19247.50","N/A","N/A","N/A","19247.50","19247.50","N/A","19247.50","19247.50","19247.50","19247.50","19247.50","19247.50","19247.50","19247.50","19247.50","19247.50"
"5","N/A","REPAIR/REVISE WRIST JOINT","25320","N/A","N/A","N/A","N/A","N/A","29566.98","29566.98","N/A","N/A","N/A","29566.98","29566.98","N/A","29566.98","29566.98","29566.98","29566.98","29566.98","29566.98","29566.98","29566.98","29566.98","29566.98"
"5","N/A","REVISE WRIST JOINT","25332","N/A","N/A","N/A","N/A","70698.09","25521.35","25521.35","N/A","N/A","N/A","25521.35","25521.35","N/A","25521.35","25521.35","25521.35","25521.35","25521.35","25521.35","25521.35","25521.35","25521.35","25521.35"
"5","N/A","REVISION OF ULNA","25360","N/A","N/A","N/A","N/A","N/A","32812.17","32812.17","N/A","N/A","N/A","32812.17","32812.17","N/A","32812.17","32812.17","32812.17","32812.17","32812.17","32812.17","32812.17","32812.17","32812.17","32812.17"
"5","N/A","REPAIR RADIUS OR ULNA","25400","N/A","N/A","N/A","N/A","62488.24","22086.05","22086.05","N/A","N/A","N/A","22086.05","22086.05","N/A","22086.05","22086.05","22086.05","22086.05","22086.05","22086.05","22086.05","22086.05","22086.05","22086.05"
"5","N/A","REPAIR RADIUS & ULNA","25415","N/A","N/A","N/A","N/A","62488.24","25822.60","25822.60","N/A","N/A","N/A","25822.60","25822.60","N/A","25822.60","25822.60","25822.60","25822.60","25822.60","25822.60","25822.60","25822.60","25822.60","25822.60"
"5","N/A","REPAIR/GRAFT WRIST BONE","25440","N/A","N/A","N/A","N/A","N/A","23511.01","23511.01","N/A","N/A","N/A","23511.01","23511.01","N/A","23511.01","23511.01","23511.01","23511.01","23511.01","23511.01","23511.01","23511.01","23511.01","23511.01"
"5","N/A","RECONSTRUCT WRIST JOINT","25442","N/A","N/A","N/A","N/A","N/A","18714.77","18714.77","N/A","N/A","N/A","18714.77","18714.77","N/A","18714.77","18714.77","18714.77","18714.77","18714.77","18714.77","18714.77","18714.77","18714.77","18714.77"
"5","N/A","RECONSTRUCT WRIST JOINT","25445","N/A","N/A","N/A","N/A","N/A","22947.00","22947.00","N/A","N/A","N/A","22947.00","22947.00","N/A","22947.00","22947.00","22947.00","22947.00","22947.00","22947.00","22947.00","22947.00","22947.00","22947.00"
"5","N/A","REPAIR WRIST JOINTS","25447","N/A","N/A","N/A","N/A","N/A","20991.64","20991.64","N/A","N/A","N/A","20991.64","20991.64","N/A","20991.64","20991.64","20991.64","20991.64","20991.64","20991.64","20991.64","20991.64","20991.64","20991.64"
"5","N/A","HCHG CL TX OF RADIAL SHAFT FX; WO MANIP","25500","N/A","N/A","N/A","N/A","N/A","617.00","617.00","N/A","N/A","N/A","617.00","617.00","N/A","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00"
"5","N/A","HCHG CLSD TX RAD SHAFT FX","25500","N/A","N/A","N/A","N/A","N/A","617.00","617.00","N/A","N/A","N/A","617.00","617.00","N/A","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00"
"5","N/A","TREAT FRACTURE OF RADIUS","25500","N/A","N/A","N/A","N/A","N/A","617.00","617.00","N/A","N/A","N/A","617.00","617.00","N/A","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00","617.00"
"5","N/A","HCHG CL TX RADIAL SHAFT FX WITH MANIPULATION","25505","N/A","N/A","N/A","N/A","N/A","3166.00","3166.00","N/A","N/A","N/A","3166.00","3166.00","N/A","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00"
"5","N/A","HCHG CLSD TX RAD SHAFT FX W MANIP","25505","N/A","N/A","N/A","N/A","N/A","3166.00","3166.00","N/A","N/A","N/A","3166.00","3166.00","N/A","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00"
"5","N/A","TREAT FRACTURE OF RADIUS","25505","N/A","N/A","N/A","N/A","N/A","3166.00","3166.00","N/A","N/A","N/A","3166.00","3166.00","N/A","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00"
"5","N/A","TREAT FRACTURE OF RADIUS","25515","N/A","N/A","N/A","N/A","62046.77","33696.40","33696.40","N/A","N/A","N/A","33696.40","33696.40","N/A","33696.40","33696.40","33696.40","33696.40","33696.40","33696.40","33696.40","33696.40","33696.40","33696.40"
"5","N/A","HCHG CLSD TX RAD SHAFT FX W DISLOC","25520","N/A","N/A","N/A","N/A","N/A","20430.23","20430.23","N/A","N/A","N/A","20430.23","20430.23","N/A","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23"
"5","N/A","TREAT FRACTURE OF RADIUS","25520","N/A","N/A","N/A","N/A","N/A","20430.23","20430.23","N/A","N/A","N/A","20430.23","20430.23","N/A","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23","20430.23"
"5","N/A","TREAT FRACTURE OF RADIUS","25525","N/A","N/A","N/A","N/A","62488.24","25386.94","25386.94","N/A","N/A","N/A","25386.94","25386.94","N/A","25386.94","25386.94","25386.94","25386.94","25386.94","25386.94","25386.94","25386.94","25386.94","25386.94"
"5","N/A","TREAT FRACTURE OF RADIUS","25526","N/A","N/A","N/A","N/A","62488.24","34359.73","34359.73","N/A","N/A","N/A","34359.73","34359.73","N/A","34359.73","34359.73","34359.73","34359.73","34359.73","34359.73","34359.73","34359.73","34359.73","34359.73"
"5","N/A","HCHG CLSD TX ULNAR SHAFT FX WO MANIP","25530","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX ULNAR SHAFT FX WO MANIP","25530","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT FRACTURE OF ULNA","25530","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX ULNAR SHAFT FX W MANIP","25535","N/A","N/A","N/A","N/A","N/A","7941.10","7941.10","N/A","N/A","N/A","7941.10","7941.10","N/A","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10"
"5","N/A","TREAT FRACTURE OF ULNA","25535","N/A","N/A","N/A","N/A","N/A","7941.10","7941.10","N/A","N/A","N/A","7941.10","7941.10","N/A","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10","7941.10"
"5","N/A","TREAT FRACTURE OF ULNA","25545","N/A","N/A","N/A","N/A","62456.27","18411.45","18411.45","N/A","N/A","N/A","18411.45","18411.45","N/A","18411.45","18411.45","18411.45","18411.45","18411.45","18411.45","18411.45","18411.45","18411.45","18411.45"
"5","N/A","HCHG CLSD TX RAD/ULNA SHAFT FX WO MANIP","25560","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG CLSD TX RAD/ULNAR SHAFT FX WO MANIP","25560","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","TREAT FRACTURE RADIUS & ULNA","25560","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG CL TX RADIAL & ULNAR FIX WITH MANIPULATION","25565","N/A","N/A","N/A","N/A","N/A","10423.71","10423.71","N/A","N/A","N/A","10423.71","10423.71","N/A","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71"
"5","N/A","HCHG CLSD TX RAD/ULNA SHAFT FX W MANIP","25565","N/A","N/A","N/A","N/A","N/A","10423.71","10423.71","N/A","N/A","N/A","10423.71","10423.71","N/A","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71"
"5","N/A","TREAT FRACTURE RADIUS & ULNA","25565","N/A","N/A","N/A","N/A","N/A","10423.71","10423.71","N/A","N/A","N/A","10423.71","10423.71","N/A","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71","10423.71"
"5","N/A","TREAT FRACTURE RADIUS/ULNA","25575","N/A","N/A","N/A","N/A","62488.24","25012.43","25012.43","N/A","N/A","N/A","25012.43","25012.43","N/A","25012.43","25012.43","25012.43","25012.43","25012.43","25012.43","25012.43","25012.43","25012.43","25012.43"
"5","N/A","HCHG CLSD TX DISTAL RADIAL FX","25600","N/A","N/A","N/A","N/A","N/A","8431.28","8431.28","N/A","N/A","N/A","8431.28","8431.28","N/A","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28"
"5","N/A","HCHG CLTX DSTL RADIAL FX/EPIPHYSL SEP WO MNP","25600","N/A","N/A","N/A","N/A","N/A","8431.28","8431.28","N/A","N/A","N/A","8431.28","8431.28","N/A","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28"
"5","N/A","TREAT FRACTURE RADIUS/ULNA","25600","N/A","N/A","N/A","N/A","N/A","8431.28","8431.28","N/A","N/A","N/A","8431.28","8431.28","N/A","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28","8431.28"
"5","N/A","HCHG CLSD TX DIST RADIAL FX W MANIP","25605","N/A","N/A","N/A","N/A","N/A","9897.17","9897.17","N/A","N/A","N/A","9897.17","9897.17","N/A","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17"
"5","N/A","HCHG CLSD TX DIST RADIAL FX/EPIPHYSL SEP W MANIP","25605","N/A","N/A","N/A","N/A","N/A","9897.17","9897.17","N/A","N/A","N/A","9897.17","9897.17","N/A","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17"
"5","N/A","TREAT FRACTURE RADIUS/ULNA","25605","N/A","N/A","N/A","N/A","N/A","9897.17","9897.17","N/A","N/A","N/A","9897.17","9897.17","N/A","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17","9897.17"
"5","N/A","TREAT FX DISTAL RADIAL","25606","N/A","N/A","N/A","N/A","72490.53","13825.47","13825.47","N/A","N/A","N/A","13825.47","13825.47","N/A","13825.47","13825.47","13825.47","13825.47","13825.47","13825.47","13825.47","13825.47","13825.47","13825.47"
"5","N/A","TREAT FX RAD EXTRA-ARTICUL","25607","N/A","N/A","N/A","N/A","62046.77","24649.32","24649.32","N/A","N/A","N/A","24649.32","24649.32","N/A","24649.32","24649.32","24649.32","24649.32","24649.32","24649.32","24649.32","24649.32","24649.32","24649.32"
"5","N/A","TREAT FX RAD INTRA-ARTICUL","25608","N/A","N/A","N/A","N/A","62046.77","24659.60","24659.60","N/A","N/A","N/A","24659.60","24659.60","N/A","24659.60","24659.60","24659.60","24659.60","24659.60","24659.60","24659.60","24659.60","24659.60","24659.60"
"5","N/A","TREAT FX RADIAL 3+ FRAG","25609","N/A","N/A","N/A","N/A","62213.80","26194.09","26194.09","N/A","N/A","N/A","26194.09","26194.09","N/A","26194.09","26194.09","26194.09","26194.09","26194.09","26194.09","26194.09","26194.09","26194.09","26194.09"
"5","N/A","HCHG CL TX CARPAL SCAPHOID FX; WO MANIP","25622","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX CARPAL SCAPHOID FX","25622","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT WRIST BONE FRACTURE","25622","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX NAVICULAR FX W MANIP","25624","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT WRIST BONE FRACTURE","25624","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT WRIST BONE FRACTURE","25628","N/A","N/A","N/A","N/A","60907.21","19200.92","19200.92","N/A","N/A","N/A","19200.92","19200.92","N/A","19200.92","19200.92","19200.92","19200.92","19200.92","19200.92","19200.92","19200.92","19200.92","19200.92"
"5","N/A","HCHG CLSD TX CARPAL FX WO MANIP","25630","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLTX CARPL BONE FX WO MNP EA BONE","25630","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT WRIST BONE FRACTURE","25630","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX CARPAL FX W MANIP EA BONE","25635","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT WRIST BONE FRACTURE","25635","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT WRIST BONE FRACTURE","25645","N/A","N/A","N/A","N/A","60907.21","16137.02","16137.02","N/A","N/A","N/A","16137.02","16137.02","N/A","16137.02","16137.02","16137.02","16137.02","16137.02","16137.02","16137.02","16137.02","16137.02","16137.02"
"5","N/A","HCHG CL TX CARPAL SCAPHOID FX; WO MANIP","25650","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX ULNAR STYLOID FX","25650","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT WRIST BONE FRACTURE","25650","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT FRACTURE ULNAR STYLOID","25652","N/A","N/A","N/A","N/A","62456.27","32530.63","32530.63","N/A","N/A","N/A","32530.63","32530.63","N/A","32530.63","32530.63","32530.63","32530.63","32530.63","32530.63","32530.63","32530.63","32530.63","32530.63"
"5","N/A","HCHG CLSD TX RADIOCARPAL/INTERCARPAL DISLOC.1 >BONES W MANIP","25660","N/A","N/A","N/A","N/A","N/A","1051.00","1051.00","N/A","N/A","N/A","1051.00","1051.00","N/A","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00"
"5","N/A","TREAT WRIST DISLOCATION","25660","N/A","N/A","N/A","N/A","N/A","1051.00","1051.00","N/A","N/A","N/A","1051.00","1051.00","N/A","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00","1051.00"
"5","N/A","PIN RADIOULNAR DISLOCATION","25671","N/A","N/A","N/A","N/A","N/A","28199.33","28199.33","N/A","N/A","N/A","28199.33","28199.33","N/A","28199.33","28199.33","28199.33","28199.33","28199.33","28199.33","28199.33","28199.33","28199.33","28199.33"
"5","N/A","HCHG CLSD TX DIST RADIOULNAR DISLOC","25675","N/A","N/A","N/A","N/A","N/A","1008.00","1008.00","N/A","N/A","N/A","1008.00","1008.00","N/A","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00"
"5","N/A","TREAT WRIST DISLOCATION","25675","N/A","N/A","N/A","N/A","N/A","1008.00","1008.00","N/A","N/A","N/A","1008.00","1008.00","N/A","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00"
"5","N/A","TREAT WRIST DISLOCATION","25676","N/A","N/A","N/A","N/A","70698.09","38968.78","38968.78","N/A","N/A","N/A","38968.78","38968.78","N/A","38968.78","38968.78","38968.78","38968.78","38968.78","38968.78","38968.78","38968.78","38968.78","38968.78"
"5","N/A","HCHG CLSD TX TRANS SCAPHOPERILUNAR FX","25680","N/A","N/A","N/A","N/A","N/A","1178.00","1178.00","N/A","N/A","N/A","1178.00","1178.00","N/A","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00"
"5","N/A","TREAT WRIST FRACTURE","25680","N/A","N/A","N/A","N/A","N/A","1178.00","1178.00","N/A","N/A","N/A","1178.00","1178.00","N/A","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00"
"5","N/A","HCHG CLSD TX LUNATE DISLOC W MANIP","25690","N/A","N/A","N/A","N/A","N/A","4660.00","4660.00","N/A","N/A","N/A","4660.00","4660.00","N/A","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00"
"5","N/A","TREAT WRIST DISLOCATION","25690","N/A","N/A","N/A","N/A","N/A","4660.00","4660.00","N/A","N/A","N/A","4660.00","4660.00","N/A","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00","4660.00"
"5","N/A","FUSION/GRAFT OF WRIST JOINT","25810","N/A","N/A","N/A","N/A","N/A","45178.86","45178.86","N/A","N/A","N/A","45178.86","45178.86","N/A","45178.86","45178.86","45178.86","45178.86","45178.86","45178.86","45178.86","45178.86","45178.86","45178.86"
"5","N/A","FUSE HAND BONES WITH GRAFT","25825","N/A","N/A","N/A","N/A","N/A","42531.13","42531.13","N/A","N/A","N/A","42531.13","42531.13","N/A","42531.13","42531.13","42531.13","42531.13","42531.13","42531.13","42531.13","42531.13","42531.13","42531.13"
"5","N/A","DRAINAGE OF FINGER ABSCESS","26010","N/A","N/A","N/A","N/A","N/A","719.00","719.00","N/A","N/A","N/A","719.00","719.00","N/A","719.00","719.00","719.00","719.00","719.00","719.00","719.00","719.00","719.00","719.00"
"5","N/A","HCHG DRAIN FINGER ABSC SIMP","26010","N/A","N/A","N/A","N/A","N/A","719.00","719.00","N/A","N/A","N/A","719.00","719.00","N/A","719.00","719.00","719.00","719.00","719.00","719.00","719.00","719.00","719.00","719.00"
"5","N/A","DRAINAGE OF FINGER ABSCESS","26011","N/A","N/A","N/A","N/A","N/A","8469.51","8469.51","N/A","N/A","N/A","8469.51","8469.51","N/A","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51"
"5","N/A","HCHG DRAIN FINGER ABSC COMP","26011","N/A","N/A","N/A","N/A","N/A","8469.51","8469.51","N/A","N/A","N/A","8469.51","8469.51","N/A","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51"
"5","N/A","HCHG DRAIN FINGER ABSC COMPL","26011","N/A","N/A","N/A","N/A","N/A","8469.51","8469.51","N/A","N/A","N/A","8469.51","8469.51","N/A","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51","8469.51"
"5","N/A","HCHG DRAIN HAND TENDON SHEATH","26020","N/A","N/A","N/A","N/A","N/A","15133.87","15133.87","N/A","N/A","N/A","15133.87","15133.87","N/A","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87"
"5","N/A","DRAIN HAND TENDON SHEATH","26020","N/A","N/A","N/A","N/A","34736.68","15133.87","15133.87","N/A","N/A","N/A","15133.87","15133.87","N/A","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87","15133.87"
"5","N/A","RELEASE PALM CONTRACTURE","26045","N/A","N/A","N/A","N/A","61791.19","8148.78","8148.78","N/A","N/A","N/A","8148.78","8148.78","N/A","8148.78","8148.78","8148.78","8148.78","8148.78","8148.78","8148.78","8148.78","8148.78","8148.78"
"5","N/A","INCISE FINGER TENDON SHEATH","26055","N/A","N/A","N/A","N/A","34736.68","7419.60","7419.60","N/A","N/A","N/A","7419.60","7419.60","N/A","7419.60","7419.60","7419.60","7419.60","7419.60","7419.60","7419.60","7419.60","7419.60","7419.60"
"5","N/A","EXPLORE/TREAT FINGER JOINT","26075","N/A","N/A","N/A","N/A","43678.57","14251.98","14251.98","N/A","N/A","N/A","14251.98","14251.98","N/A","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98"
"5","N/A","HCHG ARTHROTOMY W/EXPL MCP JNT EA","26075","N/A","N/A","N/A","N/A","N/A","14251.98","14251.98","N/A","N/A","N/A","14251.98","14251.98","N/A","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98","14251.98"
"5","N/A","HCHG EXPLORE/TREAT FINGER JOINT","26080","N/A","N/A","N/A","N/A","N/A","11128.20","11128.20","N/A","N/A","N/A","11128.20","11128.20","N/A","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20"
"5","N/A","EXPLORE/TREAT FINGER JOINT","26080","N/A","N/A","N/A","N/A","45743.55","11128.20","11128.20","N/A","N/A","N/A","11128.20","11128.20","N/A","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20","11128.20"
"5","N/A","BIOPSY FINGER JOINT LINING","26110","N/A","N/A","N/A","N/A","N/A","8262.73","8262.73","N/A","N/A","N/A","8262.73","8262.73","N/A","8262.73","8262.73","8262.73","8262.73","8262.73","8262.73","8262.73","8262.73","8262.73","8262.73"
"5","N/A","EXC HAND LES SC 1.5 CM/>","26111","N/A","N/A","N/A","N/A","54701.85","9542.00","9542.00","N/A","N/A","N/A","9542.00","9542.00","N/A","9542.00","9542.00","9542.00","9542.00","9542.00","9542.00","9542.00","9542.00","9542.00","9542.00"
"5","N/A","EXC HAND TUM DEEP 1.5 CM/>","26113","N/A","N/A","N/A","N/A","74467.50","11651.85","11651.85","N/A","N/A","N/A","11651.85","11651.85","N/A","11651.85","11651.85","11651.85","11651.85","11651.85","11651.85","11651.85","11651.85","11651.85","11651.85"
"5","N/A","EXC HAND LES SC < 1.5 CM","26115","N/A","N/A","N/A","N/A","54701.85","6821.51","6821.51","N/A","N/A","N/A","6821.51","6821.51","N/A","6821.51","6821.51","6821.51","6821.51","6821.51","6821.51","6821.51","6821.51","6821.51","6821.51"
"5","N/A","EXC HAND TUM DEEP < 1.5 CM","26116","N/A","N/A","N/A","N/A","74467.50","9086.25","9086.25","N/A","N/A","N/A","9086.25","9086.25","N/A","9086.25","9086.25","9086.25","9086.25","9086.25","9086.25","9086.25","9086.25","9086.25","9086.25"
"5","N/A","RAD RESECT HAND TUMOR 3 CM/>","26118","N/A","N/A","N/A","N/A","55310.03","17997.13","17997.13","N/A","N/A","N/A","17997.13","17997.13","N/A","17997.13","17997.13","17997.13","17997.13","17997.13","17997.13","17997.13","17997.13","17997.13","17997.13"
"5","N/A","RELEASE PALM CONTRACTURE","26121","N/A","N/A","N/A","N/A","54701.85","10345.85","10345.85","N/A","N/A","N/A","10345.85","10345.85","N/A","10345.85","10345.85","10345.85","10345.85","10345.85","10345.85","10345.85","10345.85","10345.85","10345.85"
"5","N/A","RELEASE PALM CONTRACTURE","26123","N/A","N/A","N/A","N/A","54701.85","17419.60","17419.60","N/A","N/A","N/A","17419.60","17419.60","N/A","17419.60","17419.60","17419.60","17419.60","17419.60","17419.60","17419.60","17419.60","17419.60","17419.60"
"5","N/A","RELEASE PALM CONTRACTURE","26125","N/A","N/A","N/A","N/A","54701.85","15510.41","15510.41","N/A","N/A","N/A","15510.41","15510.41","N/A","15510.41","15510.41","15510.41","15510.41","15510.41","15510.41","15510.41","15510.41","15510.41","15510.41"
"5","N/A","REMOVE WRIST JOINT LINING","26130","N/A","N/A","N/A","N/A","44490.98","17428.47","17428.47","N/A","N/A","N/A","17428.47","17428.47","N/A","17428.47","17428.47","17428.47","17428.47","17428.47","17428.47","17428.47","17428.47","17428.47","17428.47"
"5","N/A","REVISE FINGER JOINT EACH","26140","N/A","N/A","N/A","N/A","45743.55","14267.41","14267.41","N/A","N/A","N/A","14267.41","14267.41","N/A","14267.41","14267.41","14267.41","14267.41","14267.41","14267.41","14267.41","14267.41","14267.41","14267.41"
"5","N/A","REMOVE TENDON SHEATH LESION","26160","N/A","N/A","N/A","N/A","52316.00","7219.34","7219.34","N/A","N/A","N/A","7219.34","7219.34","N/A","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34"
"5","N/A","HCHG EXC TNDN SHTH LES HND/FING","26160","N/A","N/A","N/A","N/A","N/A","7219.34","7219.34","N/A","N/A","N/A","7219.34","7219.34","N/A","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34","7219.34"
"5","N/A","REMOVAL OF PALM TENDON EACH","26170","N/A","N/A","N/A","N/A","52616.77","6612.79","6612.79","N/A","N/A","N/A","6612.79","6612.79","N/A","6612.79","6612.79","6612.79","6612.79","6612.79","6612.79","6612.79","6612.79","6612.79","6612.79"
"5","N/A","REMOVAL OF FINGER LESION","26210","N/A","N/A","N/A","N/A","82728.68","10712.94","10712.94","N/A","N/A","N/A","10712.94","10712.94","N/A","10712.94","10712.94","10712.94","10712.94","10712.94","10712.94","10712.94","10712.94","10712.94","10712.94"
"5","N/A","PARTIAL REMOVAL FINGER BONE","26235","N/A","N/A","N/A","N/A","82728.68","7846.06","7846.06","N/A","N/A","N/A","7846.06","7846.06","N/A","7846.06","7846.06","7846.06","7846.06","7846.06","7846.06","7846.06","7846.06","7846.06","7846.06"
"5","N/A","PARTIAL REMOVAL FINGER BONE","26236","N/A","N/A","N/A","N/A","82728.68","7812.17","7812.17","N/A","N/A","N/A","7812.17","7812.17","N/A","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17"
"5","N/A","HCHG PART EXC BONE; DISTAL PHALANX","26236","N/A","N/A","N/A","N/A","N/A","7812.17","7812.17","N/A","N/A","N/A","7812.17","7812.17","N/A","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17","7812.17"
"5","N/A","MANIPULATE FINGER W/ANESTH","26340","N/A","N/A","N/A","N/A","N/A","11478.21","11478.21","N/A","N/A","N/A","11478.21","11478.21","N/A","11478.21","11478.21","11478.21","11478.21","11478.21","11478.21","11478.21","11478.21","11478.21","11478.21"
"5","N/A","HCHG MANIPULATION PALM CORD POST INJ","26341","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","MANIPULAT PALM CORD POST INJ","26341","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","HCHG REPAIR FLEX TENDON HND/FNG EA","26350","N/A","N/A","N/A","N/A","N/A","48806.26","48806.26","N/A","N/A","N/A","48806.26","48806.26","N/A","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26"
"5","N/A","REPAIR FINGER/HAND TENDON","26350","N/A","N/A","N/A","N/A","53338.13","48806.26","48806.26","N/A","N/A","N/A","48806.26","48806.26","N/A","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26","48806.26"
"5","N/A","REPAIR FINGER/HAND TENDON","26356","N/A","N/A","N/A","N/A","53338.13","24994.65","24994.65","N/A","N/A","N/A","24994.65","24994.65","N/A","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65"
"5","N/A","HCHG REPAIR FLEX TENDON ZONE2 EA","26356","N/A","N/A","N/A","N/A","N/A","24994.65","24994.65","N/A","N/A","N/A","24994.65","24994.65","N/A","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65","24994.65"
"5","N/A","REPAIR FINGER/HAND TENDON","26357","N/A","N/A","N/A","N/A","53338.13","28949.44","28949.44","N/A","N/A","N/A","28949.44","28949.44","N/A","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44"
"5","N/A","REPAIR FINGER/HAND TENDON","26370","N/A","N/A","N/A","N/A","53338.13","18077.11","18077.11","N/A","N/A","N/A","18077.11","18077.11","N/A","18077.11","18077.11","18077.11","18077.11","18077.11","18077.11","18077.11","18077.11","18077.11","18077.11"
"5","N/A","REVISE HAND/FINGER TENDON","26390","N/A","N/A","N/A","N/A","52616.77","28219.26","28219.26","N/A","N/A","N/A","28219.26","28219.26","N/A","28219.26","28219.26","28219.26","28219.26","28219.26","28219.26","28219.26","28219.26","28219.26","28219.26"
"5","N/A","REPAIR HAND TENDON","26410","N/A","N/A","N/A","N/A","53338.13","13973.74","13973.74","N/A","N/A","N/A","13973.74","13973.74","N/A","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74"
"5","N/A","HCHG REPAIR EXT TENDON HAND","26410","N/A","N/A","N/A","N/A","N/A","13973.74","13973.74","N/A","N/A","N/A","13973.74","13973.74","N/A","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74","13973.74"
"5","N/A","HCHG REPAIR EXT TENDON FINGER","26418","N/A","N/A","N/A","N/A","N/A","13205.84","13205.84","N/A","N/A","N/A","13205.84","13205.84","N/A","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84"
"5","N/A","REPAIR FINGER TENDON","26418","N/A","N/A","N/A","N/A","53338.13","13205.84","13205.84","N/A","N/A","N/A","13205.84","13205.84","N/A","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84","13205.84"
"5","N/A","REPAIR/GRAFT FINGER TENDON","26420","N/A","N/A","N/A","N/A","53338.13","22570.31","22570.31","N/A","N/A","N/A","22570.31","22570.31","N/A","22570.31","22570.31","22570.31","22570.31","22570.31","22570.31","22570.31","22570.31","22570.31","22570.31"
"5","N/A","HCHG SECONDARY REPAIR EXTENSOR TENDON","26426","N/A","N/A","N/A","N/A","N/A","13552.66","13552.66","N/A","N/A","N/A","13552.66","13552.66","N/A","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66"
"5","N/A","REPAIR FINGER/HAND TENDON","26426","N/A","N/A","N/A","N/A","N/A","13552.66","13552.66","N/A","N/A","N/A","13552.66","13552.66","N/A","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66","13552.66"
"5","N/A","HCHG CLSED TRTMT-DISTAL EXTENSOR TENDON INSERTION","26432","N/A","N/A","N/A","N/A","N/A","4362.00","4362.00","N/A","N/A","N/A","4362.00","4362.00","N/A","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00"
"5","N/A","REPAIR FINGER TENDON","26432","N/A","N/A","N/A","N/A","N/A","4362.00","4362.00","N/A","N/A","N/A","4362.00","4362.00","N/A","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00","4362.00"
"5","N/A","HCHG REPAIR FINGER TENDON - NO GRAFT","26433","N/A","N/A","N/A","N/A","N/A","5262.00","5262.00","N/A","N/A","N/A","5262.00","5262.00","N/A","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00"
"5","N/A","REPAIR FINGER TENDON","26433","N/A","N/A","N/A","N/A","N/A","5262.00","5262.00","N/A","N/A","N/A","5262.00","5262.00","N/A","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00"
"5","N/A","REALIGNMENT OF TENDONS","26437","N/A","N/A","N/A","N/A","N/A","15809.68","15809.68","N/A","N/A","N/A","15809.68","15809.68","N/A","15809.68","15809.68","15809.68","15809.68","15809.68","15809.68","15809.68","15809.68","15809.68","15809.68"
"5","N/A","RELEASE HAND/FINGER TENDON","26445","N/A","N/A","N/A","N/A","35246.55","12058.94","12058.94","N/A","N/A","N/A","12058.94","12058.94","N/A","12058.94","12058.94","12058.94","12058.94","12058.94","12058.94","12058.94","12058.94","12058.94","12058.94"
"5","N/A","INCISION OF FINGER TENDON","26455","N/A","N/A","N/A","N/A","34736.68","10975.89","10975.89","N/A","N/A","N/A","10975.89","10975.89","N/A","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89"
"5","N/A","INCISE HAND/FINGER TENDON","26460","N/A","N/A","N/A","N/A","36578.57","12734.34","12734.34","N/A","N/A","N/A","12734.34","12734.34","N/A","12734.34","12734.34","12734.34","12734.34","12734.34","12734.34","12734.34","12734.34","12734.34","12734.34"
"5","N/A","FUSION OF FINGER TENDONS","26471","N/A","N/A","N/A","N/A","53338.13","17069.66","17069.66","N/A","N/A","N/A","17069.66","17069.66","N/A","17069.66","17069.66","17069.66","17069.66","17069.66","17069.66","17069.66","17069.66","17069.66","17069.66"
"5","N/A","FUSION OF FINGER TENDONS","26474","N/A","N/A","N/A","N/A","53338.13","28949.44","28949.44","N/A","N/A","N/A","28949.44","28949.44","N/A","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44","28949.44"
"5","N/A","TENDON LENGTHENING","26476","N/A","N/A","N/A","N/A","53338.13","18151.71","18151.71","N/A","N/A","N/A","18151.71","18151.71","N/A","18151.71","18151.71","18151.71","18151.71","18151.71","18151.71","18151.71","18151.71","18151.71","18151.71"
"5","N/A","LENGTHENING OF HAND TENDON","26478","N/A","N/A","N/A","N/A","53338.13","10975.89","10975.89","N/A","N/A","N/A","10975.89","10975.89","N/A","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89","10975.89"
"5","N/A","TRANSPLANT HAND TENDON","26480","N/A","N/A","N/A","N/A","N/A","20292.22","20292.22","N/A","N/A","N/A","20292.22","20292.22","N/A","20292.22","20292.22","20292.22","20292.22","20292.22","20292.22","20292.22","20292.22","20292.22","20292.22"
"5","N/A","HCHG REVISE THUMB TENDON","26490","N/A","N/A","N/A","N/A","N/A","7847.00","7847.00","N/A","N/A","N/A","7847.00","7847.00","N/A","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00"
"5","N/A","REVISE THUMB TENDON","26490","N/A","N/A","N/A","N/A","N/A","7847.00","7847.00","N/A","N/A","N/A","7847.00","7847.00","N/A","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00","7847.00"
"5","N/A","FINGER TENDON TRANSFER","26497","N/A","N/A","N/A","N/A","N/A","19960.63","19960.63","N/A","N/A","N/A","19960.63","19960.63","N/A","19960.63","19960.63","19960.63","19960.63","19960.63","19960.63","19960.63","19960.63","19960.63","19960.63"
"5","N/A","RELEASE FINGER CONTRACTURE","26525","N/A","N/A","N/A","N/A","41985.84","10497.61","10497.61","N/A","N/A","N/A","10497.61","10497.61","N/A","10497.61","10497.61","10497.61","10497.61","10497.61","10497.61","10497.61","10497.61","10497.61","10497.61"
"5","N/A","REVISE KNUCKLE WITH IMPLANT","26531","N/A","N/A","N/A","N/A","N/A","36551.68","36551.68","N/A","N/A","N/A","36551.68","36551.68","N/A","36551.68","36551.68","36551.68","36551.68","36551.68","36551.68","36551.68","36551.68","36551.68","36551.68"
"5","N/A","REVISE/IMPLANT FINGER JOINT","26536","N/A","N/A","N/A","N/A","54543.60","17653.02","17653.02","N/A","N/A","N/A","17653.02","17653.02","N/A","17653.02","17653.02","17653.02","17653.02","17653.02","17653.02","17653.02","17653.02","17653.02","17653.02"
"5","N/A","HCHG REPAIR COLLAT LIGAMENT MCP/IP","26540","N/A","N/A","N/A","N/A","N/A","18084.46","18084.46","N/A","N/A","N/A","18084.46","18084.46","N/A","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46"
"5","N/A","REPAIR HAND JOINT","26540","N/A","N/A","N/A","N/A","N/A","18084.46","18084.46","N/A","N/A","N/A","18084.46","18084.46","N/A","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46","18084.46"
"5","N/A","REPAIR HAND JOINT WITH GRAFT","26542","N/A","N/A","N/A","N/A","N/A","17514.71","17514.71","N/A","N/A","N/A","17514.71","17514.71","N/A","17514.71","17514.71","17514.71","17514.71","17514.71","17514.71","17514.71","17514.71","17514.71","17514.71"
"5","N/A","REPAIR NONUNION HAND","26546","N/A","N/A","N/A","N/A","78686.42","30423.62","30423.62","N/A","N/A","N/A","30423.62","30423.62","N/A","30423.62","30423.62","30423.62","30423.62","30423.62","30423.62","30423.62","30423.62","30423.62","30423.62"
"5","N/A","CORRECT METACARPAL FLAW","26565","N/A","N/A","N/A","N/A","N/A","10324.87","10324.87","N/A","N/A","N/A","10324.87","10324.87","N/A","10324.87","10324.87","10324.87","10324.87","10324.87","10324.87","10324.87","10324.87","10324.87","10324.87"
"5","N/A","HCHG REPAIR MUSCLES OF HAND","26591","N/A","N/A","N/A","N/A","N/A","5090.00","5090.00","N/A","N/A","N/A","5090.00","5090.00","N/A","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00"
"5","N/A","REPAIR MUSCLES OF HAND","26591","N/A","N/A","N/A","N/A","N/A","5090.00","5090.00","N/A","N/A","N/A","5090.00","5090.00","N/A","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00","5090.00"
"5","N/A","HCHG CL TX MC FX SGL; WO MANIP EA BONE","26600","N/A","N/A","N/A","N/A","N/A","15941.86","15941.86","N/A","N/A","N/A","15941.86","15941.86","N/A","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86"
"5","N/A","HCHG CLSD TX METACARP FX EA BONE","26600","N/A","N/A","N/A","N/A","N/A","15941.86","15941.86","N/A","N/A","N/A","15941.86","15941.86","N/A","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86"
"5","N/A","TREAT METACARPAL FRACTURE","26600","N/A","N/A","N/A","N/A","N/A","15941.86","15941.86","N/A","N/A","N/A","15941.86","15941.86","N/A","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86","15941.86"
"5","N/A","HCHG CLSD TX METACARP FX W MA EA BONE","26605","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","TREAT METACARPAL FRACTURE","26605","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","TREAT METACARPAL FRACTURE","26608","N/A","N/A","N/A","N/A","N/A","12447.12","12447.12","N/A","N/A","N/A","12447.12","12447.12","N/A","12447.12","12447.12","12447.12","12447.12","12447.12","12447.12","12447.12","12447.12","12447.12","12447.12"
"5","N/A","TREAT METACARPAL FRACTURE","26615","N/A","N/A","N/A","N/A","79645.44","17329.57","17329.57","N/A","N/A","N/A","17329.57","17329.57","N/A","17329.57","17329.57","17329.57","17329.57","17329.57","17329.57","17329.57","17329.57","17329.57","17329.57"
"5","N/A","HCHG CLSD TX THUMB DISLOC W MANIP","26641","N/A","N/A","N/A","N/A","N/A","841.00","841.00","N/A","N/A","N/A","841.00","841.00","N/A","841.00","841.00","841.00","841.00","841.00","841.00","841.00","841.00","841.00","841.00"
"5","N/A","TREAT THUMB DISLOCATION","26641","N/A","N/A","N/A","N/A","N/A","841.00","841.00","N/A","N/A","N/A","841.00","841.00","N/A","841.00","841.00","841.00","841.00","841.00","841.00","841.00","841.00","841.00","841.00"
"5","N/A","HCHG CLSD TX THUMB FX/DISLOC W MANIP","26645","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT THUMB FRACTURE","26645","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT THUMB FRACTURE","26650","N/A","N/A","N/A","N/A","N/A","13634.72","13634.72","N/A","N/A","N/A","13634.72","13634.72","N/A","13634.72","13634.72","13634.72","13634.72","13634.72","13634.72","13634.72","13634.72","13634.72","13634.72"
"5","N/A","TREAT THUMB FRACTURE","26665","N/A","N/A","N/A","N/A","78686.42","15832.35","15832.35","N/A","N/A","N/A","15832.35","15832.35","N/A","15832.35","15832.35","15832.35","15832.35","15832.35","15832.35","15832.35","15832.35","15832.35","15832.35"
"5","N/A","HCHG CLSD TX CARPOMETACARP DISLOC EAJNT","26670","N/A","N/A","N/A","N/A","N/A","750.00","750.00","N/A","N/A","N/A","750.00","750.00","N/A","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00"
"5","N/A","TREAT HAND DISLOCATION","26670","N/A","N/A","N/A","N/A","N/A","750.00","750.00","N/A","N/A","N/A","750.00","750.00","N/A","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00"
"5","N/A","PIN HAND DISLOCATION","26676","N/A","N/A","N/A","N/A","N/A","14560.51","14560.51","N/A","N/A","N/A","14560.51","14560.51","N/A","14560.51","14560.51","14560.51","14560.51","14560.51","14560.51","14560.51","14560.51","14560.51","14560.51"
"5","N/A","TREAT HAND DISLOCATION","26686","N/A","N/A","N/A","N/A","N/A","13854.99","13854.99","N/A","N/A","N/A","13854.99","13854.99","N/A","13854.99","13854.99","13854.99","13854.99","13854.99","13854.99","13854.99","13854.99","13854.99","13854.99"
"5","N/A","HCHG CLSD TX METACARP DISLOC WO ANESTH","26700","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","TREAT KNUCKLE DISLOCATION","26700","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","HCHG CL TX MCP DISLOC W MANIP & ANESTH","26705","N/A","N/A","N/A","N/A","N/A","3089.00","3089.00","N/A","N/A","N/A","3089.00","3089.00","N/A","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00"
"5","N/A","TREAT KNUCKLE DISLOCATION","26705","N/A","N/A","N/A","N/A","N/A","3089.00","3089.00","N/A","N/A","N/A","3089.00","3089.00","N/A","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00","3089.00"
"5","N/A","PIN KNUCKLE DISLOCATION","26706","N/A","N/A","N/A","N/A","N/A","11110.28","11110.28","N/A","N/A","N/A","11110.28","11110.28","N/A","11110.28","11110.28","11110.28","11110.28","11110.28","11110.28","11110.28","11110.28","11110.28","11110.28"
"5","N/A","TREAT KNUCKLE DISLOCATION","26715","N/A","N/A","N/A","N/A","N/A","12307.69","12307.69","N/A","N/A","N/A","12307.69","12307.69","N/A","12307.69","12307.69","12307.69","12307.69","12307.69","12307.69","12307.69","12307.69","12307.69","12307.69"
"5","N/A","HCHG CL TX PHAL SHAFT FX; WO MANIP","26720","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX PHALANGEAL SHFT FX","26720","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX PHALANGEAL SHFT FX WO MANIP","26720","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT FINGER FRACTURE EACH","26720","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CL TX PHALANGE SHFT FX WITH MANIPULATION","26725","N/A","N/A","N/A","N/A","N/A","11174.35","11174.35","N/A","N/A","N/A","11174.35","11174.35","N/A","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35"
"5","N/A","HCHG CLSD TX PHALANGEAL SHFT FX W MANIP EA","26725","N/A","N/A","N/A","N/A","N/A","11174.35","11174.35","N/A","N/A","N/A","11174.35","11174.35","N/A","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35"
"5","N/A","TREAT FINGER FRACTURE EACH","26725","N/A","N/A","N/A","N/A","N/A","11174.35","11174.35","N/A","N/A","N/A","11174.35","11174.35","N/A","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35","11174.35"
"5","N/A","TREAT FINGER FRACTURE EACH","26727","N/A","N/A","N/A","N/A","223358.04","11763.80","11763.80","N/A","N/A","N/A","11763.80","11763.80","N/A","11763.80","11763.80","11763.80","11763.80","11763.80","11763.80","11763.80","11763.80","11763.80","11763.80"
"5","N/A","TREAT FINGER FRACTURE EACH","26735","N/A","N/A","N/A","N/A","50616.80","16280.52","16280.52","N/A","N/A","N/A","16280.52","16280.52","N/A","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52"
"5","N/A","HCHG OPEN TX OF FINGER FX W,WO INT/EXT FIXATION,EA","26735","N/A","N/A","N/A","N/A","N/A","16280.52","16280.52","N/A","N/A","N/A","16280.52","16280.52","N/A","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52","16280.52"
"5","N/A","HCHG CL TX ART FX MCP/IP JNT; WO MAN","26740","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","HCHG CLSD TX ARTICULAR FX WO MANIP EA","26740","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","TREAT FINGER FRACTURE EACH","26740","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","HCHG CLSD TX ARTICULAR FX W MANIP","26742","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT FINGER FRACTURE EACH","26742","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","TREAT FINGER FRACTURE EACH","26746","N/A","N/A","N/A","N/A","50616.80","17113.24","17113.24","N/A","N/A","N/A","17113.24","17113.24","N/A","17113.24","17113.24","17113.24","17113.24","17113.24","17113.24","17113.24","17113.24","17113.24","17113.24"
"5","N/A","HCHG CL TX D PHAL FX FGR/THMB; WO MANIP","26750","N/A","N/A","N/A","N/A","N/A","750.00","750.00","N/A","N/A","N/A","750.00","750.00","N/A","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00"
"5","N/A","HCHG CLSD TX DISTAL PHALAN FX","26750","N/A","N/A","N/A","N/A","N/A","750.00","750.00","N/A","N/A","N/A","750.00","750.00","N/A","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00"
"5","N/A","TREAT FINGER FRACTURE EACH","26750","N/A","N/A","N/A","N/A","N/A","750.00","750.00","N/A","N/A","N/A","750.00","750.00","N/A","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00"
"5","N/A","HCHG CLSD TX DISTAL PHALAN FX W MANIP EA","26755","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","TREAT FINGER FRACTURE EACH","26755","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","PIN FINGER FRACTURE EACH","26756","N/A","N/A","N/A","N/A","N/A","18462.39","18462.39","N/A","N/A","N/A","18462.39","18462.39","N/A","18462.39","18462.39","18462.39","18462.39","18462.39","18462.39","18462.39","18462.39","18462.39","18462.39"
"5","N/A","HCHG TREAT FINGER FX EA","26765","N/A","N/A","N/A","N/A","N/A","19769.98","19769.98","N/A","N/A","N/A","19769.98","19769.98","N/A","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98"
"5","N/A","TREAT FINGER FRACTURE EACH","26765","N/A","N/A","N/A","N/A","50616.80","19769.98","19769.98","N/A","N/A","N/A","19769.98","19769.98","N/A","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98","19769.98"
"5","N/A","HCHG CLSD TX FINGER DISLOC (IP)","26770","N/A","N/A","N/A","N/A","N/A","11820.52","11820.52","N/A","N/A","N/A","11820.52","11820.52","N/A","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52"
"5","N/A","TREAT FINGER DISLOCATION","26770","N/A","N/A","N/A","N/A","N/A","11820.52","11820.52","N/A","N/A","N/A","11820.52","11820.52","N/A","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52","11820.52"
"5","N/A","HCHG OPEN TX IP JNT DISLOC SNGL","26785","N/A","N/A","N/A","N/A","N/A","5664.00","5664.00","N/A","N/A","N/A","5664.00","5664.00","N/A","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00"
"5","N/A","TREAT FINGER DISLOCATION","26785","N/A","N/A","N/A","N/A","78686.42","5664.00","5664.00","N/A","N/A","N/A","5664.00","5664.00","N/A","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00","5664.00"
"5","N/A","FUSION OF HAND JOINT","26843","N/A","N/A","N/A","N/A","N/A","31529.52","31529.52","N/A","N/A","N/A","31529.52","31529.52","N/A","31529.52","31529.52","31529.52","31529.52","31529.52","31529.52","31529.52","31529.52","31529.52","31529.52"
"5","N/A","FUSION OF KNUCKLE","26850","N/A","N/A","N/A","N/A","N/A","16956.94","16956.94","N/A","N/A","N/A","16956.94","16956.94","N/A","16956.94","16956.94","16956.94","16956.94","16956.94","16956.94","16956.94","16956.94","16956.94","16956.94"
"5","N/A","FUSION OF FINGER JOINT","26860","N/A","N/A","N/A","N/A","N/A","21552.06","21552.06","N/A","N/A","N/A","21552.06","21552.06","N/A","21552.06","21552.06","21552.06","21552.06","21552.06","21552.06","21552.06","21552.06","21552.06","21552.06"
"5","N/A","FUSION OF FINGER JNT ADD-ON","26861","N/A","N/A","N/A","N/A","N/A","27818.82","27818.82","N/A","N/A","N/A","27818.82","27818.82","N/A","27818.82","27818.82","27818.82","27818.82","27818.82","27818.82","27818.82","27818.82","27818.82","27818.82"
"5","N/A","FUSION/GRAFT OF FINGER JOINT","26862","N/A","N/A","N/A","N/A","N/A","25139.65","25139.65","N/A","N/A","N/A","25139.65","25139.65","N/A","25139.65","25139.65","25139.65","25139.65","25139.65","25139.65","25139.65","25139.65","25139.65","25139.65"
"5","N/A","HCHG AMPUTATION OF FINGER OR THUMB","26951","N/A","N/A","N/A","N/A","N/A","11593.78","11593.78","N/A","N/A","N/A","11593.78","11593.78","N/A","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78"
"5","N/A","AMPUTATION OF FINGER/THUMB","26951","N/A","N/A","N/A","N/A","76782.23","11593.78","11593.78","N/A","N/A","N/A","11593.78","11593.78","N/A","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78","11593.78"
"5","N/A","AMPUTATION OF FINGER/THUMB","26952","N/A","N/A","N/A","N/A","76782.23","16133.33","16133.33","N/A","N/A","N/A","16133.33","16133.33","N/A","16133.33","16133.33","16133.33","16133.33","16133.33","16133.33","16133.33","16133.33","16133.33","16133.33"
"5","N/A","HAND/FINGER SURGERY","26989","N/A","N/A","N/A","N/A","56399.84","15141.32","15141.32","N/A","N/A","N/A","15141.32","15141.32","N/A","15141.32","15141.32","15141.32","15141.32","15141.32","15141.32","15141.32","15141.32","15141.32","15141.32"
"5","N/A","EXC HIP PELVIS LES SC 3 CM/>","27043","N/A","N/A","N/A","N/A","88187.53","11093.14","11093.14","N/A","N/A","N/A","11093.14","11093.14","N/A","11093.14","11093.14","11093.14","11093.14","11093.14","11093.14","11093.14","11093.14","11093.14","11093.14"
"5","N/A","EXC HIP/PELV TUM DEEP 5 CM/>","27045","N/A","N/A","N/A","N/A","105488.72","13303.80","13303.80","N/A","N/A","N/A","13303.80","13303.80","N/A","13303.80","13303.80","13303.80","13303.80","13303.80","13303.80","13303.80","13303.80","13303.80","13303.80"
"5","N/A","EXC HIP/PELVIS LES SC < 3 CM","27047","N/A","N/A","N/A","N/A","77408.95","10293.54","10293.54","N/A","N/A","N/A","10293.54","10293.54","N/A","10293.54","10293.54","10293.54","10293.54","10293.54","10293.54","10293.54","10293.54","10293.54","10293.54"
"5","N/A","EXC HIP/PELV TUM DEEP < 5 CM","27048","N/A","N/A","N/A","N/A","92749.16","17750.25","17750.25","N/A","N/A","N/A","17750.25","17750.25","N/A","17750.25","17750.25","17750.25","17750.25","17750.25","17750.25","17750.25","17750.25","17750.25","17750.25"
"5","N/A","RESECT HIP/PELV TUM < 5 CM","27049","N/A","N/A","N/A","N/A","77408.95","24629.68","24629.68","N/A","N/A","N/A","24629.68","24629.68","N/A","24629.68","24629.68","24629.68","24629.68","24629.68","24629.68","24629.68","24629.68","24629.68","24629.68"
"5","N/A","RESECT HIP/PELV TUM 5 CM/>","27059","N/A","N/A","N/A","N/A","77408.95","27678.30","27678.30","N/A","N/A","N/A","27678.30","27678.30","N/A","27678.30","27678.30","27678.30","27678.30","27678.30","27678.30","27678.30","27678.30","27678.30","27678.30"
"5","N/A","REMOVE FEMUR LESION/BURSA","27062","N/A","N/A","N/A","N/A","751813.71","18544.39","18544.39","N/A","N/A","N/A","18544.39","18544.39","N/A","18544.39","18544.39","18544.39","18544.39","18544.39","18544.39","18544.39","18544.39","18544.39","18544.39"
"5","N/A","REMOVE HIP BONE LES SUPER","27065","N/A","N/A","N/A","N/A","90205.60","18626.94","18626.94","N/A","N/A","N/A","18626.94","18626.94","N/A","18626.94","18626.94","18626.94","18626.94","18626.94","18626.94","18626.94","18626.94","18626.94","18626.94"
"5","N/A","REMOVAL OF TAIL BONE","27080","N/A","N/A","N/A","N/A","N/A","25888.65","25888.65","N/A","N/A","N/A","25888.65","25888.65","N/A","25888.65","25888.65","25888.65","25888.65","25888.65","25888.65","25888.65","25888.65","25888.65","25888.65"
"5","N/A","HCHG INJ FOR HIP","27093","N/A","N/A","N/A","N/A","N/A","5086.92","5086.92","N/A","N/A","N/A","5086.92","5086.92","N/A","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92"
"5","N/A","INJECTION FOR HIP X-RAY","27093","N/A","N/A","N/A","N/A","N/A","5086.92","5086.92","N/A","N/A","N/A","5086.92","5086.92","N/A","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92","5086.92"
"5","N/A","HCHG INJECT SI JOINT ARTHRGRPHY &/ANES/STEROID/ W IMAGING","27096","N/A","N/A","N/A","N/A","N/A","1516.50","1516.50","N/A","N/A","N/A","1516.50","1516.50","N/A","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50"
"5","N/A","INJECT SACROILIAC JOINT","27096","N/A","N/A","N/A","N/A","N/A","1516.50","1516.50","N/A","N/A","N/A","1516.50","1516.50","N/A","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50","1516.50"
"5","N/A","TOTAL HIP ARTHROPLASTY","27130","N/A","N/A","N/A","N/A","62104.98","50339.27","50339.27","N/A","N/A","N/A","50339.27","50339.27","N/A","50339.27","50339.27","50339.27","50339.27","50339.27","50339.27","50339.27","50339.27","50339.27","50339.27"
"5","N/A","TOTAL HIP ARTHROPLASTY","27132","N/A","N/A","N/A","N/A","62104.98","66874.12","66874.12","N/A","N/A","N/A","66874.12","66874.12","N/A","66874.12","66874.12","66874.12","66874.12","66874.12","66874.12","66874.12","66874.12","66874.12","66874.12"
"5","N/A","REVISE HIP JOINT REPLACEMENT","27134","N/A","N/A","N/A","N/A","79545.34","75386.67","75386.67","N/A","N/A","N/A","75386.67","75386.67","N/A","75386.67","75386.67","75386.67","75386.67","75386.67","75386.67","75386.67","75386.67","75386.67","75386.67"
"5","N/A","TREAT SLIPPED EPIPHYSIS","27176","N/A","N/A","N/A","N/A","55954.12","16856.67","16856.67","N/A","N/A","N/A","16856.67","16856.67","N/A","16856.67","16856.67","16856.67","16856.67","16856.67","16856.67","16856.67","16856.67","16856.67","16856.67"
"5","N/A","REINFORCE HIP BONES","27187","N/A","N/A","N/A","N/A","57915.33","37845.39","37845.39","N/A","N/A","N/A","37845.39","37845.39","N/A","37845.39","37845.39","37845.39","37845.39","37845.39","37845.39","37845.39","37845.39","37845.39","37845.39"
"5","N/A","CLSD TX PELVIC RING FX","27197","N/A","N/A","N/A","N/A","N/A","1216.00","1216.00","N/A","N/A","N/A","1216.00","1216.00","N/A","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00"
"5","N/A","HCHG CLSD TX PELVIC RING FX","27197","N/A","N/A","N/A","N/A","N/A","1216.00","1216.00","N/A","N/A","N/A","1216.00","1216.00","N/A","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00","1216.00"
"5","N/A","HCHG CLSD TX OF COCCYGEAL FX","27200","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT TAIL BONE FRACTURE","27200","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX OF ACETABULUM X(S) WO MANIP","27220","N/A","N/A","N/A","N/A","N/A","880.00","880.00","N/A","N/A","N/A","880.00","880.00","N/A","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00"
"5","N/A","HCHG TREAT HIP SOCKET FRACTURE","27220","N/A","N/A","N/A","N/A","N/A","880.00","880.00","N/A","N/A","N/A","880.00","880.00","N/A","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00"
"5","N/A","TREAT HIP SOCKET FRACTURE","27220","N/A","N/A","N/A","N/A","N/A","880.00","880.00","N/A","N/A","N/A","880.00","880.00","N/A","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00","880.00"
"5","N/A","HCHG CLOSED TREATMENT OF ACETABULUM FRACTURE WITH MANIPULATION, WITH OR WITHOUT TRACTION","27222","N/A","N/A","N/A","N/A","N/A","251.00","251.00","N/A","N/A","N/A","251.00","251.00","N/A","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00"
"5","N/A","TREAT HIP SOCKET FRACTURE","27222","N/A","N/A","N/A","N/A","N/A","251.00","251.00","N/A","N/A","N/A","251.00","251.00","N/A","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00"
"5","N/A","HCHG CLSD TX FEM FX WO MANIP","27230","N/A","N/A","N/A","N/A","N/A","1217.00","1217.00","N/A","N/A","N/A","1217.00","1217.00","N/A","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00"
"5","N/A","TREAT THIGH FRACTURE","27230","N/A","N/A","N/A","N/A","N/A","1217.00","1217.00","N/A","N/A","N/A","1217.00","1217.00","N/A","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00","1217.00"
"5","N/A","HCHG CLSD TX FEM FX PROX END/NECK W","27232","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT THIGH FRACTURE","27232","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT THIGH FRACTURE","27235","N/A","N/A","N/A","N/A","62570.44","19293.37","19293.37","N/A","N/A","N/A","19293.37","19293.37","N/A","19293.37","19293.37","19293.37","19293.37","19293.37","19293.37","19293.37","19293.37","19293.37","19293.37"
"5","N/A","HCHG TRT INTER/PERI/SUBTROCHANTERIC FEMORAL FRACTUR","27238","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","TREAT THIGH FRACTURE","27238","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","HCHG CL TX TROCH FEM FX W MANIPULATION","27240","N/A","N/A","N/A","N/A","N/A","3340.00","3340.00","N/A","N/A","N/A","3340.00","3340.00","N/A","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00"
"5","N/A","HCHG CLSD TX INTRA/PERI/SBTRCHTC FEM FX W MANIP","27240","N/A","N/A","N/A","N/A","N/A","3340.00","3340.00","N/A","N/A","N/A","3340.00","3340.00","N/A","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00"
"5","N/A","TREAT THIGH FRACTURE","27240","N/A","N/A","N/A","N/A","N/A","3340.00","3340.00","N/A","N/A","N/A","3340.00","3340.00","N/A","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00","3340.00"
"5","N/A","HCHG CLSD TX GTR TROCHNTRC FX WO MANIP","27246","N/A","N/A","N/A","N/A","N/A","997.00","997.00","N/A","N/A","N/A","997.00","997.00","N/A","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00"
"5","N/A","HCHG TRT TROCHANTERIC FRACTURE","27246","N/A","N/A","N/A","N/A","N/A","997.00","997.00","N/A","N/A","N/A","997.00","997.00","N/A","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00"
"5","N/A","TREAT THIGH FRACTURE","27246","N/A","N/A","N/A","N/A","N/A","997.00","997.00","N/A","N/A","N/A","997.00","997.00","N/A","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00","997.00"
"5","N/A","HCHG CLSD TX HIP DISLOC WO ANESTH","27250","N/A","N/A","N/A","N/A","N/A","1262.00","1262.00","N/A","N/A","N/A","1262.00","1262.00","N/A","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00"
"5","N/A","TREAT HIP DISLOCATION","27250","N/A","N/A","N/A","N/A","N/A","1262.00","1262.00","N/A","N/A","N/A","1262.00","1262.00","N/A","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00","1262.00"
"5","N/A","HCHG CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA","27252","N/A","N/A","N/A","N/A","N/A","3166.00","3166.00","N/A","N/A","N/A","3166.00","3166.00","N/A","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00"
"5","N/A","TREAT HIP DISLOCATION","27252","N/A","N/A","N/A","N/A","N/A","3166.00","3166.00","N/A","N/A","N/A","3166.00","3166.00","N/A","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00","3166.00"
"5","N/A","HCHG TREAT HIP DISLOCATION","27256","N/A","N/A","N/A","N/A","N/A","665.00","665.00","N/A","N/A","N/A","665.00","665.00","N/A","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00"
"5","N/A","HCHG TXSP HIP DISL ABD SPLNT/TRAC WITHOUT ANES,WITHOUT MANIPULATION","27256","N/A","N/A","N/A","N/A","N/A","665.00","665.00","N/A","N/A","N/A","665.00","665.00","N/A","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00"
"5","N/A","TREAT HIP DISLOCATION","27256","N/A","N/A","N/A","N/A","N/A","665.00","665.00","N/A","N/A","N/A","665.00","665.00","N/A","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00","665.00"
"5","N/A","HCHG CLSD TX POST HIP ARTH WO ANESTH","27265","N/A","N/A","N/A","N/A","N/A","664.00","664.00","N/A","N/A","N/A","664.00","664.00","N/A","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00"
"5","N/A","TREAT HIP DISLOCATION","27265","N/A","N/A","N/A","N/A","N/A","664.00","664.00","N/A","N/A","N/A","664.00","664.00","N/A","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00"
"5","N/A","HCHG CLOSED TX - POST HIP ARTHROPLASTY DISLOCATION, REQ ANESTHESIA","27266","N/A","N/A","N/A","N/A","N/A","26254.58","26254.58","N/A","N/A","N/A","26254.58","26254.58","N/A","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58"
"5","N/A","TREAT HIP DISLOCATION","27266","N/A","N/A","N/A","N/A","N/A","26254.58","26254.58","N/A","N/A","N/A","26254.58","26254.58","N/A","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58","26254.58"
"5","N/A","CLTX THIGH FX","27267","N/A","N/A","N/A","N/A","N/A","3413.00","3413.00","N/A","N/A","N/A","3413.00","3413.00","N/A","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00"
"5","N/A","HCHG CLSD TX FEMORAL FX,PROXIMAL END,HEAD WO MANIP","27267","N/A","N/A","N/A","N/A","N/A","3413.00","3413.00","N/A","N/A","N/A","3413.00","3413.00","N/A","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00","3413.00"
"5","N/A","CLTX THIGH FX W/MNPJ","27268","N/A","N/A","N/A","N/A","N/A","753.00","753.00","N/A","N/A","N/A","753.00","753.00","N/A","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00"
"5","N/A","HCHG CLTX THIGH FX W/MNPJ","27268","N/A","N/A","N/A","N/A","N/A","753.00","753.00","N/A","N/A","N/A","753.00","753.00","N/A","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00"
"5","N/A","PELVIS/HIP JOINT SURGERY","27299","N/A","N/A","N/A","N/A","58955.77","34549.42","34549.42","N/A","N/A","N/A","34549.42","34549.42","N/A","34549.42","34549.42","34549.42","34549.42","34549.42","34549.42","34549.42","34549.42","34549.42","34549.42"
"5","N/A","DRAIN THIGH/KNEE LESION","27301","N/A","N/A","N/A","N/A","N/A","5808.00","5808.00","N/A","N/A","N/A","5808.00","5808.00","N/A","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00"
"5","N/A","HCHG I&D DP ABSC BURSA/HEMAT THIGH/","27301","N/A","N/A","N/A","N/A","N/A","5808.00","5808.00","N/A","N/A","N/A","5808.00","5808.00","N/A","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00","5808.00"
"5","N/A","INCISE THIGH TENDON & FASCIA","27305","N/A","N/A","N/A","N/A","N/A","16646.80","16646.80","N/A","N/A","N/A","16646.80","16646.80","N/A","16646.80","16646.80","16646.80","16646.80","16646.80","16646.80","16646.80","16646.80","16646.80","16646.80"
"5","N/A","EXPLORATION OF KNEE JOINT","27310","N/A","N/A","N/A","N/A","91742.91","19443.61","19443.61","N/A","N/A","N/A","19443.61","19443.61","N/A","19443.61","19443.61","19443.61","19443.61","19443.61","19443.61","19443.61","19443.61","19443.61","19443.61"
"5","N/A","EXC THIGH/KNEE LES SC < 3 CM","27327","N/A","N/A","N/A","N/A","76698.15","14654.61","14654.61","N/A","N/A","N/A","14654.61","14654.61","N/A","14654.61","14654.61","14654.61","14654.61","14654.61","14654.61","14654.61","14654.61","14654.61","14654.61"
"5","N/A","EXC THIGH/KNEE TUM DEEP <5CM","27328","N/A","N/A","N/A","N/A","76698.15","15376.52","15376.52","N/A","N/A","N/A","15376.52","15376.52","N/A","15376.52","15376.52","15376.52","15376.52","15376.52","15376.52","15376.52","15376.52","15376.52","15376.52"
"5","N/A","RESECT THIGH/KNEE TUM < 5 CM","27329","N/A","N/A","N/A","N/A","N/A","15640.39","15640.39","N/A","N/A","N/A","15640.39","15640.39","N/A","15640.39","15640.39","15640.39","15640.39","15640.39","15640.39","15640.39","15640.39","15640.39","15640.39"
"5","N/A","EXC THIGH/KNEE LES SC 3 CM/>","27337","N/A","N/A","N/A","N/A","76698.15","12816.08","12816.08","N/A","N/A","N/A","12816.08","12816.08","N/A","12816.08","12816.08","12816.08","12816.08","12816.08","12816.08","12816.08","12816.08","12816.08","12816.08"
"5","N/A","EXC THIGH/KNEE TUM DEP 5CM/>","27339","N/A","N/A","N/A","N/A","76698.15","21274.55","21274.55","N/A","N/A","N/A","21274.55","21274.55","N/A","21274.55","21274.55","21274.55","21274.55","21274.55","21274.55","21274.55","21274.55","21274.55","21274.55"
"5","N/A","REMOVAL OF KNEECAP BURSA","27340","N/A","N/A","N/A","N/A","78966.82","13549.46","13549.46","N/A","N/A","N/A","13549.46","13549.46","N/A","13549.46","13549.46","13549.46","13549.46","13549.46","13549.46","13549.46","13549.46","13549.46","13549.46"
"5","N/A","REMOVAL OF KNEE CYST","27345","N/A","N/A","N/A","N/A","N/A","33293.34","33293.34","N/A","N/A","N/A","33293.34","33293.34","N/A","33293.34","33293.34","33293.34","33293.34","33293.34","33293.34","33293.34","33293.34","33293.34","33293.34"
"5","N/A","REMOVE KNEE CYST","27347","N/A","N/A","N/A","N/A","90175.28","14963.97","14963.97","N/A","N/A","N/A","14963.97","14963.97","N/A","14963.97","14963.97","14963.97","14963.97","14963.97","14963.97","14963.97","14963.97","14963.97","14963.97"
"5","N/A","REMOVE FEMUR LESION","27355","N/A","N/A","N/A","N/A","77420.33","35166.49","35166.49","N/A","N/A","N/A","35166.49","35166.49","N/A","35166.49","35166.49","35166.49","35166.49","35166.49","35166.49","35166.49","35166.49","35166.49","35166.49"
"5","N/A","RESECT THIGH/KNEE TUM 5 CM/>","27364","N/A","N/A","N/A","N/A","76942.63","23591.50","23591.50","N/A","N/A","N/A","23591.50","23591.50","N/A","23591.50","23591.50","23591.50","23591.50","23591.50","23591.50","23591.50","23591.50","23591.50","23591.50"
"5","N/A","HCHG NJX CNTRST KNE ARTHG/CT/MRI","27369","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","NJX CNTRST KNE ARTHG/CT/MRI","27369","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","REPAIR OF KNEECAP TENDON","27380","N/A","N/A","N/A","N/A","N/A","27137.53","27137.53","N/A","N/A","N/A","27137.53","27137.53","N/A","27137.53","27137.53","27137.53","27137.53","27137.53","27137.53","27137.53","27137.53","27137.53","27137.53"
"5","N/A","REPAIR/GRAFT KNEECAP TENDON","27381","N/A","N/A","N/A","N/A","N/A","33554.63","33554.63","N/A","N/A","N/A","33554.63","33554.63","N/A","33554.63","33554.63","33554.63","33554.63","33554.63","33554.63","33554.63","33554.63","33554.63","33554.63"
"5","N/A","REPAIR OF THIGH MUSCLE","27385","N/A","N/A","N/A","N/A","N/A","26854.05","26854.05","N/A","N/A","N/A","26854.05","26854.05","N/A","26854.05","26854.05","26854.05","26854.05","26854.05","26854.05","26854.05","26854.05","26854.05","26854.05"
"5","N/A","REPAIR/GRAFT OF THIGH MUSCLE","27386","N/A","N/A","N/A","N/A","N/A","25079.92","25079.92","N/A","N/A","N/A","25079.92","25079.92","N/A","25079.92","25079.92","25079.92","25079.92","25079.92","25079.92","25079.92","25079.92","25079.92","25079.92"
"5","N/A","REPAIR OF KNEE CARTILAGE","27403","N/A","N/A","N/A","N/A","102261.04","37266.41","37266.41","N/A","N/A","N/A","37266.41","37266.41","N/A","37266.41","37266.41","37266.41","37266.41","37266.41","37266.41","37266.41","37266.41","37266.41","37266.41"
"5","N/A","AUTOCHONDROCYTE IMPLANT KNEE","27412","N/A","N/A","N/A","N/A","102261.04","90676.80","90676.80","N/A","N/A","N/A","90676.80","90676.80","N/A","90676.80","90676.80","90676.80","90676.80","90676.80","90676.80","90676.80","90676.80","90676.80","90676.80"
"5","N/A","REVISION OF UNSTABLE KNEECAP","27422","N/A","N/A","N/A","N/A","N/A","22843.95","22843.95","N/A","N/A","N/A","22843.95","22843.95","N/A","22843.95","22843.95","22843.95","22843.95","22843.95","22843.95","22843.95","22843.95","22843.95","22843.95"
"5","N/A","RECONSTRUCTION KNEE","27427","N/A","N/A","N/A","N/A","48921.36","40454.87","40454.87","N/A","N/A","N/A","40454.87","40454.87","N/A","40454.87","40454.87","40454.87","40454.87","40454.87","40454.87","40454.87","40454.87","40454.87","40454.87"
"5","N/A","REVISE KNEECAP WITH IMPLANT","27438","N/A","N/A","N/A","N/A","N/A","24784.34","24784.34","N/A","N/A","N/A","24784.34","24784.34","N/A","24784.34","24784.34","24784.34","24784.34","24784.34","24784.34","24784.34","24784.34","24784.34","24784.34"
"5","N/A","REVISION OF KNEE JOINT","27442","N/A","N/A","N/A","N/A","102261.04","36112.23","36112.23","N/A","N/A","N/A","36112.23","36112.23","N/A","36112.23","36112.23","36112.23","36112.23","36112.23","36112.23","36112.23","36112.23","36112.23","36112.23"
"5","N/A","REVISION OF KNEE JOINT","27446","N/A","N/A","N/A","N/A","71948.98","42616.75","42616.75","N/A","N/A","N/A","42616.75","42616.75","N/A","42616.75","42616.75","42616.75","42616.75","42616.75","42616.75","42616.75","42616.75","42616.75","42616.75"
"5","N/A","TOTAL KNEE ARTHROPLASTY","27447","N/A","N/A","N/A","N/A","59951.83","48132.84","48132.84","N/A","N/A","N/A","48132.84","48132.84","N/A","48132.84","48132.84","48132.84","48132.84","48132.84","48132.84","48132.84","48132.84","48132.84","48132.84"
"5","N/A","REPAIR/GRAFT OF THIGH","27472","N/A","N/A","N/A","N/A","N/A","56766.65","56766.65","N/A","N/A","N/A","56766.65","56766.65","N/A","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65"
"5","N/A","SURGERY TO STOP LEG GROWTH","27485","N/A","N/A","N/A","N/A","91308.36","48983.16","48983.16","N/A","N/A","N/A","48983.16","48983.16","N/A","48983.16","48983.16","48983.16","48983.16","48983.16","48983.16","48983.16","48983.16","48983.16","48983.16"
"5","N/A","REVISE/REPLACE KNEE JOINT","27486","N/A","N/A","N/A","N/A","91303.26","35266.26","35266.26","N/A","N/A","N/A","35266.26","35266.26","N/A","35266.26","35266.26","35266.26","35266.26","35266.26","35266.26","35266.26","35266.26","35266.26","35266.26"
"5","N/A","REVISE/REPLACE KNEE JOINT","27487","N/A","N/A","N/A","N/A","77747.30","67138.65","67138.65","N/A","N/A","N/A","67138.65","67138.65","N/A","67138.65","67138.65","67138.65","67138.65","67138.65","67138.65","67138.65","67138.65","67138.65","67138.65"
"5","N/A","REINFORCE THIGH","27495","N/A","N/A","N/A","N/A","61705.77","40855.89","40855.89","N/A","N/A","N/A","40855.89","40855.89","N/A","40855.89","40855.89","40855.89","40855.89","40855.89","40855.89","40855.89","40855.89","40855.89","40855.89"
"5","N/A","HCHG CL TX FEMORAL SHAFT FX WO MANIP","27500","N/A","N/A","N/A","N/A","N/A","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","HCHG CLSD TX FEM SHFT FX WO MANIP","27500","N/A","N/A","N/A","N/A","N/A","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","TREATMENT OF THIGH FRACTURE","27500","N/A","N/A","N/A","N/A","N/A","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","HCHG CL TX SC/TC FEMUR FX WO MANIP","27501","N/A","N/A","N/A","N/A","N/A","837.00","837.00","N/A","N/A","N/A","837.00","837.00","N/A","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00"
"5","N/A","HCHG TRT SUPRA/TRANSCONDYLAR FEMORAL FRACTUR W/O MANIP","27501","N/A","N/A","N/A","N/A","N/A","837.00","837.00","N/A","N/A","N/A","837.00","837.00","N/A","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00"
"5","N/A","TREATMENT OF THIGH FRACTURE","27501","N/A","N/A","N/A","N/A","N/A","837.00","837.00","N/A","N/A","N/A","837.00","837.00","N/A","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00","837.00"
"5","N/A","HCHG CLSD TX FEM SHFT FX W MANIP TRAC","27502","N/A","N/A","N/A","N/A","N/A","1975.00","1975.00","N/A","N/A","N/A","1975.00","1975.00","N/A","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00"
"5","N/A","TREATMENT OF THIGH FRACTURE","27502","N/A","N/A","N/A","N/A","N/A","1975.00","1975.00","N/A","N/A","N/A","1975.00","1975.00","N/A","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00","1975.00"
"5","N/A","HCHG TRT SUPRA/TRANSCONDYLAR FEMORAL FRACTUR W MANIP","27503","N/A","N/A","N/A","N/A","N/A","1704.00","1704.00","N/A","N/A","N/A","1704.00","1704.00","N/A","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00"
"5","N/A","TREATMENT OF THIGH FRACTURE","27503","N/A","N/A","N/A","N/A","N/A","1704.00","1704.00","N/A","N/A","N/A","1704.00","1704.00","N/A","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00"
"5","N/A","HCHG CL TX D FEM FX WO MANIP","27508","N/A","N/A","N/A","N/A","N/A","1274.00","1274.00","N/A","N/A","N/A","1274.00","1274.00","N/A","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00"
"5","N/A","HCHG CLSD TX FEM FX DISTAL END WO","27508","N/A","N/A","N/A","N/A","N/A","1274.00","1274.00","N/A","N/A","N/A","1274.00","1274.00","N/A","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00"
"5","N/A","TREATMENT OF THIGH FRACTURE","27508","N/A","N/A","N/A","N/A","N/A","1274.00","1274.00","N/A","N/A","N/A","1274.00","1274.00","N/A","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00","1274.00"
"5","N/A","HCHG CLSD TX FEM FX DISTAL END W MANIP","27510","N/A","N/A","N/A","N/A","N/A","1704.00","1704.00","N/A","N/A","N/A","1704.00","1704.00","N/A","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00"
"5","N/A","TREATMENT OF THIGH FRACTURE","27510","N/A","N/A","N/A","N/A","N/A","1704.00","1704.00","N/A","N/A","N/A","1704.00","1704.00","N/A","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00"
"5","N/A","TREATMENT OF THIGH FRACTURE","27511","N/A","N/A","N/A","N/A","83463.12","40977.96","40977.96","N/A","N/A","N/A","40977.96","40977.96","N/A","40977.96","40977.96","40977.96","40977.96","40977.96","40977.96","40977.96","40977.96","40977.96","40977.96"
"5","N/A","TREATMENT OF THIGH FRACTURE","27514","N/A","N/A","N/A","N/A","82749.29","21932.84","21932.84","N/A","N/A","N/A","21932.84","21932.84","N/A","21932.84","21932.84","21932.84","21932.84","21932.84","21932.84","21932.84","21932.84","21932.84","21932.84"
"5","N/A","HCHG TRT DISTAL FEMORAL EPIPHYSEAL SEPARATION W/O MANIP","27516","N/A","N/A","N/A","N/A","N/A","1099.00","1099.00","N/A","N/A","N/A","1099.00","1099.00","N/A","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00"
"5","N/A","TREAT THIGH FX GROWTH PLATE","27516","N/A","N/A","N/A","N/A","N/A","1099.00","1099.00","N/A","N/A","N/A","1099.00","1099.00","N/A","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00"
"5","N/A","HCHG TRT DISTAL FEMORAL EPIPHYSEAL SEPARATION W MANIP","27517","N/A","N/A","N/A","N/A","N/A","1793.00","1793.00","N/A","N/A","N/A","1793.00","1793.00","N/A","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00"
"5","N/A","TREAT THIGH FX GROWTH PLATE","27517","N/A","N/A","N/A","N/A","N/A","1793.00","1793.00","N/A","N/A","N/A","1793.00","1793.00","N/A","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00","1793.00"
"5","N/A","HCHG CLOSED TX PATELLAR FX WO MANIP","27520","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX PATELLAR FX WO MANIP","27520","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT KNEECAP FRACTURE","27520","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT KNEECAP FRACTURE","27524","N/A","N/A","N/A","N/A","55329.14","22638.61","22638.61","N/A","N/A","N/A","22638.61","22638.61","N/A","22638.61","22638.61","22638.61","22638.61","22638.61","22638.61","22638.61","22638.61","22638.61","22638.61"
"5","N/A","HCHG CL TX PROX TIBIAL FX WO MANIP","27530","N/A","N/A","N/A","N/A","N/A","947.00","947.00","N/A","N/A","N/A","947.00","947.00","N/A","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00"
"5","N/A","HCHG CLSD TX TIBI FX PROX","27530","N/A","N/A","N/A","N/A","N/A","947.00","947.00","N/A","N/A","N/A","947.00","947.00","N/A","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00"
"5","N/A","HCHG CLSD TX TIBIAL FX WO MANIP","27530","N/A","N/A","N/A","N/A","N/A","947.00","947.00","N/A","N/A","N/A","947.00","947.00","N/A","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00"
"5","N/A","TREAT KNEE FRACTURE","27530","N/A","N/A","N/A","N/A","N/A","947.00","947.00","N/A","N/A","N/A","947.00","947.00","N/A","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00","947.00"
"5","N/A","HCHG CLSD TX TIB FX PROX W TRAC","27532","N/A","N/A","N/A","N/A","N/A","5262.00","5262.00","N/A","N/A","N/A","5262.00","5262.00","N/A","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00"
"5","N/A","TREAT KNEE FRACTURE","27532","N/A","N/A","N/A","N/A","N/A","5262.00","5262.00","N/A","N/A","N/A","5262.00","5262.00","N/A","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00","5262.00"
"5","N/A","TREAT KNEE FRACTURE","27535","N/A","N/A","N/A","N/A","74634.26","29931.11","29931.11","N/A","N/A","N/A","29931.11","29931.11","N/A","29931.11","29931.11","29931.11","29931.11","29931.11","29931.11","29931.11","29931.11","29931.11","29931.11"
"5","N/A","TREAT KNEE FRACTURE","27536","N/A","N/A","N/A","N/A","74703.59","28622.85","28622.85","N/A","N/A","N/A","28622.85","28622.85","N/A","28622.85","28622.85","28622.85","28622.85","28622.85","28622.85","28622.85","28622.85","28622.85","28622.85"
"5","N/A","HCHG CLSD TX IC SP OR TUBEROSITY FX KNEE W OR WO MANIP","27538","N/A","N/A","N/A","N/A","N/A","1135.00","1135.00","N/A","N/A","N/A","1135.00","1135.00","N/A","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00"
"5","N/A","HCHG TREAT KNEE FRACTURE(S)","27538","N/A","N/A","N/A","N/A","N/A","1135.00","1135.00","N/A","N/A","N/A","1135.00","1135.00","N/A","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00"
"5","N/A","TREAT KNEE FRACTURE(S)","27538","N/A","N/A","N/A","N/A","N/A","1135.00","1135.00","N/A","N/A","N/A","1135.00","1135.00","N/A","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00","1135.00"
"5","N/A","TREAT KNEE FRACTURE","27540","N/A","N/A","N/A","N/A","74703.59","31677.96","31677.96","N/A","N/A","N/A","31677.96","31677.96","N/A","31677.96","31677.96","31677.96","31677.96","31677.96","31677.96","31677.96","31677.96","31677.96","31677.96"
"5","N/A","HCHG CLSD TX KNEE DISLOC WO ANESTH","27550","N/A","N/A","N/A","N/A","N/A","1178.00","1178.00","N/A","N/A","N/A","1178.00","1178.00","N/A","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00"
"5","N/A","TREAT KNEE DISLOCATION","27550","N/A","N/A","N/A","N/A","N/A","1178.00","1178.00","N/A","N/A","N/A","1178.00","1178.00","N/A","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00","1178.00"
"5","N/A","HCHG CLSD TX PATELLAR DISLOC","27560","N/A","N/A","N/A","N/A","N/A","816.00","816.00","N/A","N/A","N/A","816.00","816.00","N/A","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00"
"5","N/A","TREAT KNEECAP DISLOCATION","27560","N/A","N/A","N/A","N/A","N/A","816.00","816.00","N/A","N/A","N/A","816.00","816.00","N/A","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00"
"5","N/A","HCHG CLOSED TREATMENT PATELLAR DISLOCATION W ANES","27562","N/A","N/A","N/A","N/A","N/A","23477.00","23477.00","N/A","N/A","N/A","23477.00","23477.00","N/A","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00"
"5","N/A","TREAT KNEECAP DISLOCATION","27562","N/A","N/A","N/A","N/A","N/A","23477.00","23477.00","N/A","N/A","N/A","23477.00","23477.00","N/A","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00","23477.00"
"5","N/A","FIXATION OF KNEE JOINT","27570","N/A","N/A","N/A","N/A","N/A","8581.03","8581.03","N/A","N/A","N/A","8581.03","8581.03","N/A","8581.03","8581.03","8581.03","8581.03","8581.03","8581.03","8581.03","8581.03","8581.03","8581.03"
"5","N/A","LEG SURGERY PROCEDURE","27599","N/A","N/A","N/A","N/A","59963.66","27302.15","27302.15","N/A","N/A","N/A","27302.15","27302.15","N/A","27302.15","27302.15","27302.15","27302.15","27302.15","27302.15","27302.15","27302.15","27302.15","27302.15"
"5","N/A","DRAIN LOWER LEG LESION","27603","N/A","N/A","N/A","N/A","52922.99","9731.03","9731.03","N/A","N/A","N/A","9731.03","9731.03","N/A","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03"
"5","N/A","HCHG I&D LEG/ANKLE DEEP ABSCESS/HEMATOMA","27603","N/A","N/A","N/A","N/A","N/A","9731.03","9731.03","N/A","N/A","N/A","9731.03","9731.03","N/A","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03","9731.03"
"5","N/A","EXPLORATION OF ANKLE JOINT","27612","N/A","N/A","N/A","N/A","N/A","16077.65","16077.65","N/A","N/A","N/A","16077.65","16077.65","N/A","16077.65","16077.65","16077.65","16077.65","16077.65","16077.65","16077.65","16077.65","16077.65","16077.65"
"5","N/A","RESECT LEG/ANKLE TUM < 5 CM","27615","N/A","N/A","N/A","N/A","76698.15","15584.47","15584.47","N/A","N/A","N/A","15584.47","15584.47","N/A","15584.47","15584.47","15584.47","15584.47","15584.47","15584.47","15584.47","15584.47","15584.47","15584.47"
"5","N/A","RESECT LEG/ANKLE TUM 5 CM/>","27616","N/A","N/A","N/A","N/A","76698.15","23326.19","23326.19","N/A","N/A","N/A","23326.19","23326.19","N/A","23326.19","23326.19","23326.19","23326.19","23326.19","23326.19","23326.19","23326.19","23326.19","23326.19"
"5","N/A","EXC LEG/ANKLE TUM DEEP <5 CM","27619","N/A","N/A","N/A","N/A","76942.63","9034.42","9034.42","N/A","N/A","N/A","9034.42","9034.42","N/A","9034.42","9034.42","9034.42","9034.42","9034.42","9034.42","9034.42","9034.42","9034.42","9034.42"
"5","N/A","REMOVE ANKLE JOINT LINING","27626","N/A","N/A","N/A","N/A","66853.71","21868.68","21868.68","N/A","N/A","N/A","21868.68","21868.68","N/A","21868.68","21868.68","21868.68","21868.68","21868.68","21868.68","21868.68","21868.68","21868.68","21868.68"
"5","N/A","REMOVAL OF TENDON LESION","27630","N/A","N/A","N/A","N/A","68326.56","11580.28","11580.28","N/A","N/A","N/A","11580.28","11580.28","N/A","11580.28","11580.28","11580.28","11580.28","11580.28","11580.28","11580.28","11580.28","11580.28","11580.28"
"5","N/A","EXC LEG/ANKLE LES SC 3 CM/>","27632","N/A","N/A","N/A","N/A","72033.81","9915.74","9915.74","N/A","N/A","N/A","9915.74","9915.74","N/A","9915.74","9915.74","9915.74","9915.74","9915.74","9915.74","9915.74","9915.74","9915.74","9915.74"
"5","N/A","EXC LEG/ANKLE TUM DEP 5 CM/>","27634","N/A","N/A","N/A","N/A","76942.63","16113.86","16113.86","N/A","N/A","N/A","16113.86","16113.86","N/A","16113.86","16113.86","16113.86","16113.86","16113.86","16113.86","16113.86","16113.86","16113.86","16113.86"
"5","N/A","REMOVE LOWER LEG BONE LESION","27635","N/A","N/A","N/A","N/A","92400.99","15579.07","15579.07","N/A","N/A","N/A","15579.07","15579.07","N/A","15579.07","15579.07","15579.07","15579.07","15579.07","15579.07","15579.07","15579.07","15579.07","15579.07"
"5","N/A","PARTIAL REMOVAL OF TIBIA","27640","N/A","N/A","N/A","N/A","98266.56","54706.69","54706.69","N/A","N/A","N/A","54706.69","54706.69","N/A","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69"
"5","N/A","HCHG INJ FOR ANKLE","27648","N/A","N/A","N/A","N/A","N/A","155.00","155.00","N/A","N/A","N/A","155.00","155.00","N/A","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00"
"5","N/A","INJECTION FOR ANKLE X-RAY","27648","N/A","N/A","N/A","N/A","N/A","155.00","155.00","N/A","N/A","N/A","155.00","155.00","N/A","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00"
"5","N/A","REPAIR ACHILLES TENDON","27650","N/A","N/A","N/A","N/A","31525.81","19403.10","19403.10","N/A","N/A","N/A","19403.10","19403.10","N/A","19403.10","19403.10","19403.10","19403.10","19403.10","19403.10","19403.10","19403.10","19403.10","19403.10"
"5","N/A","REPAIR/GRAFT ACHILLES TENDON","27652","N/A","N/A","N/A","N/A","44546.77","31093.73","31093.73","N/A","N/A","N/A","31093.73","31093.73","N/A","31093.73","31093.73","31093.73","31093.73","31093.73","31093.73","31093.73","31093.73","31093.73","31093.73"
"5","N/A","REPAIR OF ACHILLES TENDON","27654","N/A","N/A","N/A","N/A","44546.77","19406.39","19406.39","N/A","N/A","N/A","19406.39","19406.39","N/A","19406.39","19406.39","19406.39","19406.39","19406.39","19406.39","19406.39","19406.39","19406.39","19406.39"
"5","N/A","REPAIR OF LEG TENDON EACH","27658","N/A","N/A","N/A","N/A","44546.77","20841.81","20841.81","N/A","N/A","N/A","20841.81","20841.81","N/A","20841.81","20841.81","20841.81","20841.81","20841.81","20841.81","20841.81","20841.81","20841.81","20841.81"
"5","N/A","REPAIR OF LEG TENDON EACH","27659","N/A","N/A","N/A","N/A","44546.77","18835.25","18835.25","N/A","N/A","N/A","18835.25","18835.25","N/A","18835.25","18835.25","18835.25","18835.25","18835.25","18835.25","18835.25","18835.25","18835.25","18835.25"
"5","N/A","REPAIR OF LEG TENDON EACH","27664","N/A","N/A","N/A","N/A","44546.77","11268.00","11268.00","N/A","N/A","N/A","11268.00","11268.00","N/A","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00"
"5","N/A","HCHG REPAIR EXT TENDON LEG PRIM WO GRAFT","27664","N/A","N/A","N/A","N/A","N/A","11268.00","11268.00","N/A","N/A","N/A","11268.00","11268.00","N/A","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00","11268.00"
"5","N/A","RELEASE OF LOWER LEG TENDON","27680","N/A","N/A","N/A","N/A","N/A","23581.24","23581.24","N/A","N/A","N/A","23581.24","23581.24","N/A","23581.24","23581.24","23581.24","23581.24","23581.24","23581.24","23581.24","23581.24","23581.24","23581.24"
"5","N/A","REVISION OF LOWER LEG TENDON","27685","N/A","N/A","N/A","N/A","N/A","39025.20","39025.20","N/A","N/A","N/A","39025.20","39025.20","N/A","39025.20","39025.20","39025.20","39025.20","39025.20","39025.20","39025.20","39025.20","39025.20","39025.20"
"5","N/A","REVISE LOWER LEG TENDONS","27686","N/A","N/A","N/A","N/A","N/A","65419.54","65419.54","N/A","N/A","N/A","65419.54","65419.54","N/A","65419.54","65419.54","65419.54","65419.54","65419.54","65419.54","65419.54","65419.54","65419.54","65419.54"
"5","N/A","REVISION OF CALF TENDON","27687","N/A","N/A","N/A","N/A","44104.98","41594.64","41594.64","N/A","N/A","N/A","41594.64","41594.64","N/A","41594.64","41594.64","41594.64","41594.64","41594.64","41594.64","41594.64","41594.64","41594.64","41594.64"
"5","N/A","REVISE LOWER LEG TENDON","27691","N/A","N/A","N/A","N/A","N/A","35068.61","35068.61","N/A","N/A","N/A","35068.61","35068.61","N/A","35068.61","35068.61","35068.61","35068.61","35068.61","35068.61","35068.61","35068.61","35068.61","35068.61"
"5","N/A","REPAIR OF ANKLE LIGAMENT","27695","N/A","N/A","N/A","N/A","75145.61","20985.48","20985.48","N/A","N/A","N/A","20985.48","20985.48","N/A","20985.48","20985.48","20985.48","20985.48","20985.48","20985.48","20985.48","20985.48","20985.48","20985.48"
"5","N/A","REPAIR OF ANKLE LIGAMENT","27698","N/A","N/A","N/A","N/A","75145.61","21602.44","21602.44","N/A","N/A","N/A","21602.44","21602.44","N/A","21602.44","21602.44","21602.44","21602.44","21602.44","21602.44","21602.44","21602.44","21602.44","21602.44"
"5","N/A","RECONSTRUCT ANKLE JOINT","27702","N/A","N/A","N/A","N/A","97231.31","96304.50","96304.50","N/A","N/A","N/A","96304.50","96304.50","N/A","96304.50","96304.50","96304.50","96304.50","96304.50","96304.50","96304.50","96304.50","96304.50","96304.50"
"5","N/A","INCISION OF TIBIA","27705","N/A","N/A","N/A","N/A","61547.86","76272.14","76272.14","N/A","N/A","N/A","76272.14","76272.14","N/A","76272.14","76272.14","76272.14","76272.14","76272.14","76272.14","76272.14","76272.14","76272.14","76272.14"
"5","N/A","REPAIR OF TIBIA","27720","N/A","N/A","N/A","N/A","74634.26","61307.46","61307.46","N/A","N/A","N/A","61307.46","61307.46","N/A","61307.46","61307.46","61307.46","61307.46","61307.46","61307.46","61307.46","61307.46","61307.46","61307.46"
"5","N/A","REPAIR/GRAFT OF TIBIA","27724","N/A","N/A","N/A","N/A","75666.32","35259.18","35259.18","N/A","N/A","N/A","35259.18","35259.18","N/A","35259.18","35259.18","35259.18","35259.18","35259.18","35259.18","35259.18","35259.18","35259.18","35259.18"
"5","N/A","REINFORCE TIBIA","27745","N/A","N/A","N/A","N/A","57032.61","54706.69","54706.69","N/A","N/A","N/A","54706.69","54706.69","N/A","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69","54706.69"
"5","N/A","HCHG CL TX TIB SHFT FX WO MANIP","27750","N/A","N/A","N/A","N/A","N/A","523.00","523.00","N/A","N/A","N/A","523.00","523.00","N/A","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00"
"5","N/A","HCHG CLSD TX TIB SHAFT FX","27750","N/A","N/A","N/A","N/A","N/A","523.00","523.00","N/A","N/A","N/A","523.00","523.00","N/A","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00"
"5","N/A","TREATMENT OF TIBIA FRACTURE","27750","N/A","N/A","N/A","N/A","N/A","523.00","523.00","N/A","N/A","N/A","523.00","523.00","N/A","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00","523.00"
"5","N/A","HCHG CLSD TX TIB SHAFT FX W MANIP","27752","N/A","N/A","N/A","N/A","N/A","2500.00","2500.00","N/A","N/A","N/A","2500.00","2500.00","N/A","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00"
"5","N/A","TREATMENT OF TIBIA FRACTURE","27752","N/A","N/A","N/A","N/A","N/A","2500.00","2500.00","N/A","N/A","N/A","2500.00","2500.00","N/A","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00","2500.00"
"5","N/A","TREATMENT OF TIBIA FRACTURE","27758","N/A","N/A","N/A","N/A","69934.75","56766.65","56766.65","N/A","N/A","N/A","56766.65","56766.65","N/A","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65","56766.65"
"5","N/A","TREATMENT OF TIBIA FRACTURE","27759","N/A","N/A","N/A","N/A","N/A","37468.97","37468.97","N/A","N/A","N/A","37468.97","37468.97","N/A","37468.97","37468.97","37468.97","37468.97","37468.97","37468.97","37468.97","37468.97","37468.97","37468.97"
"5","N/A","CLTX MEDIAL ANKLE FX","27760","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","HCHG CL TX MEDIAL ANKLE FX WITHOUT MANIPULATION","27760","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","HCHG CLSD TX MEDIAL MALLEO FX","27760","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","CLTX MED ANKLE FX W/MNPJ","27762","N/A","N/A","N/A","N/A","N/A","2469.00","2469.00","N/A","N/A","N/A","2469.00","2469.00","N/A","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00"
"5","N/A","HCHG CLSD TX MEDIAL MALLEO FX W MANIP","27762","N/A","N/A","N/A","N/A","N/A","2469.00","2469.00","N/A","N/A","N/A","2469.00","2469.00","N/A","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00"
"5","N/A","OPTX MEDIAL ANKLE FX","27766","N/A","N/A","N/A","N/A","68693.86","17816.01","17816.01","N/A","N/A","N/A","17816.01","17816.01","N/A","17816.01","17816.01","17816.01","17816.01","17816.01","17816.01","17816.01","17816.01","17816.01","17816.01"
"5","N/A","CLTX POST ANKLE FX","27767","N/A","N/A","N/A","N/A","N/A","707.00","707.00","N/A","N/A","N/A","707.00","707.00","N/A","707.00","707.00","707.00","707.00","707.00","707.00","707.00","707.00","707.00","707.00"
"5","N/A","HCHG CLSD TX POSTERIOR MALLEOLUS FX WO MANIP","27767","N/A","N/A","N/A","N/A","N/A","707.00","707.00","N/A","N/A","N/A","707.00","707.00","N/A","707.00","707.00","707.00","707.00","707.00","707.00","707.00","707.00","707.00","707.00"
"5","N/A","CLTX POST ANKLE FX W/MNPJ","27768","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","HCHG CLSD TX POSTERIOR MALLEOLUS FX W MANIP","27768","N/A","N/A","N/A","N/A","N/A","1740.00","1740.00","N/A","N/A","N/A","1740.00","1740.00","N/A","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00","1740.00"
"5","N/A","OPTX POST ANKLE FX","27769","N/A","N/A","N/A","N/A","68693.86","24712.52","24712.52","N/A","N/A","N/A","24712.52","24712.52","N/A","24712.52","24712.52","24712.52","24712.52","24712.52","24712.52","24712.52","24712.52","24712.52","24712.52"
"5","N/A","HCHG CLSD TX PROX FIB/SHFT FX","27780","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREATMENT OF FIBULA FRACTURE","27780","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX PROX FIB/SHFT FX W MANIP","27781","N/A","N/A","N/A","N/A","N/A","30900.40","30900.40","N/A","N/A","N/A","30900.40","30900.40","N/A","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40"
"5","N/A","TREATMENT OF FIBULA FRACTURE","27781","N/A","N/A","N/A","N/A","N/A","30900.40","30900.40","N/A","N/A","N/A","30900.40","30900.40","N/A","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40","30900.40"
"5","N/A","TREATMENT OF FIBULA FRACTURE","27784","N/A","N/A","N/A","N/A","59389.13","23230.57","23230.57","N/A","N/A","N/A","23230.57","23230.57","N/A","23230.57","23230.57","23230.57","23230.57","23230.57","23230.57","23230.57","23230.57","23230.57","23230.57"
"5","N/A","HCHG CL TX DSTL FIB FX WO MANIP","27786","N/A","N/A","N/A","N/A","N/A","655.00","655.00","N/A","N/A","N/A","655.00","655.00","N/A","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00"
"5","N/A","HCHG CLSD TX DIST BIFULAR FX","27786","N/A","N/A","N/A","N/A","N/A","655.00","655.00","N/A","N/A","N/A","655.00","655.00","N/A","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27786","N/A","N/A","N/A","N/A","N/A","655.00","655.00","N/A","N/A","N/A","655.00","655.00","N/A","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00"
"5","N/A","HCHG CLSD TX DIST FIB FX(LAT) W MANIP","27788","N/A","N/A","N/A","N/A","N/A","6569.75","6569.75","N/A","N/A","N/A","6569.75","6569.75","N/A","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27788","N/A","N/A","N/A","N/A","N/A","6569.75","6569.75","N/A","N/A","N/A","6569.75","6569.75","N/A","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75","6569.75"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27792","N/A","N/A","N/A","N/A","68693.86","25739.28","25739.28","N/A","N/A","N/A","25739.28","25739.28","N/A","25739.28","25739.28","25739.28","25739.28","25739.28","25739.28","25739.28","25739.28","25739.28","25739.28"
"5","N/A","HCHG CLSD TX BIMALLEO ANKLE FX","27808","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","HCHG CLSD TX BIMALLEOLAR ANKLE FRAC WO MANIP","27808","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27808","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","HCHG CLSD TX BIMALLEO ANKLE FX W MANIP","27810","N/A","N/A","N/A","N/A","N/A","1704.00","1704.00","N/A","N/A","N/A","1704.00","1704.00","N/A","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27810","N/A","N/A","N/A","N/A","N/A","1704.00","1704.00","N/A","N/A","N/A","1704.00","1704.00","N/A","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00","1704.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27814","N/A","N/A","N/A","N/A","68693.86","33542.10","33542.10","N/A","N/A","N/A","33542.10","33542.10","N/A","33542.10","33542.10","33542.10","33542.10","33542.10","33542.10","33542.10","33542.10","33542.10","33542.10"
"5","N/A","HCHG CL TX TRIMALL ANKLE FX; WO MANIP","27816","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","HCHG CLSD TX TRIMALLEO ANKLE FX WO MANIP","27816","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27816","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","HCHG CLSD TX TRIMALLEO ANKLE FX W MANIP","27818","N/A","N/A","N/A","N/A","N/A","2053.00","2053.00","N/A","N/A","N/A","2053.00","2053.00","N/A","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27818","N/A","N/A","N/A","N/A","N/A","2053.00","2053.00","N/A","N/A","N/A","2053.00","2053.00","N/A","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27822","N/A","N/A","N/A","N/A","68693.86","32841.77","32841.77","N/A","N/A","N/A","32841.77","32841.77","N/A","32841.77","32841.77","32841.77","32841.77","32841.77","32841.77","32841.77","32841.77","32841.77","32841.77"
"5","N/A","TREATMENT OF ANKLE FRACTURE","27823","N/A","N/A","N/A","N/A","68693.86","33489.61","33489.61","N/A","N/A","N/A","33489.61","33489.61","N/A","33489.61","33489.61","33489.61","33489.61","33489.61","33489.61","33489.61","33489.61","33489.61","33489.61"
"5","N/A","HCHG CL TX WB DSTL TIB WO MANIP","27824","N/A","N/A","N/A","N/A","N/A","541.00","541.00","N/A","N/A","N/A","541.00","541.00","N/A","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00"
"5","N/A","HCHG TRT DISTAL TIBIA FRACTURE W/O MANIP","27824","N/A","N/A","N/A","N/A","N/A","541.00","541.00","N/A","N/A","N/A","541.00","541.00","N/A","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00"
"5","N/A","TREAT LOWER LEG FRACTURE","27824","N/A","N/A","N/A","N/A","N/A","541.00","541.00","N/A","N/A","N/A","541.00","541.00","N/A","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00"
"5","N/A","HCHG CLSD TX OF FX OF WB ARTICULAR PORTION OF DISTAL TIBIA","27825","N/A","N/A","N/A","N/A","N/A","10884.95","10884.95","N/A","N/A","N/A","10884.95","10884.95","N/A","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95"
"5","N/A","HCHG TRT DISTAL TIBIA FRACTURE W MANIP","27825","N/A","N/A","N/A","N/A","N/A","10884.95","10884.95","N/A","N/A","N/A","10884.95","10884.95","N/A","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95"
"5","N/A","TREAT LOWER LEG FRACTURE","27825","N/A","N/A","N/A","N/A","N/A","10884.95","10884.95","N/A","N/A","N/A","10884.95","10884.95","N/A","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95","10884.95"
"5","N/A","TREAT LOWER LEG FRACTURE","27827","N/A","N/A","N/A","N/A","74634.26","37805.02","37805.02","N/A","N/A","N/A","37805.02","37805.02","N/A","37805.02","37805.02","37805.02","37805.02","37805.02","37805.02","37805.02","37805.02","37805.02","37805.02"
"5","N/A","TREAT LOWER LEG FRACTURE","27828","N/A","N/A","N/A","N/A","69934.75","42886.67","42886.67","N/A","N/A","N/A","42886.67","42886.67","N/A","42886.67","42886.67","42886.67","42886.67","42886.67","42886.67","42886.67","42886.67","42886.67","42886.67"
"5","N/A","TREAT LOWER LEG JOINT","27829","N/A","N/A","N/A","N/A","74634.26","29142.28","29142.28","N/A","N/A","N/A","29142.28","29142.28","N/A","29142.28","29142.28","29142.28","29142.28","29142.28","29142.28","29142.28","29142.28","29142.28","29142.28"
"5","N/A","HCHG CLSD TX PROXIMAL TIBIOFIBULAR JNT DISLOC WO ANEST","27830","N/A","N/A","N/A","N/A","N/A","866.00","866.00","N/A","N/A","N/A","866.00","866.00","N/A","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00"
"5","N/A","TREAT LOWER LEG DISLOCATION","27830","N/A","N/A","N/A","N/A","N/A","866.00","866.00","N/A","N/A","N/A","866.00","866.00","N/A","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00"
"5","N/A","HCHG CLSD TX ANKLE DISLOC","27840","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","TREAT ANKLE DISLOCATION","27840","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","HCHG CLSD TX ANKLE DISLOC W ANESTH","27842","N/A","N/A","N/A","N/A","N/A","3838.00","3838.00","N/A","N/A","N/A","3838.00","3838.00","N/A","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00"
"5","N/A","TREAT ANKLE DISLOCATION","27842","N/A","N/A","N/A","N/A","N/A","3838.00","3838.00","N/A","N/A","N/A","3838.00","3838.00","N/A","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00","3838.00"
"5","N/A","FUSION OF ANKLE JOINT OPEN","27870","N/A","N/A","N/A","N/A","N/A","61204.22","61204.22","N/A","N/A","N/A","61204.22","61204.22","N/A","61204.22","61204.22","61204.22","61204.22","61204.22","61204.22","61204.22","61204.22","61204.22","61204.22"
"5","N/A","HCHG UNLISTED PROCEDURE LEG/ANKLE","27899","N/A","N/A","N/A","N/A","N/A","43924.47","43924.47","N/A","N/A","N/A","43924.47","43924.47","N/A","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47"
"5","N/A","LEG/ANKLE SURGERY PROCEDURE","27899","N/A","N/A","N/A","N/A","135855.42","43924.47","43924.47","N/A","N/A","N/A","43924.47","43924.47","N/A","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47","43924.47"
"5","N/A","TREAT FOOT BONE LESION","28005","N/A","N/A","N/A","N/A","N/A","9774.98","9774.98","N/A","N/A","N/A","9774.98","9774.98","N/A","9774.98","9774.98","9774.98","9774.98","9774.98","9774.98","9774.98","9774.98","9774.98","9774.98"
"5","N/A","INCISION OF TOE TENDON","28010","N/A","N/A","N/A","N/A","37480.20","11873.14","11873.14","N/A","N/A","N/A","11873.14","11873.14","N/A","11873.14","11873.14","11873.14","11873.14","11873.14","11873.14","11873.14","11873.14","11873.14","11873.14"
"5","N/A","DECOMPRESSION OF TIBIA NERVE","28035","N/A","N/A","N/A","N/A","N/A","10215.44","10215.44","N/A","N/A","N/A","10215.44","10215.44","N/A","10215.44","10215.44","10215.44","10215.44","10215.44","10215.44","10215.44","10215.44","10215.44","10215.44"
"5","N/A","EXC FOOT/TOE TUM SC 1.5 CM/>","28039","N/A","N/A","N/A","N/A","77468.53","11159.78","11159.78","N/A","N/A","N/A","11159.78","11159.78","N/A","11159.78","11159.78","11159.78","11159.78","11159.78","11159.78","11159.78","11159.78","11159.78","11159.78"
"5","N/A","EXC FOOT/TOE TUM DEP 1.5CM/>","28041","N/A","N/A","N/A","N/A","89583.55","7745.40","7745.40","N/A","N/A","N/A","7745.40","7745.40","N/A","7745.40","7745.40","7745.40","7745.40","7745.40","7745.40","7745.40","7745.40","7745.40","7745.40"
"5","N/A","EXC FOOT/TOE TUM SC < 1.5 CM","28043","N/A","N/A","N/A","N/A","77468.53","6987.92","6987.92","N/A","N/A","N/A","6987.92","6987.92","N/A","6987.92","6987.92","6987.92","6987.92","6987.92","6987.92","6987.92","6987.92","6987.92","6987.92"
"5","N/A","EXC FOOT/TOE TUM DEEP <1.5CM","28045","N/A","N/A","N/A","N/A","89583.55","18544.64","18544.64","N/A","N/A","N/A","18544.64","18544.64","N/A","18544.64","18544.64","18544.64","18544.64","18544.64","18544.64","18544.64","18544.64","18544.64","18544.64"
"5","N/A","PARTIAL REMOVAL FOOT FASCIA","28060","N/A","N/A","N/A","N/A","77468.53","13599.25","13599.25","N/A","N/A","N/A","13599.25","13599.25","N/A","13599.25","13599.25","13599.25","13599.25","13599.25","13599.25","13599.25","13599.25","13599.25","13599.25"
"5","N/A","REMOVAL OF FOOT FASCIA","28062","N/A","N/A","N/A","N/A","77468.53","9024.00","9024.00","N/A","N/A","N/A","9024.00","9024.00","N/A","9024.00","9024.00","9024.00","9024.00","9024.00","9024.00","9024.00","9024.00","9024.00","9024.00"
"5","N/A","REMOVAL OF FOOT LESION","28080","N/A","N/A","N/A","N/A","N/A","11705.41","11705.41","N/A","N/A","N/A","11705.41","11705.41","N/A","11705.41","11705.41","11705.41","11705.41","11705.41","11705.41","11705.41","11705.41","11705.41","11705.41"
"5","N/A","REMOVAL OF FOOT LESION","28090","N/A","N/A","N/A","N/A","63683.75","11587.42","11587.42","N/A","N/A","N/A","11587.42","11587.42","N/A","11587.42","11587.42","11587.42","11587.42","11587.42","11587.42","11587.42","11587.42","11587.42","11587.42"
"5","N/A","REMOVAL OF TOE LESIONS","28092","N/A","N/A","N/A","N/A","62230.46","11267.94","11267.94","N/A","N/A","N/A","11267.94","11267.94","N/A","11267.94","11267.94","11267.94","11267.94","11267.94","11267.94","11267.94","11267.94","11267.94","11267.94"
"5","N/A","REMOVAL OF FOOT LESION","28104","N/A","N/A","N/A","N/A","90002.39","12279.24","12279.24","N/A","N/A","N/A","12279.24","12279.24","N/A","12279.24","12279.24","12279.24","12279.24","12279.24","12279.24","12279.24","12279.24","12279.24","12279.24"
"5","N/A","REMOVE/GRAFT FOOT LESION","28106","N/A","N/A","N/A","N/A","90265.62","11908.98","11908.98","N/A","N/A","N/A","11908.98","11908.98","N/A","11908.98","11908.98","11908.98","11908.98","11908.98","11908.98","11908.98","11908.98","11908.98","11908.98"
"5","N/A","PART REMOVAL OF METATARSAL","28110","N/A","N/A","N/A","N/A","81040.88","14176.28","14176.28","N/A","N/A","N/A","14176.28","14176.28","N/A","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28"
"5","N/A","HCHG OSTECTOMY PRTL 5TH METAR HEAD SPX","28110","N/A","N/A","N/A","N/A","N/A","14176.28","14176.28","N/A","N/A","N/A","14176.28","14176.28","N/A","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28","14176.28"
"5","N/A","PART REMOVAL OF METATARSAL","28112","N/A","N/A","N/A","N/A","81040.88","16420.93","16420.93","N/A","N/A","N/A","16420.93","16420.93","N/A","16420.93","16420.93","16420.93","16420.93","16420.93","16420.93","16420.93","16420.93","16420.93","16420.93"
"5","N/A","PART REMOVAL OF METATARSAL","28113","N/A","N/A","N/A","N/A","81040.88","12530.46","12530.46","N/A","N/A","N/A","12530.46","12530.46","N/A","12530.46","12530.46","12530.46","12530.46","12530.46","12530.46","12530.46","12530.46","12530.46","12530.46"
"5","N/A","REMOVAL OF HEEL BONE","28118","N/A","N/A","N/A","N/A","107103.94","18233.49","18233.49","N/A","N/A","N/A","18233.49","18233.49","N/A","18233.49","18233.49","18233.49","18233.49","18233.49","18233.49","18233.49","18233.49","18233.49","18233.49"
"5","N/A","REMOVAL OF HEEL SPUR","28119","N/A","N/A","N/A","N/A","107103.94","19873.70","19873.70","N/A","N/A","N/A","19873.70","19873.70","N/A","19873.70","19873.70","19873.70","19873.70","19873.70","19873.70","19873.70","19873.70","19873.70","19873.70"
"5","N/A","PART REMOVAL OF ANKLE/HEEL","28120","N/A","N/A","N/A","N/A","107103.94","12187.12","12187.12","N/A","N/A","N/A","12187.12","12187.12","N/A","12187.12","12187.12","12187.12","12187.12","12187.12","12187.12","12187.12","12187.12","12187.12","12187.12"
"5","N/A","PARTIAL REMOVAL OF FOOT BONE","28122","N/A","N/A","N/A","N/A","90002.39","15161.49","15161.49","N/A","N/A","N/A","15161.49","15161.49","N/A","15161.49","15161.49","15161.49","15161.49","15161.49","15161.49","15161.49","15161.49","15161.49","15161.49"
"5","N/A","PARTIAL REMOVAL OF TOE","28124","N/A","N/A","N/A","N/A","56770.27","11508.05","11508.05","N/A","N/A","N/A","11508.05","11508.05","N/A","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05"
"5","N/A","HCHG PARTIAL EXC PHALANX TOE BONE","28124","N/A","N/A","N/A","N/A","N/A","11508.05","11508.05","N/A","N/A","N/A","11508.05","11508.05","N/A","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05","11508.05"
"5","N/A","REMOVAL OF METATARSAL","28140","N/A","N/A","N/A","N/A","81040.88","15160.81","15160.81","N/A","N/A","N/A","15160.81","15160.81","N/A","15160.81","15160.81","15160.81","15160.81","15160.81","15160.81","15160.81","15160.81","15160.81","15160.81"
"5","N/A","REMOVAL OF TOE","28150","N/A","N/A","N/A","N/A","56770.27","8632.25","8632.25","N/A","N/A","N/A","8632.25","8632.25","N/A","8632.25","8632.25","8632.25","8632.25","8632.25","8632.25","8632.25","8632.25","8632.25","8632.25"
"5","N/A","PARTIAL REMOVAL OF TOE","28160","N/A","N/A","N/A","N/A","56770.27","22238.19","22238.19","N/A","N/A","N/A","22238.19","22238.19","N/A","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19"
"5","N/A","HCHG INTERPHALANG TOE JNT EXC EA SGL","28160","N/A","N/A","N/A","N/A","N/A","22238.19","22238.19","N/A","N/A","N/A","22238.19","22238.19","N/A","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19","22238.19"
"5","N/A","HCHG REMOVE FB FOOT SUBQ","28190","N/A","N/A","N/A","N/A","N/A","12341.21","12341.21","N/A","N/A","N/A","12341.21","12341.21","N/A","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21"
"5","N/A","REMOVAL OF FOOT FOREIGN BODY","28190","N/A","N/A","N/A","N/A","N/A","12341.21","12341.21","N/A","N/A","N/A","12341.21","12341.21","N/A","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21","12341.21"
"5","N/A","HCHG REMOVE FB FOOT DEEP","28192","N/A","N/A","N/A","N/A","N/A","11205.51","11205.51","N/A","N/A","N/A","11205.51","11205.51","N/A","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51"
"5","N/A","REMOVAL OF FOOT FOREIGN BODY","28192","N/A","N/A","N/A","N/A","80299.61","11205.51","11205.51","N/A","N/A","N/A","11205.51","11205.51","N/A","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51","11205.51"
"5","N/A","REMOVAL OF FOOT FOREIGN BODY","28193","N/A","N/A","N/A","N/A","73678.25","3001.00","3001.00","N/A","N/A","N/A","3001.00","3001.00","N/A","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00"
"5","N/A","HCHG REMOVAL OF FOOT FOREIGN BODY","28193","N/A","N/A","N/A","N/A","N/A","3001.00","3001.00","N/A","N/A","N/A","3001.00","3001.00","N/A","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00","3001.00"
"5","N/A","REPAIR OF FOOT TENDON","28200","N/A","N/A","N/A","N/A","73678.25","14524.70","14524.70","N/A","N/A","N/A","14524.70","14524.70","N/A","14524.70","14524.70","14524.70","14524.70","14524.70","14524.70","14524.70","14524.70","14524.70","14524.70"
"5","N/A","REPAIR OF FOOT TENDON","28208","N/A","N/A","N/A","N/A","73678.25","18645.07","18645.07","N/A","N/A","N/A","18645.07","18645.07","N/A","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07"
"5","N/A","HCHG REPAIR EXT TENDON TOE EA","28208","N/A","N/A","N/A","N/A","N/A","18645.07","18645.07","N/A","N/A","N/A","18645.07","18645.07","N/A","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07","18645.07"
"5","N/A","INCISION OF TOE TENDON","28232","N/A","N/A","N/A","N/A","N/A","15184.44","15184.44","N/A","N/A","N/A","15184.44","15184.44","N/A","15184.44","15184.44","15184.44","15184.44","15184.44","15184.44","15184.44","15184.44","15184.44","15184.44"
"5","N/A","REVISION OF FOOT TENDON","28238","N/A","N/A","N/A","N/A","107103.94","31305.99","31305.99","N/A","N/A","N/A","31305.99","31305.99","N/A","31305.99","31305.99","31305.99","31305.99","31305.99","31305.99","31305.99","31305.99","31305.99","31305.99"
"5","N/A","RELEASE OF FOOT CONTRACTURE","28270","N/A","N/A","N/A","N/A","73678.25","15259.91","15259.91","N/A","N/A","N/A","15259.91","15259.91","N/A","15259.91","15259.91","15259.91","15259.91","15259.91","15259.91","15259.91","15259.91","15259.91","15259.91"
"5","N/A","RELEASE OF TOE JOINT EACH","28272","N/A","N/A","N/A","N/A","N/A","12219.93","12219.93","N/A","N/A","N/A","12219.93","12219.93","N/A","12219.93","12219.93","12219.93","12219.93","12219.93","12219.93","12219.93","12219.93","12219.93","12219.93"
"5","N/A","HCHG CORRECTION HAMMERTOE","28285","N/A","N/A","N/A","N/A","N/A","18968.26","18968.26","N/A","N/A","N/A","18968.26","18968.26","N/A","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26"
"5","N/A","REPAIR OF HAMMERTOE","28285","N/A","N/A","N/A","N/A","56770.27","18968.26","18968.26","N/A","N/A","N/A","18968.26","18968.26","N/A","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26","18968.26"
"5","N/A","PARTIAL REMOVAL OF FOOT BONE","28288","N/A","N/A","N/A","N/A","81040.88","11828.32","11828.32","N/A","N/A","N/A","11828.32","11828.32","N/A","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32"
"5","N/A","HCHG PRTL REM FOOT BONE MTRSL HD 1-5 EA","28288","N/A","N/A","N/A","N/A","N/A","11828.32","11828.32","N/A","N/A","N/A","11828.32","11828.32","N/A","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32","11828.32"
"5","N/A","CORRJ HALUX RIGDUS W/O IMPLT","28289","N/A","N/A","N/A","N/A","N/A","10355.74","10355.74","N/A","N/A","N/A","10355.74","10355.74","N/A","10355.74","10355.74","10355.74","10355.74","10355.74","10355.74","10355.74","10355.74","10355.74","10355.74"
"5","N/A","CORRJ HALUX RIGDUS W/IMPLT","28291","N/A","N/A","N/A","N/A","81245.09","15551.52","15551.52","N/A","N/A","N/A","15551.52","15551.52","N/A","15551.52","15551.52","15551.52","15551.52","15551.52","15551.52","15551.52","15551.52","15551.52","15551.52"
"5","N/A","CORRECTION HALLUX VALGUS","28292","N/A","N/A","N/A","N/A","73069.30","13598.43","13598.43","N/A","N/A","N/A","13598.43","13598.43","N/A","13598.43","13598.43","13598.43","13598.43","13598.43","13598.43","13598.43","13598.43","13598.43","13598.43"
"5","N/A","CORRECTION HALLUX VALGUS","28295","N/A","N/A","N/A","N/A","73086.82","19374.74","19374.74","N/A","N/A","N/A","19374.74","19374.74","N/A","19374.74","19374.74","19374.74","19374.74","19374.74","19374.74","19374.74","19374.74","19374.74","19374.74"
"5","N/A","CORRECTION HALLUX VALGUS","28296","N/A","N/A","N/A","N/A","81040.88","19027.70","19027.70","N/A","N/A","N/A","19027.70","19027.70","N/A","19027.70","19027.70","19027.70","19027.70","19027.70","19027.70","19027.70","19027.70","19027.70","19027.70"
"5","N/A","CORRECTION HALLUX VALGUS","28297","N/A","N/A","N/A","N/A","81245.09","20944.11","20944.11","N/A","N/A","N/A","20944.11","20944.11","N/A","20944.11","20944.11","20944.11","20944.11","20944.11","20944.11","20944.11","20944.11","20944.11","20944.11"
"5","N/A","CORRECTION HALLUX VALGUS","28298","N/A","N/A","N/A","N/A","73069.30","38555.57","38555.57","N/A","N/A","N/A","38555.57","38555.57","N/A","38555.57","38555.57","38555.57","38555.57","38555.57","38555.57","38555.57","38555.57","38555.57","38555.57"
"5","N/A","INCISION OF HEEL BONE","28300","N/A","N/A","N/A","N/A","56000.49","31961.09","31961.09","N/A","N/A","N/A","31961.09","31961.09","N/A","31961.09","31961.09","31961.09","31961.09","31961.09","31961.09","31961.09","31961.09","31961.09","31961.09"
"5","N/A","INCISION OF MIDFOOT BONES","28304","N/A","N/A","N/A","N/A","56000.49","43709.78","43709.78","N/A","N/A","N/A","43709.78","43709.78","N/A","43709.78","43709.78","43709.78","43709.78","43709.78","43709.78","43709.78","43709.78","43709.78","43709.78"
"5","N/A","INCISION OF METATARSAL","28307","N/A","N/A","N/A","N/A","81040.88","42342.12","42342.12","N/A","N/A","N/A","42342.12","42342.12","N/A","42342.12","42342.12","42342.12","42342.12","42342.12","42342.12","42342.12","42342.12","42342.12","42342.12"
"5","N/A","INCISION OF METATARSAL","28308","N/A","N/A","N/A","N/A","81040.88","16577.66","16577.66","N/A","N/A","N/A","16577.66","16577.66","N/A","16577.66","16577.66","16577.66","16577.66","16577.66","16577.66","16577.66","16577.66","16577.66","16577.66"
"5","N/A","REPAIR OF METATARSALS","28322","N/A","N/A","N/A","N/A","51953.73","23393.85","23393.85","N/A","N/A","N/A","23393.85","23393.85","N/A","23393.85","23393.85","23393.85","23393.85","23393.85","23393.85","23393.85","23393.85","23393.85","23393.85"
"5","N/A","HCHG CLSD TX CALCANEAL FX WO MANIP","28400","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREATMENT OF HEEL FRACTURE","28400","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX CALCANEAL FX W MANIP","28405","N/A","N/A","N/A","N/A","N/A","2532.00","2532.00","N/A","N/A","N/A","2532.00","2532.00","N/A","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00"
"5","N/A","HCHG TREATMENT OF HEEL FRACTURE","28405","N/A","N/A","N/A","N/A","N/A","2532.00","2532.00","N/A","N/A","N/A","2532.00","2532.00","N/A","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00"
"5","N/A","TREATMENT OF HEEL FRACTURE","28405","N/A","N/A","N/A","N/A","N/A","2532.00","2532.00","N/A","N/A","N/A","2532.00","2532.00","N/A","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00","2532.00"
"5","N/A","TREATMENT OF HEEL FRACTURE","28406","N/A","N/A","N/A","N/A","32373.67","16773.35","16773.35","N/A","N/A","N/A","16773.35","16773.35","N/A","16773.35","16773.35","16773.35","16773.35","16773.35","16773.35","16773.35","16773.35","16773.35","16773.35"
"5","N/A","TREAT HEEL FRACTURE","28415","N/A","N/A","N/A","N/A","56000.49","33283.41","33283.41","N/A","N/A","N/A","33283.41","33283.41","N/A","33283.41","33283.41","33283.41","33283.41","33283.41","33283.41","33283.41","33283.41","33283.41","33283.41"
"5","N/A","HCHG CL TX TALUS FX; W/O MANIP","28430","N/A","N/A","N/A","N/A","N/A","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","HCHG CLSD TX TALUS FX","28430","N/A","N/A","N/A","N/A","N/A","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","28430","N/A","N/A","N/A","N/A","N/A","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","HCHG CLSD TX TALUS FX W MANIP","28435","N/A","N/A","N/A","N/A","N/A","2758.00","2758.00","N/A","N/A","N/A","2758.00","2758.00","N/A","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","28435","N/A","N/A","N/A","N/A","N/A","2758.00","2758.00","N/A","N/A","N/A","2758.00","2758.00","N/A","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00","2758.00"
"5","N/A","TREATMENT OF ANKLE FRACTURE","28436","N/A","N/A","N/A","N/A","32373.67","16125.38","16125.38","N/A","N/A","N/A","16125.38","16125.38","N/A","16125.38","16125.38","16125.38","16125.38","16125.38","16125.38","16125.38","16125.38","16125.38","16125.38"
"5","N/A","TREAT ANKLE FRACTURE","28445","N/A","N/A","N/A","N/A","58849.50","32876.71","32876.71","N/A","N/A","N/A","32876.71","32876.71","N/A","32876.71","32876.71","32876.71","32876.71","32876.71","32876.71","32876.71","32876.71","32876.71","32876.71"
"5","N/A","OSTEOCHONDRAL TALUS AUTOGRFT","28446","N/A","N/A","N/A","N/A","N/A","40367.94","40367.94","N/A","N/A","N/A","40367.94","40367.94","N/A","40367.94","40367.94","40367.94","40367.94","40367.94","40367.94","40367.94","40367.94","40367.94","40367.94"
"5","N/A","HCHG TX TARSAL BN FX WO MANIP EA","28450","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG TX TARSAL BONE FX ; WO MANIPU","28450","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT MIDFOOT FRACTURE EACH","28450","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG TREAT MIDFOOT FRACTURE, EACH","28455","N/A","N/A","N/A","N/A","N/A","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","HCHG TX TARSAL BONE FRACTURE W MANIP (EXCEPT TALUS AND CALCANEUS)","28455","N/A","N/A","N/A","N/A","N/A","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","TREAT MIDFOOT FRACTURE EACH","28455","N/A","N/A","N/A","N/A","N/A","3795.00","3795.00","N/A","N/A","N/A","3795.00","3795.00","N/A","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00","3795.00"
"5","N/A","TREAT MIDFOOT FRACTURE EACH","28465","N/A","N/A","N/A","N/A","56000.49","26908.46","26908.46","N/A","N/A","N/A","26908.46","26908.46","N/A","26908.46","26908.46","26908.46","26908.46","26908.46","26908.46","26908.46","26908.46","26908.46","26908.46"
"5","N/A","HCHG CL TX METATARSAL FX; WO MANIP","28470","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CL TX METATARSAL FX; WO MANIPULATION","28470","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CLSD TX METATARSAL FX","28470","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT METATARSAL FRACTURE","28470","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG CL TX METATARSAL FX; W MANIPULATION","28475","N/A","N/A","N/A","N/A","N/A","932.00","932.00","N/A","N/A","N/A","932.00","932.00","N/A","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00"
"5","N/A","HCHG CLSD TX METATARSAL FX W MANIP EA","28475","N/A","N/A","N/A","N/A","N/A","932.00","932.00","N/A","N/A","N/A","932.00","932.00","N/A","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00"
"5","N/A","TREAT METATARSAL FRACTURE","28475","N/A","N/A","N/A","N/A","N/A","932.00","932.00","N/A","N/A","N/A","932.00","932.00","N/A","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00","932.00"
"5","N/A","TREAT METATARSAL FRACTURE","28476","N/A","N/A","N/A","N/A","N/A","17956.50","17956.50","N/A","N/A","N/A","17956.50","17956.50","N/A","17956.50","17956.50","17956.50","17956.50","17956.50","17956.50","17956.50","17956.50","17956.50","17956.50"
"5","N/A","TREAT METATARSAL FRACTURE","28485","N/A","N/A","N/A","N/A","51953.73","21900.15","21900.15","N/A","N/A","N/A","21900.15","21900.15","N/A","21900.15","21900.15","21900.15","21900.15","21900.15","21900.15","21900.15","21900.15","21900.15","21900.15"
"5","N/A","HCHG CL TX FX GT PHALANX(S); WO MANIP","28490","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX FX GREAT TOE","28490","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT BIG TOE FRACTURE","28490","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX FX GREAT TOE W MANIP","28495","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","TREAT BIG TOE FRACTURE","28495","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","TREAT BIG TOE FRACTURE","28505","N/A","N/A","N/A","N/A","41152.32","17889.23","17889.23","N/A","N/A","N/A","17889.23","17889.23","N/A","17889.23","17889.23","17889.23","17889.23","17889.23","17889.23","17889.23","17889.23","17889.23","17889.23"
"5","N/A","HCHG CL TX FX PHALNX/PHALANG WO MANIP","28510","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX FX NOT GR TOE WO EA","28510","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREATMENT OF TOE FRACTURE","28510","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG CLSD TX FX NOT GR TOE W MANIP EA","28515","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","TREATMENT OF TOE FRACTURE","28515","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","TREAT TOE FRACTURE","28525","N/A","N/A","N/A","N/A","41152.32","24480.63","24480.63","N/A","N/A","N/A","24480.63","24480.63","N/A","24480.63","24480.63","24480.63","24480.63","24480.63","24480.63","24480.63","24480.63","24480.63","24480.63"
"5","N/A","HCHG CLSD TX SESAMOID FX","28530","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT SESAMOID BONE FRACTURE","28530","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","TREAT SESAMOID BONE FRACTURE","28531","N/A","N/A","N/A","N/A","51953.73","9815.53","9815.53","N/A","N/A","N/A","9815.53","9815.53","N/A","9815.53","9815.53","9815.53","9815.53","9815.53","9815.53","9815.53","9815.53","9815.53","9815.53"
"5","N/A","HCHG TRT TARSAL BONE DISLOCATION","28540","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","TREAT FOOT DISLOCATION","28540","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","HCHG TRT TARSAL JOINT DISLOCATION","28570","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT FOOT DISLOCATION","28570","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","TREAT FOOT DISLOCATION","28575","N/A","N/A","N/A","N/A","N/A","21953.23","21953.23","N/A","N/A","N/A","21953.23","21953.23","N/A","21953.23","21953.23","21953.23","21953.23","21953.23","21953.23","21953.23","21953.23","21953.23","21953.23"
"5","N/A","REPAIR FOOT DISLOCATION","28585","N/A","N/A","N/A","N/A","N/A","25712.33","25712.33","N/A","N/A","N/A","25712.33","25712.33","N/A","25712.33","25712.33","25712.33","25712.33","25712.33","25712.33","25712.33","25712.33","25712.33","25712.33"
"5","N/A","HCHG CLOS TX TARSOMT JNT DISLOC WO","28600","N/A","N/A","N/A","N/A","N/A","750.00","750.00","N/A","N/A","N/A","750.00","750.00","N/A","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00"
"5","N/A","TREAT FOOT DISLOCATION","28600","N/A","N/A","N/A","N/A","N/A","750.00","750.00","N/A","N/A","N/A","750.00","750.00","N/A","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00","750.00"
"5","N/A","REPAIR FOOT DISLOCATION","28615","N/A","N/A","N/A","N/A","N/A","18172.71","18172.71","N/A","N/A","N/A","18172.71","18172.71","N/A","18172.71","18172.71","18172.71","18172.71","18172.71","18172.71","18172.71","18172.71","18172.71","18172.71"
"5","N/A","HCHG CLSD TX MTP JNT DISLOC WO ANESTH","28630","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","TREAT TOE DISLOCATION","28630","N/A","N/A","N/A","N/A","N/A","605.00","605.00","N/A","N/A","N/A","605.00","605.00","N/A","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00","605.00"
"5","N/A","HCHG DISLOC CLSD TOE (IP)","28660","N/A","N/A","N/A","N/A","N/A","571.00","571.00","N/A","N/A","N/A","571.00","571.00","N/A","571.00","571.00","571.00","571.00","571.00","571.00","571.00","571.00","571.00","571.00"
"5","N/A","TREAT TOE DISLOCATION","28660","N/A","N/A","N/A","N/A","N/A","571.00","571.00","N/A","N/A","N/A","571.00","571.00","N/A","571.00","571.00","571.00","571.00","571.00","571.00","571.00","571.00","571.00","571.00"
"5","N/A","HCHG CLTX INTERPHALAGEAL JOINT DISCLOSURE W/ ANES","28665","N/A","N/A","N/A","N/A","N/A","681.00","681.00","N/A","N/A","N/A","681.00","681.00","N/A","681.00","681.00","681.00","681.00","681.00","681.00","681.00","681.00","681.00","681.00"
"5","N/A","TREAT TOE DISLOCATION","28665","N/A","N/A","N/A","N/A","N/A","681.00","681.00","N/A","N/A","N/A","681.00","681.00","N/A","681.00","681.00","681.00","681.00","681.00","681.00","681.00","681.00","681.00","681.00"
"5","N/A","HCHG OPEN TX ITP JOINT DIS INC INT FIX","28675","N/A","N/A","N/A","N/A","N/A","8979.63","8979.63","N/A","N/A","N/A","8979.63","8979.63","N/A","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63"
"5","N/A","REPAIR OF TOE DISLOCATION","28675","N/A","N/A","N/A","N/A","29493.90","8979.63","8979.63","N/A","N/A","N/A","8979.63","8979.63","N/A","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63","8979.63"
"5","N/A","FUSION OF FOOT BONES","28715","N/A","N/A","N/A","N/A","87399.46","38712.29","38712.29","N/A","N/A","N/A","38712.29","38712.29","N/A","38712.29","38712.29","38712.29","38712.29","38712.29","38712.29","38712.29","38712.29","38712.29","38712.29"
"5","N/A","FUSION OF FOOT BONES","28725","N/A","N/A","N/A","N/A","87399.46","51672.62","51672.62","N/A","N/A","N/A","51672.62","51672.62","N/A","51672.62","51672.62","51672.62","51672.62","51672.62","51672.62","51672.62","51672.62","51672.62","51672.62"
"5","N/A","FUSION OF FOOT BONES","28730","N/A","N/A","N/A","N/A","87399.46","31301.59","31301.59","N/A","N/A","N/A","31301.59","31301.59","N/A","31301.59","31301.59","31301.59","31301.59","31301.59","31301.59","31301.59","31301.59","31301.59","31301.59"
"5","N/A","FUSION OF FOOT BONES","28735","N/A","N/A","N/A","N/A","81405.64","73165.63","73165.63","N/A","N/A","N/A","73165.63","73165.63","N/A","73165.63","73165.63","73165.63","73165.63","73165.63","73165.63","73165.63","73165.63","73165.63","73165.63"
"5","N/A","FUSION OF FOOT BONES","28740","N/A","N/A","N/A","N/A","87399.46","38481.38","38481.38","N/A","N/A","N/A","38481.38","38481.38","N/A","38481.38","38481.38","38481.38","38481.38","38481.38","38481.38","38481.38","38481.38","38481.38","38481.38"
"5","N/A","FUSION OF BIG TOE JOINT","28750","N/A","N/A","N/A","N/A","56497.09","27200.43","27200.43","N/A","N/A","N/A","27200.43","27200.43","N/A","27200.43","27200.43","27200.43","27200.43","27200.43","27200.43","27200.43","27200.43","27200.43","27200.43"
"5","N/A","FUSION OF BIG TOE JOINT","28755","N/A","N/A","N/A","N/A","N/A","16838.58","16838.58","N/A","N/A","N/A","16838.58","16838.58","N/A","16838.58","16838.58","16838.58","16838.58","16838.58","16838.58","16838.58","16838.58","16838.58","16838.58"
"5","N/A","AMPUTATION THRU METATARSAL","28805","N/A","N/A","N/A","N/A","136246.68","11261.38","11261.38","N/A","N/A","N/A","11261.38","11261.38","N/A","11261.38","11261.38","11261.38","11261.38","11261.38","11261.38","11261.38","11261.38","11261.38","11261.38"
"5","N/A","AMPUTATION TOE & METATARSAL","28810","N/A","N/A","N/A","N/A","130627.60","17458.06","17458.06","N/A","N/A","N/A","17458.06","17458.06","N/A","17458.06","17458.06","17458.06","17458.06","17458.06","17458.06","17458.06","17458.06","17458.06","17458.06"
"5","N/A","AMPUTATION OF TOE","28820","N/A","N/A","N/A","N/A","85336.17","12157.09","12157.09","N/A","N/A","N/A","12157.09","12157.09","N/A","12157.09","12157.09","12157.09","12157.09","12157.09","12157.09","12157.09","12157.09","12157.09","12157.09"
"5","N/A","PARTIAL AMPUTATION OF TOE","28825","N/A","N/A","N/A","N/A","68575.17","12582.19","12582.19","N/A","N/A","N/A","12582.19","12582.19","N/A","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19"
"5","N/A","HCHG AMPUTATE TOE; INTERPHALAGEAL JOINT","28825","N/A","N/A","N/A","N/A","N/A","12582.19","12582.19","N/A","N/A","N/A","12582.19","12582.19","N/A","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19"
"5","N/A","HCHG AMPUTATE TOE; INTERPHALANGEAL JOINT","28825","N/A","N/A","N/A","N/A","N/A","12582.19","12582.19","N/A","N/A","N/A","12582.19","12582.19","N/A","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19","12582.19"
"5","N/A","FOOT/TOES SURGERY PROCEDURE","28899","N/A","N/A","N/A","N/A","28889.62","18216.82","18216.82","N/A","N/A","N/A","18216.82","18216.82","N/A","18216.82","18216.82","18216.82","18216.82","18216.82","18216.82","18216.82","18216.82","18216.82","18216.82"
"5","N/A","APPLICATION OF LONG ARM CAST","29065","N/A","N/A","N/A","N/A","N/A","546.00","546.00","N/A","N/A","N/A","546.00","546.00","N/A","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00"
"5","N/A","HCHG APPL CAST UPPER EXTREMITY","29065","N/A","N/A","N/A","N/A","N/A","546.00","546.00","N/A","N/A","N/A","546.00","546.00","N/A","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00"
"5","N/A","HCHG APPLIC SHLDR/HAND (LONG ARM) CAST","29065","N/A","N/A","N/A","N/A","N/A","546.00","546.00","N/A","N/A","N/A","546.00","546.00","N/A","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00","546.00"
"5","N/A","APPLICATION OF FOREARM CAST","29075","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","HCHG APPL CAST SHORT ARM ELBOW TO FINGER","29075","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","HCHG APPL SHORT ARM CAST","29075","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","HCHG APPLIC SHORT ARM CAST","29075","N/A","N/A","N/A","N/A","N/A","650.00","650.00","N/A","N/A","N/A","650.00","650.00","N/A","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00","650.00"
"5","N/A","APPLY HAND/WRIST CAST","29085","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLIC HAND/WRIST CAST","29085","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLY GAUNTLET CAST","29085","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","APPLY LONG ARM SPLINT","29105","N/A","N/A","N/A","N/A","N/A","529.00","529.00","N/A","N/A","N/A","529.00","529.00","N/A","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00"
"5","N/A","HCHG APPLIC SPLINT LONG ARM","29105","N/A","N/A","N/A","N/A","N/A","529.00","529.00","N/A","N/A","N/A","529.00","529.00","N/A","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00"
"5","N/A","HCHG APPLY LONG ARM SPLINT","29105","N/A","N/A","N/A","N/A","N/A","529.00","529.00","N/A","N/A","N/A","529.00","529.00","N/A","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00","529.00"
"5","N/A","APPLY FOREARM SPLINT","29125","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","HCHG APPL SPLINT SHORT ARM","29125","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","HCHG APPLIC SPLINT SHORT ARM","29125","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","APPLY FOREARM SPLINT","29126","N/A","N/A","N/A","N/A","N/A","233.00","233.00","N/A","N/A","N/A","233.00","233.00","N/A","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00"
"5","N/A","HCHG APPLY FOREARM SPLINT","29126","N/A","N/A","N/A","N/A","N/A","233.00","233.00","N/A","N/A","N/A","233.00","233.00","N/A","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00"
"5","N/A","APPLICATION OF FINGER SPLINT","29130","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","HCHG APPLIC SPLINT FINGER STATIC","29130","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","HCHG APPLY FINGER SPLINT; STATIC","29130","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","APPLICATION OF FINGER SPLINT","29131","N/A","N/A","N/A","N/A","N/A","233.00","233.00","N/A","N/A","N/A","233.00","233.00","N/A","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00"
"5","N/A","HCHG APPLICATION OF FINGER SPLINT","29131","N/A","N/A","N/A","N/A","N/A","233.00","233.00","N/A","N/A","N/A","233.00","233.00","N/A","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00"
"5","N/A","HCHG APPLICATION OF FINGER SPLINT; DYNAMIC","29131","N/A","N/A","N/A","N/A","N/A","233.00","233.00","N/A","N/A","N/A","233.00","233.00","N/A","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00"
"5","N/A","HCHG STRAPPING THORAX","29200","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","STRAPPING OF CHEST","29200","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG STRAPPING SHLDR","29240","N/A","N/A","N/A","N/A","N/A","306.00","306.00","N/A","N/A","N/A","306.00","306.00","N/A","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00"
"5","N/A","HCHG TAPING/STRAPPING SHOULDER","29240","N/A","N/A","N/A","N/A","N/A","306.00","306.00","N/A","N/A","N/A","306.00","306.00","N/A","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00"
"5","N/A","STRAPPING OF SHOULDER","29240","N/A","N/A","N/A","N/A","N/A","306.00","306.00","N/A","N/A","N/A","306.00","306.00","N/A","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00"
"5","N/A","HCHG STRAPPING ELBOW OR WRIST","29260","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG TAPING/STRAPPING ELBOW OR WRIST","29260","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","STRAPPING OF ELBOW OR WRIST","29260","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG STRAPPING HAND OR FINGER","29280","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG TAPING/STRAPPING HAND OR FINGER","29280","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","STRAPPING OF HAND OR FINGER","29280","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","APPLICATION OF HIP CAST","29305","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLICATION OF HIP CAST","29305","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLICATION OF HIP SPICA CAST, 1 LEG","29305","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","APPLICATION OF LONG LEG CAST","29345","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLIC LONG LEG CAST","29345","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLY LONG LEG CAST","29345","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","APPLICATION OF LONG LEG CAST","29355","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLICATION OF LONG LEG CAST","29355","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLY WLKR LG LEG CAST","29355","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","APPLY LONG LEG CAST BRACE","29358","N/A","N/A","N/A","N/A","N/A","679.00","679.00","N/A","N/A","N/A","679.00","679.00","N/A","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00"
"5","N/A","HCHG APPL OF LONG LEG CAST BRACE","29358","N/A","N/A","N/A","N/A","N/A","679.00","679.00","N/A","N/A","N/A","679.00","679.00","N/A","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00"
"5","N/A","APPLICATION OF LONG LEG CAST","29365","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLIC CYLINDER CAST","29365","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLY CYLINDER CAST (THIGH TO ANKLE)","29365","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","APPLY SHORT LEG CAST","29405","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPL OF SHORT LEG CAST (BELOW KNEE TO TOES)","29405","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLIC SHORT LEG CAST","29405","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","APPLY SHORT LEG CAST","29425","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPL SHRT LEG CAST WLKG/AMB","29425","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG APPLICATION SHORT LEG CAST WALKING/AMBULATORY","29425","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","ADDITION OF WALKER TO CAST","29440","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG ADD WALKER TO OLD CAST","29440","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG ADDITION OF WALKER TO CAST","29440","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","APPLY RIGID LEG CAST","29445","N/A","N/A","N/A","N/A","N/A","890.00","890.00","N/A","N/A","N/A","890.00","890.00","N/A","890.00","890.00","890.00","890.00","890.00","890.00","890.00","890.00","890.00","890.00"
"5","N/A","HCHG APPLICATION OF RIGID TOTAL CONTACT LEG CAST","29445","N/A","N/A","N/A","N/A","N/A","890.00","890.00","N/A","N/A","N/A","890.00","890.00","N/A","890.00","890.00","890.00","890.00","890.00","890.00","890.00","890.00","890.00","890.00"
"5","N/A","APPLICATION OF LEG CAST","29450","N/A","N/A","N/A","N/A","N/A","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","HCHG APPLY CLUB FOOT CAST LONG OR SHORT LEG","29450","N/A","N/A","N/A","N/A","N/A","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","APPLICATION LONG LEG SPLINT","29505","N/A","N/A","N/A","N/A","N/A","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","HCHG APPLIC SPLINT LONG LEG","29505","N/A","N/A","N/A","N/A","N/A","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","APPLICATION LOWER LEG SPLINT","29515","N/A","N/A","N/A","N/A","N/A","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","HCHG APPLIC SPLINT SHORT LEG","29515","N/A","N/A","N/A","N/A","N/A","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","HCHG APPLY SHORT LEG SPLINT","29515","N/A","N/A","N/A","N/A","N/A","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","HCHG TAPING/STRAPPING HIP","29520","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","STRAPPING OF HIP","29520","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","HCHG STRAPPING KNEE","29530","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","HCHG TAPING/STRAPPING KNEE","29530","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","STRAPPING OF KNEE","29530","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","HCHG STRAPPING ANKLE","29540","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG TAPING/STRAPPING FOOT OR ANKLE","29540","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","STRAPPING OF ANKLE AND/OR FT","29540","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG STRAPPING TOES","29550","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","HCHG TAPING/STRAPPING TOES","29550","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","STRAPPING OF TOES","29550","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","APPLICATION OF PASTE BOOT","29580","N/A","N/A","N/A","N/A","N/A","362.00","362.00","N/A","N/A","N/A","362.00","362.00","N/A","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00"
"5","N/A","HCHG APPLY BILATERAL UNNA BOOT","29580","N/A","N/A","N/A","N/A","N/A","362.00","362.00","N/A","N/A","N/A","362.00","362.00","N/A","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00"
"5","N/A","HCHG COMP WRAP/STRAPPING/UNNA BOOT","29580","N/A","N/A","N/A","N/A","N/A","362.00","362.00","N/A","N/A","N/A","362.00","362.00","N/A","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00"
"5","N/A","HCHG STRAPPING UNNA BOOT","29580","N/A","N/A","N/A","N/A","N/A","362.00","362.00","N/A","N/A","N/A","362.00","362.00","N/A","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00"
"5","N/A","APPLY MULTLAY COMPRS LWR LEG","29581","N/A","N/A","N/A","N/A","N/A","662.00","662.00","N/A","N/A","N/A","662.00","662.00","N/A","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00"
"5","N/A","HCHG APP. MULTI-LAYER VENOUS WOUND COMPRESS SYSTEM, BELOW KNEE","29581","N/A","N/A","N/A","N/A","N/A","662.00","662.00","N/A","N/A","N/A","662.00","662.00","N/A","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00"
"5","N/A","HCHG APPLY BILATERAL MULTI COMP LOW LEG","29581","N/A","N/A","N/A","N/A","N/A","662.00","662.00","N/A","N/A","N/A","662.00","662.00","N/A","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00"
"5","N/A","HCHG PT APP. MULTI-LAYER VENOUS WOUND COMPRESS SYSTEM, BELOW KNEE","29581","N/A","N/A","N/A","N/A","N/A","662.00","662.00","N/A","N/A","N/A","662.00","662.00","N/A","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00","662.00"
"5","N/A","APPL MULTLAY COMPRS ARM/HAND","29584","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG OT MULTI LAYER WRAPPING OF UPPER ARM & HAND/FINGERS","29584","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG PT MULTI LAYER WRAPPING OF UPPER ARM & HAND/FINGERS","29584","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG REMOVE/REVISION CAST","29700","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","REMOVAL/REVISION OF CAST","29700","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","HCHG REMOVE FULL ARM OR LEG CAST","29705","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG REMOVE/BIVALVING FULL ARM/LEG","29705","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","REMOVAL/REVISION OF CAST","29705","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG CAST REMOVAL/REVISION-SHOULDER/HIP","29710","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG REM SHOULDER OR HIP SPICA","29710","N/A","N/A","N/A","N/A","N/A","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","REMOVAL/REVISION OF CAST","29710","N/A","N/A","N/A","N/A","143260.99","792.00","792.00","N/A","N/A","N/A","792.00","792.00","N/A","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00","792.00"
"5","N/A","HCHG WINDOWING OF CAST","29730","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","WINDOWING OF CAST","29730","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG WEDGING OF CAST","29740","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","HCHG WEDGING OF CAST (EXCEPT CLUBFOOT CASTS)","29740","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","WEDGING OF CAST","29740","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","SHOULDER ARTHROSCOPY DX","29805","N/A","N/A","N/A","N/A","N/A","14196.71","14196.71","N/A","N/A","N/A","14196.71","14196.71","N/A","14196.71","14196.71","14196.71","14196.71","14196.71","14196.71","14196.71","14196.71","14196.71","14196.71"
"5","N/A","SHOULDER ARTHROSCOPY/SURGERY","29806","N/A","N/A","N/A","N/A","54649.21","28688.26","28688.26","N/A","N/A","N/A","28688.26","28688.26","N/A","28688.26","28688.26","28688.26","28688.26","28688.26","28688.26","28688.26","28688.26","28688.26","28688.26"
"5","N/A","SHOULDER ARTHROSCOPY/SURGERY","29807","N/A","N/A","N/A","N/A","54649.21","25554.08","25554.08","N/A","N/A","N/A","25554.08","25554.08","N/A","25554.08","25554.08","25554.08","25554.08","25554.08","25554.08","25554.08","25554.08","25554.08","25554.08"
"5","N/A","SHOULDER ARTHROSCOPY/SURGERY","29822","N/A","N/A","N/A","N/A","195801.10","21208.35","21208.35","N/A","N/A","N/A","21208.35","21208.35","N/A","21208.35","21208.35","21208.35","21208.35","21208.35","21208.35","21208.35","21208.35","21208.35","21208.35"
"5","N/A","SHOULDER ARTHROSCOPY/SURGERY","29823","N/A","N/A","N/A","N/A","195801.10","22908.84","22908.84","N/A","N/A","N/A","22908.84","22908.84","N/A","22908.84","22908.84","22908.84","22908.84","22908.84","22908.84","22908.84","22908.84","22908.84","22908.84"
"5","N/A","SHOULDER ARTHROSCOPY/SURGERY","29824","N/A","N/A","N/A","N/A","N/A","22881.31","22881.31","N/A","N/A","N/A","22881.31","22881.31","N/A","22881.31","22881.31","22881.31","22881.31","22881.31","22881.31","22881.31","22881.31","22881.31","22881.31"
"5","N/A","SHOULDER ARTHROSCOPY/SURGERY","29825","N/A","N/A","N/A","N/A","N/A","18496.88","18496.88","N/A","N/A","N/A","18496.88","18496.88","N/A","18496.88","18496.88","18496.88","18496.88","18496.88","18496.88","18496.88","18496.88","18496.88","18496.88"
"5","N/A","SHOULDER ARTHROSCOPY/SURGERY","29826","N/A","N/A","N/A","N/A","N/A","23134.61","23134.61","N/A","N/A","N/A","23134.61","23134.61","N/A","23134.61","23134.61","23134.61","23134.61","23134.61","23134.61","23134.61","23134.61","23134.61","23134.61"
"5","N/A","ARTHROSCOP ROTATOR CUFF REPR","29827","N/A","N/A","N/A","N/A","N/A","24192.48","24192.48","N/A","N/A","N/A","24192.48","24192.48","N/A","24192.48","24192.48","24192.48","24192.48","24192.48","24192.48","24192.48","24192.48","24192.48","24192.48"
"5","N/A","ARTHROSCOPY BICEPS TENODESIS","29828","N/A","N/A","N/A","N/A","N/A","24806.96","24806.96","N/A","N/A","N/A","24806.96","24806.96","N/A","24806.96","24806.96","24806.96","24806.96","24806.96","24806.96","24806.96","24806.96","24806.96","24806.96"
"5","N/A","ELBOW ARTHROSCOPY/SURGERY","29834","N/A","N/A","N/A","N/A","N/A","23995.68","23995.68","N/A","N/A","N/A","23995.68","23995.68","N/A","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68"
"5","N/A","ELBOW ARTHROSCOPY/SURGERY","29836","N/A","N/A","N/A","N/A","N/A","23995.68","23995.68","N/A","N/A","N/A","23995.68","23995.68","N/A","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68"
"5","N/A","ELBOW ARTHROSCOPY/SURGERY","29838","N/A","N/A","N/A","N/A","N/A","23995.68","23995.68","N/A","N/A","N/A","23995.68","23995.68","N/A","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68","23995.68"
"5","N/A","WRIST ARTHROSCOPY/SURGERY","29844","N/A","N/A","N/A","N/A","N/A","23297.40","23297.40","N/A","N/A","N/A","23297.40","23297.40","N/A","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40","23297.40"
"5","N/A","WRIST ARTHROSCOPY/SURGERY","29846","N/A","N/A","N/A","N/A","N/A","27499.47","27499.47","N/A","N/A","N/A","27499.47","27499.47","N/A","27499.47","27499.47","27499.47","27499.47","27499.47","27499.47","27499.47","27499.47","27499.47","27499.47"
"5","N/A","WRIST ENDOSCOPY/SURGERY","29848","N/A","N/A","N/A","N/A","N/A","11175.87","11175.87","N/A","N/A","N/A","11175.87","11175.87","N/A","11175.87","11175.87","11175.87","11175.87","11175.87","11175.87","11175.87","11175.87","11175.87","11175.87"
"5","N/A","HIP ARTHR0 W/DEBRIDEMENT","29862","N/A","N/A","N/A","N/A","N/A","22292.71","22292.71","N/A","N/A","N/A","22292.71","22292.71","N/A","22292.71","22292.71","22292.71","22292.71","22292.71","22292.71","22292.71","22292.71","22292.71","22292.71"
"5","N/A","ALLGRFT IMPLNT KNEE W/SCOPE","29867","N/A","N/A","N/A","N/A","N/A","32937.95","32937.95","N/A","N/A","N/A","32937.95","32937.95","N/A","32937.95","32937.95","32937.95","32937.95","32937.95","32937.95","32937.95","32937.95","32937.95","32937.95"
"5","N/A","KNEE ARTHROSCOPY DX","29870","N/A","N/A","N/A","N/A","51891.37","25558.63","25558.63","N/A","N/A","N/A","25558.63","25558.63","N/A","25558.63","25558.63","25558.63","25558.63","25558.63","25558.63","25558.63","25558.63","25558.63","25558.63"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29873","N/A","N/A","N/A","N/A","N/A","17110.64","17110.64","N/A","N/A","N/A","17110.64","17110.64","N/A","17110.64","17110.64","17110.64","17110.64","17110.64","17110.64","17110.64","17110.64","17110.64","17110.64"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29874","N/A","N/A","N/A","N/A","N/A","12988.60","12988.60","N/A","N/A","N/A","12988.60","12988.60","N/A","12988.60","12988.60","12988.60","12988.60","12988.60","12988.60","12988.60","12988.60","12988.60","12988.60"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29875","N/A","N/A","N/A","N/A","68744.00","14410.08","14410.08","N/A","N/A","N/A","14410.08","14410.08","N/A","14410.08","14410.08","14410.08","14410.08","14410.08","14410.08","14410.08","14410.08","14410.08","14410.08"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29876","N/A","N/A","N/A","N/A","68744.00","13564.75","13564.75","N/A","N/A","N/A","13564.75","13564.75","N/A","13564.75","13564.75","13564.75","13564.75","13564.75","13564.75","13564.75","13564.75","13564.75","13564.75"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29877","N/A","N/A","N/A","N/A","68744.00","12864.63","12864.63","N/A","N/A","N/A","12864.63","12864.63","N/A","12864.63","12864.63","12864.63","12864.63","12864.63","12864.63","12864.63","12864.63","12864.63","12864.63"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29879","N/A","N/A","N/A","N/A","N/A","13315.48","13315.48","N/A","N/A","N/A","13315.48","13315.48","N/A","13315.48","13315.48","13315.48","13315.48","13315.48","13315.48","13315.48","13315.48","13315.48","13315.48"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29880","N/A","N/A","N/A","N/A","68744.00","15390.75","15390.75","N/A","N/A","N/A","15390.75","15390.75","N/A","15390.75","15390.75","15390.75","15390.75","15390.75","15390.75","15390.75","15390.75","15390.75","15390.75"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29881","N/A","N/A","N/A","N/A","68744.00","14740.17","14740.17","N/A","N/A","N/A","14740.17","14740.17","N/A","14740.17","14740.17","14740.17","14740.17","14740.17","14740.17","14740.17","14740.17","14740.17","14740.17"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29882","N/A","N/A","N/A","N/A","N/A","29885.45","29885.45","N/A","N/A","N/A","29885.45","29885.45","N/A","29885.45","29885.45","29885.45","29885.45","29885.45","29885.45","29885.45","29885.45","29885.45","29885.45"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29883","N/A","N/A","N/A","N/A","N/A","35458.00","35458.00","N/A","N/A","N/A","35458.00","35458.00","N/A","35458.00","35458.00","35458.00","35458.00","35458.00","35458.00","35458.00","35458.00","35458.00","35458.00"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29884","N/A","N/A","N/A","N/A","N/A","14435.65","14435.65","N/A","N/A","N/A","14435.65","14435.65","N/A","14435.65","14435.65","14435.65","14435.65","14435.65","14435.65","14435.65","14435.65","14435.65","14435.65"
"5","N/A","KNEE ARTHROSCOPY/SURGERY","29888","N/A","N/A","N/A","N/A","50335.65","36274.32","36274.32","N/A","N/A","N/A","36274.32","36274.32","N/A","36274.32","36274.32","36274.32","36274.32","36274.32","36274.32","36274.32","36274.32","36274.32","36274.32"
"5","N/A","ANKLE ARTHROSCOPY/SURGERY","29891","N/A","N/A","N/A","N/A","N/A","23877.65","23877.65","N/A","N/A","N/A","23877.65","23877.65","N/A","23877.65","23877.65","23877.65","23877.65","23877.65","23877.65","23877.65","23877.65","23877.65","23877.65"
"5","N/A","SCOPE PLANTAR FASCIOTOMY","29893","N/A","N/A","N/A","N/A","N/A","10926.73","10926.73","N/A","N/A","N/A","10926.73","10926.73","N/A","10926.73","10926.73","10926.73","10926.73","10926.73","10926.73","10926.73","10926.73","10926.73","10926.73"
"5","N/A","ANKLE ARTHROSCOPY/SURGERY","29895","N/A","N/A","N/A","N/A","39653.59","18101.11","18101.11","N/A","N/A","N/A","18101.11","18101.11","N/A","18101.11","18101.11","18101.11","18101.11","18101.11","18101.11","18101.11","18101.11","18101.11","18101.11"
"5","N/A","ANKLE ARTHROSCOPY/SURGERY","29897","N/A","N/A","N/A","N/A","39653.59","17102.41","17102.41","N/A","N/A","N/A","17102.41","17102.41","N/A","17102.41","17102.41","17102.41","17102.41","17102.41","17102.41","17102.41","17102.41","17102.41","17102.41"
"5","N/A","ANKLE ARTHROSCOPY/SURGERY","29898","N/A","N/A","N/A","N/A","39653.59","17187.46","17187.46","N/A","N/A","N/A","17187.46","17187.46","N/A","17187.46","17187.46","17187.46","17187.46","17187.46","17187.46","17187.46","17187.46","17187.46","17187.46"
"5","N/A","HIP ARTHRO W/FEMOROPLASTY","29914","N/A","N/A","N/A","N/A","N/A","44481.90","44481.90","N/A","N/A","N/A","44481.90","44481.90","N/A","44481.90","44481.90","44481.90","44481.90","44481.90","44481.90","44481.90","44481.90","44481.90","44481.90"
"5","N/A","HIP ARTHRO ACETABULOPLASTY","29915","N/A","N/A","N/A","N/A","N/A","35077.35","35077.35","N/A","N/A","N/A","35077.35","35077.35","N/A","35077.35","35077.35","35077.35","35077.35","35077.35","35077.35","35077.35","35077.35","35077.35","35077.35"
"5","N/A","HIP ARTHRO W/LABRAL REPAIR","29916","N/A","N/A","N/A","N/A","N/A","47523.84","47523.84","N/A","N/A","N/A","47523.84","47523.84","N/A","47523.84","47523.84","47523.84","47523.84","47523.84","47523.84","47523.84","47523.84","47523.84","47523.84"
"5","N/A","ARTHROSCOPY OF JOINT","29999","N/A","N/A","N/A","N/A","67730.91","39529.67","39529.67","N/A","N/A","N/A","39529.67","39529.67","N/A","39529.67","39529.67","39529.67","39529.67","39529.67","39529.67","39529.67","39529.67","39529.67","39529.67"
"5","N/A","DRAINAGE OF NOSE LESION","30000","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG ABSCESS, INCISION AND DRAINAGE","30000","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG DRAIN ABS/HEMA NASL INT APPRCH","30000","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","DRAINAGE OF NOSE LESION","30020","N/A","N/A","N/A","N/A","N/A","8521.29","8521.29","N/A","N/A","N/A","8521.29","8521.29","N/A","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29"
"5","N/A","HCHG DRAIN ABSCESS OR HEMATOMA NASAL SEPTUM","30020","N/A","N/A","N/A","N/A","N/A","8521.29","8521.29","N/A","N/A","N/A","8521.29","8521.29","N/A","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29"
"5","N/A","HCHG I&D NASAL SEPTUM ABSCESS OR HEMATOMA","30020","N/A","N/A","N/A","N/A","N/A","8521.29","8521.29","N/A","N/A","N/A","8521.29","8521.29","N/A","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29","8521.29"
"5","N/A","HCHG BIOPSY, NASAL","30100","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","INTRANASAL BIOPSY","30100","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG POLYP, EXCISION; SIMPLE","30110","N/A","N/A","N/A","N/A","N/A","31228.68","31228.68","N/A","N/A","N/A","31228.68","31228.68","N/A","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68"
"5","N/A","REMOVAL OF NOSE POLYP(S)","30110","N/A","N/A","N/A","N/A","N/A","31228.68","31228.68","N/A","N/A","N/A","31228.68","31228.68","N/A","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68","31228.68"
"5","N/A","HCHG POLYP, EXCISION; EXTENSIVE","30115","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","REMOVAL OF NOSE POLYP(S)","30115","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG LESION, DESTRUCTION OR EXCISION; INTERNAL APPROACH","30117","N/A","N/A","N/A","N/A","N/A","14398.84","14398.84","N/A","N/A","N/A","14398.84","14398.84","N/A","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84"
"5","N/A","REMOVAL OF INTRANASAL LESION","30117","N/A","N/A","N/A","N/A","N/A","14398.84","14398.84","N/A","N/A","N/A","14398.84","14398.84","N/A","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84","14398.84"
"5","N/A","HCHG LESION, DESTRUCTION OR EXCISION; EXTERNAL APPROACH","30118","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","REMOVAL OF INTRANASAL LESION","30118","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG REPAIR, RHINOPHYMA","30120","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","REVISION OF NOSE","30120","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG DERMOID CYST EXCISION, SIMPLE","30124","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","REMOVAL OF NOSE LESION","30124","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG DERMOID CYST EXCISION, COMPLEX","30125","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REMOVAL OF NOSE LESION","30125","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","EXCISE INFERIOR TURBINATE","30130","N/A","N/A","N/A","N/A","N/A","29771.01","29771.01","N/A","N/A","N/A","29771.01","29771.01","N/A","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01"
"5","N/A","HCHG TURBINATE, EXCISION","30130","N/A","N/A","N/A","N/A","N/A","29771.01","29771.01","N/A","N/A","N/A","29771.01","29771.01","N/A","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01","29771.01"
"5","N/A","HCHG TURBINATE","30140","N/A","N/A","N/A","N/A","N/A","19521.17","19521.17","N/A","N/A","N/A","19521.17","19521.17","N/A","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17"
"5","N/A","RESECT INFERIOR TURBINATE","30140","N/A","N/A","N/A","N/A","N/A","19521.17","19521.17","N/A","N/A","N/A","19521.17","19521.17","N/A","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17","19521.17"
"5","N/A","HCHG EXCISION, RHINECTOMY","30150","N/A","N/A","N/A","N/A","N/A","21786.60","21786.60","N/A","N/A","N/A","21786.60","21786.60","N/A","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60"
"5","N/A","PARTIAL REMOVAL OF NOSE","30150","N/A","N/A","N/A","N/A","N/A","21786.60","21786.60","N/A","N/A","N/A","21786.60","21786.60","N/A","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60","21786.60"
"5","N/A","HCHG TURBINATE, INJECTION","30200","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","INJECTION TREATMENT OF NOSE","30200","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","HCHG DISPLACEMENT THERAPY","30210","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","NASAL SINUS THERAPY","30210","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG INSERTION, SEPTAL PROSTHESIS","30220","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","INSERT NASAL SEPTAL BUTTON","30220","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG REMOVAL, FOREIGN BODY","30300","N/A","N/A","N/A","N/A","N/A","352.00","352.00","N/A","N/A","N/A","352.00","352.00","N/A","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00"
"5","N/A","HCHG REMOVE FB INTRANASAL","30300","N/A","N/A","N/A","N/A","N/A","352.00","352.00","N/A","N/A","N/A","352.00","352.00","N/A","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00"
"5","N/A","REMOVE NASAL FOREIGN BODY","30300","N/A","N/A","N/A","N/A","N/A","352.00","352.00","N/A","N/A","N/A","352.00","352.00","N/A","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00","352.00"
"5","N/A","HCHG REMOVAL, FOREIGN BODY W ANESTHESIA","30310","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","REMOVE NASAL FOREIGN BODY","30310","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG REMOVAL, FOREIGN BODY BY LATERAL RHINOTOMY","30320","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","REMOVE NASAL FOREIGN BODY","30320","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG RECONSTRUCTION, PRIMARY","30400","N/A","N/A","N/A","N/A","N/A","21074.84","21074.84","N/A","N/A","N/A","21074.84","21074.84","N/A","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84"
"5","N/A","RECONSTRUCTION OF NOSE","30400","N/A","N/A","N/A","N/A","N/A","21074.84","21074.84","N/A","N/A","N/A","21074.84","21074.84","N/A","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84","21074.84"
"5","N/A","HCHG RECONSTRUCTION, COMPLETE","30410","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","RECONSTRUCTION OF NOSE","30410","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","RECONSTRUCTION OF NOSE","30420","N/A","N/A","N/A","N/A","N/A","21405.26","21405.26","N/A","N/A","N/A","21405.26","21405.26","N/A","21405.26","21405.26","21405.26","21405.26","21405.26","21405.26","21405.26","21405.26","21405.26","21405.26"
"5","N/A","HCHG RESONSTRUCTION, SECONDARY","30430","N/A","N/A","N/A","N/A","N/A","12959.47","12959.47","N/A","N/A","N/A","12959.47","12959.47","N/A","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47"
"5","N/A","REVISION OF NOSE","30430","N/A","N/A","N/A","N/A","N/A","12959.47","12959.47","N/A","N/A","N/A","12959.47","12959.47","N/A","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47","12959.47"
"5","N/A","REVISION OF NOSE","30435","N/A","N/A","N/A","N/A","N/A","18035.44","18035.44","N/A","N/A","N/A","18035.44","18035.44","N/A","18035.44","18035.44","18035.44","18035.44","18035.44","18035.44","18035.44","18035.44","18035.44","18035.44"
"5","N/A","REVISION OF NOSE","30450","N/A","N/A","N/A","N/A","N/A","20330.10","20330.10","N/A","N/A","N/A","20330.10","20330.10","N/A","20330.10","20330.10","20330.10","20330.10","20330.10","20330.10","20330.10","20330.10","20330.10","20330.10"
"5","N/A","HCHG RECONSTRUCTION, CLEFT LIP/CLEFT PALATE","30460","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REVISION OF NOSE","30460","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REVISION OF NOSE","30462","N/A","N/A","N/A","N/A","64407.07","25443.37","25443.37","N/A","N/A","N/A","25443.37","25443.37","N/A","25443.37","25443.37","25443.37","25443.37","25443.37","25443.37","25443.37","25443.37","25443.37","25443.37"
"5","N/A","HCHG REPAIR, VESTIBULAR STENOSIS","30465","N/A","N/A","N/A","N/A","N/A","19718.72","19718.72","N/A","N/A","N/A","19718.72","19718.72","N/A","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72"
"5","N/A","REPAIR NASAL STENOSIS","30465","N/A","N/A","N/A","N/A","N/A","19718.72","19718.72","N/A","N/A","N/A","19718.72","19718.72","N/A","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72","19718.72"
"5","N/A","HCHG RECONSTRUCTION, SEPTUM","30520","N/A","N/A","N/A","N/A","N/A","21825.47","21825.47","N/A","N/A","N/A","21825.47","21825.47","N/A","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47"
"5","N/A","REPAIR OF NASAL SEPTUM","30520","N/A","N/A","N/A","N/A","N/A","21825.47","21825.47","N/A","N/A","N/A","21825.47","21825.47","N/A","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47","21825.47"
"5","N/A","HCHG REPAIR, CHOANAL ATRESIA","30540","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REPAIR NASAL DEFECT","30540","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG LYSIS OF ADHESIONS","30560","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","RELEASE OF NASAL ADHESIONS","30560","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","HCHG REPAIR, FISTULA","30580","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REPAIR UPPER JAW FISTULA","30580","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG RECONSTRUCTION DERMATOPLASTY","30620","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","INTRANASAL RECONSTRUCTION","30620","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG REPAIR, SEPTUM","30630","N/A","N/A","N/A","N/A","N/A","6828.00","6828.00","N/A","N/A","N/A","6828.00","6828.00","N/A","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00"
"5","N/A","REPAIR NASAL SEPTUM DEFECT","30630","N/A","N/A","N/A","N/A","N/A","6828.00","6828.00","N/A","N/A","N/A","6828.00","6828.00","N/A","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00","6828.00"
"5","N/A","HCHG TURBINATE MUCOSA, CAUTERIZATION","30801","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","ABLATE INF TURBINATE SUPERF","30801","N/A","N/A","N/A","N/A","17512.43","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","ABLATE INF TURBINATE SUBMUC","30802","N/A","N/A","N/A","N/A","17512.43","23165.49","23165.49","N/A","N/A","N/A","23165.49","23165.49","N/A","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49"
"5","N/A","HCHG CAUTERY ABLATION, INTRAMURAL","30802","N/A","N/A","N/A","N/A","N/A","23165.49","23165.49","N/A","N/A","N/A","23165.49","23165.49","N/A","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49","23165.49"
"5","N/A","CONTROL OF NOSEBLEED","30901","N/A","N/A","N/A","N/A","N/A","12274.43","12274.43","N/A","N/A","N/A","12274.43","12274.43","N/A","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43"
"5","N/A","HCHG NASAL HEMORR ANT SIMPLE","30901","N/A","N/A","N/A","N/A","N/A","12274.43","12274.43","N/A","N/A","N/A","12274.43","12274.43","N/A","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43","12274.43"
"5","N/A","CONTROL OF NOSEBLEED","30903","N/A","N/A","N/A","N/A","N/A","17459.65","17459.65","N/A","N/A","N/A","17459.65","17459.65","N/A","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65"
"5","N/A","HCHG NASAL HEMORR ANT(CMPLX/EXTEN)","30903","N/A","N/A","N/A","N/A","N/A","17459.65","17459.65","N/A","N/A","N/A","17459.65","17459.65","N/A","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65","17459.65"
"5","N/A","CONTROL OF NOSEBLEED","30905","N/A","N/A","N/A","N/A","N/A","400.00","400.00","N/A","N/A","N/A","400.00","400.00","N/A","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00"
"5","N/A","HCHG NASAL HEMORR POST INITIAL","30905","N/A","N/A","N/A","N/A","N/A","400.00","400.00","N/A","N/A","N/A","400.00","400.00","N/A","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00"
"5","N/A","HCHG REPEAT CONTROL OF NOSEBLEED","30906","N/A","N/A","N/A","N/A","N/A","461.00","461.00","N/A","N/A","N/A","461.00","461.00","N/A","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00"
"5","N/A","REPEAT CONTROL OF NOSEBLEED","30906","N/A","N/A","N/A","N/A","N/A","461.00","461.00","N/A","N/A","N/A","461.00","461.00","N/A","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00"
"5","N/A","HCHG ARTERY, LIGATION","30915","N/A","N/A","N/A","N/A","N/A","4632.00","4632.00","N/A","N/A","N/A","4632.00","4632.00","N/A","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00"
"5","N/A","LIGATION NASAL SINUS ARTERY","30915","N/A","N/A","N/A","N/A","N/A","4632.00","4632.00","N/A","N/A","N/A","4632.00","4632.00","N/A","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00","4632.00"
"5","N/A","HCHG TURBINATE, FRACTURE","30930","N/A","N/A","N/A","N/A","N/A","18332.76","18332.76","N/A","N/A","N/A","18332.76","18332.76","N/A","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76"
"5","N/A","THER FX NASAL INF TURBINATE","30930","N/A","N/A","N/A","N/A","N/A","18332.76","18332.76","N/A","N/A","N/A","18332.76","18332.76","N/A","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76","18332.76"
"5","N/A","NASAL SURGERY PROCEDURE","30999","N/A","N/A","N/A","N/A","N/A","20971.71","20971.71","N/A","N/A","N/A","20971.71","20971.71","N/A","20971.71","20971.71","20971.71","20971.71","20971.71","20971.71","20971.71","20971.71","20971.71","20971.71"
"5","N/A","EXPLORATION MAXILLARY SINUS","31030","N/A","N/A","N/A","N/A","N/A","9135.83","9135.83","N/A","N/A","N/A","9135.83","9135.83","N/A","9135.83","9135.83","9135.83","9135.83","9135.83","9135.83","9135.83","9135.83","9135.83","9135.83"
"5","N/A","REMOVAL OF FRONTAL SINUS","31086","N/A","N/A","N/A","N/A","N/A","20173.43","20173.43","N/A","N/A","N/A","20173.43","20173.43","N/A","20173.43","20173.43","20173.43","20173.43","20173.43","20173.43","20173.43","20173.43","20173.43","20173.43"
"5","N/A","REMOVAL OF UPPER JAW","31230","N/A","N/A","N/A","N/A","143576.69","60913.46","60913.46","N/A","N/A","N/A","60913.46","60913.46","N/A","60913.46","60913.46","60913.46","60913.46","60913.46","60913.46","60913.46","60913.46","60913.46","60913.46"
"5","N/A","HCHG DIAGNOSTIC NASAL ENDOSCOPY","31231","N/A","N/A","N/A","N/A","N/A","10553.60","10553.60","N/A","N/A","N/A","10553.60","10553.60","N/A","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60"
"5","N/A","NASAL ENDOSCOPY DX","31231","N/A","N/A","N/A","N/A","N/A","10553.60","10553.60","N/A","N/A","N/A","10553.60","10553.60","N/A","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60","10553.60"
"5","N/A","HCHG SPHENOID SINUSOSCOPY","31235","N/A","N/A","N/A","N/A","N/A","4327.00","4327.00","N/A","N/A","N/A","4327.00","4327.00","N/A","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00"
"5","N/A","NSL/SINS NDSC DX SPHN SINUSC","31235","N/A","N/A","N/A","N/A","N/A","4327.00","4327.00","N/A","N/A","N/A","4327.00","4327.00","N/A","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00","4327.00"
"5","N/A","HCHG BIOPSY, ENDOSOCPIC","31237","N/A","N/A","N/A","N/A","N/A","13177.91","13177.91","N/A","N/A","N/A","13177.91","13177.91","N/A","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91"
"5","N/A","NASAL/SINUS ENDOSCOPY SURG","31237","N/A","N/A","N/A","N/A","N/A","13177.91","13177.91","N/A","N/A","N/A","13177.91","13177.91","N/A","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91","13177.91"
"5","N/A","HCHG NASAL ENDOSCOPIC HEMORRHAGE CONTROL","31238","N/A","N/A","N/A","N/A","N/A","10542.99","10542.99","N/A","N/A","N/A","10542.99","10542.99","N/A","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99"
"5","N/A","NASAL/SINUS ENDOSCOPY SURG","31238","N/A","N/A","N/A","N/A","N/A","10542.99","10542.99","N/A","N/A","N/A","10542.99","10542.99","N/A","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99","10542.99"
"5","N/A","HCHG NASAL ENDOSCOPY WITH DACRYOCYSTORHINOSTOMY","31239","N/A","N/A","N/A","N/A","N/A","12609.91","12609.91","N/A","N/A","N/A","12609.91","12609.91","N/A","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91"
"5","N/A","NASAL/SINUS ENDOSCOPY SURG","31239","N/A","N/A","N/A","N/A","75255.98","12609.91","12609.91","N/A","N/A","N/A","12609.91","12609.91","N/A","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91","12609.91"
"5","N/A","NASAL/SINUS ENDOSCOPY SURG","31240","N/A","N/A","N/A","N/A","19345.75","11546.47","11546.47","N/A","N/A","N/A","11546.47","11546.47","N/A","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47"
"5","N/A","HCHG NASAL ENDOSCOPY WITH CONCHA BULLOSA RESECTION","31240","N/A","N/A","N/A","N/A","N/A","11546.47","11546.47","N/A","N/A","N/A","11546.47","11546.47","N/A","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47","11546.47"
"5","N/A","NSL/SINS NDSC W/ARTERY LIG","31241","N/A","N/A","N/A","N/A","N/A","10406.13","10406.13","N/A","N/A","N/A","10406.13","10406.13","N/A","10406.13","10406.13","10406.13","10406.13","10406.13","10406.13","10406.13","10406.13","10406.13","10406.13"
"5","N/A","HCHG NASAL/ SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING FRONTAL SINUS EXPLORATION, WITH REMOVAL OF TISSUE FROM FRONTAL SINUS, WHEN PERFORMED","31253","N/A","N/A","N/A","N/A","N/A","29037.30","29037.30","N/A","N/A","N/A","29037.30","29037.30","N/A","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30"
"5","N/A","NSL/SINS NDSC TOTAL","31253","N/A","N/A","N/A","N/A","N/A","29037.30","29037.30","N/A","N/A","N/A","29037.30","29037.30","N/A","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30","29037.30"
"5","N/A","HCHG ENDOSCOPIC PARTIAL ETHMOIDECTOMY","31254","N/A","N/A","N/A","N/A","N/A","26526.72","26526.72","N/A","N/A","N/A","26526.72","26526.72","N/A","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72"
"5","N/A","NSL/SINS NDSC W/PRTL ETHMDCT","31254","N/A","N/A","N/A","N/A","N/A","26526.72","26526.72","N/A","N/A","N/A","26526.72","26526.72","N/A","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72","26526.72"
"5","N/A","HCHG ENDOSCOPIC TOTAL ETHMOIDECTOMY","31255","N/A","N/A","N/A","N/A","N/A","26962.71","26962.71","N/A","N/A","N/A","26962.71","26962.71","N/A","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71"
"5","N/A","NSL/SINS NDSC W/TOT ETHMDCT","31255","N/A","N/A","N/A","N/A","N/A","26962.71","26962.71","N/A","N/A","N/A","26962.71","26962.71","N/A","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71","26962.71"
"5","N/A","EXPLORATION MAXILLARY SINUS","31256","N/A","N/A","N/A","N/A","N/A","28575.73","28575.73","N/A","N/A","N/A","28575.73","28575.73","N/A","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73"
"5","N/A","HCHG ENDOSCOPIC MAXILLARY ANTROSTOMY","31256","N/A","N/A","N/A","N/A","N/A","28575.73","28575.73","N/A","N/A","N/A","28575.73","28575.73","N/A","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73","28575.73"
"5","N/A","HCHG NASAL/ SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY","31257","N/A","N/A","N/A","N/A","N/A","30997.02","30997.02","N/A","N/A","N/A","30997.02","30997.02","N/A","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02"
"5","N/A","NSL/SINS NDSC TOT W/SPHENDT","31257","N/A","N/A","N/A","N/A","N/A","30997.02","30997.02","N/A","N/A","N/A","30997.02","30997.02","N/A","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02","30997.02"
"5","N/A","HCHG NASAL/ SINUS ENDOSCOPY, SURGICAL WITH ETHMOIDECTOMY; TOTAL (ANTERIOR AND POSTERIOR), INCLUDING SPHENOIDOTOMY, WITH REMOVAL OF TISSUE FROM SPHENOID SINUS","31259","N/A","N/A","N/A","N/A","N/A","30277.67","30277.67","N/A","N/A","N/A","30277.67","30277.67","N/A","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67"
"5","N/A","NSL/SINS NDSC SPHN TISS RMVL","31259","N/A","N/A","N/A","N/A","323582.33","30277.67","30277.67","N/A","N/A","N/A","30277.67","30277.67","N/A","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67","30277.67"
"5","N/A","ENDOSCOPY MAXILLARY SINUS","31267","N/A","N/A","N/A","N/A","201547.20","28686.60","28686.60","N/A","N/A","N/A","28686.60","28686.60","N/A","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60"
"5","N/A","HCHG ENDOSCOPIC MAXILLARY TISSUE REMOVAL","31267","N/A","N/A","N/A","N/A","N/A","28686.60","28686.60","N/A","N/A","N/A","28686.60","28686.60","N/A","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60","28686.60"
"5","N/A","HCHG FRONTAL SINUS ENDOSCOPY","31276","N/A","N/A","N/A","N/A","N/A","30075.48","30075.48","N/A","N/A","N/A","30075.48","30075.48","N/A","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48"
"5","N/A","NSL/SINS NDSC FRNT TISS RMVL","31276","N/A","N/A","N/A","N/A","N/A","30075.48","30075.48","N/A","N/A","N/A","30075.48","30075.48","N/A","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48","30075.48"
"5","N/A","HCHG ENDOSCOPIC SPHENOIDOTOMY","31287","N/A","N/A","N/A","N/A","N/A","31532.30","31532.30","N/A","N/A","N/A","31532.30","31532.30","N/A","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30"
"5","N/A","NASAL/SINUS ENDOSCOPY SURG","31287","N/A","N/A","N/A","N/A","N/A","31532.30","31532.30","N/A","N/A","N/A","31532.30","31532.30","N/A","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30","31532.30"
"5","N/A","HCHG ENDOSCOPIC REMOVAL OF SPHENOID TISSUE","31288","N/A","N/A","N/A","N/A","N/A","28337.80","28337.80","N/A","N/A","N/A","28337.80","28337.80","N/A","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80"
"5","N/A","NASAL/SINUS ENDOSCOPY SURG","31288","N/A","N/A","N/A","N/A","279290.92","28337.80","28337.80","N/A","N/A","N/A","28337.80","28337.80","N/A","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80","28337.80"
"5","N/A","HCHG ENDOSCOPIC MAXILLARY SINUS DILATION","31295","N/A","N/A","N/A","N/A","N/A","18615.27","18615.27","N/A","N/A","N/A","18615.27","18615.27","N/A","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27"
"5","N/A","NSL/SINS NDSC SURG MAX SINS","31295","N/A","N/A","N/A","N/A","N/A","18615.27","18615.27","N/A","N/A","N/A","18615.27","18615.27","N/A","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27","18615.27"
"5","N/A","HCHG ENDOSCOPIC FRONTAL SINUS DILATION","31296","N/A","N/A","N/A","N/A","N/A","21797.23","21797.23","N/A","N/A","N/A","21797.23","21797.23","N/A","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23"
"5","N/A","NSL/SINS NDSC SURG FRNT SINS","31296","N/A","N/A","N/A","N/A","N/A","21797.23","21797.23","N/A","N/A","N/A","21797.23","21797.23","N/A","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23","21797.23"
"5","N/A","HCHG ENDOSCOPIC SPHENOID SINUS DILATION","31297","N/A","N/A","N/A","N/A","N/A","16266.00","16266.00","N/A","N/A","N/A","16266.00","16266.00","N/A","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00"
"5","N/A","NSL/SINS NDSC SURG SPHN SINS","31297","N/A","N/A","N/A","N/A","N/A","16266.00","16266.00","N/A","N/A","N/A","16266.00","16266.00","N/A","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00"
"5","N/A","HCHG NASAL/ SINUS ENDOSCOPY, SURGICAL; WITH DILATION OF FRONTAL AND SPHENOID SINUS OSTIA (EG, BALLON DILATION)","31298","N/A","N/A","N/A","N/A","N/A","16266.00","16266.00","N/A","N/A","N/A","16266.00","16266.00","N/A","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00"
"5","N/A","NSL/SINS NDSC SURG FRNT&SPHN","31298","N/A","N/A","N/A","N/A","N/A","16266.00","16266.00","N/A","N/A","N/A","16266.00","16266.00","N/A","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00","16266.00"
"5","N/A","SINUS SURGERY PROCEDURE","31299","N/A","N/A","N/A","N/A","70449.07","13387.43","13387.43","N/A","N/A","N/A","13387.43","13387.43","N/A","13387.43","13387.43","13387.43","13387.43","13387.43","13387.43","13387.43","13387.43","13387.43","13387.43"
"5","N/A","REMOVAL OF LARYNX & PHARYNX","31390","N/A","N/A","N/A","N/A","107984.65","7613.00","7613.00","N/A","N/A","N/A","7613.00","7613.00","N/A","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00"
"5","N/A","HCHG EXCISION WITH LARYNX","31390","N/A","N/A","N/A","N/A","N/A","7613.00","7613.00","N/A","N/A","N/A","7613.00","7613.00","N/A","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00","7613.00"
"5","N/A","HCHG INTUBATION ENDOTRACHEAL","31500","N/A","N/A","N/A","N/A","N/A","965.00","965.00","N/A","N/A","N/A","965.00","965.00","N/A","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00"
"5","N/A","HCHG INTUBATION ENDOTRACHEAL (EMERGENCY)","31500","N/A","N/A","N/A","N/A","N/A","965.00","965.00","N/A","N/A","N/A","965.00","965.00","N/A","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00"
"5","N/A","INSERT EMERGENCY AIRWAY","31500","N/A","N/A","N/A","N/A","N/A","965.00","965.00","N/A","N/A","N/A","965.00","965.00","N/A","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00"
"5","N/A","CHANGE OF WINDPIPE AIRWAY","31502","N/A","N/A","N/A","N/A","N/A","8283.53","8283.53","N/A","N/A","N/A","8283.53","8283.53","N/A","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53"
"5","N/A","HCHG TRACH CHANGE PROCED","31502","N/A","N/A","N/A","N/A","N/A","8283.53","8283.53","N/A","N/A","N/A","8283.53","8283.53","N/A","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53"
"5","N/A","HCHG TRACH TUBE CHANGE","31502","N/A","N/A","N/A","N/A","N/A","8283.53","8283.53","N/A","N/A","N/A","8283.53","8283.53","N/A","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53","8283.53"
"5","N/A","DIAGNOSTIC LARYNGOSCOPY","31505","N/A","N/A","N/A","N/A","N/A","774.61","774.61","N/A","N/A","N/A","774.61","774.61","N/A","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61"
"5","N/A","HCHG LARYNGOSCOPY IND DX","31505","N/A","N/A","N/A","N/A","N/A","774.61","774.61","N/A","N/A","N/A","774.61","774.61","N/A","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61"
"5","N/A","HCHG LARYNGOSCOPY INDIRECT; DIAGNOSTIC","31505","N/A","N/A","N/A","N/A","N/A","774.61","774.61","N/A","N/A","N/A","774.61","774.61","N/A","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61","774.61"
"5","N/A","LARYNGOSCOPY WITH BIOPSY","31510","N/A","N/A","N/A","N/A","N/A","10631.51","10631.51","N/A","N/A","N/A","10631.51","10631.51","N/A","10631.51","10631.51","10631.51","10631.51","10631.51","10631.51","10631.51","10631.51","10631.51","10631.51"
"5","N/A","HCHG LARYNGOSCOPY IND REMOVE FB","31511","N/A","N/A","N/A","N/A","N/A","412.00","412.00","N/A","N/A","N/A","412.00","412.00","N/A","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00"
"5","N/A","REMOVE FOREIGN BODY LARYNX","31511","N/A","N/A","N/A","N/A","N/A","412.00","412.00","N/A","N/A","N/A","412.00","412.00","N/A","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00"
"5","N/A","DX LARYNGOSCOPY EXCL NB","31525","N/A","N/A","N/A","N/A","N/A","17594.74","17594.74","N/A","N/A","N/A","17594.74","17594.74","N/A","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74"
"5","N/A","HCHG LARYNGOSCOPY DIR DIAG EX NB","31525","N/A","N/A","N/A","N/A","N/A","17594.74","17594.74","N/A","N/A","N/A","17594.74","17594.74","N/A","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74","17594.74"
"5","N/A","DX LARYNGOSCOPY W/OPER SCOPE","31526","N/A","N/A","N/A","N/A","N/A","12072.28","12072.28","N/A","N/A","N/A","12072.28","12072.28","N/A","12072.28","12072.28","12072.28","12072.28","12072.28","12072.28","12072.28","12072.28","12072.28","12072.28"
"5","N/A","LARYNGOSCOPY AND DILATION","31528","N/A","N/A","N/A","N/A","N/A","7650.43","7650.43","N/A","N/A","N/A","7650.43","7650.43","N/A","7650.43","7650.43","7650.43","7650.43","7650.43","7650.43","7650.43","7650.43","7650.43","7650.43"
"5","N/A","LARYNGOSCOPY AND DILATION","31529","N/A","N/A","N/A","N/A","N/A","6415.46","6415.46","N/A","N/A","N/A","6415.46","6415.46","N/A","6415.46","6415.46","6415.46","6415.46","6415.46","6415.46","6415.46","6415.46","6415.46","6415.46"
"5","N/A","HCHG LARYNGOSCOPY DIR REMOVE FB","31530","N/A","N/A","N/A","N/A","N/A","12033.14","12033.14","N/A","N/A","N/A","12033.14","12033.14","N/A","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14"
"5","N/A","HCHG LARYNGOSCOPY W/FB REMOVAL","31530","N/A","N/A","N/A","N/A","N/A","12033.14","12033.14","N/A","N/A","N/A","12033.14","12033.14","N/A","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14"
"5","N/A","LARYNGOSCOPY W/FB REMOVAL","31530","N/A","N/A","N/A","N/A","N/A","12033.14","12033.14","N/A","N/A","N/A","12033.14","12033.14","N/A","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14","12033.14"
"5","N/A","LARYNGOSCOPY W/BIOPSY","31535","N/A","N/A","N/A","N/A","N/A","10965.74","10965.74","N/A","N/A","N/A","10965.74","10965.74","N/A","10965.74","10965.74","10965.74","10965.74","10965.74","10965.74","10965.74","10965.74","10965.74","10965.74"
"5","N/A","LARYNGOSCOPY W/BX & OP SCOPE","31536","N/A","N/A","N/A","N/A","N/A","8765.68","8765.68","N/A","N/A","N/A","8765.68","8765.68","N/A","8765.68","8765.68","8765.68","8765.68","8765.68","8765.68","8765.68","8765.68","8765.68","8765.68"
"5","N/A","LARYNGOSCOPY W/EXC OF TUMOR","31540","N/A","N/A","N/A","N/A","N/A","11221.19","11221.19","N/A","N/A","N/A","11221.19","11221.19","N/A","11221.19","11221.19","11221.19","11221.19","11221.19","11221.19","11221.19","11221.19","11221.19","11221.19"
"5","N/A","LARYNSCOP W/TUMR EXC + SCOPE","31541","N/A","N/A","N/A","N/A","N/A","9050.15","9050.15","N/A","N/A","N/A","9050.15","9050.15","N/A","9050.15","9050.15","9050.15","9050.15","9050.15","9050.15","9050.15","9050.15","9050.15","9050.15"
"5","N/A","REMOVE VC LESION W/SCOPE","31545","N/A","N/A","N/A","N/A","N/A","12033.77","12033.77","N/A","N/A","N/A","12033.77","12033.77","N/A","12033.77","12033.77","12033.77","12033.77","12033.77","12033.77","12033.77","12033.77","12033.77","12033.77"
"5","N/A","LARYNGOSCOPE W/VC INJ","31570","N/A","N/A","N/A","N/A","N/A","10650.95","10650.95","N/A","N/A","N/A","10650.95","10650.95","N/A","10650.95","10650.95","10650.95","10650.95","10650.95","10650.95","10650.95","10650.95","10650.95","10650.95"
"5","N/A","LARYNGOSCOP W/VC INJ + SCOPE","31571","N/A","N/A","N/A","N/A","N/A","9509.26","9509.26","N/A","N/A","N/A","9509.26","9509.26","N/A","9509.26","9509.26","9509.26","9509.26","9509.26","9509.26","9509.26","9509.26","9509.26","9509.26"
"5","N/A","LARGSC W/THER INJECTION","31573","N/A","N/A","N/A","N/A","N/A","8025.65","8025.65","N/A","N/A","N/A","8025.65","8025.65","N/A","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65"
"5","N/A","DIAGNOSTIC LARYNGOSCOPY","31575","N/A","N/A","N/A","N/A","N/A","760.85","760.85","N/A","N/A","N/A","760.85","760.85","N/A","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85"
"5","N/A","HCHG LARGSC FLEX FIBOPT DX","31575","N/A","N/A","N/A","N/A","N/A","760.85","760.85","N/A","N/A","N/A","760.85","760.85","N/A","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85"
"5","N/A","HCHG LARYNGOSCOPY FLEX DX","31575","N/A","N/A","N/A","N/A","N/A","760.85","760.85","N/A","N/A","N/A","760.85","760.85","N/A","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85","760.85"
"5","N/A","HCHG FLEXIBLE LARYNGOSCOPY WITH BIOPSY","31576","N/A","N/A","N/A","N/A","N/A","9195.44","9195.44","N/A","N/A","N/A","9195.44","9195.44","N/A","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44"
"5","N/A","LARYNGOSCOPY WITH BIOPSY","31576","N/A","N/A","N/A","N/A","N/A","9195.44","9195.44","N/A","N/A","N/A","9195.44","9195.44","N/A","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44","9195.44"
"5","N/A","HCHG FLEXIBLE LARYNGOSCOPY WITH FOREIGN BODY REMOVAL","31577","N/A","N/A","N/A","N/A","N/A","1441.00","1441.00","N/A","N/A","N/A","1441.00","1441.00","N/A","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00"
"5","N/A","HCHG LARYNGOSCOPY FLEX REMOVE FB","31577","N/A","N/A","N/A","N/A","N/A","1441.00","1441.00","N/A","N/A","N/A","1441.00","1441.00","N/A","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00"
"5","N/A","LARGSC W/RMVL FOREIGN BDY(S)","31577","N/A","N/A","N/A","N/A","N/A","1441.00","1441.00","N/A","N/A","N/A","1441.00","1441.00","N/A","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00","1441.00"
"5","N/A","HCHG FLEXIBLE LARYNGOSCOPY WITH REMOVAL OF LESION","31578","N/A","N/A","N/A","N/A","N/A","15374.02","15374.02","N/A","N/A","N/A","15374.02","15374.02","N/A","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02"
"5","N/A","LARGSC W/REMOVAL LESION","31578","N/A","N/A","N/A","N/A","N/A","15374.02","15374.02","N/A","N/A","N/A","15374.02","15374.02","N/A","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02"
"5","N/A","HCHG LARGSC FLEX /RIGID FIBOPT W/STROBOSCOPY","31579","N/A","N/A","N/A","N/A","N/A","1222.00","1222.00","N/A","N/A","N/A","1222.00","1222.00","N/A","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00"
"5","N/A","LARYNGOSCOPY TELESCOPIC","31579","N/A","N/A","N/A","N/A","N/A","1222.00","1222.00","N/A","N/A","N/A","1222.00","1222.00","N/A","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00","1222.00"
"5","N/A","HCHG TRACHEOSTOMY PLANNED","31600","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE)","31600","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","INCISION OF WINDPIPE","31600","N/A","N/A","N/A","N/A","412147.12","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","INCISION OF WINDPIPE","31601","N/A","N/A","N/A","N/A","412147.12","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE); YOUNGER THAN 2","31601","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG TRACHEOSTOMY EMERG TRANSTRACH","31603","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG TRACHEOSTOMY, EMERGENCY PROCEDURE; TRANSTRACHEAL","31603","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","INCISION OF WINDPIPE","31603","N/A","N/A","N/A","N/A","412147.12","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","INCISION OF WINDPIPE","31605","N/A","N/A","N/A","N/A","412147.12","1490.00","1490.00","N/A","N/A","N/A","1490.00","1490.00","N/A","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00"
"5","N/A","HCHG INCISION OF WINDPIPE","31605","N/A","N/A","N/A","N/A","N/A","1490.00","1490.00","N/A","N/A","N/A","1490.00","1490.00","N/A","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00"
"5","N/A","HCHG TRACHEOSTOMY, EMERGENCY PROCEDURE; CRICOTHYROID MEMBRANE","31605","N/A","N/A","N/A","N/A","N/A","1490.00","1490.00","N/A","N/A","N/A","1490.00","1490.00","N/A","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00"
"5","N/A","HCHG TRACHEOSTOMY, FENESTRATION PROCEDURE WITH SKIN FLAPS","31610","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","INCISION OF WINDPIPE","31610","N/A","N/A","N/A","N/A","412147.12","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG TRACHEOBRONCHOSCOPY THRU EST TRACH INCISION","31615","N/A","N/A","N/A","N/A","N/A","1898.00","1898.00","N/A","N/A","N/A","1898.00","1898.00","N/A","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00"
"5","N/A","VISUALIZATION OF WINDPIPE","31615","N/A","N/A","N/A","N/A","N/A","1898.00","1898.00","N/A","N/A","N/A","1898.00","1898.00","N/A","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00"
"5","N/A","DX BRONCHOSCOPE/WASH","31622","N/A","N/A","N/A","N/A","N/A","10925.71","10925.71","N/A","N/A","N/A","10925.71","10925.71","N/A","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71"
"5","N/A","HCHG BRONCHOSCOPY, RIGID/FLEX, DX W W/O CELL WASHING","31622","N/A","N/A","N/A","N/A","N/A","10925.71","10925.71","N/A","N/A","N/A","10925.71","10925.71","N/A","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71","10925.71"
"5","N/A","DX BRONCHOSCOPE/BRUSH","31623","N/A","N/A","N/A","N/A","N/A","16456.90","16456.90","N/A","N/A","N/A","16456.90","16456.90","N/A","16456.90","16456.90","16456.90","16456.90","16456.90","16456.90","16456.90","16456.90","16456.90","16456.90"
"5","N/A","DX BRONCHOSCOPE/LAVAGE","31624","N/A","N/A","N/A","N/A","N/A","17735.22","17735.22","N/A","N/A","N/A","17735.22","17735.22","N/A","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22"
"5","N/A","HCHG BRNCHSC W/BRNCL ALVEOLAR LAVAGE","31624","N/A","N/A","N/A","N/A","N/A","17735.22","17735.22","N/A","N/A","N/A","17735.22","17735.22","N/A","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22","17735.22"
"5","N/A","BRONCHOSCOPY W/BIOPSY(S)","31625","N/A","N/A","N/A","N/A","N/A","17305.14","17305.14","N/A","N/A","N/A","17305.14","17305.14","N/A","17305.14","17305.14","17305.14","17305.14","17305.14","17305.14","17305.14","17305.14","17305.14","17305.14"
"5","N/A","BRONCHOSCOPY/LUNG BX EACH","31628","N/A","N/A","N/A","N/A","107295.65","18496.77","18496.77","N/A","N/A","N/A","18496.77","18496.77","N/A","18496.77","18496.77","18496.77","18496.77","18496.77","18496.77","18496.77","18496.77","18496.77","18496.77"
"5","N/A","BRONCHOSCOPY/NEEDLE BX EACH","31629","N/A","N/A","N/A","N/A","N/A","15119.27","15119.27","N/A","N/A","N/A","15119.27","15119.27","N/A","15119.27","15119.27","15119.27","15119.27","15119.27","15119.27","15119.27","15119.27","15119.27","15119.27"
"5","N/A","BRONCHOSCOPY DILATE/FX REPR","31630","N/A","N/A","N/A","N/A","N/A","7946.21","7946.21","N/A","N/A","N/A","7946.21","7946.21","N/A","7946.21","7946.21","7946.21","7946.21","7946.21","7946.21","7946.21","7946.21","7946.21","7946.21"
"5","N/A","BRONCHOSCOPY DILATE W/STENT","31631","N/A","N/A","N/A","N/A","N/A","5378.00","5378.00","N/A","N/A","N/A","5378.00","5378.00","N/A","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00"
"5","N/A","HCHG PLCMT OF TRACHEAL STENT","31631","N/A","N/A","N/A","N/A","N/A","5378.00","5378.00","N/A","N/A","N/A","5378.00","5378.00","N/A","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00","5378.00"
"5","N/A","BRONCHOSCOPY W/FB REMOVAL","31635","N/A","N/A","N/A","N/A","N/A","10290.75","10290.75","N/A","N/A","N/A","10290.75","10290.75","N/A","10290.75","10290.75","10290.75","10290.75","10290.75","10290.75","10290.75","10290.75","10290.75","10290.75"
"5","N/A","BRONCHOSCOPY BRONCH STENTS","31636","N/A","N/A","N/A","N/A","N/A","15341.00","15341.00","N/A","N/A","N/A","15341.00","15341.00","N/A","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00"
"5","N/A","HCHG BRONCHOSCOPY BRONCH STENTS","31636","N/A","N/A","N/A","N/A","N/A","15341.00","15341.00","N/A","N/A","N/A","15341.00","15341.00","N/A","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00","15341.00"
"5","N/A","BRONCHOSCOPY W/TUMOR EXCISE","31640","N/A","N/A","N/A","N/A","N/A","19153.01","19153.01","N/A","N/A","N/A","19153.01","19153.01","N/A","19153.01","19153.01","19153.01","19153.01","19153.01","19153.01","19153.01","19153.01","19153.01","19153.01"
"5","N/A","BRONCHOSCOPY TREAT BLOCKAGE","31641","N/A","N/A","N/A","N/A","138546.31","18962.38","18962.38","N/A","N/A","N/A","18962.38","18962.38","N/A","18962.38","18962.38","18962.38","18962.38","18962.38","18962.38","18962.38","18962.38","18962.38","18962.38"
"5","N/A","BRONCH EBUS SAMPLNG 1/2 NODE","31652","N/A","N/A","N/A","N/A","N/A","18600.68","18600.68","N/A","N/A","N/A","18600.68","18600.68","N/A","18600.68","18600.68","18600.68","18600.68","18600.68","18600.68","18600.68","18600.68","18600.68","18600.68"
"5","N/A","BRONCH EBUS SAMPLNG 3/> NODE","31653","N/A","N/A","N/A","N/A","N/A","20138.58","20138.58","N/A","N/A","N/A","20138.58","20138.58","N/A","20138.58","20138.58","20138.58","20138.58","20138.58","20138.58","20138.58","20138.58","20138.58","20138.58"
"5","N/A","BRONCH EBUS IVNTJ PERPH LES","31654","N/A","N/A","N/A","N/A","N/A","16067.57","16067.57","N/A","N/A","N/A","16067.57","16067.57","N/A","16067.57","16067.57","16067.57","16067.57","16067.57","16067.57","16067.57","16067.57","16067.57","16067.57"
"5","N/A","CLEARANCE OF AIRWAYS","31720","N/A","N/A","N/A","N/A","N/A","549.00","549.00","N/A","N/A","N/A","549.00","549.00","N/A","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00"
"5","N/A","HCHG NASOTRACHEAL SXN/AIRWAY MGMT","31720","N/A","N/A","N/A","N/A","N/A","549.00","549.00","N/A","N/A","N/A","549.00","549.00","N/A","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00"
"5","N/A","HCHG PERCUTANEOUS TRACH ASSIST","31720","N/A","N/A","N/A","N/A","N/A","549.00","549.00","N/A","N/A","N/A","549.00","549.00","N/A","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00","549.00"
"5","N/A","CLOSURE OF WINDPIPE LESION","31820","N/A","N/A","N/A","N/A","N/A","8909.74","8909.74","N/A","N/A","N/A","8909.74","8909.74","N/A","8909.74","8909.74","8909.74","8909.74","8909.74","8909.74","8909.74","8909.74","8909.74","8909.74"
"5","N/A","AIRWAYS SURGICAL PROCEDURE","31899","N/A","N/A","N/A","N/A","137887.78","21340.13","21340.13","N/A","N/A","N/A","21340.13","21340.13","N/A","21340.13","21340.13","21340.13","21340.13","21340.13","21340.13","21340.13","21340.13","21340.13","21340.13"
"5","N/A","EXPLORATION OF CHEST","32100","N/A","N/A","N/A","N/A","N/A","10387.00","10387.00","N/A","N/A","N/A","10387.00","10387.00","N/A","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00"
"5","N/A","HCHG THORACTOMY; W/EXPLORATION","32100","N/A","N/A","N/A","N/A","N/A","10387.00","10387.00","N/A","N/A","N/A","10387.00","10387.00","N/A","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00","10387.00"
"5","N/A","HCHG THORACOTOMY W CARDIAC MASSAGE","32160","N/A","N/A","N/A","N/A","N/A","72962.05","72962.05","N/A","N/A","N/A","72962.05","72962.05","N/A","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05"
"5","N/A","OPEN CHEST HEART MASSAGE","32160","N/A","N/A","N/A","N/A","N/A","72962.05","72962.05","N/A","N/A","N/A","72962.05","72962.05","N/A","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05"
"5","N/A","HCHG CORE NDL BX LNG/MED PERQ","32408","N/A","N/A","N/A","N/A","N/A","9152.28","9152.28","N/A","N/A","N/A","9152.28","9152.28","N/A","9152.28","9152.28","9152.28","9152.28","9152.28","9152.28","9152.28","9152.28","9152.28","9152.28"
"5","N/A","HCHG INSERTION OF INDWELLING TUNNELED PLEURAL CATH","32550","N/A","N/A","N/A","N/A","N/A","14261.26","14261.26","N/A","N/A","N/A","14261.26","14261.26","N/A","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26"
"5","N/A","INSERT PLEURAL CATH","32550","N/A","N/A","N/A","N/A","56850.16","14261.26","14261.26","N/A","N/A","N/A","14261.26","14261.26","N/A","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26","14261.26"
"5","N/A","HCHG INSERT THORACOSTOMY TUBE OPEN","32551","N/A","N/A","N/A","N/A","N/A","1759.00","1759.00","N/A","N/A","N/A","1759.00","1759.00","N/A","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00"
"5","N/A","INSERTION OF CHEST TUBE","32551","N/A","N/A","N/A","N/A","N/A","1759.00","1759.00","N/A","N/A","N/A","1759.00","1759.00","N/A","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00"
"5","N/A","HCHG REMOVAL OF INDWELLING PLEURAL CATH","32552","N/A","N/A","N/A","N/A","N/A","3084.11","3084.11","N/A","N/A","N/A","3084.11","3084.11","N/A","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11"
"5","N/A","REMOVE LUNG CATHETER","32552","N/A","N/A","N/A","N/A","N/A","3084.11","3084.11","N/A","N/A","N/A","3084.11","3084.11","N/A","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11","3084.11"
"5","N/A","ASPIRATE PLEURA W/O IMAGING","32554","N/A","N/A","N/A","N/A","N/A","19096.20","19096.20","N/A","N/A","N/A","19096.20","19096.20","N/A","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20"
"5","N/A","HCHG ASPIRATE PLEURA W/O IMAGING","32554","N/A","N/A","N/A","N/A","N/A","19096.20","19096.20","N/A","N/A","N/A","19096.20","19096.20","N/A","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20","19096.20"
"5","N/A","ASPIRATE PLEURA W/ IMAGING","32555","N/A","N/A","N/A","N/A","N/A","3883.40","3883.40","N/A","N/A","N/A","3883.40","3883.40","N/A","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40"
"5","N/A","HCHG ASPIRATE PLEURA W/ IMAGING","32555","N/A","N/A","N/A","N/A","N/A","3883.40","3883.40","N/A","N/A","N/A","3883.40","3883.40","N/A","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40","3883.40"
"5","N/A","HCHG INSERT CATH PLEURA W/O IMAGE","32556","N/A","N/A","N/A","N/A","N/A","9643.19","9643.19","N/A","N/A","N/A","9643.19","9643.19","N/A","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19"
"5","N/A","INSERT CATH PLEURA W/O IMAGE","32556","N/A","N/A","N/A","N/A","56850.16","9643.19","9643.19","N/A","N/A","N/A","9643.19","9643.19","N/A","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19","9643.19"
"5","N/A","INSERT CATH PLEURA W/ IMAGE","32557","N/A","N/A","N/A","N/A","56850.16","13294.48","13294.48","N/A","N/A","N/A","13294.48","13294.48","N/A","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48"
"5","N/A","HCHG INSERT CATH PLEURA W/ IMAGE","32557","N/A","N/A","N/A","N/A","N/A","13294.48","13294.48","N/A","N/A","N/A","13294.48","13294.48","N/A","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48","13294.48"
"5","N/A","HCHG INSTILLATION VIA CHEST TUBE, PLEURODESIS AGENT","32560","N/A","N/A","N/A","N/A","N/A","1675.00","1675.00","N/A","N/A","N/A","1675.00","1675.00","N/A","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00"
"5","N/A","TREAT PLEURODESIS W/AGENT","32560","N/A","N/A","N/A","N/A","N/A","1675.00","1675.00","N/A","N/A","N/A","1675.00","1675.00","N/A","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00","1675.00"
"5","N/A","HCHG INSTILLATION VIA CHEST TUBE, FIBRINOLYTIC AGENT (TPA), INITIAL DAY","32561","N/A","N/A","N/A","N/A","N/A","1220.00","1220.00","N/A","N/A","N/A","1220.00","1220.00","N/A","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00"
"5","N/A","LYSE CHEST FIBRIN INIT DAY","32561","N/A","N/A","N/A","N/A","N/A","1220.00","1220.00","N/A","N/A","N/A","1220.00","1220.00","N/A","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00"
"5","N/A","HCHG INSTILLATION VIA CHEST TUBE, FIBRINOLYTIC AGENT (TPA), SUBSEQ DAY","32562","N/A","N/A","N/A","N/A","N/A","1220.00","1220.00","N/A","N/A","N/A","1220.00","1220.00","N/A","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00"
"5","N/A","LYSE CHEST FIBRIN SUBQ DAY","32562","N/A","N/A","N/A","N/A","N/A","1220.00","1220.00","N/A","N/A","N/A","1220.00","1220.00","N/A","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00","1220.00"
"5","N/A","ABLATE PULM TUMOR PERQ CRYBL","32994","N/A","N/A","N/A","N/A","N/A","9280.00","9280.00","N/A","N/A","N/A","9280.00","9280.00","N/A","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00"
"5","N/A","HCHG PERQ CRYOABLATION OF PULMONARY TUMORS, UNILAT","32994","N/A","N/A","N/A","N/A","N/A","9280.00","9280.00","N/A","N/A","N/A","9280.00","9280.00","N/A","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00","9280.00"
"5","N/A","ABLATE PULM TUMOR PERQ RF","32998","N/A","N/A","N/A","N/A","N/A","16820.55","16820.55","N/A","N/A","N/A","16820.55","16820.55","N/A","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55"
"5","N/A","HCHG PERQ RF ABLATE TX, PUL TUMOR","32998","N/A","N/A","N/A","N/A","N/A","16820.55","16820.55","N/A","N/A","N/A","16820.55","16820.55","N/A","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55","16820.55"
"5","N/A","HCHG PERICARDIOCENTESIS W/ IMAGING","33016","N/A","N/A","N/A","N/A","N/A","6999.80","6999.80","N/A","N/A","N/A","6999.80","6999.80","N/A","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80"
"5","N/A","PERICARDIOCENTESIS W/IMAGING","33016","N/A","N/A","N/A","N/A","N/A","6999.80","6999.80","N/A","N/A","N/A","6999.80","6999.80","N/A","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80","6999.80"
"5","N/A","HCHG PERICARD 6YR+ W/O CONGEN ANOM","33017","N/A","N/A","N/A","N/A","N/A","4059.00","4059.00","N/A","N/A","N/A","4059.00","4059.00","N/A","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00"
"5","N/A","PRCRD DRG 6YR+ W/O CGEN CAR","33017","N/A","N/A","N/A","N/A","N/A","4059.00","4059.00","N/A","N/A","N/A","4059.00","4059.00","N/A","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00"
"5","N/A","HCHG PERICARD W/CONGEN ANOM","33018","N/A","N/A","N/A","N/A","N/A","4059.00","4059.00","N/A","N/A","N/A","4059.00","4059.00","N/A","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00"
"5","N/A","PRCRD DRG 0-5YR OR W/ANOMLY","33018","N/A","N/A","N/A","N/A","N/A","4059.00","4059.00","N/A","N/A","N/A","4059.00","4059.00","N/A","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00"
"5","N/A","HCHG PERQ PERICARD W/CT GUIDE","33019","N/A","N/A","N/A","N/A","N/A","4059.00","4059.00","N/A","N/A","N/A","4059.00","4059.00","N/A","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00"
"5","N/A","PERQ PRCRD DRG INSJ CATH CT","33019","N/A","N/A","N/A","N/A","N/A","4059.00","4059.00","N/A","N/A","N/A","4059.00","4059.00","N/A","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00","4059.00"
"5","N/A","INSERT EPICARD ELTRD OPEN","33202","N/A","N/A","N/A","N/A","66737.24","52456.89","52456.89","N/A","N/A","N/A","52456.89","52456.89","N/A","52456.89","52456.89","52456.89","52456.89","52456.89","52456.89","52456.89","52456.89","52456.89","52456.89"
"5","N/A","INSERT HEART PM ATRIAL","33206","N/A","N/A","N/A","N/A","81443.90","44352.09","44352.09","N/A","N/A","N/A","44352.09","44352.09","N/A","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09"
"5","N/A","HCHG NEW PACEMKR INSERT PERM W/ATRL LD","33206","N/A","N/A","N/A","N/A","N/A","44352.09","44352.09","N/A","N/A","N/A","44352.09","44352.09","N/A","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09","44352.09"
"5","N/A","HCHG NEW PACEMKR INSERT PERM W/VERNTR LD","33207","N/A","N/A","N/A","N/A","N/A","32742.24","32742.24","N/A","N/A","N/A","32742.24","32742.24","N/A","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24"
"5","N/A","INSERT HEART PM VENTRICULAR","33207","N/A","N/A","N/A","N/A","98247.44","32742.24","32742.24","N/A","N/A","N/A","32742.24","32742.24","N/A","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24","32742.24"
"5","N/A","INSRT HEART PM ATRIAL & VENT","33208","N/A","N/A","N/A","N/A","64853.04","41242.89","41242.89","N/A","N/A","N/A","41242.89","41242.89","N/A","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89"
"5","N/A","HCHG NEW PACEMKR INSERT PERM AV SEQ","33208","N/A","N/A","N/A","N/A","N/A","41242.89","41242.89","N/A","N/A","N/A","41242.89","41242.89","N/A","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89","41242.89"
"5","N/A","HCHG TEMP TRANSV PACEMKR INSERT+CF","33210","N/A","N/A","N/A","N/A","N/A","2469.00","2469.00","N/A","N/A","N/A","2469.00","2469.00","N/A","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00"
"5","N/A","INSERT ELECTRD/PM CATH SNGL","33210","N/A","N/A","N/A","N/A","76018.45","2469.00","2469.00","N/A","N/A","N/A","2469.00","2469.00","N/A","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00","2469.00"
"5","N/A","INSERT PULSE GEN SNGL LEAD","33212","N/A","N/A","N/A","N/A","81017.31","2289.00","2289.00","N/A","N/A","N/A","2289.00","2289.00","N/A","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00"
"5","N/A","HCHG INSERTION OF PACEMKR GEN ONLY-SINGLE LEAD SYSTEM","33212","N/A","N/A","N/A","N/A","N/A","2289.00","2289.00","N/A","N/A","N/A","2289.00","2289.00","N/A","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00","2289.00"
"5","N/A","HCHG INSERTION OF PACEMKR GEN ONLY-DUAL LEAD SYSTEM","33213","N/A","N/A","N/A","N/A","N/A","24342.51","24342.51","N/A","N/A","N/A","24342.51","24342.51","N/A","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51"
"5","N/A","INSERT PULSE GEN DUAL LEADS","33213","N/A","N/A","N/A","N/A","63493.20","24342.51","24342.51","N/A","N/A","N/A","24342.51","24342.51","N/A","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51","24342.51"
"5","N/A","UPGRADE OF PACEMAKER SYSTEM","33214","N/A","N/A","N/A","N/A","63484.85","4593.00","4593.00","N/A","N/A","N/A","4593.00","4593.00","N/A","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00"
"5","N/A","HCHG PACEMKR UPGRD TO DUAL CHB","33214","N/A","N/A","N/A","N/A","N/A","4593.00","4593.00","N/A","N/A","N/A","4593.00","4593.00","N/A","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00","4593.00"
"5","N/A","HCHG REPOSITION OF PACER/ICD LEAD","33215","N/A","N/A","N/A","N/A","N/A","23840.75","23840.75","N/A","N/A","N/A","23840.75","23840.75","N/A","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75"
"5","N/A","REPOSITION PACING-DEFIB LEAD","33215","N/A","N/A","N/A","N/A","51406.38","23840.75","23840.75","N/A","N/A","N/A","23840.75","23840.75","N/A","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75","23840.75"
"5","N/A","INSERT 1 ELECTRODE PM-DEFIB","33216","N/A","N/A","N/A","N/A","102902.15","15581.35","15581.35","N/A","N/A","N/A","15581.35","15581.35","N/A","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35"
"5","N/A","HCHG INSERT/REPL ELECT SINGL","33216","N/A","N/A","N/A","N/A","N/A","15581.35","15581.35","N/A","N/A","N/A","15581.35","15581.35","N/A","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35","15581.35"
"5","N/A","HCHG INSERT/REPL ELECT DUAL","33217","N/A","N/A","N/A","N/A","N/A","29088.71","29088.71","N/A","N/A","N/A","29088.71","29088.71","N/A","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71"
"5","N/A","INSERT 2 ELECTRODE PM-DEFIB","33217","N/A","N/A","N/A","N/A","100951.37","29088.71","29088.71","N/A","N/A","N/A","29088.71","29088.71","N/A","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71"
"5","N/A","HCHG PACER/AICD LEAD REPAIR (1)","33218","N/A","N/A","N/A","N/A","N/A","4266.00","4266.00","N/A","N/A","N/A","4266.00","4266.00","N/A","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00"
"5","N/A","REPAIR LEAD PACE-DEFIB ONE","33218","N/A","N/A","N/A","N/A","N/A","4266.00","4266.00","N/A","N/A","N/A","4266.00","4266.00","N/A","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00"
"5","N/A","HCHG PACER/AICD LEAD REPAIR (2)","33220","N/A","N/A","N/A","N/A","N/A","4266.00","4266.00","N/A","N/A","N/A","4266.00","4266.00","N/A","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00"
"5","N/A","REPAIR LEAD PACE-DEFIB DUAL","33220","N/A","N/A","N/A","N/A","N/A","4266.00","4266.00","N/A","N/A","N/A","4266.00","4266.00","N/A","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00","4266.00"
"5","N/A","HCHG INSERTION OF PACEMAKER GEN ONLY-MULTI LEAD SYSTEM","33221","N/A","N/A","N/A","N/A","N/A","2530.00","2530.00","N/A","N/A","N/A","2530.00","2530.00","N/A","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00"
"5","N/A","INSERT PULSE GEN MULT LEADS","33221","N/A","N/A","N/A","N/A","63796.84","2530.00","2530.00","N/A","N/A","N/A","2530.00","2530.00","N/A","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00","2530.00"
"5","N/A","HCHG RELOCATION OF PACEMKR POCKET","33222","N/A","N/A","N/A","N/A","N/A","18250.29","18250.29","N/A","N/A","N/A","18250.29","18250.29","N/A","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29"
"5","N/A","RELOCATION POCKET PACEMAKER","33222","N/A","N/A","N/A","N/A","N/A","18250.29","18250.29","N/A","N/A","N/A","18250.29","18250.29","N/A","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29","18250.29"
"5","N/A","HCHG RELOCATION OF AICD POCKET","33223","N/A","N/A","N/A","N/A","N/A","2933.00","2933.00","N/A","N/A","N/A","2933.00","2933.00","N/A","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00"
"5","N/A","RELOCATE POCKET FOR DEFIB","33223","N/A","N/A","N/A","N/A","N/A","2933.00","2933.00","N/A","N/A","N/A","2933.00","2933.00","N/A","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00","2933.00"
"5","N/A","HCHG INSERT PACEMKR LEAD-CS-UPGRD","33224","N/A","N/A","N/A","N/A","N/A","36450.50","36450.50","N/A","N/A","N/A","36450.50","36450.50","N/A","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50"
"5","N/A","INSERT PACING LEAD & CONNECT","33224","N/A","N/A","N/A","N/A","139398.37","36450.50","36450.50","N/A","N/A","N/A","36450.50","36450.50","N/A","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50","36450.50"
"5","N/A","L VENTRIC PACING LEAD ADD-ON","33225","N/A","N/A","N/A","N/A","139448.91","92707.76","92707.76","N/A","N/A","N/A","92707.76","92707.76","N/A","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76"
"5","N/A","HCHG INSERT PACING LEAD-CS(NEW GEN)","33225","N/A","N/A","N/A","N/A","N/A","92707.76","92707.76","N/A","N/A","N/A","92707.76","92707.76","N/A","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76","92707.76"
"5","N/A","HCHG REPOSITION OF CS LEAD","33226","N/A","N/A","N/A","N/A","N/A","25554.28","25554.28","N/A","N/A","N/A","25554.28","25554.28","N/A","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28"
"5","N/A","REPOSITION L VENTRIC LEAD","33226","N/A","N/A","N/A","N/A","N/A","25554.28","25554.28","N/A","N/A","N/A","25554.28","25554.28","N/A","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28","25554.28"
"5","N/A","HCHG REMOVAL OF PACEMAKER GEN W/REPLACEMENT- SINGLE LEAD SYSTEM","33227","N/A","N/A","N/A","N/A","N/A","25307.18","25307.18","N/A","N/A","N/A","25307.18","25307.18","N/A","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18"
"5","N/A","REMOVE&REPLACE PM GEN SINGL","33227","N/A","N/A","N/A","N/A","65432.50","25307.18","25307.18","N/A","N/A","N/A","25307.18","25307.18","N/A","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18","25307.18"
"5","N/A","REMV&REPLC PM GEN DUAL LEAD","33228","N/A","N/A","N/A","N/A","63563.57","28314.96","28314.96","N/A","N/A","N/A","28314.96","28314.96","N/A","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96"
"5","N/A","HCHG REMOVAL OF PACEMAKER GEN W/REPLACEMENT- DUAL LEAD SYSTEM","33228","N/A","N/A","N/A","N/A","N/A","28314.96","28314.96","N/A","N/A","N/A","28314.96","28314.96","N/A","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96","28314.96"
"5","N/A","HCHG REMOVAL OF PACEMAKER GEN W/REPLACEMENT- MULTI LEAD SYSTEM","33229","N/A","N/A","N/A","N/A","N/A","59572.98","59572.98","N/A","N/A","N/A","59572.98","59572.98","N/A","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98"
"5","N/A","REMV&REPLC PM GEN MULT LEADS","33229","N/A","N/A","N/A","N/A","63563.57","59572.98","59572.98","N/A","N/A","N/A","59572.98","59572.98","N/A","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98","59572.98"
"5","N/A","INSRT PULSE GEN W/DUAL LEADS","33230","N/A","N/A","N/A","N/A","177494.58","5300.00","5300.00","N/A","N/A","N/A","5300.00","5300.00","N/A","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00"
"5","N/A","HCHG INSERTION OF ICD GEN ONLY - EXISTING DUAL LEADS","33230","N/A","N/A","N/A","N/A","N/A","5300.00","5300.00","N/A","N/A","N/A","5300.00","5300.00","N/A","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00"
"5","N/A","HCHG INSERTION OF ICD GEN ONLY- EXISTING MULTI LEADS","33231","N/A","N/A","N/A","N/A","N/A","5566.00","5566.00","N/A","N/A","N/A","5566.00","5566.00","N/A","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00"
"5","N/A","INSRT PULSE GEN W/MULT LEADS","33231","N/A","N/A","N/A","N/A","177494.58","5566.00","5566.00","N/A","N/A","N/A","5566.00","5566.00","N/A","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00","5566.00"
"5","N/A","REMOVAL OF PM GENERATOR","33233","N/A","N/A","N/A","N/A","91938.20","78556.56","78556.56","N/A","N/A","N/A","78556.56","78556.56","N/A","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56"
"5","N/A","HCHG PACEMKR GEN REMOVE","33233","N/A","N/A","N/A","N/A","N/A","78556.56","78556.56","N/A","N/A","N/A","78556.56","78556.56","N/A","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56","78556.56"
"5","N/A","HCHG PACEMKR GEN/LEAD REMOVE-SGL","33234","N/A","N/A","N/A","N/A","N/A","75759.31","75759.31","N/A","N/A","N/A","75759.31","75759.31","N/A","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31"
"5","N/A","REMOVAL OF PACEMAKER SYSTEM","33234","N/A","N/A","N/A","N/A","N/A","75759.31","75759.31","N/A","N/A","N/A","75759.31","75759.31","N/A","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31","75759.31"
"5","N/A","HCHG PACEMKR GEN/LEAD REMOVE-DUAL","33235","N/A","N/A","N/A","N/A","N/A","29088.71","29088.71","N/A","N/A","N/A","29088.71","29088.71","N/A","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71"
"5","N/A","REMOVAL PACEMAKER ELECTRODE","33235","N/A","N/A","N/A","N/A","N/A","29088.71","29088.71","N/A","N/A","N/A","29088.71","29088.71","N/A","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71","29088.71"
"5","N/A","HCHG INSERTION OF ICD GEN ONLY-EXISTING SINGLE LEAD","33240","N/A","N/A","N/A","N/A","N/A","5036.00","5036.00","N/A","N/A","N/A","5036.00","5036.00","N/A","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00"
"5","N/A","INSRT PULSE GEN W/SINGL LEAD","33240","N/A","N/A","N/A","N/A","177494.58","5036.00","5036.00","N/A","N/A","N/A","5036.00","5036.00","N/A","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00","5036.00"
"5","N/A","REMOVE PULSE GENERATOR","33241","N/A","N/A","N/A","N/A","99158.87","55330.52","55330.52","N/A","N/A","N/A","55330.52","55330.52","N/A","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52"
"5","N/A","HCHG AICD REMOVE GEN ONLY","33241","N/A","N/A","N/A","N/A","N/A","55330.52","55330.52","N/A","N/A","N/A","55330.52","55330.52","N/A","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52","55330.52"
"5","N/A","HCHG AICD REMOVE-LEAD(S)","33244","N/A","N/A","N/A","N/A","N/A","16565.40","16565.40","N/A","N/A","N/A","16565.40","16565.40","N/A","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40"
"5","N/A","REMOVE ELCTRD TRANSVENOUSLY","33244","N/A","N/A","N/A","N/A","N/A","16565.40","16565.40","N/A","N/A","N/A","16565.40","16565.40","N/A","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40","16565.40"
"5","N/A","HCHG INSERT OR REPLCMT PERM ICD W/TRANSV LEADS, DUAL","33249","N/A","N/A","N/A","N/A","N/A","84681.76","84681.76","N/A","N/A","N/A","84681.76","84681.76","N/A","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76"
"5","N/A","HCHG INSERT OR REPLCMT PERM ICD W/TRANSV LEADS, SINGLE","33249","N/A","N/A","N/A","N/A","N/A","84681.76","84681.76","N/A","N/A","N/A","84681.76","84681.76","N/A","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76"
"5","N/A","INSJ/RPLCMT DEFIB W/LEAD(S)","33249","N/A","N/A","N/A","N/A","139448.91","84681.76","84681.76","N/A","N/A","N/A","84681.76","84681.76","N/A","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76","84681.76"
"5","N/A","RMVL& REPLC PULSE GEN 1 LEAD","33262","N/A","N/A","N/A","N/A","176996.68","64379.11","64379.11","N/A","N/A","N/A","64379.11","64379.11","N/A","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11"
"5","N/A","HCHG ICD GEN REMOVAL AND REPLACEMENT- SINGLE CHAMBER","33262","N/A","N/A","N/A","N/A","N/A","64379.11","64379.11","N/A","N/A","N/A","64379.11","64379.11","N/A","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11","64379.11"
"5","N/A","HCHG ICD GEN REMOVAL AND REPLACEMENT- DUAL CHAMBER","33263","N/A","N/A","N/A","N/A","N/A","68603.15","68603.15","N/A","N/A","N/A","68603.15","68603.15","N/A","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15"
"5","N/A","RMVL & RPLCMT DFB GEN 2 LEAD","33263","N/A","N/A","N/A","N/A","176996.68","68603.15","68603.15","N/A","N/A","N/A","68603.15","68603.15","N/A","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15","68603.15"
"5","N/A","RMVL & RPLCMT DFB GEN MLT LD","33264","N/A","N/A","N/A","N/A","176996.68","94287.90","94287.90","N/A","N/A","N/A","94287.90","94287.90","N/A","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90"
"5","N/A","HCHG ICD GEN REMOVAL AND REPLACEMENT-BI-VENT DEVICE","33264","N/A","N/A","N/A","N/A","N/A","94287.90","94287.90","N/A","N/A","N/A","94287.90","94287.90","N/A","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90","94287.90"
"5","N/A","HCHG SUBCUTANEOUS ICD SYSTEM IMPLANT (GEN/LEAD)","33270","N/A","N/A","N/A","N/A","N/A","116575.22","116575.22","N/A","N/A","N/A","116575.22","116575.22","N/A","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22"
"5","N/A","INS/REP SUBQ DEFIBRILLATOR","33270","N/A","N/A","N/A","N/A","184015.27","116575.22","116575.22","N/A","N/A","N/A","116575.22","116575.22","N/A","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22","116575.22"
"5","N/A","RMVL OF SUBQ DEFIBRILLATOR","33272","N/A","N/A","N/A","N/A","93113.51","5384.00","5384.00","N/A","N/A","N/A","5384.00","5384.00","N/A","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00"
"5","N/A","HCHG REM SUBQ IMP DEFIB ELECTRODE","33272","N/A","N/A","N/A","N/A","N/A","5384.00","5384.00","N/A","N/A","N/A","5384.00","5384.00","N/A","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00","5384.00"
"5","N/A","HCHG TCAT INSJ/RPL PERM LDLS PM","33274","N/A","N/A","N/A","N/A","N/A","59838.62","59838.62","N/A","N/A","N/A","59838.62","59838.62","N/A","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62"
"5","N/A","TCAT INSJ/RPL PERM LDLS PM","33274","N/A","N/A","N/A","N/A","177293.23","59838.62","59838.62","N/A","N/A","N/A","59838.62","59838.62","N/A","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62","59838.62"
"5","N/A","HCHG TCAT RMVL PERM LDLS PM W/ IMG","33275","N/A","N/A","N/A","N/A","N/A","13338.00","13338.00","N/A","N/A","N/A","13338.00","13338.00","N/A","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00"
"5","N/A","TCAT RMVL PERM LDLS PM W/IMG","33275","N/A","N/A","N/A","N/A","N/A","13338.00","13338.00","N/A","N/A","N/A","13338.00","13338.00","N/A","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00","13338.00"
"5","N/A","HCHG INSJ SUBQ CAR RHYTHM MNTR","33285","N/A","N/A","N/A","N/A","N/A","24547.71","24547.71","N/A","N/A","N/A","24547.71","24547.71","N/A","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71"
"5","N/A","INSJ SUBQ CAR RHYTHM MNTR","33285","N/A","N/A","N/A","N/A","216954.23","24547.71","24547.71","N/A","N/A","N/A","24547.71","24547.71","N/A","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71","24547.71"
"5","N/A","HCHG RMVL SUBQ CAR RHYTHM MNTR","33286","N/A","N/A","N/A","N/A","N/A","6944.16","6944.16","N/A","N/A","N/A","6944.16","6944.16","N/A","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16"
"5","N/A","RMVL SUBQ CAR RHYTHM MNTR","33286","N/A","N/A","N/A","N/A","N/A","6944.16","6944.16","N/A","N/A","N/A","6944.16","6944.16","N/A","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16","6944.16"
"5","N/A","HCHG TCAT IMPL WRLS P-ART PRS SNR","33289","N/A","N/A","N/A","N/A","N/A","92217.80","92217.80","N/A","N/A","N/A","92217.80","92217.80","N/A","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80"
"5","N/A","TCAT IMPL WRLS P-ART PRS SNR","33289","N/A","N/A","N/A","N/A","216954.23","92217.80","92217.80","N/A","N/A","N/A","92217.80","92217.80","N/A","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80","92217.80"
"5","N/A","PERQ CLSR TCAT L ATR APNDGE","33340","N/A","N/A","N/A","N/A","106454.99","27339.00","27339.00","N/A","N/A","N/A","27339.00","27339.00","N/A","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00"
"5","N/A","HCHG AMULET","33340","N/A","N/A","N/A","N/A","N/A","27339.00","27339.00","N/A","N/A","N/A","27339.00","27339.00","N/A","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00","27339.00"
"5","N/A","HCHG TRANS CATH AO VALVE REPLC-TAVR - PERC FEMORAL","33361","N/A","N/A","N/A","N/A","N/A","25991.00","25991.00","N/A","N/A","N/A","25991.00","25991.00","N/A","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00"
"5","N/A","REPLACE AORTIC VALVE PERQ","33361","N/A","N/A","N/A","N/A","N/A","25991.00","25991.00","N/A","N/A","N/A","25991.00","25991.00","N/A","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00","25991.00"
"5","N/A","HCHG TRANS CATH AO VALVE REPLC-TAVR-OPEN FEM APPR","33362","N/A","N/A","N/A","N/A","N/A","26502.00","26502.00","N/A","N/A","N/A","26502.00","26502.00","N/A","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00"
"5","N/A","REPLACE AORTIC VALVE OPEN","33362","N/A","N/A","N/A","N/A","N/A","26502.00","26502.00","N/A","N/A","N/A","26502.00","26502.00","N/A","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00","26502.00"
"5","N/A","HCHG TRANS CATH AO VALVE REPLC-TAVR-OPEN AXILL APPR","33363","N/A","N/A","N/A","N/A","N/A","23852.00","23852.00","N/A","N/A","N/A","23852.00","23852.00","N/A","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00"
"5","N/A","REPLACE AORTIC VALVE OPEN","33363","N/A","N/A","N/A","N/A","N/A","23852.00","23852.00","N/A","N/A","N/A","23852.00","23852.00","N/A","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00","23852.00"
"5","N/A","HCHG TRANS CATH AO VALVE REPLC-TAVR-OPEN ILLIAC APPR","33364","N/A","N/A","N/A","N/A","N/A","23560.00","23560.00","N/A","N/A","N/A","23560.00","23560.00","N/A","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00"
"5","N/A","REPLACE AORTIC VALVE OPEN","33364","N/A","N/A","N/A","N/A","N/A","23560.00","23560.00","N/A","N/A","N/A","23560.00","23560.00","N/A","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00","23560.00"
"5","N/A","HCHG TRANS CATH AO VALVE REPLC-TAVR (TRANS-AORTIC-STERNOT)","33365","N/A","N/A","N/A","N/A","N/A","24937.00","24937.00","N/A","N/A","N/A","24937.00","24937.00","N/A","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00"
"5","N/A","REPLACE AORTIC VALVE OPEN","33365","N/A","N/A","N/A","N/A","N/A","24937.00","24937.00","N/A","N/A","N/A","24937.00","24937.00","N/A","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00","24937.00"
"5","N/A","HCHG CARD PUL BYPASS SUP. (PERCUT-PERIPH) FOR TAVR","33367","N/A","N/A","N/A","N/A","N/A","2410.00","2410.00","N/A","N/A","N/A","2410.00","2410.00","N/A","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00"
"5","N/A","REPLACE AORTIC VALVE W/BYP","33367","N/A","N/A","N/A","N/A","N/A","2410.00","2410.00","N/A","N/A","N/A","2410.00","2410.00","N/A","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00","2410.00"
"5","N/A","HCHG CARD PUL BYPASS SUP. (OPEN-PERIPH) FOR TAVR","33368","N/A","N/A","N/A","N/A","N/A","2356.00","2356.00","N/A","N/A","N/A","2356.00","2356.00","N/A","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00"
"5","N/A","REPLACE AORTIC VALVE W/BYP","33368","N/A","N/A","N/A","N/A","N/A","2356.00","2356.00","N/A","N/A","N/A","2356.00","2356.00","N/A","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00","2356.00"
"5","N/A","HCHG CARD PUL BYPASS SUP. (CENTRAL A/V CANNU) FOR TAVR","33369","N/A","N/A","N/A","N/A","N/A","2710.00","2710.00","N/A","N/A","N/A","2710.00","2710.00","N/A","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00"
"5","N/A","REPLACE AORTIC VALVE W/BYP","33369","N/A","N/A","N/A","N/A","N/A","2710.00","2710.00","N/A","N/A","N/A","2710.00","2710.00","N/A","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00","2710.00"
"5","N/A","HCHG TRANSCATHETER MITRAL VALVE REPAIR-INITIAL CLIP","33418","N/A","N/A","N/A","N/A","N/A","16263.00","16263.00","N/A","N/A","N/A","16263.00","16263.00","N/A","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00"
"5","N/A","REPAIR TCAT MITRAL VALVE","33418","N/A","N/A","N/A","N/A","145946.40","16263.00","16263.00","N/A","N/A","N/A","16263.00","16263.00","N/A","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00","16263.00"
"5","N/A","REPAIR TCAT MITRAL VALVE","33419","N/A","N/A","N/A","N/A","145946.40","6626.00","6626.00","N/A","N/A","N/A","6626.00","6626.00","N/A","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00"
"5","N/A","HCHG TRANSCATHETER MITRAL VALVE REPAIR-ADDL CLIP","33419","N/A","N/A","N/A","N/A","N/A","6626.00","6626.00","N/A","N/A","N/A","6626.00","6626.00","N/A","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00"
"5","N/A","HCHG RPLCMT A-VALVE TLCJ AUTOL PV","33440","N/A","N/A","N/A","N/A","N/A","12618.00","12618.00","N/A","N/A","N/A","12618.00","12618.00","N/A","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00"
"5","N/A","RPLCMT A-VALVE TLCJ AUTOL PV","33440","N/A","N/A","N/A","N/A","189268.28","12618.00","12618.00","N/A","N/A","N/A","12618.00","12618.00","N/A","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00","12618.00"
"5","N/A","HCHG VENTRICULAR SEPTAL DEFECT REPAIR","33681","N/A","N/A","N/A","N/A","N/A","27707.00","27707.00","N/A","N/A","N/A","27707.00","27707.00","N/A","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00"
"5","N/A","REPAIR HEART SEPTUM DEFECT","33681","N/A","N/A","N/A","N/A","N/A","27707.00","27707.00","N/A","N/A","N/A","27707.00","27707.00","N/A","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00","27707.00"
"5","N/A","HCHG TAS CONGENITAL CARDIAC ANOMALIES","33741","N/A","N/A","N/A","N/A","N/A","7245.00","7245.00","N/A","N/A","N/A","7245.00","7245.00","N/A","7245.00","7245.00","7245.00","7245.00","7245.00","7245.00","7245.00","7245.00","7245.00","7245.00"
"5","N/A","HCHG REP TRANSP GRT ARTERY; W REM PULM BAND","33779","N/A","N/A","N/A","N/A","N/A","6282.00","6282.00","N/A","N/A","N/A","6282.00","6282.00","N/A","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00"
"5","N/A","REPAIR GREAT VESSELS DEFECT","33779","N/A","N/A","N/A","N/A","N/A","6282.00","6282.00","N/A","N/A","N/A","6282.00","6282.00","N/A","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00","6282.00"
"5","N/A","AS-AORT GRF F/AORTIC DSJ","33858","N/A","N/A","N/A","N/A","223599.16","269207.69","269207.69","N/A","N/A","N/A","269207.69","269207.69","N/A","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69"
"5","N/A","AORTIC HEMIARCH GRAFT","33866","N/A","N/A","N/A","N/A","232762.95","4371.00","4371.00","N/A","N/A","N/A","4371.00","4371.00","N/A","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00"
"5","N/A","HCHG AORTIC HEMIARCH GRAFT","33866","N/A","N/A","N/A","N/A","N/A","4371.00","4371.00","N/A","N/A","N/A","4371.00","4371.00","N/A","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00","4371.00"
"5","N/A","HCHG ENDOVASCULAR TAA REPAIR INCLUDING SUBCLAVIAN","33880","N/A","N/A","N/A","N/A","N/A","24137.00","24137.00","N/A","N/A","N/A","24137.00","24137.00","N/A","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00"
"5","N/A","ENDOVASC TAA REPR INCL SUBCL","33880","N/A","N/A","N/A","N/A","55905.72","24137.00","24137.00","N/A","N/A","N/A","24137.00","24137.00","N/A","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00"
"5","N/A","ENDOVASC TAA REPR W/O SUBCL","33881","N/A","N/A","N/A","N/A","55905.72","11477.00","11477.00","N/A","N/A","N/A","11477.00","11477.00","N/A","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00"
"5","N/A","HCHG ENDOVASCULAR REPAIR OF THORACIC AORTA","33881","N/A","N/A","N/A","N/A","N/A","11477.00","11477.00","N/A","N/A","N/A","11477.00","11477.00","N/A","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00"
"5","N/A","HCHG PLACEMENT OF PROX EXTENT-DESC THORACIC AORTA","33883","N/A","N/A","N/A","N/A","N/A","3840.00","3840.00","N/A","N/A","N/A","3840.00","3840.00","N/A","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00"
"5","N/A","INSERT ENDOVASC PROSTH TAA","33883","N/A","N/A","N/A","N/A","N/A","3840.00","3840.00","N/A","N/A","N/A","3840.00","3840.00","N/A","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00"
"5","N/A","ENDOVASC PROSTH TAA ADD-ON","33884","N/A","N/A","N/A","N/A","N/A","5700.00","5700.00","N/A","N/A","N/A","5700.00","5700.00","N/A","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00"
"5","N/A","HCHG ENDOVASC PROSTH TAA ADD-ON","33884","N/A","N/A","N/A","N/A","N/A","5700.00","5700.00","N/A","N/A","N/A","5700.00","5700.00","N/A","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00"
"5","N/A","ENDOVASC PROSTH DELAYED","33886","N/A","N/A","N/A","N/A","N/A","3840.00","3840.00","N/A","N/A","N/A","3840.00","3840.00","N/A","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00"
"5","N/A","HCHG ENDOVASC PROSTH DELAYED","33886","N/A","N/A","N/A","N/A","N/A","3840.00","3840.00","N/A","N/A","N/A","3840.00","3840.00","N/A","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00","3840.00"
"5","N/A","ARTERY TRANSPOSE/ENDOVAS TAA","33889","N/A","N/A","N/A","N/A","N/A","24137.00","24137.00","N/A","N/A","N/A","24137.00","24137.00","N/A","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00"
"5","N/A","HCHG ARTERY TRANSPOSE/ENDOVAS TAA","33889","N/A","N/A","N/A","N/A","N/A","24137.00","24137.00","N/A","N/A","N/A","24137.00","24137.00","N/A","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00","24137.00"
"5","N/A","CAR-CAR BP GRFT/ENDOVAS TAA","33891","N/A","N/A","N/A","N/A","N/A","11477.00","11477.00","N/A","N/A","N/A","11477.00","11477.00","N/A","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00"
"5","N/A","HCHG CAR-CAR BP GRFT/ENDOVAS TAA","33891","N/A","N/A","N/A","N/A","N/A","11477.00","11477.00","N/A","N/A","N/A","11477.00","11477.00","N/A","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00","11477.00"
"5","N/A","ECMO/ECLS INITIATION ARTERY","33947","N/A","N/A","N/A","N/A","N/A","2766.00","2766.00","N/A","N/A","N/A","2766.00","2766.00","N/A","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00"
"5","N/A","HCHG ECMO/ECLS INITIATION VENO-ARTERIAL","33947","N/A","N/A","N/A","N/A","N/A","2766.00","2766.00","N/A","N/A","N/A","2766.00","2766.00","N/A","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00"
"5","N/A","HCHG ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS AND OLDER","33952","N/A","N/A","N/A","N/A","N/A","2766.00","2766.00","N/A","N/A","N/A","2766.00","2766.00","N/A","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00"
"5","N/A","ECMO/ECLS INSJ PRPH CANNULA","33952","N/A","N/A","N/A","N/A","723501.54","2766.00","2766.00","N/A","N/A","N/A","2766.00","2766.00","N/A","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00","2766.00"
"5","N/A","INSERT I-AORT PERCUT DEVICE","33967","N/A","N/A","N/A","N/A","137703.35","4511.00","4511.00","N/A","N/A","N/A","4511.00","4511.00","N/A","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00"
"5","N/A","HCHG INTRA AORTIC BALLOON INSERT+CF","33967","N/A","N/A","N/A","N/A","N/A","4511.00","4511.00","N/A","N/A","N/A","4511.00","4511.00","N/A","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00"
"5","N/A","HCHG IABP REMOVAL- PERCUTANEOUS","33968","N/A","N/A","N/A","N/A","N/A","4511.00","4511.00","N/A","N/A","N/A","4511.00","4511.00","N/A","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00"
"5","N/A","REMOVE AORTIC ASSIST DEVICE","33968","N/A","N/A","N/A","N/A","152387.41","4511.00","4511.00","N/A","N/A","N/A","4511.00","4511.00","N/A","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00","4511.00"
"5","N/A","HCHG INSERTION OF PERCT VAD(ARTERY) IMPELLA","33990","N/A","N/A","N/A","N/A","N/A","6626.00","6626.00","N/A","N/A","N/A","6626.00","6626.00","N/A","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00"
"5","N/A","INSERT VAD ARTERY ACCESS","33990","N/A","N/A","N/A","N/A","N/A","6626.00","6626.00","N/A","N/A","N/A","6626.00","6626.00","N/A","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00"
"5","N/A","HCHG INSERTION OF PERCT VAD (ART/VEIN)","33991","N/A","N/A","N/A","N/A","N/A","7228.00","7228.00","N/A","N/A","N/A","7228.00","7228.00","N/A","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00"
"5","N/A","INSERT VAD ART&VEIN ACCESS","33991","N/A","N/A","N/A","N/A","N/A","7228.00","7228.00","N/A","N/A","N/A","7228.00","7228.00","N/A","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00","7228.00"
"5","N/A","HCHG REMOVAL OF PERCUT VAD - ARTERY","33992","N/A","N/A","N/A","N/A","N/A","3037.00","3037.00","N/A","N/A","N/A","3037.00","3037.00","N/A","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00"
"5","N/A","REMOVE VAD DIFFERENT SESSION","33992","N/A","N/A","N/A","N/A","N/A","3037.00","3037.00","N/A","N/A","N/A","3037.00","3037.00","N/A","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00"
"5","N/A","HCHG REPOSITION OF PERCUT VAD","33993","N/A","N/A","N/A","N/A","N/A","3012.00","3012.00","N/A","N/A","N/A","3012.00","3012.00","N/A","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00"
"5","N/A","REPOSITION VAD DIFF SESSION","33993","N/A","N/A","N/A","N/A","644210.40","3012.00","3012.00","N/A","N/A","N/A","3012.00","3012.00","N/A","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00","3012.00"
"5","N/A","HCHG INSJ PERQ VAD R HRT VENOUS","33995","N/A","N/A","N/A","N/A","N/A","6626.00","6626.00","N/A","N/A","N/A","6626.00","6626.00","N/A","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00","6626.00"
"5","N/A","HCHG RMVL PERQ RIGHT HEART VAD","33997","N/A","N/A","N/A","N/A","N/A","3037.00","3037.00","N/A","N/A","N/A","3037.00","3037.00","N/A","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00","3037.00"
"5","N/A","HCHG AMAZE (LAA LIGATION)","33999","N/A","N/A","N/A","N/A","N/A","30353.00","30353.00","N/A","N/A","N/A","30353.00","30353.00","N/A","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00"
"5","N/A","HCHG INSERTION OF PERCT VAD (VENOUS) IMPELLA","33999","N/A","N/A","N/A","N/A","N/A","30353.00","30353.00","N/A","N/A","N/A","30353.00","30353.00","N/A","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00"
"5","N/A","HCHG TRANS CATH AO VALVE REPLC-TAVR - TRANSCAROTID","33999","N/A","N/A","N/A","N/A","N/A","30353.00","30353.00","N/A","N/A","N/A","30353.00","30353.00","N/A","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00"
"5","N/A","HCHG TRANS CATH AO VALVE REPLC-TAVR - TRANSCAVAL","33999","N/A","N/A","N/A","N/A","N/A","30353.00","30353.00","N/A","N/A","N/A","30353.00","30353.00","N/A","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00"
"5","N/A","HCHG TRANS CATH MITRAL VALVE REPLC-TMVR-PERC FEMORAL","33999","N/A","N/A","N/A","N/A","N/A","30353.00","30353.00","N/A","N/A","N/A","30353.00","30353.00","N/A","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00"
"5","N/A","HCHG TRANS CATH TRICUSPID VALVE IMPLANT/REPLEC - TTVR - PERC FEMORAL","33999","N/A","N/A","N/A","N/A","N/A","30353.00","30353.00","N/A","N/A","N/A","30353.00","30353.00","N/A","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00"
"5","N/A","CARDIAC SURGERY PROCEDURE","33999","N/A","N/A","N/A","N/A","221646.67","30353.00","30353.00","N/A","N/A","N/A","30353.00","30353.00","N/A","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00","30353.00"
"5","N/A","REMOVAL OF ARTERY CLOT","34101","N/A","N/A","N/A","N/A","58217.26","17457.77","17457.77","N/A","N/A","N/A","17457.77","17457.77","N/A","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77"
"5","N/A","HCHG EMBOLECTOMY; AX/BR/IN/SCL BY ARM INC","34101","N/A","N/A","N/A","N/A","N/A","17457.77","17457.77","N/A","N/A","N/A","17457.77","17457.77","N/A","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77","17457.77"
"5","N/A","TRANSPOSITION OF VEIN VALVE","34510","N/A","N/A","N/A","N/A","N/A","18532.80","18532.80","N/A","N/A","N/A","18532.80","18532.80","N/A","18532.80","18532.80","18532.80","18532.80","18532.80","18532.80","18532.80","18532.80","18532.80","18532.80"
"5","N/A","EVASC RPR A-AO NDGFT","34701","N/A","N/A","N/A","N/A","N/A","3976.00","3976.00","N/A","N/A","N/A","3976.00","3976.00","N/A","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00"
"5","N/A","HCHG ENDOVASC REPAIR A-AO NDGFT","34701","N/A","N/A","N/A","N/A","N/A","3976.00","3976.00","N/A","N/A","N/A","3976.00","3976.00","N/A","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00"
"5","N/A","HCHG ENDOVASC RPR A-BIILIAC NDGFT","34705","N/A","N/A","N/A","N/A","N/A","3976.00","3976.00","N/A","N/A","N/A","3976.00","3976.00","N/A","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00"
"5","N/A","EVAC RPR A-BIILIAC NDGFT","34705","N/A","N/A","N/A","N/A","57832.32","3976.00","3976.00","N/A","N/A","N/A","3976.00","3976.00","N/A","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00","3976.00"
"5","N/A","EVASC RPR ILIO-ILIAC NDGFT","34707","N/A","N/A","N/A","N/A","57832.32","3712.00","3712.00","N/A","N/A","N/A","3712.00","3712.00","N/A","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00"
"5","N/A","HCHG EVASC RPR ILIO-ILIAC NDGFT","34707","N/A","N/A","N/A","N/A","N/A","3712.00","3712.00","N/A","N/A","N/A","3712.00","3712.00","N/A","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00","3712.00"
"5","N/A","HCHG PLACE EXTENSION PROSTH ENDOVASC REPAIR","34709","N/A","N/A","N/A","N/A","N/A","1988.00","1988.00","N/A","N/A","N/A","1988.00","1988.00","N/A","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00"
"5","N/A","PLMT XTN PROSTH EVASC RPR","34709","N/A","N/A","N/A","N/A","N/A","1988.00","1988.00","N/A","N/A","N/A","1988.00","1988.00","N/A","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00"
"5","N/A","DLYD PLMT XTN PROSTH 1ST VSL","34710","N/A","N/A","N/A","N/A","N/A","1490.00","1490.00","N/A","N/A","N/A","1490.00","1490.00","N/A","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00"
"5","N/A","HCHG DLYD PLACE EXTENSION PROSTH ENDOVASC REPAIR","34710","N/A","N/A","N/A","N/A","N/A","1490.00","1490.00","N/A","N/A","N/A","1490.00","1490.00","N/A","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00","1490.00"
"5","N/A","HCHG PERQ ACCESS & CLSR FEM ART","34713","N/A","N/A","N/A","N/A","N/A","715.00","715.00","N/A","N/A","N/A","715.00","715.00","N/A","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00"
"5","N/A","PERQ ACCESS & CLSR FEM ART","34713","N/A","N/A","N/A","N/A","N/A","715.00","715.00","N/A","N/A","N/A","715.00","715.00","N/A","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00","715.00"
"5","N/A","HCHG EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI","34717","N/A","N/A","N/A","N/A","N/A","1211.00","1211.00","N/A","N/A","N/A","1211.00","1211.00","N/A","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00"
"5","N/A","EVASC RPR A-ILIAC NDGFT","34717","N/A","N/A","N/A","N/A","57832.32","1211.00","1211.00","N/A","N/A","N/A","1211.00","1211.00","N/A","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00","1211.00"
"5","N/A","EVASC RPR N/A A-ILIAC NDGFT","34718","N/A","N/A","N/A","N/A","57832.32","3400.00","3400.00","N/A","N/A","N/A","3400.00","3400.00","N/A","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00"
"5","N/A","HCHG EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI","34718","N/A","N/A","N/A","N/A","N/A","3400.00","3400.00","N/A","N/A","N/A","3400.00","3400.00","N/A","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00","3400.00"
"5","N/A","ENDOVAS ILIAC A DEVICE ADDON","34808","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG ENDOVASCULAR PLACEMT ILIAC ART OCCLUS DEVICE","34808","N/A","N/A","N/A","N/A","N/A","601.00","601.00","N/A","N/A","N/A","601.00","601.00","N/A","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00","601.00"
"5","N/A","HCHG OPEN FEM ART EXPOSURE FOR ENDOVASC. PROSTHESIS-UNI","34812","N/A","N/A","N/A","N/A","N/A","1988.00","1988.00","N/A","N/A","N/A","1988.00","1988.00","N/A","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00"
"5","N/A","OPN FEM ART EXPOS","34812","N/A","N/A","N/A","N/A","N/A","1988.00","1988.00","N/A","N/A","N/A","1988.00","1988.00","N/A","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00","1988.00"
"5","N/A","FEMORAL ENDOVAS GRAFT ADD-ON","34813","N/A","N/A","N/A","N/A","N/A","1205.00","1205.00","N/A","N/A","N/A","1205.00","1205.00","N/A","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00"
"5","N/A","HCHG PLACE FEM-REM GRAFT AT AA REP","34813","N/A","N/A","N/A","N/A","N/A","1205.00","1205.00","N/A","N/A","N/A","1205.00","1205.00","N/A","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00","1205.00"
"5","N/A","REPAIR DEFECT OF ARM ARTERY","35045","N/A","N/A","N/A","N/A","N/A","9158.30","9158.30","N/A","N/A","N/A","9158.30","9158.30","N/A","9158.30","9158.30","9158.30","9158.30","9158.30","9158.30","9158.30","9158.30","9158.30","9158.30"
"5","N/A","HCHG REPAIR BLOOD VESSEL,DIRECT,NECK","35201","N/A","N/A","N/A","N/A","N/A","6097.00","6097.00","N/A","N/A","N/A","6097.00","6097.00","N/A","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00"
"5","N/A","REPAIR BLOOD VESSEL LESION","35201","N/A","N/A","N/A","N/A","148005.96","6097.00","6097.00","N/A","N/A","N/A","6097.00","6097.00","N/A","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00","6097.00"
"5","N/A","REPAIR BLOOD VESSEL LESION","35206","N/A","N/A","N/A","N/A","99713.35","6859.00","6859.00","N/A","N/A","N/A","6859.00","6859.00","N/A","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00"
"5","N/A","HCHG REPAIR BLOOD VESSEL DIR UP EXT","35206","N/A","N/A","N/A","N/A","N/A","6859.00","6859.00","N/A","N/A","N/A","6859.00","6859.00","N/A","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00","6859.00"
"5","N/A","HCHG REPAIR BLOOD VESSEL,DIRECT,HAND,FINGER","35207","N/A","N/A","N/A","N/A","N/A","15843.98","15843.98","N/A","N/A","N/A","15843.98","15843.98","N/A","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98"
"5","N/A","REPAIR BLOOD VESSEL LESION","35207","N/A","N/A","N/A","N/A","N/A","15843.98","15843.98","N/A","N/A","N/A","15843.98","15843.98","N/A","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98","15843.98"
"5","N/A","HCHG REPAIR BLD VESSEL,DIRECT,LOW EXTREM","35226","N/A","N/A","N/A","N/A","N/A","29788.88","29788.88","N/A","N/A","N/A","29788.88","29788.88","N/A","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88"
"5","N/A","REPAIR BLOOD VESSEL LESION","35226","N/A","N/A","N/A","N/A","141493.92","29788.88","29788.88","N/A","N/A","N/A","29788.88","29788.88","N/A","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88","29788.88"
"5","N/A","ART BYP CAROTID-SUBCLAVIAN","35606","N/A","N/A","N/A","N/A","N/A","3600.00","3600.00","N/A","N/A","N/A","3600.00","3600.00","N/A","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00"
"5","N/A","HCHG BYP GRAFT W/OTHER THAN VEIN; CAROTED-SUBCLAVIAN","35606","N/A","N/A","N/A","N/A","N/A","3600.00","3600.00","N/A","N/A","N/A","3600.00","3600.00","N/A","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00","3600.00"
"5","N/A","ART BYP FEMORAL-POPLITEAL","35656","N/A","N/A","N/A","N/A","107167.41","61970.42","61970.42","N/A","N/A","N/A","61970.42","61970.42","N/A","61970.42","61970.42","61970.42","61970.42","61970.42","61970.42","61970.42","61970.42","61970.42","61970.42"
"5","N/A","EXPL N/FLWD SURG LXTR ART","35703","N/A","N/A","N/A","N/A","N/A","269207.69","269207.69","N/A","N/A","N/A","269207.69","269207.69","N/A","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69","269207.69"
"5","N/A","EXPLORE NECK VESSELS","35800","N/A","N/A","N/A","N/A","71034.98","44374.77","44374.77","N/A","N/A","N/A","44374.77","44374.77","N/A","44374.77","44374.77","44374.77","44374.77","44374.77","44374.77","44374.77","44374.77","44374.77","44374.77"
"5","N/A","EXPLORE CHEST VESSELS","35820","N/A","N/A","N/A","N/A","N/A","25542.30","25542.30","N/A","N/A","N/A","25542.30","25542.30","N/A","25542.30","25542.30","25542.30","25542.30","25542.30","25542.30","25542.30","25542.30","25542.30","25542.30"
"5","N/A","REMOVAL OF CLOT IN GRAFT","35875","N/A","N/A","N/A","N/A","71034.98","17473.45","17473.45","N/A","N/A","N/A","17473.45","17473.45","N/A","17473.45","17473.45","17473.45","17473.45","17473.45","17473.45","17473.45","17473.45","17473.45","17473.45"
"5","N/A","EXCISION GRAFT EXTREMITY","35903","N/A","N/A","N/A","N/A","106573.80","8248.40","8248.40","N/A","N/A","N/A","8248.40","8248.40","N/A","8248.40","8248.40","8248.40","8248.40","8248.40","8248.40","8248.40","8248.40","8248.40","8248.40"
"5","N/A","HCHG INJ VENOGRAM","36000","N/A","N/A","N/A","N/A","N/A","677.00","677.00","N/A","N/A","N/A","677.00","677.00","N/A","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00"
"5","N/A","HCHG INTRO NDL VEIN","36000","N/A","N/A","N/A","N/A","N/A","677.00","677.00","N/A","N/A","N/A","677.00","677.00","N/A","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00"
"5","N/A","PLACE NEEDLE IN VEIN","36000","N/A","N/A","N/A","N/A","N/A","677.00","677.00","N/A","N/A","N/A","677.00","677.00","N/A","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00"
"5","N/A","HCHG INJ TX EXTREM: PSEUDOANEURY","36002","N/A","N/A","N/A","N/A","N/A","4013.97","4013.97","N/A","N/A","N/A","4013.97","4013.97","N/A","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97"
"5","N/A","PSEUDOANEURYSM INJECTION TRT","36002","N/A","N/A","N/A","N/A","87792.84","4013.97","4013.97","N/A","N/A","N/A","4013.97","4013.97","N/A","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97","4013.97"
"5","N/A","HCHG INJ EXTREM VENOGRAM","36005","N/A","N/A","N/A","N/A","N/A","11443.73","11443.73","N/A","N/A","N/A","11443.73","11443.73","N/A","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73"
"5","N/A","HCHG VENOGRAPHY INJ PROC","36005","N/A","N/A","N/A","N/A","N/A","11443.73","11443.73","N/A","N/A","N/A","11443.73","11443.73","N/A","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73"
"5","N/A","INJECTION EXT VENOGRAPHY","36005","N/A","N/A","N/A","N/A","N/A","11443.73","11443.73","N/A","N/A","N/A","11443.73","11443.73","N/A","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73","11443.73"
"5","N/A","HCHG ANGIO SVC / IVC","36010","N/A","N/A","N/A","N/A","N/A","9878.36","9878.36","N/A","N/A","N/A","9878.36","9878.36","N/A","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36"
"5","N/A","HCHG INTRO CATH SVC OR IVC","36010","N/A","N/A","N/A","N/A","N/A","9878.36","9878.36","N/A","N/A","N/A","9878.36","9878.36","N/A","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36"
"5","N/A","PLACE CATHETER IN VEIN","36010","N/A","N/A","N/A","N/A","N/A","9878.36","9878.36","N/A","N/A","N/A","9878.36","9878.36","N/A","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36","9878.36"
"5","N/A","HCHG CATH PLCMT VENOUS 1ST ORD","36011","N/A","N/A","N/A","N/A","N/A","23218.11","23218.11","N/A","N/A","N/A","23218.11","23218.11","N/A","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11"
"5","N/A","PLACE CATHETER IN VEIN","36011","N/A","N/A","N/A","N/A","N/A","23218.11","23218.11","N/A","N/A","N/A","23218.11","23218.11","N/A","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11","23218.11"
"5","N/A","HCHG CATH PLCMT VENOUS 2ND ORD","36012","N/A","N/A","N/A","N/A","N/A","37545.51","37545.51","N/A","N/A","N/A","37545.51","37545.51","N/A","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51"
"5","N/A","PLACE CATHETER IN VEIN","36012","N/A","N/A","N/A","N/A","N/A","37545.51","37545.51","N/A","N/A","N/A","37545.51","37545.51","N/A","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51","37545.51"
"5","N/A","HCHG INTRO CATH RH/PULM","36013","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","PLACE CATHETER IN ARTERY","36013","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","HCHG CATH PLCMT R/L PULM ART","36014","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","PLACE CATHETER IN ARTERY","36014","N/A","N/A","N/A","N/A","N/A","349.00","349.00","N/A","N/A","N/A","349.00","349.00","N/A","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00","349.00"
"5","N/A","HCHG CATH PLCMT SEG PULM","36015","N/A","N/A","N/A","N/A","N/A","386.00","386.00","N/A","N/A","N/A","386.00","386.00","N/A","386.00","386.00","386.00","386.00","386.00","386.00","386.00","386.00","386.00","386.00"
"5","N/A","PLACE CATHETER IN ARTERY","36015","N/A","N/A","N/A","N/A","N/A","386.00","386.00","N/A","N/A","N/A","386.00","386.00","N/A","386.00","386.00","386.00","386.00","386.00","386.00","386.00","386.00","386.00","386.00"
"5","N/A","HCHG INTRO NDL EXTREM ARTERY","36140","N/A","N/A","N/A","N/A","N/A","18140.23","18140.23","N/A","N/A","N/A","18140.23","18140.23","N/A","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23"
"5","N/A","INTRO NDL ICATH UPR/LXTR ART","36140","N/A","N/A","N/A","N/A","N/A","18140.23","18140.23","N/A","N/A","N/A","18140.23","18140.23","N/A","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23","18140.23"
"5","N/A","HCHG INTRO OF CATH AORTA","36200","N/A","N/A","N/A","N/A","N/A","14107.41","14107.41","N/A","N/A","N/A","14107.41","14107.41","N/A","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41"
"5","N/A","PLACE CATHETER IN AORTA","36200","N/A","N/A","N/A","N/A","N/A","14107.41","14107.41","N/A","N/A","N/A","14107.41","14107.41","N/A","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41","14107.41"
"5","N/A","HCHG CATH PLCMT ART AD 1ST ORD","36215","N/A","N/A","N/A","N/A","N/A","56619.55","56619.55","N/A","N/A","N/A","56619.55","56619.55","N/A","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55"
"5","N/A","PLACE CATHETER IN ARTERY","36215","N/A","N/A","N/A","N/A","N/A","56619.55","56619.55","N/A","N/A","N/A","56619.55","56619.55","N/A","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55","56619.55"
"5","N/A","HCHG CATH PLCMT ART AD 2ND ORD","36216","N/A","N/A","N/A","N/A","N/A","27910.65","27910.65","N/A","N/A","N/A","27910.65","27910.65","N/A","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65"
"5","N/A","PLACE CATHETER IN ARTERY","36216","N/A","N/A","N/A","N/A","N/A","27910.65","27910.65","N/A","N/A","N/A","27910.65","27910.65","N/A","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65","27910.65"
"5","N/A","HCHG CATH PLCMT ART AD 3RD ORD","36217","N/A","N/A","N/A","N/A","N/A","28570.78","28570.78","N/A","N/A","N/A","28570.78","28570.78","N/A","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78"
"5","N/A","PLACE CATHETER IN ARTERY","36217","N/A","N/A","N/A","N/A","N/A","28570.78","28570.78","N/A","N/A","N/A","28570.78","28570.78","N/A","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78","28570.78"
"5","N/A","HCHG CATH PLCMT ART AD 2/3 ADDL","36218","N/A","N/A","N/A","N/A","N/A","221.00","221.00","N/A","N/A","N/A","221.00","221.00","N/A","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00"
"5","N/A","PLACE CATHETER IN ARTERY","36218","N/A","N/A","N/A","N/A","N/A","221.00","221.00","N/A","N/A","N/A","221.00","221.00","N/A","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00"
"5","N/A","HCHG PLACE CATH THORACIC AORTA","36221","N/A","N/A","N/A","N/A","N/A","6116.00","6116.00","N/A","N/A","N/A","6116.00","6116.00","N/A","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00"
"5","N/A","PLACE CATH THORACIC AORTA","36221","N/A","N/A","N/A","N/A","N/A","6116.00","6116.00","N/A","N/A","N/A","6116.00","6116.00","N/A","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00","6116.00"
"5","N/A","HCHG PLACE CATH CAROTID/INOM ART UNILAT","36222","N/A","N/A","N/A","N/A","N/A","31081.69","31081.69","N/A","N/A","N/A","31081.69","31081.69","N/A","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69"
"5","N/A","PLACE CATH CAROTID/INOM ART","36222","N/A","N/A","N/A","N/A","N/A","31081.69","31081.69","N/A","N/A","N/A","31081.69","31081.69","N/A","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69","31081.69"
"5","N/A","HCHG PLACE CATH CAROTID/INOM ART UNILAT","36223","N/A","N/A","N/A","N/A","N/A","47759.97","47759.97","N/A","N/A","N/A","47759.97","47759.97","N/A","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97"
"5","N/A","PLACE CATH CAROTID/INOM ART","36223","N/A","N/A","N/A","N/A","N/A","47759.97","47759.97","N/A","N/A","N/A","47759.97","47759.97","N/A","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97","47759.97"
"5","N/A","HCHG PLACE CATH CAROTD ART UNILAT","36224","N/A","N/A","N/A","N/A","N/A","55458.06","55458.06","N/A","N/A","N/A","55458.06","55458.06","N/A","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06"
"5","N/A","PLACE CATH CAROTD ART","36224","N/A","N/A","N/A","N/A","N/A","55458.06","55458.06","N/A","N/A","N/A","55458.06","55458.06","N/A","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06","55458.06"
"5","N/A","HCHG PLACE CATH SUBCLAVIAN ART UNILAT","36225","N/A","N/A","N/A","N/A","N/A","56493.22","56493.22","N/A","N/A","N/A","56493.22","56493.22","N/A","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22"
"5","N/A","PLACE CATH SUBCLAVIAN ART","36225","N/A","N/A","N/A","N/A","55905.72","56493.22","56493.22","N/A","N/A","N/A","56493.22","56493.22","N/A","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22","56493.22"
"5","N/A","HCHG PLACE CATH VERTEBRAL ART UNILAT","36226","N/A","N/A","N/A","N/A","N/A","55713.25","55713.25","N/A","N/A","N/A","55713.25","55713.25","N/A","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25"
"5","N/A","PLACE CATH VERTEBRAL ART","36226","N/A","N/A","N/A","N/A","N/A","55713.25","55713.25","N/A","N/A","N/A","55713.25","55713.25","N/A","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25","55713.25"
"5","N/A","HCHG PLACE CATH XTRNL CAROTID UNILAT","36227","N/A","N/A","N/A","N/A","N/A","66598.53","66598.53","N/A","N/A","N/A","66598.53","66598.53","N/A","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53"
"5","N/A","PLACE CATH XTRNL CAROTID","36227","N/A","N/A","N/A","N/A","N/A","66598.53","66598.53","N/A","N/A","N/A","66598.53","66598.53","N/A","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53","66598.53"
"5","N/A","HCHG PLACE CATH INTRACRANIAL ART UNILAT","36228","N/A","N/A","N/A","N/A","N/A","40386.02","40386.02","N/A","N/A","N/A","40386.02","40386.02","N/A","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02"
"5","N/A","PLACE CATH INTRACRANIAL ART","36228","N/A","N/A","N/A","N/A","N/A","40386.02","40386.02","N/A","N/A","N/A","40386.02","40386.02","N/A","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02","40386.02"
"5","N/A","HCHG CATH PLCMT 1ST ORD BD","36245","N/A","N/A","N/A","N/A","N/A","39107.79","39107.79","N/A","N/A","N/A","39107.79","39107.79","N/A","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79"
"5","N/A","HCHG CATH PLCMT ART BD 1ST ORD","36245","N/A","N/A","N/A","N/A","N/A","39107.79","39107.79","N/A","N/A","N/A","39107.79","39107.79","N/A","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79"
"5","N/A","INS CATH ABD/L-EXT ART 1ST","36245","N/A","N/A","N/A","N/A","N/A","39107.79","39107.79","N/A","N/A","N/A","39107.79","39107.79","N/A","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79","39107.79"
"5","N/A","HCHG CATH PLCMT ART BD 2ND ORD","36246","N/A","N/A","N/A","N/A","N/A","34131.06","34131.06","N/A","N/A","N/A","34131.06","34131.06","N/A","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06"
"5","N/A","INS CATH ABD/L-EXT ART 2ND","36246","N/A","N/A","N/A","N/A","N/A","34131.06","34131.06","N/A","N/A","N/A","34131.06","34131.06","N/A","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06","34131.06"
"5","N/A","HCHG CATH PLCMT ART BD 3RD ORD","36247","N/A","N/A","N/A","N/A","N/A","53779.28","53779.28","N/A","N/A","N/A","53779.28","53779.28","N/A","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28"
"5","N/A","INS CATH ABD/L-EXT ART 3RD","36247","N/A","N/A","N/A","N/A","N/A","53779.28","53779.28","N/A","N/A","N/A","53779.28","53779.28","N/A","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28","53779.28"
"5","N/A","HCHG CATH PLCMT ART BD 2/D ADDL","36248","N/A","N/A","N/A","N/A","N/A","37176.14","37176.14","N/A","N/A","N/A","37176.14","37176.14","N/A","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14"
"5","N/A","INS CATH ABD/L-EXT ART ADDL","36248","N/A","N/A","N/A","N/A","N/A","37176.14","37176.14","N/A","N/A","N/A","37176.14","37176.14","N/A","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14","37176.14"
"5","N/A","HCHG SEL CATH PLCMT 1ST ORD RENAL ART,FOR RENAL ANGIOGRAPHY, W/S&I, UNILATERAL","36251","N/A","N/A","N/A","N/A","N/A","16740.09","16740.09","N/A","N/A","N/A","16740.09","16740.09","N/A","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09"
"5","N/A","INS CATH REN ART 1ST UNILAT","36251","N/A","N/A","N/A","N/A","N/A","16740.09","16740.09","N/A","N/A","N/A","16740.09","16740.09","N/A","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09","16740.09"
"5","N/A","HCHG SEL CATH PLCMT 1ST ORD RENAL ART,FOR RENAL ANGIOGRAPHY W/S&I, BILATERAL","36252","N/A","N/A","N/A","N/A","N/A","46933.73","46933.73","N/A","N/A","N/A","46933.73","46933.73","N/A","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73"
"5","N/A","INS CATH REN ART 1ST BILAT","36252","N/A","N/A","N/A","N/A","N/A","46933.73","46933.73","N/A","N/A","N/A","46933.73","46933.73","N/A","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73","46933.73"
"5","N/A","HCHG SEL CATH PLCMT 2ND ORD OR HIGHER RENAL ART,FOR RENAL ANGIOGRAPHY W/S&I, UNILATERAL","36253","N/A","N/A","N/A","N/A","N/A","26418.29","26418.29","N/A","N/A","N/A","26418.29","26418.29","N/A","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29"
"5","N/A","INS CATH REN ART 2ND+ UNILAT","36253","N/A","N/A","N/A","N/A","N/A","26418.29","26418.29","N/A","N/A","N/A","26418.29","26418.29","N/A","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29","26418.29"
"5","N/A","VESSEL INJECTION PROCEDURE","36299","N/A","N/A","N/A","N/A","N/A","34388.68","34388.68","N/A","N/A","N/A","34388.68","34388.68","N/A","34388.68","34388.68","34388.68","34388.68","34388.68","34388.68","34388.68","34388.68","34388.68","34388.68"
"5","N/A","HCHG VENIPUNCTURE 3 YRS OR >, PHYS/QHP SKILL","36410","N/A","N/A","N/A","N/A","N/A","13253.24","13253.24","N/A","N/A","N/A","13253.24","13253.24","N/A","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24"
"5","N/A","NON-ROUTINE BL DRAW 3/> YRS","36410","N/A","N/A","N/A","N/A","N/A","13253.24","13253.24","N/A","N/A","N/A","13253.24","13253.24","N/A","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24","13253.24"
"5","N/A","HCHG COLLECTION VENOUS BLD, VENIPUNCTURE","36415","N/A","N/A","N/A","N/A","N/A","12.00","12.00","N/A","N/A","N/A","12.00","12.00","N/A","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00"
"5","N/A","HCHG VENIPUNCTURE","36415","N/A","N/A","N/A","N/A","N/A","12.00","12.00","N/A","N/A","N/A","12.00","12.00","N/A","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00"
"5","N/A","ROUTINE VENIPUNCTURE","36415","N/A","N/A","N/A","N/A","N/A","12.00","12.00","N/A","N/A","N/A","12.00","12.00","N/A","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00","12.00"
"5","N/A","BLOOD TRANSFUSION SERVICE","36430","N/A","N/A","N/A","N/A","N/A","1056.00","1056.00","N/A","N/A","N/A","1056.00","1056.00","N/A","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00"
"5","N/A","HCHG TRANSFUSION BLD/BLD COMPON","36430","N/A","N/A","N/A","N/A","N/A","1056.00","1056.00","N/A","N/A","N/A","1056.00","1056.00","N/A","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00"
"5","N/A","HCHG TRANSFUSION BLD/BLD PROD","36430","N/A","N/A","N/A","N/A","N/A","1056.00","1056.00","N/A","N/A","N/A","1056.00","1056.00","N/A","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00","1056.00"
"5","N/A","HCHG IR - ENDOVENOUS ABLATION","36475","N/A","N/A","N/A","N/A","N/A","26737.43","26737.43","N/A","N/A","N/A","26737.43","26737.43","N/A","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43"
"5","N/A","ENDOVENOUS RF 1ST VEIN","36475","N/A","N/A","N/A","N/A","110914.95","26737.43","26737.43","N/A","N/A","N/A","26737.43","26737.43","N/A","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43","26737.43"
"5","N/A","ENDOVENOUS LASER 1ST VEIN","36478","N/A","N/A","N/A","N/A","110914.95","28538.85","28538.85","N/A","N/A","N/A","28538.85","28538.85","N/A","28538.85","28538.85","28538.85","28538.85","28538.85","28538.85","28538.85","28538.85","28538.85","28538.85"
"5","N/A","HCHG PERCUT PORTAL VEIN CATH","36481","N/A","N/A","N/A","N/A","N/A","69946.47","69946.47","N/A","N/A","N/A","69946.47","69946.47","N/A","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47"
"5","N/A","INSERTION OF CATHETER VEIN","36481","N/A","N/A","N/A","N/A","N/A","69946.47","69946.47","N/A","N/A","N/A","69946.47","69946.47","N/A","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47","69946.47"
"5","N/A","HCHG VENOUS CATH ORGAN BLOOD SAMPLE","36500","N/A","N/A","N/A","N/A","N/A","24909.94","24909.94","N/A","N/A","N/A","24909.94","24909.94","N/A","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94"
"5","N/A","INSERTION OF CATHETER VEIN","36500","N/A","N/A","N/A","N/A","86204.20","24909.94","24909.94","N/A","N/A","N/A","24909.94","24909.94","N/A","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94","24909.94"
"5","N/A","INSERTION OF CATHETER VEIN","36510","N/A","N/A","N/A","N/A","105833.40","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG CATH OF UMBILICAL VEIN FOR DIAGNOSIS OR THERAPY, NEWBORN","36510","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","APHERESIS WBC","36511","N/A","N/A","N/A","N/A","N/A","3527.00","3527.00","N/A","N/A","N/A","3527.00","3527.00","N/A","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00"
"5","N/A","HCHG LEUKOPHERESIS THERAPEUTIC","36511","N/A","N/A","N/A","N/A","N/A","3527.00","3527.00","N/A","N/A","N/A","3527.00","3527.00","N/A","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00","3527.00"
"5","N/A","APHERESIS PLATELETS","36513","N/A","N/A","N/A","N/A","N/A","6087.92","6087.92","N/A","N/A","N/A","6087.92","6087.92","N/A","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92"
"5","N/A","HCHG PLATELETPHERESIS THERAPEUTIC","36513","N/A","N/A","N/A","N/A","N/A","6087.92","6087.92","N/A","N/A","N/A","6087.92","6087.92","N/A","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92","6087.92"
"5","N/A","APHERESIS PLASMA","36514","N/A","N/A","N/A","N/A","N/A","3881.00","3881.00","N/A","N/A","N/A","3881.00","3881.00","N/A","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00"
"5","N/A","HCHG PLASMAPHERESIS","36514","N/A","N/A","N/A","N/A","N/A","3881.00","3881.00","N/A","N/A","N/A","3881.00","3881.00","N/A","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00","3881.00"
"5","N/A","HCHG INSERT NON-TUNNL CVP<5YO","36555","N/A","N/A","N/A","N/A","N/A","2995.00","2995.00","N/A","N/A","N/A","2995.00","2995.00","N/A","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00"
"5","N/A","INSERT NON-TUNNEL CV CATH","36555","N/A","N/A","N/A","N/A","N/A","2995.00","2995.00","N/A","N/A","N/A","2995.00","2995.00","N/A","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00"
"5","N/A","HCHG INSERT CVAD NON-TUN >5Y","36556","N/A","N/A","N/A","N/A","N/A","11389.82","11389.82","N/A","N/A","N/A","11389.82","11389.82","N/A","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82"
"5","N/A","HCHG INSERT NON-TUNNL CNTRL CVC:5>","36556","N/A","N/A","N/A","N/A","N/A","11389.82","11389.82","N/A","N/A","N/A","11389.82","11389.82","N/A","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82"
"5","N/A","HCHG INSERT NON-TUNNL CVP>5YO","36556","N/A","N/A","N/A","N/A","N/A","11389.82","11389.82","N/A","N/A","N/A","11389.82","11389.82","N/A","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82"
"5","N/A","INSERT NON-TUNNEL CV CATH","36556","N/A","N/A","N/A","N/A","N/A","11389.82","11389.82","N/A","N/A","N/A","11389.82","11389.82","N/A","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82","11389.82"
"5","N/A","HCHG INS CVAD TUNN WO <5Y","36557","N/A","N/A","N/A","N/A","N/A","8470.00","8470.00","N/A","N/A","N/A","8470.00","8470.00","N/A","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00"
"5","N/A","INSERT TUNNELED CV CATH","36557","N/A","N/A","N/A","N/A","N/A","8470.00","8470.00","N/A","N/A","N/A","8470.00","8470.00","N/A","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00"
"5","N/A","HCHG INS CVAD TUNN WO >5Y","36558","N/A","N/A","N/A","N/A","N/A","11121.71","11121.71","N/A","N/A","N/A","11121.71","11121.71","N/A","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71"
"5","N/A","HCHG INS TUNNELED CVAD WO PORT/PUMP >5Y","36558","N/A","N/A","N/A","N/A","N/A","11121.71","11121.71","N/A","N/A","N/A","11121.71","11121.71","N/A","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71"
"5","N/A","INSERT TUNNELED CV CATH","36558","N/A","N/A","N/A","N/A","N/A","11121.71","11121.71","N/A","N/A","N/A","11121.71","11121.71","N/A","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71","11121.71"
"5","N/A","HCHG INS CVAD TUNN W PORT <5Y","36560","N/A","N/A","N/A","N/A","N/A","7902.00","7902.00","N/A","N/A","N/A","7902.00","7902.00","N/A","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00"
"5","N/A","INSERT TUNNELED CV CATH","36560","N/A","N/A","N/A","N/A","86771.30","7902.00","7902.00","N/A","N/A","N/A","7902.00","7902.00","N/A","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00"
"5","N/A","INSERT TUNNELED CV CATH","36561","N/A","N/A","N/A","N/A","86771.30","10579.44","10579.44","N/A","N/A","N/A","10579.44","10579.44","N/A","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44"
"5","N/A","HCHG INS CVAD TUNN W PORT >5Y","36561","N/A","N/A","N/A","N/A","N/A","10579.44","10579.44","N/A","N/A","N/A","10579.44","10579.44","N/A","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44","10579.44"
"5","N/A","HCHG INS CVAD TUNN W PUMP","36563","N/A","N/A","N/A","N/A","N/A","6515.00","6515.00","N/A","N/A","N/A","6515.00","6515.00","N/A","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00"
"5","N/A","INSERT TUNNELED CV CATH","36563","N/A","N/A","N/A","N/A","38815.50","6515.00","6515.00","N/A","N/A","N/A","6515.00","6515.00","N/A","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00","6515.00"
"5","N/A","HCHG INS CVAD TUNN 2 SITE WO","36565","N/A","N/A","N/A","N/A","N/A","5930.00","5930.00","N/A","N/A","N/A","5930.00","5930.00","N/A","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00"
"5","N/A","INSERT TUNNELED CV CATH","36565","N/A","N/A","N/A","N/A","N/A","5930.00","5930.00","N/A","N/A","N/A","5930.00","5930.00","N/A","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00","5930.00"
"5","N/A","HCHG INS CVAD TUNN 2 SITE W","36566","N/A","N/A","N/A","N/A","N/A","6826.60","6826.60","N/A","N/A","N/A","6826.60","6826.60","N/A","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60"
"5","N/A","INSERT TUNNELED CV CATH","36566","N/A","N/A","N/A","N/A","86771.30","6826.60","6826.60","N/A","N/A","N/A","6826.60","6826.60","N/A","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60","6826.60"
"5","N/A","HCHG INS PICC WO PORT/PUMP <5Y","36568","N/A","N/A","N/A","N/A","N/A","3032.00","3032.00","N/A","N/A","N/A","3032.00","3032.00","N/A","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00"
"5","N/A","INSJ PICC <5 YR W/O IMAGING","36568","N/A","N/A","N/A","N/A","N/A","3032.00","3032.00","N/A","N/A","N/A","3032.00","3032.00","N/A","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00","3032.00"
"5","N/A","HCHG INS PICC WO PORT/PUMP >5Y","36569","N/A","N/A","N/A","N/A","N/A","7991.85","7991.85","N/A","N/A","N/A","7991.85","7991.85","N/A","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85"
"5","N/A","HCHG INSERT PICC WO PORT/PUMP 5YR>","36569","N/A","N/A","N/A","N/A","N/A","7991.85","7991.85","N/A","N/A","N/A","7991.85","7991.85","N/A","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85"
"5","N/A","HCHG PICC INSERT 2.0 WO PORT/PUMP 5YRS OR >","36569","N/A","N/A","N/A","N/A","N/A","7991.85","7991.85","N/A","N/A","N/A","7991.85","7991.85","N/A","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85"
"5","N/A","HCHG PICC INSERT 2.5 WO PORT/PUMP 5YRS OR >","36569","N/A","N/A","N/A","N/A","N/A","7991.85","7991.85","N/A","N/A","N/A","7991.85","7991.85","N/A","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85"
"5","N/A","HCHG PICC INSERT 3.0 WO PORT/PUMP 5YRS OR >","36569","N/A","N/A","N/A","N/A","N/A","7991.85","7991.85","N/A","N/A","N/A","7991.85","7991.85","N/A","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85"
"5","N/A","INSJ PICC 5 YR+ W/O IMAGING","36569","N/A","N/A","N/A","N/A","N/A","7991.85","7991.85","N/A","N/A","N/A","7991.85","7991.85","N/A","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85","7991.85"
"5","N/A","HCHG INS PICC W PORT >5Y","36571","N/A","N/A","N/A","N/A","N/A","7643.24","7643.24","N/A","N/A","N/A","7643.24","7643.24","N/A","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24"
"5","N/A","INSERT PICVAD CATH","36571","N/A","N/A","N/A","N/A","87620.34","7643.24","7643.24","N/A","N/A","N/A","7643.24","7643.24","N/A","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24","7643.24"
"5","N/A","HCHG INSJ PICC RS&I <5 YR","36572","N/A","N/A","N/A","N/A","N/A","2917.00","2917.00","N/A","N/A","N/A","2917.00","2917.00","N/A","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00"
"5","N/A","INSJ PICC RS&I <5 YR","36572","N/A","N/A","N/A","N/A","N/A","2917.00","2917.00","N/A","N/A","N/A","2917.00","2917.00","N/A","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00","2917.00"
"5","N/A","HCHG INSJ PICC RS&I 5 YR+","36573","N/A","N/A","N/A","N/A","N/A","4755.62","4755.62","N/A","N/A","N/A","4755.62","4755.62","N/A","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62"
"5","N/A","INSJ PICC RS&I 5 YR+","36573","N/A","N/A","N/A","N/A","N/A","4755.62","4755.62","N/A","N/A","N/A","4755.62","4755.62","N/A","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62","4755.62"
"5","N/A","HCHG PREPAIR CVAD TUNNELED WO PORT PUMP","36575","N/A","N/A","N/A","N/A","N/A","1476.00","1476.00","N/A","N/A","N/A","1476.00","1476.00","N/A","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00"
"5","N/A","HCHG REPAIR CVAD NONTUNNELED WO PORT PUMP","36575","N/A","N/A","N/A","N/A","N/A","1476.00","1476.00","N/A","N/A","N/A","1476.00","1476.00","N/A","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00"
"5","N/A","REPAIR TUNNELED CV CATH","36575","N/A","N/A","N/A","N/A","N/A","1476.00","1476.00","N/A","N/A","N/A","1476.00","1476.00","N/A","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00","1476.00"
"5","N/A","HCHG REPAIR CVAD W PORT/PUMP","36576","N/A","N/A","N/A","N/A","N/A","4900.52","4900.52","N/A","N/A","N/A","4900.52","4900.52","N/A","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52"
"5","N/A","REPAIR TUNNELED CV CATH","36576","N/A","N/A","N/A","N/A","N/A","4900.52","4900.52","N/A","N/A","N/A","4900.52","4900.52","N/A","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52","4900.52"
"5","N/A","HCHG REPL CATH ONLY CVAD SUBQ PORT/","36578","N/A","N/A","N/A","N/A","N/A","9197.83","9197.83","N/A","N/A","N/A","9197.83","9197.83","N/A","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83"
"5","N/A","REPLACE TUNNELED CV CATH","36578","N/A","N/A","N/A","N/A","N/A","9197.83","9197.83","N/A","N/A","N/A","9197.83","9197.83","N/A","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83","9197.83"
"5","N/A","HCHG REPL NON-TUNNL CVC WO PORT/P","36580","N/A","N/A","N/A","N/A","N/A","18055.85","18055.85","N/A","N/A","N/A","18055.85","18055.85","N/A","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85"
"5","N/A","REPLACE CVAD CATH","36580","N/A","N/A","N/A","N/A","N/A","18055.85","18055.85","N/A","N/A","N/A","18055.85","18055.85","N/A","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85","18055.85"
"5","N/A","HCHG REPL TUNN CNTRL CVC WO PORT","36581","N/A","N/A","N/A","N/A","N/A","11254.40","11254.40","N/A","N/A","N/A","11254.40","11254.40","N/A","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40"
"5","N/A","REPLACE TUNNELED CV CATH","36581","N/A","N/A","N/A","N/A","N/A","11254.40","11254.40","N/A","N/A","N/A","11254.40","11254.40","N/A","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40","11254.40"
"5","N/A","HCHG REPL TUNN CVAD W PORT","36582","N/A","N/A","N/A","N/A","N/A","7902.00","7902.00","N/A","N/A","N/A","7902.00","7902.00","N/A","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00"
"5","N/A","REPLACE TUNNELED CV CATH","36582","N/A","N/A","N/A","N/A","N/A","7902.00","7902.00","N/A","N/A","N/A","7902.00","7902.00","N/A","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00","7902.00"
"5","N/A","HCHG REPL TUNN CVAD W PUMP","36583","N/A","N/A","N/A","N/A","N/A","8470.00","8470.00","N/A","N/A","N/A","8470.00","8470.00","N/A","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00"
"5","N/A","REPLACE TUNNELED CV CATH","36583","N/A","N/A","N/A","N/A","87620.34","8470.00","8470.00","N/A","N/A","N/A","8470.00","8470.00","N/A","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00","8470.00"
"5","N/A","COMPL RPLCMT PICC RS&I","36584","N/A","N/A","N/A","N/A","N/A","3853.15","3853.15","N/A","N/A","N/A","3853.15","3853.15","N/A","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15"
"5","N/A","HCHG REPL PICC WO PORT/PUMP SAME A","36584","N/A","N/A","N/A","N/A","N/A","3853.15","3853.15","N/A","N/A","N/A","3853.15","3853.15","N/A","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15"
"5","N/A","HCHG RPLCMT COMPL PRPH CVC W/O SUBQ PORT/PMP","36584","N/A","N/A","N/A","N/A","N/A","3853.15","3853.15","N/A","N/A","N/A","3853.15","3853.15","N/A","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15","3853.15"
"5","N/A","HCHG REPL PICC W PORT/PUMP","36585","N/A","N/A","N/A","N/A","N/A","5095.00","5095.00","N/A","N/A","N/A","5095.00","5095.00","N/A","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00"
"5","N/A","REPLACE PICVAD CATH","36585","N/A","N/A","N/A","N/A","N/A","5095.00","5095.00","N/A","N/A","N/A","5095.00","5095.00","N/A","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00"
"5","N/A","HCHG PORT / HICK / PICC REMOVE","36589","N/A","N/A","N/A","N/A","N/A","1787.22","1787.22","N/A","N/A","N/A","1787.22","1787.22","N/A","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22"
"5","N/A","HCHG REMOVE IMPL VA DEVICE/SUBQ RESV","36589","N/A","N/A","N/A","N/A","N/A","1787.22","1787.22","N/A","N/A","N/A","1787.22","1787.22","N/A","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22"
"5","N/A","HCHG REMOVE TUNN VAD WO","36589","N/A","N/A","N/A","N/A","N/A","1787.22","1787.22","N/A","N/A","N/A","1787.22","1787.22","N/A","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22"
"5","N/A","REMOVAL TUNNELED CV CATH","36589","N/A","N/A","N/A","N/A","N/A","1787.22","1787.22","N/A","N/A","N/A","1787.22","1787.22","N/A","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22","1787.22"
"5","N/A","HCHG REMOVE TUNN VAD W","36590","N/A","N/A","N/A","N/A","N/A","5815.96","5815.96","N/A","N/A","N/A","5815.96","5815.96","N/A","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96"
"5","N/A","HCHG REMOVE TUNN VAD W SUBQ","36590","N/A","N/A","N/A","N/A","N/A","5815.96","5815.96","N/A","N/A","N/A","5815.96","5815.96","N/A","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96"
"5","N/A","REMOVAL TUNNELED CV CATH","36590","N/A","N/A","N/A","N/A","N/A","5815.96","5815.96","N/A","N/A","N/A","5815.96","5815.96","N/A","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96","5815.96"
"5","N/A","DRAW BLOOD OFF VENOUS DEVICE","36591","N/A","N/A","N/A","N/A","N/A","9215.90","9215.90","N/A","N/A","N/A","9215.90","9215.90","N/A","9215.90","9215.90","9215.90","9215.90","9215.90","9215.90","9215.90","9215.90","9215.90","9215.90"
"5","N/A","COLLECT BLOOD FROM PICC","36592","N/A","N/A","N/A","N/A","N/A","322.00","322.00","N/A","N/A","N/A","322.00","322.00","N/A","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00"
"5","N/A","HCHG COLLECT BLD VIA EST CENTRAL/PERIPHERAL CATH VENOUS","36592","N/A","N/A","N/A","N/A","N/A","322.00","322.00","N/A","N/A","N/A","322.00","322.00","N/A","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00"
"5","N/A","DECLOT VASCULAR DEVICE","36593","N/A","N/A","N/A","N/A","66217.57","7184.29","7184.29","N/A","N/A","N/A","7184.29","7184.29","N/A","7184.29","7184.29","7184.29","7184.29","7184.29","7184.29","7184.29","7184.29","7184.29","7184.29"
"5","N/A","MECH REMOV TUNNELED CV CATH","36595","N/A","N/A","N/A","N/A","141839.24","5095.00","5095.00","N/A","N/A","N/A","5095.00","5095.00","N/A","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00"
"5","N/A","HCHG FIBRIN SHEATH PERICATH","36595","N/A","N/A","N/A","N/A","N/A","5095.00","5095.00","N/A","N/A","N/A","5095.00","5095.00","N/A","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00","5095.00"
"5","N/A","HCHG FIBRIN SHEATH INTRACATH","36596","N/A","N/A","N/A","N/A","N/A","1830.00","1830.00","N/A","N/A","N/A","1830.00","1830.00","N/A","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00"
"5","N/A","MECH REMOV TUNNELED CV CATH","36596","N/A","N/A","N/A","N/A","141839.24","1830.00","1830.00","N/A","N/A","N/A","1830.00","1830.00","N/A","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00","1830.00"
"5","N/A","HCHG REPOS CENTRAL VENOUS CATH","36597","N/A","N/A","N/A","N/A","N/A","12545.41","12545.41","N/A","N/A","N/A","12545.41","12545.41","N/A","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41"
"5","N/A","REPOSITION VENOUS CATHETER","36597","N/A","N/A","N/A","N/A","N/A","12545.41","12545.41","N/A","N/A","N/A","12545.41","12545.41","N/A","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41","12545.41"
"5","N/A","HCHG INJ W FLUOR EVAL CV DEVICE","36598","N/A","N/A","N/A","N/A","N/A","850.10","850.10","N/A","N/A","N/A","850.10","850.10","N/A","850.10","850.10","850.10","850.10","850.10","850.10","850.10","850.10","850.10","850.10"
"5","N/A","INJ W/FLUOR EVAL CV DEVICE","36598","N/A","N/A","N/A","N/A","N/A","850.10","850.10","N/A","N/A","N/A","850.10","850.10","N/A","850.10","850.10","850.10","850.10","850.10","850.10","850.10","850.10","850.10","850.10"
"5","N/A","HCHG ARTERIAL PUNC","36600","N/A","N/A","N/A","N/A","N/A","322.00","322.00","N/A","N/A","N/A","322.00","322.00","N/A","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00"
"5","N/A","HCHG ARTERIAL PUNC FOR BGA","36600","N/A","N/A","N/A","N/A","N/A","322.00","322.00","N/A","N/A","N/A","322.00","322.00","N/A","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00"
"5","N/A","HCHG ARTERIAL PUNCTURE FOR BGA","36600","N/A","N/A","N/A","N/A","N/A","322.00","322.00","N/A","N/A","N/A","322.00","322.00","N/A","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00"
"5","N/A","WITHDRAWAL OF ARTERIAL BLOOD","36600","N/A","N/A","N/A","N/A","N/A","322.00","322.00","N/A","N/A","N/A","322.00","322.00","N/A","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00","322.00"
"5","N/A","HCHG ARTERIAL CATH (ART LINE)","36620","N/A","N/A","N/A","N/A","N/A","88095.75","88095.75","N/A","N/A","N/A","88095.75","88095.75","N/A","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75"
"5","N/A","INSERTION CATHETER ARTERY","36620","N/A","N/A","N/A","N/A","N/A","88095.75","88095.75","N/A","N/A","N/A","88095.75","88095.75","N/A","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75","88095.75"
"5","N/A","HCHG PLACE NEEDLE INTRAOSSEOUS INFUSION","36680","N/A","N/A","N/A","N/A","N/A","570.00","570.00","N/A","N/A","N/A","570.00","570.00","N/A","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00"
"5","N/A","INSERT NEEDLE BONE CAVITY","36680","N/A","N/A","N/A","N/A","N/A","570.00","570.00","N/A","N/A","N/A","570.00","570.00","N/A","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00"
"5","N/A","HCHG INSERTION OF CANNULA FOR HEMODIALYSIS,OTH PURPOSE: VEIN TO VEIN","36800","N/A","N/A","N/A","N/A","N/A","4880.68","4880.68","N/A","N/A","N/A","4880.68","4880.68","N/A","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68"
"5","N/A","INSERTION OF CANNULA","36800","N/A","N/A","N/A","N/A","N/A","4880.68","4880.68","N/A","N/A","N/A","4880.68","4880.68","N/A","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68","4880.68"
"5","N/A","HCHG INSERT OF CANNULA FOR HEMO, OTHER PURP, ARTERIOVENOUS, EXT","36810","N/A","N/A","N/A","N/A","N/A","5530.00","5530.00","N/A","N/A","N/A","5530.00","5530.00","N/A","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00"
"5","N/A","INSERTION OF CANNULA","36810","N/A","N/A","N/A","N/A","79195.35","5530.00","5530.00","N/A","N/A","N/A","5530.00","5530.00","N/A","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00","5530.00"
"5","N/A","AV FUSE UPPR ARM CEPHALIC","36818","N/A","N/A","N/A","N/A","78533.13","13659.62","13659.62","N/A","N/A","N/A","13659.62","13659.62","N/A","13659.62","13659.62","13659.62","13659.62","13659.62","13659.62","13659.62","13659.62","13659.62","13659.62"
"5","N/A","AV FUSE UPPR ARM BASILIC","36819","N/A","N/A","N/A","N/A","78533.13","18763.34","18763.34","N/A","N/A","N/A","18763.34","18763.34","N/A","18763.34","18763.34","18763.34","18763.34","18763.34","18763.34","18763.34","18763.34","18763.34","18763.34"
"5","N/A","AV FUSION/FOREARM VEIN","36820","N/A","N/A","N/A","N/A","79920.49","20683.14","20683.14","N/A","N/A","N/A","20683.14","20683.14","N/A","20683.14","20683.14","20683.14","20683.14","20683.14","20683.14","20683.14","20683.14","20683.14","20683.14"
"5","N/A","AV FUSION DIRECT ANY SITE","36821","N/A","N/A","N/A","N/A","79920.49","14366.57","14366.57","N/A","N/A","N/A","14366.57","14366.57","N/A","14366.57","14366.57","14366.57","14366.57","14366.57","14366.57","14366.57","14366.57","14366.57","14366.57"
"5","N/A","ARTERY-VEIN NONAUTOGRAFT","36830","N/A","N/A","N/A","N/A","79920.49","19452.64","19452.64","N/A","N/A","N/A","19452.64","19452.64","N/A","19452.64","19452.64","19452.64","19452.64","19452.64","19452.64","19452.64","19452.64","19452.64","19452.64"
"5","N/A","OPEN THROMBECT AV FISTULA","36831","N/A","N/A","N/A","N/A","64402.04","16161.03","16161.03","N/A","N/A","N/A","16161.03","16161.03","N/A","16161.03","16161.03","16161.03","16161.03","16161.03","16161.03","16161.03","16161.03","16161.03","16161.03"
"5","N/A","AV FISTULA REVISION OPEN","36832","N/A","N/A","N/A","N/A","79589.63","22152.80","22152.80","N/A","N/A","N/A","22152.80","22152.80","N/A","22152.80","22152.80","22152.80","22152.80","22152.80","22152.80","22152.80","22152.80","22152.80","22152.80"
"5","N/A","AV FISTULA REVISION","36833","N/A","N/A","N/A","N/A","85248.38","24265.79","24265.79","N/A","N/A","N/A","24265.79","24265.79","N/A","24265.79","24265.79","24265.79","24265.79","24265.79","24265.79","24265.79","24265.79","24265.79","24265.79"
"5","N/A","HCHG INTRO OF NEEDLE/CATHETER, DIALYSIS CIRCUIT W/ DIAG ANGIO","36901","N/A","N/A","N/A","N/A","N/A","9133.07","9133.07","N/A","N/A","N/A","9133.07","9133.07","N/A","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07"
"5","N/A","INTRO CATH DIALYSIS CIRCUIT","36901","N/A","N/A","N/A","N/A","N/A","9133.07","9133.07","N/A","N/A","N/A","9133.07","9133.07","N/A","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07","9133.07"
"5","N/A","HCHG PTA, PERIPH DIALYSIS SEG W/ DIAG ANGIO","36902","N/A","N/A","N/A","N/A","N/A","14502.81","14502.81","N/A","N/A","N/A","14502.81","14502.81","N/A","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81"
"5","N/A","INTRO CATH DIALYSIS CIRCUIT","36902","N/A","N/A","N/A","N/A","117173.05","14502.81","14502.81","N/A","N/A","N/A","14502.81","14502.81","N/A","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81","14502.81"
"5","N/A","HCHG INTRAVASC STENT PERIPH DIALYSIS CIRC INC ANGIOPLASTY DIAG ANGIO","36903","N/A","N/A","N/A","N/A","N/A","24356.19","24356.19","N/A","N/A","N/A","24356.19","24356.19","N/A","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19"
"5","N/A","INTRO CATH DIALYSIS CIRCUIT","36903","N/A","N/A","N/A","N/A","N/A","24356.19","24356.19","N/A","N/A","N/A","24356.19","24356.19","N/A","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19","24356.19"
"5","N/A","HCHG MECH THROMBEC/THROMBOLYSIS, DIALYSIS CIRC W/ DIAG ANGIO","36904","N/A","N/A","N/A","N/A","N/A","31279.58","31279.58","N/A","N/A","N/A","31279.58","31279.58","N/A","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58"
"5","N/A","THRMBC/NFS DIALYSIS CIRCUIT","36904","N/A","N/A","N/A","N/A","79577.17","31279.58","31279.58","N/A","N/A","N/A","31279.58","31279.58","N/A","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58","31279.58"
"5","N/A","THRMBC/NFS DIALYSIS CIRCUIT","36905","N/A","N/A","N/A","N/A","107147.48","25662.66","25662.66","N/A","N/A","N/A","25662.66","25662.66","N/A","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66"
"5","N/A","HCHG MECH THROMBEC/THROMBOLYSIS W/ PTA, DIAG ANGIO","36905","N/A","N/A","N/A","N/A","N/A","25662.66","25662.66","N/A","N/A","N/A","25662.66","25662.66","N/A","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66","25662.66"
"5","N/A","HCHG MECH THROMBEC/THROMBOLYSIS, DIALYSIS CIRC, W/ STENT, ANGIOPLASTY PERIPH CIRC","36906","N/A","N/A","N/A","N/A","N/A","38713.35","38713.35","N/A","N/A","N/A","38713.35","38713.35","N/A","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35"
"5","N/A","THRMBC/NFS DIALYSIS CIRCUIT","36906","N/A","N/A","N/A","N/A","79577.17","38713.35","38713.35","N/A","N/A","N/A","38713.35","38713.35","N/A","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35","38713.35"
"5","N/A","BALO ANGIOP CTR DIALYSIS SEG","36907","N/A","N/A","N/A","N/A","107147.48","20059.77","20059.77","N/A","N/A","N/A","20059.77","20059.77","N/A","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77"
"5","N/A","HCHG PTA CENTRAL DIALYSIS SEG","36907","N/A","N/A","N/A","N/A","N/A","20059.77","20059.77","N/A","N/A","N/A","20059.77","20059.77","N/A","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77","20059.77"
"5","N/A","HCHG INTRAVASC STENT CENTRAL DIALYSIS SEG","36908","N/A","N/A","N/A","N/A","N/A","19598.50","19598.50","N/A","N/A","N/A","19598.50","19598.50","N/A","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50"
"5","N/A","STENT PLMT CTR DIALYSIS SEG","36908","N/A","N/A","N/A","N/A","N/A","19598.50","19598.50","N/A","N/A","N/A","19598.50","19598.50","N/A","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50","19598.50"
"5","N/A","HCHG DIALYSIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I","36909","N/A","N/A","N/A","N/A","N/A","13591.00","13591.00","N/A","N/A","N/A","13591.00","13591.00","N/A","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00"
"5","N/A","DIALYSIS CIRCUIT EMBOLJ","36909","N/A","N/A","N/A","N/A","33698.47","13591.00","13591.00","N/A","N/A","N/A","13591.00","13591.00","N/A","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00","13591.00"
"5","N/A","HCHG TIPS","37182","N/A","N/A","N/A","N/A","N/A","42092.27","42092.27","N/A","N/A","N/A","42092.27","42092.27","N/A","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27"
"5","N/A","INSERT HEPATIC SHUNT (TIPS)","37182","N/A","N/A","N/A","N/A","N/A","42092.27","42092.27","N/A","N/A","N/A","42092.27","42092.27","N/A","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27","42092.27"
"5","N/A","HCHG TIPS REVISION","37183","N/A","N/A","N/A","N/A","N/A","11077.00","11077.00","N/A","N/A","N/A","11077.00","11077.00","N/A","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00"
"5","N/A","REMOVE HEPATIC SHUNT (TIPS)","37183","N/A","N/A","N/A","N/A","N/A","11077.00","11077.00","N/A","N/A","N/A","11077.00","11077.00","N/A","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00","11077.00"
"5","N/A","HCHG PRIMARY ART MECHANICAL THROMBECTOMY NON-INTRACRANIAL; INITITAL VESSEL","37184","N/A","N/A","N/A","N/A","N/A","12554.00","12554.00","N/A","N/A","N/A","12554.00","12554.00","N/A","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00"
"5","N/A","PRIM ART M-THRMBC 1ST VSL","37184","N/A","N/A","N/A","N/A","66371.58","12554.00","12554.00","N/A","N/A","N/A","12554.00","12554.00","N/A","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00"
"5","N/A","PRIM ART M-THRMBC SBSQ VSL","37185","N/A","N/A","N/A","N/A","88361.15","2715.00","2715.00","N/A","N/A","N/A","2715.00","2715.00","N/A","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00"
"5","N/A","HCHG PRIM ART MECH THROMBECTOMY SUBS VESSEL","37185","N/A","N/A","N/A","N/A","N/A","2715.00","2715.00","N/A","N/A","N/A","2715.00","2715.00","N/A","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00"
"5","N/A","HCHG PRIMARY ART MECHANICAL THROMBECTOMY NON-INTRACRANIAL; SUBS VESSEL","37185","N/A","N/A","N/A","N/A","N/A","2715.00","2715.00","N/A","N/A","N/A","2715.00","2715.00","N/A","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00","2715.00"
"5","N/A","HCHG SEC ART MECH THROMBECTOMY","37186","N/A","N/A","N/A","N/A","N/A","3016.00","3016.00","N/A","N/A","N/A","3016.00","3016.00","N/A","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00"
"5","N/A","SEC ART THROMBECTOMY ADD-ON","37186","N/A","N/A","N/A","N/A","111767.08","3016.00","3016.00","N/A","N/A","N/A","3016.00","3016.00","N/A","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00","3016.00"
"5","N/A","VENOUS MECH THROMBECTOMY","37187","N/A","N/A","N/A","N/A","65778.93","12554.00","12554.00","N/A","N/A","N/A","12554.00","12554.00","N/A","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00"
"5","N/A","HCHG VENOUS MECH THROMBECTOMY","37187","N/A","N/A","N/A","N/A","N/A","12554.00","12554.00","N/A","N/A","N/A","12554.00","12554.00","N/A","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00","12554.00"
"5","N/A","HCHG VENOUS MECH THROMBECTOMY SUB DAY","37188","N/A","N/A","N/A","N/A","N/A","8151.00","8151.00","N/A","N/A","N/A","8151.00","8151.00","N/A","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00"
"5","N/A","VEN MECHNL THRMBC REPEAT TX","37188","N/A","N/A","N/A","N/A","65778.93","8151.00","8151.00","N/A","N/A","N/A","8151.00","8151.00","N/A","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00","8151.00"
"5","N/A","HCHG INSERT OF IVC, ENDOVASC APPR, INCL VASC ACCESS W/S&I","37191","N/A","N/A","N/A","N/A","N/A","13273.07","13273.07","N/A","N/A","N/A","13273.07","13273.07","N/A","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07"
"5","N/A","INS ENDOVAS VENA CAVA FILTR","37191","N/A","N/A","N/A","N/A","N/A","13273.07","13273.07","N/A","N/A","N/A","13273.07","13273.07","N/A","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07","13273.07"
"5","N/A","HCHG RETRIEVAL OF IVC, ENDOVASC APPR, INCL VASC ACCESS, W/S&I","37193","N/A","N/A","N/A","N/A","N/A","8559.34","8559.34","N/A","N/A","N/A","8559.34","8559.34","N/A","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34"
"5","N/A","REM ENDOVAS VENA CAVA FILTER","37193","N/A","N/A","N/A","N/A","N/A","8559.34","8559.34","N/A","N/A","N/A","8559.34","8559.34","N/A","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34","8559.34"
"5","N/A","HCHG THROMBOLYSIS CEREBRAL IV INF","37195","N/A","N/A","N/A","N/A","N/A","698.00","698.00","N/A","N/A","N/A","698.00","698.00","N/A","698.00","698.00","698.00","698.00","698.00","698.00","698.00","698.00","698.00","698.00"
"5","N/A","THROMBOLYTIC THERAPY STROKE","37195","N/A","N/A","N/A","N/A","70380.88","698.00","698.00","N/A","N/A","N/A","698.00","698.00","N/A","698.00","698.00","698.00","698.00","698.00","698.00","698.00","698.00","698.00","698.00"
"5","N/A","HCHG REMOVE INTRVAS FOREIGN BODY","37197","N/A","N/A","N/A","N/A","N/A","5125.00","5125.00","N/A","N/A","N/A","5125.00","5125.00","N/A","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00"
"5","N/A","REMOVE INTRVAS FOREIGN BODY","37197","N/A","N/A","N/A","N/A","N/A","5125.00","5125.00","N/A","N/A","N/A","5125.00","5125.00","N/A","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00","5125.00"
"5","N/A","HCHG TRANSCATH BX","37200","N/A","N/A","N/A","N/A","N/A","21087.42","21087.42","N/A","N/A","N/A","21087.42","21087.42","N/A","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42"
"5","N/A","TRANSCATHETER BIOPSY","37200","N/A","N/A","N/A","N/A","566110.46","21087.42","21087.42","N/A","N/A","N/A","21087.42","21087.42","N/A","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42","21087.42"
"5","N/A","THROMBOLYTIC ART THERAPY","37211","N/A","N/A","N/A","N/A","134873.23","6617.00","6617.00","N/A","N/A","N/A","6617.00","6617.00","N/A","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00"
"5","N/A","HCHG THROMBOLYTIC ART THERAPY OTHR THAN CORONARY/INTRACRANIAL","37211","N/A","N/A","N/A","N/A","N/A","6617.00","6617.00","N/A","N/A","N/A","6617.00","6617.00","N/A","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00","6617.00"
"5","N/A","HCHG THROMBOLYTIC VENOUS THERAPY","37212","N/A","N/A","N/A","N/A","N/A","3305.00","3305.00","N/A","N/A","N/A","3305.00","3305.00","N/A","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00"
"5","N/A","THROMBOLYTIC VENOUS THERAPY","37212","N/A","N/A","N/A","N/A","66154.49","3305.00","3305.00","N/A","N/A","N/A","3305.00","3305.00","N/A","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00"
"5","N/A","THROMBLYTIC ART/VEN THERAPY","37213","N/A","N/A","N/A","N/A","66217.57","6154.00","6154.00","N/A","N/A","N/A","6154.00","6154.00","N/A","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00"
"5","N/A","HCHG THROMBLYTIC ART/VEN THERAPY","37213","N/A","N/A","N/A","N/A","N/A","6154.00","6154.00","N/A","N/A","N/A","6154.00","6154.00","N/A","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00"
"5","N/A","HCHG CESSJ THERAPY CATH REMOVAL","37214","N/A","N/A","N/A","N/A","N/A","6154.00","6154.00","N/A","N/A","N/A","6154.00","6154.00","N/A","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00"
"5","N/A","CESSJ THERAPY CATH REMOVAL","37214","N/A","N/A","N/A","N/A","66217.57","6154.00","6154.00","N/A","N/A","N/A","6154.00","6154.00","N/A","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00","6154.00"
"5","N/A","TRANSCATH STENT CCA W/EPS","37215","N/A","N/A","N/A","N/A","142112.26","12274.00","12274.00","N/A","N/A","N/A","12274.00","12274.00","N/A","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00"
"5","N/A","HCHG TRANSCATH STENT,CCA W/EPS","37215","N/A","N/A","N/A","N/A","N/A","12274.00","12274.00","N/A","N/A","N/A","12274.00","12274.00","N/A","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00","12274.00"
"5","N/A","HCHG TRANSCATH STENT CCA W/O EPS","37216","N/A","N/A","N/A","N/A","N/A","3467.00","3467.00","N/A","N/A","N/A","3467.00","3467.00","N/A","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00"
"5","N/A","TRANSCATH STENT CCA W/O EPS","37216","N/A","N/A","N/A","N/A","142112.26","3467.00","3467.00","N/A","N/A","N/A","3467.00","3467.00","N/A","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00","3467.00"
"5","N/A","STENT PLACEMT ANTE CAROTID","37218","N/A","N/A","N/A","N/A","134140.61","4892.00","4892.00","N/A","N/A","N/A","4892.00","4892.00","N/A","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00"
"5","N/A","HCHG TRANSCATH STENT RETROGRADE W/ S&I","37218","N/A","N/A","N/A","N/A","N/A","4892.00","4892.00","N/A","N/A","N/A","4892.00","4892.00","N/A","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, ILIAC ART, UNILAT, INIT VESSEL, W TRANSLUMINAL ANGIOPLASTY","37220","N/A","N/A","N/A","N/A","N/A","39231.35","39231.35","N/A","N/A","N/A","39231.35","39231.35","N/A","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35"
"5","N/A","ILIAC REVASC","37220","N/A","N/A","N/A","N/A","118284.32","39231.35","39231.35","N/A","N/A","N/A","39231.35","39231.35","N/A","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35","39231.35"
"5","N/A","ILIAC REVASC W/STENT","37221","N/A","N/A","N/A","N/A","105111.96","33177.47","33177.47","N/A","N/A","N/A","33177.47","33177.47","N/A","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, ILIAC ART, INIT VESSEL, W TRANSLUMINAL STENT PLACEMENT","37221","N/A","N/A","N/A","N/A","N/A","33177.47","33177.47","N/A","N/A","N/A","33177.47","33177.47","N/A","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47","33177.47"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, ILIAC ART, @ ADDL IPSLATERAL VESSEL, W TRANSLUMINAL ANGIOPLASTY","37222","N/A","N/A","N/A","N/A","N/A","28356.78","28356.78","N/A","N/A","N/A","28356.78","28356.78","N/A","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78"
"5","N/A","ILIAC REVASC ADD-ON","37222","N/A","N/A","N/A","N/A","115801.17","28356.78","28356.78","N/A","N/A","N/A","28356.78","28356.78","N/A","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78","28356.78"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, ILIAC ART, @ ADDL IPSILAT VESSEL, W TRANSLUMINAL STENT PLACEMENT","37223","N/A","N/A","N/A","N/A","N/A","8994.00","8994.00","N/A","N/A","N/A","8994.00","8994.00","N/A","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00"
"5","N/A","ILIAC REVASC W/STENT ADD-ON","37223","N/A","N/A","N/A","N/A","N/A","8994.00","8994.00","N/A","N/A","N/A","8994.00","8994.00","N/A","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00","8994.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, FEM/POP ART, UNILAT, W TRANSLUMINAL ANGIOPLASTY","37224","N/A","N/A","N/A","N/A","N/A","25685.17","25685.17","N/A","N/A","N/A","25685.17","25685.17","N/A","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17"
"5","N/A","FEM/POPL REVAS W/TLA","37224","N/A","N/A","N/A","N/A","129711.49","25685.17","25685.17","N/A","N/A","N/A","25685.17","25685.17","N/A","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17","25685.17"
"5","N/A","FEM/POPL REVAS W/ATHER","37225","N/A","N/A","N/A","N/A","131755.92","70185.38","70185.38","N/A","N/A","N/A","70185.38","70185.38","N/A","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38"
"5","N/A","HCHG REVAS, ENDOVAS, OPEN/PERC, FEM/POP ART, UNILAT, INCL ANGIO PLAS W/IN SAME VES","37225","N/A","N/A","N/A","N/A","N/A","70185.38","70185.38","N/A","N/A","N/A","70185.38","70185.38","N/A","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38","70185.38"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, FEM/POP ART, UNILAT, W TRANSLUMINAL STENT PLACEMENT","37226","N/A","N/A","N/A","N/A","N/A","32687.71","32687.71","N/A","N/A","N/A","32687.71","32687.71","N/A","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71"
"5","N/A","FEM/POPL REVASC W/STENT","37226","N/A","N/A","N/A","N/A","88437.32","32687.71","32687.71","N/A","N/A","N/A","32687.71","32687.71","N/A","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71","32687.71"
"5","N/A","FEM/POPL REVASC STNT & ATHER","37227","N/A","N/A","N/A","N/A","88437.32","24623.00","24623.00","N/A","N/A","N/A","24623.00","24623.00","N/A","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, FEM/POP ART, UNILAT, W TRANSLUMINAL STENT PLACE & ATHERECTOMY","37227","N/A","N/A","N/A","N/A","N/A","24623.00","24623.00","N/A","N/A","N/A","24623.00","24623.00","N/A","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, TIB/PERO ART, UNILAT, INIT VESSEL, W TRANSLUMINAL ANGIOPLASTY","37228","N/A","N/A","N/A","N/A","N/A","30649.22","30649.22","N/A","N/A","N/A","30649.22","30649.22","N/A","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22"
"5","N/A","TIB/PER REVASC W/TLA","37228","N/A","N/A","N/A","N/A","62434.44","30649.22","30649.22","N/A","N/A","N/A","30649.22","30649.22","N/A","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22","30649.22"
"5","N/A","TIB/PER REVASC W/ATHER","37229","N/A","N/A","N/A","N/A","113978.39","56187.15","56187.15","N/A","N/A","N/A","56187.15","56187.15","N/A","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, TIB/PERONEAL ART, UNILAT, INIT VESSEL, W ATHERECTOMY","37229","N/A","N/A","N/A","N/A","N/A","56187.15","56187.15","N/A","N/A","N/A","56187.15","56187.15","N/A","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15","56187.15"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, TIB/PERONEAL ART, UNILAT, INIT VESSEL, W TRANSLUMINAL STENT PLACE","37230","N/A","N/A","N/A","N/A","N/A","24623.00","24623.00","N/A","N/A","N/A","24623.00","24623.00","N/A","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00"
"5","N/A","TIB/PER REVASC W/STENT","37230","N/A","N/A","N/A","N/A","112445.95","24623.00","24623.00","N/A","N/A","N/A","24623.00","24623.00","N/A","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00"
"5","N/A","TIB/PER REVASC STENT & ATHER","37231","N/A","N/A","N/A","N/A","112445.95","24623.00","24623.00","N/A","N/A","N/A","24623.00","24623.00","N/A","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, TIB/PERO ART, UNILAT, INIT VESSEL, WTRANSLUMINAL STENT &ATHERECTOMY","37231","N/A","N/A","N/A","N/A","N/A","24623.00","24623.00","N/A","N/A","N/A","24623.00","24623.00","N/A","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00","24623.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, TIB/PERO ART, UNILAT, @ ADDL VESSEL, W TRANSLUMINAL ANGIOPLASTY","37232","N/A","N/A","N/A","N/A","N/A","30642.78","30642.78","N/A","N/A","N/A","30642.78","30642.78","N/A","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78"
"5","N/A","TIB/PER REVASC ADD-ON","37232","N/A","N/A","N/A","N/A","114280.13","30642.78","30642.78","N/A","N/A","N/A","30642.78","30642.78","N/A","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78","30642.78"
"5","N/A","TIBPER REVASC W/ATHER ADD-ON","37233","N/A","N/A","N/A","N/A","106499.22","13353.00","13353.00","N/A","N/A","N/A","13353.00","13353.00","N/A","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00"
"5","N/A","HCHG REVAS, ENDOVAS, OPEN/PERC, TIB/PERO ART, UNILAT, EA ADD VES W/ATHERECTOMY","37233","N/A","N/A","N/A","N/A","N/A","13353.00","13353.00","N/A","N/A","N/A","13353.00","13353.00","N/A","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00","13353.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, TIB/PERO ART, UNILAT, @ ADDL VESSEL, W TRANSLUMINAL STENT PLACEMENT","37234","N/A","N/A","N/A","N/A","N/A","11435.00","11435.00","N/A","N/A","N/A","11435.00","11435.00","N/A","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00"
"5","N/A","REVSC OPN/PRQ TIB/PERO STENT","37234","N/A","N/A","N/A","N/A","112445.95","11435.00","11435.00","N/A","N/A","N/A","11435.00","11435.00","N/A","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00","11435.00"
"5","N/A","TIB/PER REVASC STNT & ATHER","37235","N/A","N/A","N/A","N/A","112445.95","16069.00","16069.00","N/A","N/A","N/A","16069.00","16069.00","N/A","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00"
"5","N/A","HCHG REVASC, ENDOVAS, OPEN/PERC, TIB/PERO ART, UNILAT,@ADDL VESSEL, WTRANSLUMINAL STENT&ATHERECTOMY","37235","N/A","N/A","N/A","N/A","N/A","16069.00","16069.00","N/A","N/A","N/A","16069.00","16069.00","N/A","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00","16069.00"
"5","N/A","HCHG TRANSCATH PLACE STENT OPEN/PERQ 1ST ARTERY W ANGIOPLASTY INCL RAD","37236","N/A","N/A","N/A","N/A","N/A","31231.45","31231.45","N/A","N/A","N/A","31231.45","31231.45","N/A","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45"
"5","N/A","OPEN/PERQ PLACE STENT 1ST","37236","N/A","N/A","N/A","N/A","136319.51","31231.45","31231.45","N/A","N/A","N/A","31231.45","31231.45","N/A","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45","31231.45"
"5","N/A","OPEN/PERQ PLACE STENT EA ADD","37237","N/A","N/A","N/A","N/A","136319.51","4137.00","4137.00","N/A","N/A","N/A","4137.00","4137.00","N/A","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00"
"5","N/A","HCHG TRANSCATH PLACE STENT OPEN/PERQ EA ADDL ARTERY W ANGIOPLASTY INCL RAD","37237","N/A","N/A","N/A","N/A","N/A","4137.00","4137.00","N/A","N/A","N/A","4137.00","4137.00","N/A","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00","4137.00"
"5","N/A","HCHG TRANSCATH PLACE STENT OPEN/PERQ 1ST VEIN W ANGIOPLASTY INCL RAD","37238","N/A","N/A","N/A","N/A","N/A","32029.01","32029.01","N/A","N/A","N/A","32029.01","32029.01","N/A","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01"
"5","N/A","OPEN/PERQ PLACE STENT SAME","37238","N/A","N/A","N/A","N/A","117173.05","32029.01","32029.01","N/A","N/A","N/A","32029.01","32029.01","N/A","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01","32029.01"
"5","N/A","OPEN/PERQ PLACE STENT EA ADD","37239","N/A","N/A","N/A","N/A","117173.05","4551.00","4551.00","N/A","N/A","N/A","4551.00","4551.00","N/A","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00"
"5","N/A","HCHG TRANSCATH PLACE STENT OPEN/PERQ EA ADDL VEIN W ANGIOPLASTY INCL RAD","37239","N/A","N/A","N/A","N/A","N/A","4551.00","4551.00","N/A","N/A","N/A","4551.00","4551.00","N/A","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00","4551.00"
"5","N/A","HCHG VASC EMBOLIZE/OCCLUDE VENOUS INCL IMAG GUIDE","37241","N/A","N/A","N/A","N/A","N/A","42148.19","42148.19","N/A","N/A","N/A","42148.19","42148.19","N/A","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19"
"5","N/A","VASC EMBOLIZE/OCCLUDE VENOUS","37241","N/A","N/A","N/A","N/A","63431.97","42148.19","42148.19","N/A","N/A","N/A","42148.19","42148.19","N/A","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19","42148.19"
"5","N/A","VASC EMBOLIZE/OCCLUDE ARTERY","37242","N/A","N/A","N/A","N/A","148281.46","47536.28","47536.28","N/A","N/A","N/A","47536.28","47536.28","N/A","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28"
"5","N/A","HCHG VASC EMBOLIZE/OCCLUDE ARTERY INCL IMAG GUIDE","37242","N/A","N/A","N/A","N/A","N/A","47536.28","47536.28","N/A","N/A","N/A","47536.28","47536.28","N/A","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28","47536.28"
"5","N/A","HCHG VASC EMBOLIZE/OCCLUDE ORGAN INCL IMAG GUIDE","37243","N/A","N/A","N/A","N/A","N/A","68838.06","68838.06","N/A","N/A","N/A","68838.06","68838.06","N/A","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06"
"5","N/A","HCHG Y90 EMBOLIZATION","37243","N/A","N/A","N/A","N/A","N/A","68838.06","68838.06","N/A","N/A","N/A","68838.06","68838.06","N/A","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06"
"5","N/A","VASC EMBOLIZE/OCCLUDE ORGAN","37243","N/A","N/A","N/A","N/A","148281.46","68838.06","68838.06","N/A","N/A","N/A","68838.06","68838.06","N/A","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06","68838.06"
"5","N/A","VASC EMBOLIZE/OCCLUDE BLEED","37244","N/A","N/A","N/A","N/A","148281.46","52863.55","52863.55","N/A","N/A","N/A","52863.55","52863.55","N/A","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55"
"5","N/A","HCHG VASC EMBOLIZE/OCCLUDE BLEED INCL IMAG GUIDE","37244","N/A","N/A","N/A","N/A","N/A","52863.55","52863.55","N/A","N/A","N/A","52863.55","52863.55","N/A","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55","52863.55"
"5","N/A","HCHG TRANSLUMINAL BALLOON ANGIOPLASTY, INITIAL ARTERY","37246","N/A","N/A","N/A","N/A","N/A","27735.79","27735.79","N/A","N/A","N/A","27735.79","27735.79","N/A","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79"
"5","N/A","TRLUML BALO ANGIOP 1ST ART","37246","N/A","N/A","N/A","N/A","N/A","27735.79","27735.79","N/A","N/A","N/A","27735.79","27735.79","N/A","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79","27735.79"
"5","N/A","HCHG TRANSLUMINAL BALLOON ANGIOPLASTY, EACH ADDITIONAL ARTERY","37247","N/A","N/A","N/A","N/A","N/A","6909.00","6909.00","N/A","N/A","N/A","6909.00","6909.00","N/A","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00"
"5","N/A","TRLUML BALO ANGIOP ADDL ART","37247","N/A","N/A","N/A","N/A","N/A","6909.00","6909.00","N/A","N/A","N/A","6909.00","6909.00","N/A","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00","6909.00"
"5","N/A","HCHG TRANSLUMINAL BALLOON ANGIOPLASTY, FIRST VEIN","37248","N/A","N/A","N/A","N/A","N/A","24004.82","24004.82","N/A","N/A","N/A","24004.82","24004.82","N/A","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82"
"5","N/A","TRLUML BALO ANGIOP 1ST VEIN","37248","N/A","N/A","N/A","N/A","117173.05","24004.82","24004.82","N/A","N/A","N/A","24004.82","24004.82","N/A","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82","24004.82"
"5","N/A","TRLUML BALO ANGIOP ADDL VEIN","37249","N/A","N/A","N/A","N/A","117173.05","6677.00","6677.00","N/A","N/A","N/A","6677.00","6677.00","N/A","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00"
"5","N/A","HCHG TRANSLUMINAL BALLOON ANGIOPLASTY, ADDITIONAL VEIN","37249","N/A","N/A","N/A","N/A","N/A","6677.00","6677.00","N/A","N/A","N/A","6677.00","6677.00","N/A","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00","6677.00"
"5","N/A","INTRVASC US NONCORONARY 1ST","37252","N/A","N/A","N/A","N/A","N/A","38305.33","38305.33","N/A","N/A","N/A","38305.33","38305.33","N/A","38305.33","38305.33","38305.33","38305.33","38305.33","38305.33","38305.33","38305.33","38305.33","38305.33"
"5","N/A","HCHG IVUS NON-CORO ADDL","37253","N/A","N/A","N/A","N/A","N/A","30458.04","30458.04","N/A","N/A","N/A","30458.04","30458.04","N/A","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04"
"5","N/A","INTRVASC US NONCORONARY ADDL","37253","N/A","N/A","N/A","N/A","N/A","30458.04","30458.04","N/A","N/A","N/A","30458.04","30458.04","N/A","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04"
"5","N/A","HCHG LIGATION INTERNAL OR COMMON CAROTID ARTERY","37605","N/A","N/A","N/A","N/A","N/A","8174.00","8174.00","N/A","N/A","N/A","8174.00","8174.00","N/A","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00"
"5","N/A","LIGATION OF NECK ARTERY","37605","N/A","N/A","N/A","N/A","N/A","8174.00","8174.00","N/A","N/A","N/A","8174.00","8174.00","N/A","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00","8174.00"
"5","N/A","LIGATION OF A-V FISTULA","37607","N/A","N/A","N/A","N/A","70485.57","11608.46","11608.46","N/A","N/A","N/A","11608.46","11608.46","N/A","11608.46","11608.46","11608.46","11608.46","11608.46","11608.46","11608.46","11608.46","11608.46","11608.46"
"5","N/A","TEMPORAL ARTERY PROCEDURE","37609","N/A","N/A","N/A","N/A","94680.27","15741.34","15741.34","N/A","N/A","N/A","15741.34","15741.34","N/A","15741.34","15741.34","15741.34","15741.34","15741.34","15741.34","15741.34","15741.34","15741.34","15741.34"
"5","N/A","LIGATION OF ABDOMEN ARTERY","37617","N/A","N/A","N/A","N/A","27959.61","30689.11","30689.11","N/A","N/A","N/A","30689.11","30689.11","N/A","30689.11","30689.11","30689.11","30689.11","30689.11","30689.11","30689.11","30689.11","30689.11","30689.11"
"5","N/A","LIGATION OF EXTREMITY ARTERY","37618","N/A","N/A","N/A","N/A","84715.30","1225.00","1225.00","N/A","N/A","N/A","1225.00","1225.00","N/A","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00"
"5","N/A","HCHG LIGATION MAJOR ARTERY; EXTREMITY","37618","N/A","N/A","N/A","N/A","N/A","1225.00","1225.00","N/A","N/A","N/A","1225.00","1225.00","N/A","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00","1225.00"
"5","N/A","LIGATE/STRIP SHORT LEG VEIN","37718","N/A","N/A","N/A","N/A","N/A","27130.11","27130.11","N/A","N/A","N/A","27130.11","27130.11","N/A","27130.11","27130.11","27130.11","27130.11","27130.11","27130.11","27130.11","27130.11","27130.11","27130.11"
"5","N/A","LIGATE/STRIP LONG LEG VEIN","37722","N/A","N/A","N/A","N/A","N/A","29373.51","29373.51","N/A","N/A","N/A","29373.51","29373.51","N/A","29373.51","29373.51","29373.51","29373.51","29373.51","29373.51","29373.51","29373.51","29373.51","29373.51"
"5","N/A","STAB PHLEB VEINS XTR 10-20","37765","N/A","N/A","N/A","N/A","N/A","25644.34","25644.34","N/A","N/A","N/A","25644.34","25644.34","N/A","25644.34","25644.34","25644.34","25644.34","25644.34","25644.34","25644.34","25644.34","25644.34","25644.34"
"5","N/A","PHLEB VEINS - EXTREM 20+","37766","N/A","N/A","N/A","N/A","N/A","29514.13","29514.13","N/A","N/A","N/A","29514.13","29514.13","N/A","29514.13","29514.13","29514.13","29514.13","29514.13","29514.13","29514.13","29514.13","29514.13","29514.13"
"5","N/A","HCHG UNLISTED VASCULAR PROCEDURE","37799","N/A","N/A","N/A","N/A","N/A","30458.04","30458.04","N/A","N/A","N/A","30458.04","30458.04","N/A","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04"
"5","N/A","VASCULAR SURGERY PROCEDURE","37799","N/A","N/A","N/A","N/A","149998.31","30458.04","30458.04","N/A","N/A","N/A","30458.04","30458.04","N/A","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04","30458.04"
"5","N/A","REMOVAL OF SPLEEN TOTAL","38100","N/A","N/A","N/A","N/A","153119.30","72962.05","72962.05","N/A","N/A","N/A","72962.05","72962.05","N/A","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05"
"5","N/A","DX BONE MARROW ASPIRATIONS","38220","N/A","N/A","N/A","N/A","N/A","1759.00","1759.00","N/A","N/A","N/A","1759.00","1759.00","N/A","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00"
"5","N/A","HCHG BONE MARROW ASP/EXAM","38220","N/A","N/A","N/A","N/A","N/A","1759.00","1759.00","N/A","N/A","N/A","1759.00","1759.00","N/A","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00","1759.00"
"5","N/A","DX BONE MARROW BIOPSIES","38221","N/A","N/A","N/A","N/A","N/A","11715.03","11715.03","N/A","N/A","N/A","11715.03","11715.03","N/A","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03"
"5","N/A","HCHG BONE MARROW BIOPSY NEEDLE/TROCAR","38221","N/A","N/A","N/A","N/A","N/A","11715.03","11715.03","N/A","N/A","N/A","11715.03","11715.03","N/A","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03"
"5","N/A","HCHG BONE MARROW;BX NDL/TROCAR","38221","N/A","N/A","N/A","N/A","N/A","11715.03","11715.03","N/A","N/A","N/A","11715.03","11715.03","N/A","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03","11715.03"
"5","N/A","DX BONE MARROW BX & ASPIR","38222","N/A","N/A","N/A","N/A","N/A","13641.97","13641.97","N/A","N/A","N/A","13641.97","13641.97","N/A","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97"
"5","N/A","HCHG DIAGNOSTIC BONE MARROW BIOPSIES WITH ASPIRATIONS","38222","N/A","N/A","N/A","N/A","N/A","13641.97","13641.97","N/A","N/A","N/A","13641.97","13641.97","N/A","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97","13641.97"
"5","N/A","DRAINAGE LYMPH NODE LESION","38300","N/A","N/A","N/A","N/A","N/A","3074.00","3074.00","N/A","N/A","N/A","3074.00","3074.00","N/A","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00"
"5","N/A","HCHG DRAIN LYMPH NODE LESION","38300","N/A","N/A","N/A","N/A","N/A","3074.00","3074.00","N/A","N/A","N/A","3074.00","3074.00","N/A","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00","3074.00"
"5","N/A","BIOPSY/REMOVAL LYMPH NODES","38500","N/A","N/A","N/A","N/A","93936.48","24860.96","24860.96","N/A","N/A","N/A","24860.96","24860.96","N/A","24860.96","24860.96","24860.96","24860.96","24860.96","24860.96","24860.96","24860.96","24860.96","24860.96"
"5","N/A","NEEDLE BIOPSY LYMPH NODES","38505","N/A","N/A","N/A","N/A","95179.62","8423.78","8423.78","N/A","N/A","N/A","8423.78","8423.78","N/A","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78"
"5","N/A","HCHG CNB LYMPH NODE WO IMG GUIDE","38505","N/A","N/A","N/A","N/A","N/A","8423.78","8423.78","N/A","N/A","N/A","8423.78","8423.78","N/A","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78","8423.78"
"5","N/A","BIOPSY/REMOVAL LYMPH NODES","38510","N/A","N/A","N/A","N/A","95445.78","16928.65","16928.65","N/A","N/A","N/A","16928.65","16928.65","N/A","16928.65","16928.65","16928.65","16928.65","16928.65","16928.65","16928.65","16928.65","16928.65","16928.65"
"5","N/A","BIOPSY/REMOVAL LYMPH NODES","38525","N/A","N/A","N/A","N/A","97260.97","28337.41","28337.41","N/A","N/A","N/A","28337.41","28337.41","N/A","28337.41","28337.41","28337.41","28337.41","28337.41","28337.41","28337.41","28337.41","28337.41","28337.41"
"5","N/A","OPEN BX/EXC INGUINOFEM NODES","38531","N/A","N/A","N/A","N/A","57359.58","20705.81","20705.81","N/A","N/A","N/A","20705.81","20705.81","N/A","20705.81","20705.81","20705.81","20705.81","20705.81","20705.81","20705.81","20705.81","20705.81","20705.81"
"5","N/A","EXPLORE DEEP NODE(S) NECK","38542","N/A","N/A","N/A","N/A","87696.00","7394.38","7394.38","N/A","N/A","N/A","7394.38","7394.38","N/A","7394.38","7394.38","7394.38","7394.38","7394.38","7394.38","7394.38","7394.38","7394.38","7394.38"
"5","N/A","REMOVAL PELVIC LYMPH NODES","38562","N/A","N/A","N/A","N/A","N/A","27002.68","27002.68","N/A","N/A","N/A","27002.68","27002.68","N/A","27002.68","27002.68","27002.68","27002.68","27002.68","27002.68","27002.68","27002.68","27002.68","27002.68"
"5","N/A","LAPAROSCOPY LYMPH NODE BIOP","38570","N/A","N/A","N/A","N/A","N/A","26431.25","26431.25","N/A","N/A","N/A","26431.25","26431.25","N/A","26431.25","26431.25","26431.25","26431.25","26431.25","26431.25","26431.25","26431.25","26431.25","26431.25"
"5","N/A","LAPAROSCOPY LYMPHADENECTOMY","38571","N/A","N/A","N/A","N/A","41917.78","27315.61","27315.61","N/A","N/A","N/A","27315.61","27315.61","N/A","27315.61","27315.61","27315.61","27315.61","27315.61","27315.61","27315.61","27315.61","27315.61","27315.61"
"5","N/A","LAPAROSCOPY LYMPHADENECTOMY","38572","N/A","N/A","N/A","N/A","33301.18","26403.50","26403.50","N/A","N/A","N/A","26403.50","26403.50","N/A","26403.50","26403.50","26403.50","26403.50","26403.50","26403.50","26403.50","26403.50","26403.50","26403.50"
"5","N/A","LAPAROSCOPE PROC LYMPHATIC","38589","N/A","N/A","N/A","N/A","N/A","28716.14","28716.14","N/A","N/A","N/A","28716.14","28716.14","N/A","28716.14","28716.14","28716.14","28716.14","28716.14","28716.14","28716.14","28716.14","28716.14","28716.14"
"5","N/A","REMOVAL OF LYMPH NODES NECK","38700","N/A","N/A","N/A","N/A","121336.18","15515.78","15515.78","N/A","N/A","N/A","15515.78","15515.78","N/A","15515.78","15515.78","15515.78","15515.78","15515.78","15515.78","15515.78","15515.78","15515.78","15515.78"
"5","N/A","REMOVAL OF LYMPH NODES NECK","38720","N/A","N/A","N/A","N/A","105915.34","25053.13","25053.13","N/A","N/A","N/A","25053.13","25053.13","N/A","25053.13","25053.13","25053.13","25053.13","25053.13","25053.13","25053.13","25053.13","25053.13","25053.13"
"5","N/A","REMOVAL OF LYMPH NODES NECK","38724","N/A","N/A","N/A","N/A","105915.34","31561.05","31561.05","N/A","N/A","N/A","31561.05","31561.05","N/A","31561.05","31561.05","31561.05","31561.05","31561.05","31561.05","31561.05","31561.05","31561.05","31561.05"
"5","N/A","REMOVE ARMPIT LYMPH NODES","38740","N/A","N/A","N/A","N/A","N/A","20474.95","20474.95","N/A","N/A","N/A","20474.95","20474.95","N/A","20474.95","20474.95","20474.95","20474.95","20474.95","20474.95","20474.95","20474.95","20474.95","20474.95"
"5","N/A","REMOVE ARMPIT LYMPH NODES","38745","N/A","N/A","N/A","N/A","53473.48","29734.47","29734.47","N/A","N/A","N/A","29734.47","29734.47","N/A","29734.47","29734.47","29734.47","29734.47","29734.47","29734.47","29734.47","29734.47","29734.47","29734.47"
"5","N/A","REMOVE GROIN LYMPH NODES","38760","N/A","N/A","N/A","N/A","N/A","22543.60","22543.60","N/A","N/A","N/A","22543.60","22543.60","N/A","22543.60","22543.60","22543.60","22543.60","22543.60","22543.60","22543.60","22543.60","22543.60","22543.60"
"5","N/A","HCHG INJ LYMPHANGIOGRAPHY","38790","N/A","N/A","N/A","N/A","N/A","360.00","360.00","N/A","N/A","N/A","360.00","360.00","N/A","360.00","360.00","360.00","360.00","360.00","360.00","360.00","360.00","360.00","360.00"
"5","N/A","INJECT FOR LYMPHATIC X-RAY","38790","N/A","N/A","N/A","N/A","N/A","360.00","360.00","N/A","N/A","N/A","360.00","360.00","N/A","360.00","360.00","360.00","360.00","360.00","360.00","360.00","360.00","360.00","360.00"
"5","N/A","RA TRACER ID OF SENTINL NODE","38792","N/A","N/A","N/A","N/A","N/A","12256.61","12256.61","N/A","N/A","N/A","12256.61","12256.61","N/A","12256.61","12256.61","12256.61","12256.61","12256.61","12256.61","12256.61","12256.61","12256.61","12256.61"
"5","N/A","ACCESS THORACIC LYMPH DUCT","38794","N/A","N/A","N/A","N/A","N/A","520.00","520.00","N/A","N/A","N/A","520.00","520.00","N/A","520.00","520.00","520.00","520.00","520.00","520.00","520.00","520.00","520.00","520.00"
"5","N/A","HCHG CANNULATION THORACIC DUCT","38794","N/A","N/A","N/A","N/A","N/A","520.00","520.00","N/A","N/A","N/A","520.00","520.00","N/A","520.00","520.00","520.00","520.00","520.00","520.00","520.00","520.00","520.00","520.00"
"5","N/A","IO MAP OF SENT LYMPH NODE","38900","N/A","N/A","N/A","N/A","N/A","27619.73","27619.73","N/A","N/A","N/A","27619.73","27619.73","N/A","27619.73","27619.73","27619.73","27619.73","27619.73","27619.73","27619.73","27619.73","27619.73","27619.73"
"5","N/A","HCHG UNLISTED PROCEDURE HEMIC OR LYMPATIC SYSTEM","38999","N/A","N/A","N/A","N/A","N/A","31478.95","31478.95","N/A","N/A","N/A","31478.95","31478.95","N/A","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95"
"5","N/A","BLOOD/LYMPH SYSTEM PROCEDURE","38999","N/A","N/A","N/A","N/A","228889.27","31478.95","31478.95","N/A","N/A","N/A","31478.95","31478.95","N/A","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95","31478.95"
"5","N/A","MEDIASTINOSCPY W/LMPH NOD BX","39402","N/A","N/A","N/A","N/A","N/A","27539.61","27539.61","N/A","N/A","N/A","27539.61","27539.61","N/A","27539.61","27539.61","27539.61","27539.61","27539.61","27539.61","27539.61","27539.61","27539.61","27539.61"
"5","N/A","BIOPSY OF LIP","40490","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG BIOPSY OF LIP","40490","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG REPAIR LIP FULL THICKNESS","40650","N/A","N/A","N/A","N/A","N/A","2424.00","2424.00","N/A","N/A","N/A","2424.00","2424.00","N/A","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00"
"5","N/A","REPAIR LIP","40650","N/A","N/A","N/A","N/A","97707.85","2424.00","2424.00","N/A","N/A","N/A","2424.00","2424.00","N/A","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00"
"5","N/A","REPAIR LIP","40652","N/A","N/A","N/A","N/A","97707.85","2424.00","2424.00","N/A","N/A","N/A","2424.00","2424.00","N/A","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00"
"5","N/A","HCHG REPAIR LIP-HALF VERT HGT CMPLX","40654","N/A","N/A","N/A","N/A","N/A","2424.00","2424.00","N/A","N/A","N/A","2424.00","2424.00","N/A","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00"
"5","N/A","REPAIR LIP","40654","N/A","N/A","N/A","N/A","97707.85","2424.00","2424.00","N/A","N/A","N/A","2424.00","2424.00","N/A","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00","2424.00"
"5","N/A","HCHG REPAIR, CLEFT LIP","40700","N/A","N/A","N/A","N/A","N/A","18482.75","18482.75","N/A","N/A","N/A","18482.75","18482.75","N/A","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75"
"5","N/A","REPAIR CLEFT LIP/NASAL","40700","N/A","N/A","N/A","N/A","N/A","18482.75","18482.75","N/A","N/A","N/A","18482.75","18482.75","N/A","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75","18482.75"
"5","N/A","DRAINAGE OF MOUTH LESION","40800","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","HCHG DRAIN MOUTH LESION SIMP","40800","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","HCHG DRAINAGE ABSCESS CYST HEMATOMA-MOUTH; SIMPLE","40800","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","DRAINAGE OF MOUTH LESION","40801","N/A","N/A","N/A","N/A","N/A","2489.00","2489.00","N/A","N/A","N/A","2489.00","2489.00","N/A","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00"
"5","N/A","HCHG DRAINAGE ABSCESS CYST HEMATOMA-MOUTH; COMPLICATED","40801","N/A","N/A","N/A","N/A","N/A","2489.00","2489.00","N/A","N/A","N/A","2489.00","2489.00","N/A","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00"
"5","N/A","HCHG DRAINAGE OF MOUTH LESION","40801","N/A","N/A","N/A","N/A","N/A","2489.00","2489.00","N/A","N/A","N/A","2489.00","2489.00","N/A","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00","2489.00"
"5","N/A","HCHG REMOVE EMBEDDED FB MOUTH VESTIB","40804","N/A","N/A","N/A","N/A","N/A","1294.00","1294.00","N/A","N/A","N/A","1294.00","1294.00","N/A","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00"
"5","N/A","REMOVAL FOREIGN BODY MOUTH","40804","N/A","N/A","N/A","N/A","N/A","1294.00","1294.00","N/A","N/A","N/A","1294.00","1294.00","N/A","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00"
"5","N/A","HCHG REMOVAL, FOREIGN BODY, MOUTH","40805","N/A","N/A","N/A","N/A","N/A","6911.00","6911.00","N/A","N/A","N/A","6911.00","6911.00","N/A","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00"
"5","N/A","REMOVAL FOREIGN BODY MOUTH","40805","N/A","N/A","N/A","N/A","N/A","6911.00","6911.00","N/A","N/A","N/A","6911.00","6911.00","N/A","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00","6911.00"
"5","N/A","HCHG INCISION OF LABIAL FRENULUM","40806","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","INCISION OF LIP FOLD","40806","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","BIOPSY OF MOUTH LESION","40808","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG BIOPSY VESTIBULE OF MOUTH","40808","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG BX VESTIBULE OF MOUTH","40808","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","EXCISION OF MOUTH LESION","40810","N/A","N/A","N/A","N/A","N/A","15374.02","15374.02","N/A","N/A","N/A","15374.02","15374.02","N/A","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02","15374.02"
"5","N/A","EXCISE/REPAIR MOUTH LESION","40812","N/A","N/A","N/A","N/A","97707.85","9066.39","9066.39","N/A","N/A","N/A","9066.39","9066.39","N/A","9066.39","9066.39","9066.39","9066.39","9066.39","9066.39","9066.39","9066.39","9066.39","9066.39"
"5","N/A","EXCISE/REPAIR MOUTH LESION","40814","N/A","N/A","N/A","N/A","97707.85","10719.63","10719.63","N/A","N/A","N/A","10719.63","10719.63","N/A","10719.63","10719.63","10719.63","10719.63","10719.63","10719.63","10719.63","10719.63","10719.63","10719.63"
"5","N/A","EXCISION OF MOUTH LESION","40816","N/A","N/A","N/A","N/A","N/A","9922.71","9922.71","N/A","N/A","N/A","9922.71","9922.71","N/A","9922.71","9922.71","9922.71","9922.71","9922.71","9922.71","9922.71","9922.71","9922.71","9922.71"
"5","N/A","EXCISE ORAL MUCOSA FOR GRAFT","40818","N/A","N/A","N/A","N/A","N/A","12788.95","12788.95","N/A","N/A","N/A","12788.95","12788.95","N/A","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95"
"5","N/A","HCHG LAC REPR MOUTH VEST<2.5CM SIMP","40830","N/A","N/A","N/A","N/A","N/A","1100.00","1100.00","N/A","N/A","N/A","1100.00","1100.00","N/A","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00"
"5","N/A","REPAIR MOUTH LACERATION","40830","N/A","N/A","N/A","N/A","N/A","1100.00","1100.00","N/A","N/A","N/A","1100.00","1100.00","N/A","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00"
"5","N/A","HCHG LAC REPR MOUTH VEST>2.5CM COMP","40831","N/A","N/A","N/A","N/A","N/A","23877.64","23877.64","N/A","N/A","N/A","23877.64","23877.64","N/A","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64"
"5","N/A","REPAIR MOUTH LACERATION","40831","N/A","N/A","N/A","N/A","N/A","23877.64","23877.64","N/A","N/A","N/A","23877.64","23877.64","N/A","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64","23877.64"
"5","N/A","HCHG I&D ABSCESS/CYST TONGUE FOM; LINGUAL","41000","N/A","N/A","N/A","N/A","N/A","2297.00","2297.00","N/A","N/A","N/A","2297.00","2297.00","N/A","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00"
"5","N/A","HCHG INTRAORAL I&D TONGUE/MOUTH FLR","41000","N/A","N/A","N/A","N/A","N/A","2297.00","2297.00","N/A","N/A","N/A","2297.00","2297.00","N/A","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00"
"5","N/A","DRAINAGE OF MOUTH LESION","41000","N/A","N/A","N/A","N/A","125143.92","2297.00","2297.00","N/A","N/A","N/A","2297.00","2297.00","N/A","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00","2297.00"
"5","N/A","DRAINAGE OF MOUTH LESION","41005","N/A","N/A","N/A","N/A","40698.21","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG I&D ABSCESS/CYST TONGUE FOM; SUPERFICIAL","41005","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG INTRAORAL I&D T/M SUBLING/SF","41005","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG EXTRAORAL I&D ABSCESS/CYST TONGUE FOM; SUBLINGUAL","41015","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","DRAINAGE OF MOUTH LESION","41015","N/A","N/A","N/A","N/A","25344.44","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","DRAINAGE OF MOUTH LESION","41016","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG EXTRAORAL I&D ABSCESS/CYST TONGUE FOM; SUBMENTAL","41016","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG EXTRAORAL I&D ABSCESS/CYST TONGUE FOM; SUBMANDIBULAR","41017","N/A","N/A","N/A","N/A","N/A","28628.19","28628.19","N/A","N/A","N/A","28628.19","28628.19","N/A","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19"
"5","N/A","DRAINAGE OF MOUTH LESION","41017","N/A","N/A","N/A","N/A","25344.44","28628.19","28628.19","N/A","N/A","N/A","28628.19","28628.19","N/A","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19","28628.19"
"5","N/A","BIOPSY OF TONGUE","41100","N/A","N/A","N/A","N/A","N/A","7595.09","7595.09","N/A","N/A","N/A","7595.09","7595.09","N/A","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09"
"5","N/A","HCHG BIOPSY OF TONGUE; ANTERIOR 2/3","41100","N/A","N/A","N/A","N/A","N/A","7595.09","7595.09","N/A","N/A","N/A","7595.09","7595.09","N/A","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09","7595.09"
"5","N/A","BIOPSY OF TONGUE","41105","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG BIOPSY OF TONGUE; POSTERIOR 1/3","41105","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","BIOPSY OF FLOOR OF MOUTH","41108","N/A","N/A","N/A","N/A","N/A","9967.24","9967.24","N/A","N/A","N/A","9967.24","9967.24","N/A","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24"
"5","N/A","HCHG BIOPSY OF FLOOR OF MOUTH","41108","N/A","N/A","N/A","N/A","N/A","9967.24","9967.24","N/A","N/A","N/A","9967.24","9967.24","N/A","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24","9967.24"
"5","N/A","HCHG EXCISION OF TONGUE LESION","41110","N/A","N/A","N/A","N/A","N/A","4691.00","4691.00","N/A","N/A","N/A","4691.00","4691.00","N/A","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00"
"5","N/A","EXCISION OF TONGUE LESION","41110","N/A","N/A","N/A","N/A","36409.34","4691.00","4691.00","N/A","N/A","N/A","4691.00","4691.00","N/A","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00","4691.00"
"5","N/A","EXCISION OF TONGUE LESION","41112","N/A","N/A","N/A","N/A","36409.34","10054.93","10054.93","N/A","N/A","N/A","10054.93","10054.93","N/A","10054.93","10054.93","10054.93","10054.93","10054.93","10054.93","10054.93","10054.93","10054.93","10054.93"
"5","N/A","EXCISION OF TONGUE FOLD","41115","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG EXCISION LINGUAL FRENULUM","41115","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","EXCISION OF MOUTH LESION","41116","N/A","N/A","N/A","N/A","N/A","14098.88","14098.88","N/A","N/A","N/A","14098.88","14098.88","N/A","14098.88","14098.88","14098.88","14098.88","14098.88","14098.88","14098.88","14098.88","14098.88","14098.88"
"5","N/A","PARTIAL REMOVAL OF TONGUE","41120","N/A","N/A","N/A","N/A","36409.34","16797.27","16797.27","N/A","N/A","N/A","16797.27","16797.27","N/A","16797.27","16797.27","16797.27","16797.27","16797.27","16797.27","16797.27","16797.27","16797.27","16797.27"
"5","N/A","PARTIAL REMOVAL OF TONGUE","41130","N/A","N/A","N/A","N/A","36409.34","11918.37","11918.37","N/A","N/A","N/A","11918.37","11918.37","N/A","11918.37","11918.37","11918.37","11918.37","11918.37","11918.37","11918.37","11918.37","11918.37","11918.37"
"5","N/A","HCHG REPAIR LACER TONGUE/MOUTH <2.6CM","41250","N/A","N/A","N/A","N/A","N/A","570.00","570.00","N/A","N/A","N/A","570.00","570.00","N/A","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00"
"5","N/A","REPAIR TONGUE LACERATION","41250","N/A","N/A","N/A","N/A","N/A","570.00","570.00","N/A","N/A","N/A","570.00","570.00","N/A","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00","570.00"
"5","N/A","HCHG REPAIR TONGUE LACERATION","41251","N/A","N/A","N/A","N/A","N/A","1100.00","1100.00","N/A","N/A","N/A","1100.00","1100.00","N/A","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00"
"5","N/A","REPAIR TONGUE LACERATION","41251","N/A","N/A","N/A","N/A","N/A","1100.00","1100.00","N/A","N/A","N/A","1100.00","1100.00","N/A","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00","1100.00"
"5","N/A","HCHG REPAIR LACER TONGUE/MOUTH >2.6CM","41252","N/A","N/A","N/A","N/A","N/A","1572.00","1572.00","N/A","N/A","N/A","1572.00","1572.00","N/A","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00"
"5","N/A","REPAIR TONGUE LACERATION","41252","N/A","N/A","N/A","N/A","N/A","1572.00","1572.00","N/A","N/A","N/A","1572.00","1572.00","N/A","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00","1572.00"
"5","N/A","TONGUE BASE VOL REDUCTION","41530","N/A","N/A","N/A","N/A","N/A","15252.02","15252.02","N/A","N/A","N/A","15252.02","15252.02","N/A","15252.02","15252.02","15252.02","15252.02","15252.02","15252.02","15252.02","15252.02","15252.02","15252.02"
"5","N/A","DRAINAGE OF GUM LESION","41800","N/A","N/A","N/A","N/A","N/A","11711.45","11711.45","N/A","N/A","N/A","11711.45","11711.45","N/A","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45"
"5","N/A","HCHG DRAIN DENTOALVEOL STRUC LESION","41800","N/A","N/A","N/A","N/A","N/A","11711.45","11711.45","N/A","N/A","N/A","11711.45","11711.45","N/A","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45","11711.45"
"5","N/A","HCHG RMVL EMBEDDED FB FROM DENTALVAR; SOFT TISSUE","41805","N/A","N/A","N/A","N/A","N/A","3920.00","3920.00","N/A","N/A","N/A","3920.00","3920.00","N/A","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00"
"5","N/A","REMOVAL FOREIGN BODY GUM","41805","N/A","N/A","N/A","N/A","N/A","3920.00","3920.00","N/A","N/A","N/A","3920.00","3920.00","N/A","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00","3920.00"
"5","N/A","EXCISION OF GUM LESION","41825","N/A","N/A","N/A","N/A","88157.53","14529.73","14529.73","N/A","N/A","N/A","14529.73","14529.73","N/A","14529.73","14529.73","14529.73","14529.73","14529.73","14529.73","14529.73","14529.73","14529.73","14529.73"
"5","N/A","EXCISION OF GUM LESION","41826","N/A","N/A","N/A","N/A","88157.53","20297.28","20297.28","N/A","N/A","N/A","20297.28","20297.28","N/A","20297.28","20297.28","20297.28","20297.28","20297.28","20297.28","20297.28","20297.28","20297.28","20297.28"
"5","N/A","REMOVAL OF GUM TISSUE","41830","N/A","N/A","N/A","N/A","N/A","20523.29","20523.29","N/A","N/A","N/A","20523.29","20523.29","N/A","20523.29","20523.29","20523.29","20523.29","20523.29","20523.29","20523.29","20523.29","20523.29","20523.29"
"5","N/A","HCHG REPAIR GUM","41872","N/A","N/A","N/A","N/A","N/A","8591.00","8591.00","N/A","N/A","N/A","8591.00","8591.00","N/A","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00"
"5","N/A","REPAIR GUM","41872","N/A","N/A","N/A","N/A","N/A","8591.00","8591.00","N/A","N/A","N/A","8591.00","8591.00","N/A","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00","8591.00"
"5","N/A","REPAIR TOOTH SOCKET","41874","N/A","N/A","N/A","N/A","N/A","20392.59","20392.59","N/A","N/A","N/A","20392.59","20392.59","N/A","20392.59","20392.59","20392.59","20392.59","20392.59","20392.59","20392.59","20392.59","20392.59","20392.59"
"5","N/A","DENTAL SURGERY PROCEDURE","41899","N/A","N/A","N/A","N/A","N/A","17607.32","17607.32","N/A","N/A","N/A","17607.32","17607.32","N/A","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32"
"5","N/A","HCHG UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES","41899","N/A","N/A","N/A","N/A","N/A","17607.32","17607.32","N/A","N/A","N/A","17607.32","17607.32","N/A","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32","17607.32"
"5","N/A","HCHG DRAIN ABSCESS PALATE/UVULA","42000","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","DRAINAGE MOUTH ROOF LESION","42000","N/A","N/A","N/A","N/A","30843.36","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","BIOPSY ROOF OF MOUTH","42100","N/A","N/A","N/A","N/A","N/A","10845.59","10845.59","N/A","N/A","N/A","10845.59","10845.59","N/A","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59"
"5","N/A","HCHG BIOPSY OF PALATE UVULA","42100","N/A","N/A","N/A","N/A","N/A","10845.59","10845.59","N/A","N/A","N/A","10845.59","10845.59","N/A","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59","10845.59"
"5","N/A","EXCISION LESION MOUTH ROOF","42104","N/A","N/A","N/A","N/A","20396.08","17284.35","17284.35","N/A","N/A","N/A","17284.35","17284.35","N/A","17284.35","17284.35","17284.35","17284.35","17284.35","17284.35","17284.35","17284.35","17284.35","17284.35"
"5","N/A","EXCISION LESION MOUTH ROOF","42106","N/A","N/A","N/A","N/A","20396.08","10838.76","10838.76","N/A","N/A","N/A","10838.76","10838.76","N/A","10838.76","10838.76","10838.76","10838.76","10838.76","10838.76","10838.76","10838.76","10838.76","10838.76"
"5","N/A","EXCISION OF UVULA","42140","N/A","N/A","N/A","N/A","N/A","17982.27","17982.27","N/A","N/A","N/A","17982.27","17982.27","N/A","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27"
"5","N/A","HCHG UVULECTOMY","42140","N/A","N/A","N/A","N/A","N/A","17982.27","17982.27","N/A","N/A","N/A","17982.27","17982.27","N/A","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27","17982.27"
"5","N/A","HCHG RECONSTRUCTION, WITH PALATE","42145","N/A","N/A","N/A","N/A","N/A","16060.69","16060.69","N/A","N/A","N/A","16060.69","16060.69","N/A","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69"
"5","N/A","REPAIR PALATE PHARYNX/UVULA","42145","N/A","N/A","N/A","N/A","N/A","16060.69","16060.69","N/A","N/A","N/A","16060.69","16060.69","N/A","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69","16060.69"
"5","N/A","HCHG DESTRUCTION OF LESION, PALATE OR UVULA (THERMAL, CRYO)","42160","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG TREATMENT MOUTH ROOF LESION","42160","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","TREATMENT MOUTH ROOF LESION","42160","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG LAC REPAIR PALATE <2.0CM SIMP","42180","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","REPAIR PALATE","42180","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG LAC REPAIR PALATE >2.0CM COMP","42182","N/A","N/A","N/A","N/A","N/A","8916.00","8916.00","N/A","N/A","N/A","8916.00","8916.00","N/A","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00"
"5","N/A","REPAIR PALATE","42182","N/A","N/A","N/A","N/A","N/A","8916.00","8916.00","N/A","N/A","N/A","8916.00","8916.00","N/A","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00","8916.00"
"5","N/A","RECONSTRUCT CLEFT PALATE","42200","N/A","N/A","N/A","N/A","N/A","7471.90","7471.90","N/A","N/A","N/A","7471.90","7471.90","N/A","7471.90","7471.90","7471.90","7471.90","7471.90","7471.90","7471.90","7471.90","7471.90","7471.90"
"5","N/A","REPAIR PALATE","42235","N/A","N/A","N/A","N/A","N/A","20620.16","20620.16","N/A","N/A","N/A","20620.16","20620.16","N/A","20620.16","20620.16","20620.16","20620.16","20620.16","20620.16","20620.16","20620.16","20620.16","20620.16"
"5","N/A","HCHG REPAIR, FISTULA","42260","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REPAIR NOSE TO LIP FISTULA","42260","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG REMOVAL OF SALIVARY STONE","42330","N/A","N/A","N/A","N/A","N/A","8720.67","8720.67","N/A","N/A","N/A","8720.67","8720.67","N/A","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67"
"5","N/A","HCHG SIALOLITHOTOMY; SM UNCOMPLICATED","42330","N/A","N/A","N/A","N/A","N/A","8720.67","8720.67","N/A","N/A","N/A","8720.67","8720.67","N/A","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67"
"5","N/A","REMOVAL OF SALIVARY STONE","42330","N/A","N/A","N/A","N/A","N/A","8720.67","8720.67","N/A","N/A","N/A","8720.67","8720.67","N/A","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67","8720.67"
"5","N/A","HCHG SIALOLITHOTOMY; SM COMPLICATED","42335","N/A","N/A","N/A","N/A","N/A","8451.74","8451.74","N/A","N/A","N/A","8451.74","8451.74","N/A","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74"
"5","N/A","REMOVAL OF SALIVARY STONE","42335","N/A","N/A","N/A","N/A","N/A","8451.74","8451.74","N/A","N/A","N/A","8451.74","8451.74","N/A","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74","8451.74"
"5","N/A","HCHG SIALOLITHOTOMY; PAROTID EXTRAORAL/COMPLICATED INTRORAL","42340","N/A","N/A","N/A","N/A","N/A","22146.72","22146.72","N/A","N/A","N/A","22146.72","22146.72","N/A","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72"
"5","N/A","REMOVAL OF SALIVARY STONE","42340","N/A","N/A","N/A","N/A","N/A","22146.72","22146.72","N/A","N/A","N/A","22146.72","22146.72","N/A","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72","22146.72"
"5","N/A","BIOPSY OF SALIVARY GLAND","42400","N/A","N/A","N/A","N/A","N/A","6730.35","6730.35","N/A","N/A","N/A","6730.35","6730.35","N/A","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35"
"5","N/A","HCHG BIOPSY SALIVARY GLAND NEEDLE","42400","N/A","N/A","N/A","N/A","N/A","6730.35","6730.35","N/A","N/A","N/A","6730.35","6730.35","N/A","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35","6730.35"
"5","N/A","EXCISION OF SALIVARY CYST","42408","N/A","N/A","N/A","N/A","N/A","17594.39","17594.39","N/A","N/A","N/A","17594.39","17594.39","N/A","17594.39","17594.39","17594.39","17594.39","17594.39","17594.39","17594.39","17594.39","17594.39","17594.39"
"5","N/A","EXCISE PAROTID GLAND/LESION","42410","N/A","N/A","N/A","N/A","27402.27","15307.45","15307.45","N/A","N/A","N/A","15307.45","15307.45","N/A","15307.45","15307.45","15307.45","15307.45","15307.45","15307.45","15307.45","15307.45","15307.45","15307.45"
"5","N/A","EXCISE PAROTID GLAND/LESION","42415","N/A","N/A","N/A","N/A","27402.27","16359.87","16359.87","N/A","N/A","N/A","16359.87","16359.87","N/A","16359.87","16359.87","16359.87","16359.87","16359.87","16359.87","16359.87","16359.87","16359.87","16359.87"
"5","N/A","EXCISE PAROTID GLAND/LESION","42420","N/A","N/A","N/A","N/A","27402.27","24058.04","24058.04","N/A","N/A","N/A","24058.04","24058.04","N/A","24058.04","24058.04","24058.04","24058.04","24058.04","24058.04","24058.04","24058.04","24058.04","24058.04"
"5","N/A","EXCISE PAROTID GLAND/LESION","42425","N/A","N/A","N/A","N/A","27402.27","15439.72","15439.72","N/A","N/A","N/A","15439.72","15439.72","N/A","15439.72","15439.72","15439.72","15439.72","15439.72","15439.72","15439.72","15439.72","15439.72","15439.72"
"5","N/A","EXCISE SUBMAXILLARY GLAND","42440","N/A","N/A","N/A","N/A","N/A","15678.15","15678.15","N/A","N/A","N/A","15678.15","15678.15","N/A","15678.15","15678.15","15678.15","15678.15","15678.15","15678.15","15678.15","15678.15","15678.15","15678.15"
"5","N/A","HCHG INJ FOR SIALOGRAPHY","42550","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","INJECTION FOR SALIVARY X-RAY","42550","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","HCHG I&D ABSC PERITONSILLAR","42700","N/A","N/A","N/A","N/A","N/A","19214.78","19214.78","N/A","N/A","N/A","19214.78","19214.78","N/A","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78"
"5","N/A","DRAINAGE OF TONSIL ABSCESS","42700","N/A","N/A","N/A","N/A","21076.06","19214.78","19214.78","N/A","N/A","N/A","19214.78","19214.78","N/A","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78","19214.78"
"5","N/A","DRAINAGE OF THROAT ABSCESS","42720","N/A","N/A","N/A","N/A","21076.06","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG ABSCESS; INCISION AND DRAINAGE","42720","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG I&D ABSC RETROPHARYNG INTRA","42720","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","BIOPSY OF THROAT","42800","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG BIOPSY OROPHARYNX","42800","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG BIOPSY; OROPHARYNX","42800","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","BIOPSY OF UPPER NOSE/THROAT","42804","N/A","N/A","N/A","N/A","N/A","15747.38","15747.38","N/A","N/A","N/A","15747.38","15747.38","N/A","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38"
"5","N/A","HCHG BIOPSY, NASOPHARYNX, VISIBLE LESION","42804","N/A","N/A","N/A","N/A","N/A","15747.38","15747.38","N/A","N/A","N/A","15747.38","15747.38","N/A","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38","15747.38"
"5","N/A","BIOPSY OF UPPER NOSE/THROAT","42806","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG BIOPSY, NASOPHARYNX, UNKNOWN PRIMARY","42806","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG LESION, DESTRUCTION","42808","N/A","N/A","N/A","N/A","N/A","20756.19","20756.19","N/A","N/A","N/A","20756.19","20756.19","N/A","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19"
"5","N/A","EXCISE PHARYNX LESION","42808","N/A","N/A","N/A","N/A","39103.59","20756.19","20756.19","N/A","N/A","N/A","20756.19","20756.19","N/A","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19","20756.19"
"5","N/A","HCHG REMOVAL, FOREIGN BODY","42809","N/A","N/A","N/A","N/A","N/A","17199.79","17199.79","N/A","N/A","N/A","17199.79","17199.79","N/A","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79"
"5","N/A","HCHG REMOVE FB PHARYNX","42809","N/A","N/A","N/A","N/A","N/A","17199.79","17199.79","N/A","N/A","N/A","17199.79","17199.79","N/A","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79"
"5","N/A","REMOVE PHARYNX FOREIGN BODY","42809","N/A","N/A","N/A","N/A","N/A","17199.79","17199.79","N/A","N/A","N/A","17199.79","17199.79","N/A","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79","17199.79"
"5","N/A","EXCISION OF NECK CYST","42810","N/A","N/A","N/A","N/A","88061.73","7184.23","7184.23","N/A","N/A","N/A","7184.23","7184.23","N/A","7184.23","7184.23","7184.23","7184.23","7184.23","7184.23","7184.23","7184.23","7184.23","7184.23"
"5","N/A","EXCISION OF NECK CYST","42815","N/A","N/A","N/A","N/A","88061.73","8484.28","8484.28","N/A","N/A","N/A","8484.28","8484.28","N/A","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28"
"5","N/A","HCHG CYST, BRACHIAL CLEFT; EXCISION","42815","N/A","N/A","N/A","N/A","N/A","8484.28","8484.28","N/A","N/A","N/A","8484.28","8484.28","N/A","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28","8484.28"
"5","N/A","REMOVE TONSILS AND ADENOIDS","42820","N/A","N/A","N/A","N/A","34179.28","10261.91","10261.91","N/A","N/A","N/A","10261.91","10261.91","N/A","10261.91","10261.91","10261.91","10261.91","10261.91","10261.91","10261.91","10261.91","10261.91","10261.91"
"5","N/A","REMOVE TONSILS AND ADENOIDS","42821","N/A","N/A","N/A","N/A","34179.28","10636.95","10636.95","N/A","N/A","N/A","10636.95","10636.95","N/A","10636.95","10636.95","10636.95","10636.95","10636.95","10636.95","10636.95","10636.95","10636.95","10636.95"
"5","N/A","REMOVAL OF TONSILS","42825","N/A","N/A","N/A","N/A","34179.28","7742.31","7742.31","N/A","N/A","N/A","7742.31","7742.31","N/A","7742.31","7742.31","7742.31","7742.31","7742.31","7742.31","7742.31","7742.31","7742.31","7742.31"
"5","N/A","REMOVAL OF TONSILS","42826","N/A","N/A","N/A","N/A","34179.28","11375.09","11375.09","N/A","N/A","N/A","11375.09","11375.09","N/A","11375.09","11375.09","11375.09","11375.09","11375.09","11375.09","11375.09","11375.09","11375.09","11375.09"
"5","N/A","REMOVAL OF ADENOIDS","42831","N/A","N/A","N/A","N/A","34179.28","19136.97","19136.97","N/A","N/A","N/A","19136.97","19136.97","N/A","19136.97","19136.97","19136.97","19136.97","19136.97","19136.97","19136.97","19136.97","19136.97","19136.97"
"5","N/A","EXTENSIVE SURGERY OF THROAT","42842","N/A","N/A","N/A","N/A","N/A","17889.89","17889.89","N/A","N/A","N/A","17889.89","17889.89","N/A","17889.89","17889.89","17889.89","17889.89","17889.89","17889.89","17889.89","17889.89","17889.89","17889.89"
"5","N/A","HCHG EXCISION, PARTIAL","42890","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","PARTIAL REMOVAL OF PHARYNX","42890","N/A","N/A","N/A","N/A","39103.59","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REVISION OF PHARYNGEAL WALLS","42892","N/A","N/A","N/A","N/A","39103.59","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG EXCISION, RESECTION","42892","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG SUTURE, WOUND","42900","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","REPAIR THROAT WOUND","42900","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG RECONSTRUCTION","42950","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","RECONSTRUCTION OF THROAT","42950","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG REPAIR WITH ESOPHAGUS","42953","N/A","N/A","N/A","N/A","N/A","2692.00","2692.00","N/A","N/A","N/A","2692.00","2692.00","N/A","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00"
"5","N/A","REPAIR THROAT ESOPHAGUS","42953","N/A","N/A","N/A","N/A","N/A","2692.00","2692.00","N/A","N/A","N/A","2692.00","2692.00","N/A","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00","2692.00"
"5","N/A","CONTROL THROAT BLEEDING","42960","N/A","N/A","N/A","N/A","N/A","16750.44","16750.44","N/A","N/A","N/A","16750.44","16750.44","N/A","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44"
"5","N/A","HCHG CONTROL OROPHARYNG HEMORR SIMP","42960","N/A","N/A","N/A","N/A","N/A","16750.44","16750.44","N/A","N/A","N/A","16750.44","16750.44","N/A","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44"
"5","N/A","HCHG HEMORRAGE CONTROL","42960","N/A","N/A","N/A","N/A","N/A","16750.44","16750.44","N/A","N/A","N/A","16750.44","16750.44","N/A","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44","16750.44"
"5","N/A","THROAT SURGERY PROCEDURE","42999","N/A","N/A","N/A","N/A","27766.85","16766.58","16766.58","N/A","N/A","N/A","16766.58","16766.58","N/A","16766.58","16766.58","16766.58","16766.58","16766.58","16766.58","16766.58","16766.58","16766.58","16766.58"
"5","N/A","ESOPHAGOSCOPY RIGID TRNSO DX","43191","N/A","N/A","N/A","N/A","N/A","13793.64","13793.64","N/A","N/A","N/A","13793.64","13793.64","N/A","13793.64","13793.64","13793.64","13793.64","13793.64","13793.64","13793.64","13793.64","13793.64","13793.64"
"5","N/A","ESOPHAGOSCP RIG TRNSO INJECT","43192","N/A","N/A","N/A","N/A","N/A","8025.65","8025.65","N/A","N/A","N/A","8025.65","8025.65","N/A","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65","8025.65"
"5","N/A","ESOPHAGOSCP RIG TRNSO BIOPSY","43193","N/A","N/A","N/A","N/A","N/A","10240.40","10240.40","N/A","N/A","N/A","10240.40","10240.40","N/A","10240.40","10240.40","10240.40","10240.40","10240.40","10240.40","10240.40","10240.40","10240.40","10240.40"
"5","N/A","ESOPHAGOSCP RIG TRNSO REM FB","43194","N/A","N/A","N/A","N/A","N/A","12862.00","12862.00","N/A","N/A","N/A","12862.00","12862.00","N/A","12862.00","12862.00","12862.00","12862.00","12862.00","12862.00","12862.00","12862.00","12862.00","12862.00"
"5","N/A","ESOPHAGOSCOPY FLEXIBLE BRUSH","43200","N/A","N/A","N/A","N/A","N/A","10429.89","10429.89","N/A","N/A","N/A","10429.89","10429.89","N/A","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89"
"5","N/A","HCHG ESOPHAGOSCOP FLEX","43200","N/A","N/A","N/A","N/A","N/A","10429.89","10429.89","N/A","N/A","N/A","10429.89","10429.89","N/A","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89"
"5","N/A","HCHG ESOPHAGOSCOPY FLEXIBLE BRUSH","43200","N/A","N/A","N/A","N/A","N/A","10429.89","10429.89","N/A","N/A","N/A","10429.89","10429.89","N/A","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89","10429.89"
"5","N/A","ESOPH SCOPE W/SUBMUCOUS INJ","43201","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG ESOPH SCOPE WITH SUBMUCOUS INJ","43201","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","ESOPHAGOSCOPY FLEX BIOPSY","43202","N/A","N/A","N/A","N/A","N/A","9393.15","9393.15","N/A","N/A","N/A","9393.15","9393.15","N/A","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15"
"5","N/A","HCHG ESOPHAGOSCOPY FLEX BIOPSY","43202","N/A","N/A","N/A","N/A","N/A","9393.15","9393.15","N/A","N/A","N/A","9393.15","9393.15","N/A","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15","9393.15"
"5","N/A","ESOPH SCOPE W/SCLEROSIS INJ","43204","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG ESOPH SCOPE WITH SCLEROSIS INJ","43204","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","ESOPHAGUS ENDOSCOPY/LIGATION","43205","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG ESOPHAGUS ENDOSCOPY/LIGATION","43205","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","ESOPHAGOSC DILATE BALLOON 30","43214","N/A","N/A","N/A","N/A","N/A","7667.45","7667.45","N/A","N/A","N/A","7667.45","7667.45","N/A","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45"
"5","N/A","HCHG ESOPHACOSCOPY DILATE BALLOON 30","43214","N/A","N/A","N/A","N/A","N/A","7667.45","7667.45","N/A","N/A","N/A","7667.45","7667.45","N/A","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45","7667.45"
"5","N/A","ESOPHAGOSCOPY FLEX REMOVE FB","43215","N/A","N/A","N/A","N/A","N/A","11294.08","11294.08","N/A","N/A","N/A","11294.08","11294.08","N/A","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08"
"5","N/A","HCHG ESOPHAGOSCOP FLEX FB REM","43215","N/A","N/A","N/A","N/A","N/A","11294.08","11294.08","N/A","N/A","N/A","11294.08","11294.08","N/A","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08"
"5","N/A","HCHG ESOPHAGOSCOPY FLEX REMOVE FB","43215","N/A","N/A","N/A","N/A","N/A","11294.08","11294.08","N/A","N/A","N/A","11294.08","11294.08","N/A","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08","11294.08"
"5","N/A","ESOPHAGOSCOPY SNARE LES REMV","43217","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG ESOPHAGOSCOPY SNARE LESION REMOVAL","43217","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","ESOPHAGOSCOPY BALLOON <30MM","43220","N/A","N/A","N/A","N/A","N/A","5923.62","5923.62","N/A","N/A","N/A","5923.62","5923.62","N/A","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62"
"5","N/A","HCHG ESOPHAGOSCOPY BALLOON < 30MM","43220","N/A","N/A","N/A","N/A","N/A","5923.62","5923.62","N/A","N/A","N/A","5923.62","5923.62","N/A","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62","5923.62"
"5","N/A","ESOPH ENDOSCOPY DILATION","43226","N/A","N/A","N/A","N/A","N/A","11205.82","11205.82","N/A","N/A","N/A","11205.82","11205.82","N/A","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82"
"5","N/A","HCHG ESOPH ENDOSCOPY DILATION","43226","N/A","N/A","N/A","N/A","N/A","11205.82","11205.82","N/A","N/A","N/A","11205.82","11205.82","N/A","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82","11205.82"
"5","N/A","ESOPHAGOSCOPY CONTROL BLEED","43227","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG ESOPHAGOSCOPY CONTROL BLEED","43227","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","ESOPHAGOSCOPY LESION ABLATE","43229","N/A","N/A","N/A","N/A","N/A","11363.77","11363.77","N/A","N/A","N/A","11363.77","11363.77","N/A","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77"
"5","N/A","HCHG ESOPHAGOSCOPY LESION ABLATE","43229","N/A","N/A","N/A","N/A","N/A","11363.77","11363.77","N/A","N/A","N/A","11363.77","11363.77","N/A","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77","11363.77"
"5","N/A","ESOPHAGOSCOP ULTRASOUND EXAM","43231","N/A","N/A","N/A","N/A","N/A","5860.52","5860.52","N/A","N/A","N/A","5860.52","5860.52","N/A","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52"
"5","N/A","HCHG ESOPHAGOSCOPY ULTRASOUND EXAM","43231","N/A","N/A","N/A","N/A","N/A","5860.52","5860.52","N/A","N/A","N/A","5860.52","5860.52","N/A","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52","5860.52"
"5","N/A","ESOPHAGOSCOPY W/US NEEDLE BX","43232","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG ESOPHAGOSCOPY W US NEEDLE BIOPSY","43232","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","EGD BALLOON DIL ESOPH30 MM/>","43233","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER","43233","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","EGD DIAGNOSTIC BRUSH WASH","43235","N/A","N/A","N/A","N/A","N/A","6214.19","6214.19","N/A","N/A","N/A","6214.19","6214.19","N/A","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19"
"5","N/A","HCHG EGD DIAGNOSTIC BRUSH WASH","43235","N/A","N/A","N/A","N/A","N/A","6214.19","6214.19","N/A","N/A","N/A","6214.19","6214.19","N/A","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19","6214.19"
"5","N/A","HCHG UPPER GI SCOPE W SUBMUC INJ","43236","N/A","N/A","N/A","N/A","N/A","7788.06","7788.06","N/A","N/A","N/A","7788.06","7788.06","N/A","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06"
"5","N/A","UPPR GI SCOPE W/SUBMUC INJ","43236","N/A","N/A","N/A","N/A","N/A","7788.06","7788.06","N/A","N/A","N/A","7788.06","7788.06","N/A","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06","7788.06"
"5","N/A","ENDOSCOPIC US EXAM ESOPH","43237","N/A","N/A","N/A","N/A","N/A","7270.96","7270.96","N/A","N/A","N/A","7270.96","7270.96","N/A","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96"
"5","N/A","HCHG ENDOSCOPIC US EXAM ESOPH","43237","N/A","N/A","N/A","N/A","N/A","7270.96","7270.96","N/A","N/A","N/A","7270.96","7270.96","N/A","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96","7270.96"
"5","N/A","EGD US FINE NEEDLE BX/ASPIR","43238","N/A","N/A","N/A","N/A","N/A","11056.90","11056.90","N/A","N/A","N/A","11056.90","11056.90","N/A","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90"
"5","N/A","HCHG EGD US FINE NEEDLE BIOPSY ASPIRATE","43238","N/A","N/A","N/A","N/A","N/A","11056.90","11056.90","N/A","N/A","N/A","11056.90","11056.90","N/A","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90","11056.90"
"5","N/A","EGD BIOPSY SINGLE/MULTIPLE","43239","N/A","N/A","N/A","N/A","N/A","7442.12","7442.12","N/A","N/A","N/A","7442.12","7442.12","N/A","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12"
"5","N/A","HCHG EGD BIOPSY SINGLE/MULTIPLE","43239","N/A","N/A","N/A","N/A","N/A","7442.12","7442.12","N/A","N/A","N/A","7442.12","7442.12","N/A","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12"
"5","N/A","HCHG UPPER GI ENDOSCOPY W BIOPSY","43239","N/A","N/A","N/A","N/A","N/A","7442.12","7442.12","N/A","N/A","N/A","7442.12","7442.12","N/A","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12","7442.12"
"5","N/A","EGD W/TRANSMURAL DRAIN CYST","43240","N/A","N/A","N/A","N/A","N/A","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","HCHG EGD W TRANSMURAL DRAIN CYST","43240","N/A","N/A","N/A","N/A","N/A","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","EGD TUBE/CATH INSERTION","43241","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","HCHG EGD TUBE/CATH INSERTION","43241","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","EGD US FINE NEEDLE BX/ASPIR","43242","N/A","N/A","N/A","N/A","N/A","10760.78","10760.78","N/A","N/A","N/A","10760.78","10760.78","N/A","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78"
"5","N/A","HCHG EGD US FINE NEEDLE BIOPSY ASPIRATE ALTERED ANATOMY","43242","N/A","N/A","N/A","N/A","N/A","10760.78","10760.78","N/A","N/A","N/A","10760.78","10760.78","N/A","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78","10760.78"
"5","N/A","HCHG EGD INJECTION VARICIES","43243","N/A","N/A","N/A","N/A","N/A","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","EGD INJECTION VARICES","43243","N/A","N/A","N/A","N/A","56926.97","4072.00","4072.00","N/A","N/A","N/A","4072.00","4072.00","N/A","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00","4072.00"
"5","N/A","EGD VARICES LIGATION","43244","N/A","N/A","N/A","N/A","N/A","6076.64","6076.64","N/A","N/A","N/A","6076.64","6076.64","N/A","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64"
"5","N/A","HCHG EGD VARICIES LIGATION","43244","N/A","N/A","N/A","N/A","N/A","6076.64","6076.64","N/A","N/A","N/A","6076.64","6076.64","N/A","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64","6076.64"
"5","N/A","EGD DILATE STRICTURE","43245","N/A","N/A","N/A","N/A","N/A","7062.86","7062.86","N/A","N/A","N/A","7062.86","7062.86","N/A","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86"
"5","N/A","HCHG EGD DILATE STRICTURE","43245","N/A","N/A","N/A","N/A","N/A","7062.86","7062.86","N/A","N/A","N/A","7062.86","7062.86","N/A","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86","7062.86"
"5","N/A","EGD PLACE GASTROSTOMY TUBE","43246","N/A","N/A","N/A","N/A","N/A","7401.60","7401.60","N/A","N/A","N/A","7401.60","7401.60","N/A","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60"
"5","N/A","HCHG EGD PLACE GASTROSTOMY TUBE","43246","N/A","N/A","N/A","N/A","N/A","7401.60","7401.60","N/A","N/A","N/A","7401.60","7401.60","N/A","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60","7401.60"
"5","N/A","EGD REMOVE FOREIGN BODY","43247","N/A","N/A","N/A","N/A","N/A","13768.12","13768.12","N/A","N/A","N/A","13768.12","13768.12","N/A","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12"
"5","N/A","HCHG EGD REMOVE FOREIGN BODY","43247","N/A","N/A","N/A","N/A","N/A","13768.12","13768.12","N/A","N/A","N/A","13768.12","13768.12","N/A","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12"
"5","N/A","HCHG UPP GI ENDO W REMOVAL OF FOREIGN BODY","43247","N/A","N/A","N/A","N/A","N/A","13768.12","13768.12","N/A","N/A","N/A","13768.12","13768.12","N/A","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12","13768.12"
"5","N/A","EGD GUIDE WIRE INSERTION","43248","N/A","N/A","N/A","N/A","N/A","6403.87","6403.87","N/A","N/A","N/A","6403.87","6403.87","N/A","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87"
"5","N/A","HCHG EGD GUIDE WIRE INSERTION","43248","N/A","N/A","N/A","N/A","N/A","6403.87","6403.87","N/A","N/A","N/A","6403.87","6403.87","N/A","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87","6403.87"
"5","N/A","ESOPH EGD DILATION <30 MM","43249","N/A","N/A","N/A","N/A","N/A","7209.53","7209.53","N/A","N/A","N/A","7209.53","7209.53","N/A","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53"
"5","N/A","HCHG ESOPH EGD DILATION < 30MM","43249","N/A","N/A","N/A","N/A","N/A","7209.53","7209.53","N/A","N/A","N/A","7209.53","7209.53","N/A","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53","7209.53"
"5","N/A","HCHG EGD CAUTERY TUMOR POLYP","43250","N/A","N/A","N/A","N/A","N/A","12684.55","12684.55","N/A","N/A","N/A","12684.55","12684.55","N/A","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55"
"5","N/A","EGD CAUTERY TUMOR POLYP","43250","N/A","N/A","N/A","N/A","59993.66","12684.55","12684.55","N/A","N/A","N/A","12684.55","12684.55","N/A","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55","12684.55"
"5","N/A","EGD REMOVE LESION SNARE","43251","N/A","N/A","N/A","N/A","93680.11","8983.89","8983.89","N/A","N/A","N/A","8983.89","8983.89","N/A","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89"
"5","N/A","HCHG EGD REMOVE LESION SNARE","43251","N/A","N/A","N/A","N/A","N/A","8983.89","8983.89","N/A","N/A","N/A","8983.89","8983.89","N/A","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89","8983.89"
"5","N/A","HCHG EGD OPTICAL ENDOMICROSCOPY","43252","N/A","N/A","N/A","N/A","N/A","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","EGD OPTICAL ENDOMICROSCOPY","43252","N/A","N/A","N/A","N/A","62994.13","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","EGD US TRANSMURAL INJXN/MARK","43253","N/A","N/A","N/A","N/A","N/A","10345.21","10345.21","N/A","N/A","N/A","10345.21","10345.21","N/A","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21"
"5","N/A","HCHG EGD W/US TRANSMURAL INJ","43253","N/A","N/A","N/A","N/A","N/A","10345.21","10345.21","N/A","N/A","N/A","10345.21","10345.21","N/A","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21","10345.21"
"5","N/A","EGD ENDO MUCOSAL RESECTION","43254","N/A","N/A","N/A","N/A","N/A","10598.96","10598.96","N/A","N/A","N/A","10598.96","10598.96","N/A","10598.96","10598.96","10598.96","10598.96","10598.96","10598.96","10598.96","10598.96","10598.96","10598.96"
"5","N/A","EGD CONTROL BLEEDING ANY","43255","N/A","N/A","N/A","N/A","N/A","13819.31","13819.31","N/A","N/A","N/A","13819.31","13819.31","N/A","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31"
"5","N/A","HCHG EGD CONTROL BLEEDING ANY","43255","N/A","N/A","N/A","N/A","N/A","13819.31","13819.31","N/A","N/A","N/A","13819.31","13819.31","N/A","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31","13819.31"
"5","N/A","EGD US EXAM DUODENUM/JEJUNUM","43259","N/A","N/A","N/A","N/A","N/A","7516.43","7516.43","N/A","N/A","N/A","7516.43","7516.43","N/A","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43"
"5","N/A","HCHG EGD US EXAM DUODENUM/JUJENUM","43259","N/A","N/A","N/A","N/A","N/A","7516.43","7516.43","N/A","N/A","N/A","7516.43","7516.43","N/A","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43","7516.43"
"5","N/A","HCHG ERCP WITH SPECIMEN COLLECTION","43260","N/A","N/A","N/A","N/A","N/A","14846.96","14846.96","N/A","N/A","N/A","14846.96","14846.96","N/A","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96"
"5","N/A","ERCP W/SPECIMEN COLLECTION","43260","N/A","N/A","N/A","N/A","43697.68","14846.96","14846.96","N/A","N/A","N/A","14846.96","14846.96","N/A","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96","14846.96"
"5","N/A","ENDO CHOLANGIOPANCREATOGRAPH","43261","N/A","N/A","N/A","N/A","N/A","22409.13","22409.13","N/A","N/A","N/A","22409.13","22409.13","N/A","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13"
"5","N/A","HCHG ERCP WITH BIOPSY SINGLE/MULTIPLE","43261","N/A","N/A","N/A","N/A","N/A","22409.13","22409.13","N/A","N/A","N/A","22409.13","22409.13","N/A","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13","22409.13"
"5","N/A","ENDO CHOLANGIOPANCREATOGRAPH","43262","N/A","N/A","N/A","N/A","N/A","14062.09","14062.09","N/A","N/A","N/A","14062.09","14062.09","N/A","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09"
"5","N/A","HCHG ERCP WITH SPHINCTER/PAPPILOTOMY","43262","N/A","N/A","N/A","N/A","N/A","14062.09","14062.09","N/A","N/A","N/A","14062.09","14062.09","N/A","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09","14062.09"
"5","N/A","ERCP REMOVE DUCT CALCULI","43264","N/A","N/A","N/A","N/A","N/A","16492.51","16492.51","N/A","N/A","N/A","16492.51","16492.51","N/A","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51"
"5","N/A","HCHG ERCP REMOVE DUCT CALCULI","43264","N/A","N/A","N/A","N/A","N/A","16492.51","16492.51","N/A","N/A","N/A","16492.51","16492.51","N/A","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51","16492.51"
"5","N/A","ERCP LITHOTRIPSY CALCULI","43265","N/A","N/A","N/A","N/A","N/A","19530.10","19530.10","N/A","N/A","N/A","19530.10","19530.10","N/A","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10"
"5","N/A","HCHG ERCP LITHROTRIPSY CALCULI","43265","N/A","N/A","N/A","N/A","N/A","19530.10","19530.10","N/A","N/A","N/A","19530.10","19530.10","N/A","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10","19530.10"
"5","N/A","EGD ENDOSCOPIC STENT PLACE","43266","N/A","N/A","N/A","N/A","N/A","19588.45","19588.45","N/A","N/A","N/A","19588.45","19588.45","N/A","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45"
"5","N/A","HCHG EGD ENDOSCOPIC STENT PLACE","43266","N/A","N/A","N/A","N/A","N/A","19588.45","19588.45","N/A","N/A","N/A","19588.45","19588.45","N/A","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45","19588.45"
"5","N/A","EGD LESION ABLATION","43270","N/A","N/A","N/A","N/A","N/A","10030.31","10030.31","N/A","N/A","N/A","10030.31","10030.31","N/A","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31"
"5","N/A","HCHG EGD LESION ABLATION","43270","N/A","N/A","N/A","N/A","N/A","10030.31","10030.31","N/A","N/A","N/A","10030.31","10030.31","N/A","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31","10030.31"
"5","N/A","ENDOSCOPIC PANCREATOSCOPY","43273","N/A","N/A","N/A","N/A","N/A","26539.23","26539.23","N/A","N/A","N/A","26539.23","26539.23","N/A","26539.23","26539.23","26539.23","26539.23","26539.23","26539.23","26539.23","26539.23","26539.23","26539.23"
"5","N/A","ERCP DUCT STENT PLACEMENT","43274","N/A","N/A","N/A","N/A","N/A","19284.41","19284.41","N/A","N/A","N/A","19284.41","19284.41","N/A","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41"
"5","N/A","HCHG ERCP DUCT STENT PLACEMENT","43274","N/A","N/A","N/A","N/A","N/A","19284.41","19284.41","N/A","N/A","N/A","19284.41","19284.41","N/A","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41","19284.41"
"5","N/A","ERCP REMOVE FORGN BODY DUCT","43275","N/A","N/A","N/A","N/A","N/A","12046.33","12046.33","N/A","N/A","N/A","12046.33","12046.33","N/A","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33"
"5","N/A","HCHG ERCP REMOVE FOREIGN BODY DUCT","43275","N/A","N/A","N/A","N/A","N/A","12046.33","12046.33","N/A","N/A","N/A","12046.33","12046.33","N/A","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33","12046.33"
"5","N/A","ERCP STENT EXCHANGE W/DILATE","43276","N/A","N/A","N/A","N/A","N/A","19238.96","19238.96","N/A","N/A","N/A","19238.96","19238.96","N/A","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96"
"5","N/A","HCHG ERCP STENT EXCHANGE W DILATE","43276","N/A","N/A","N/A","N/A","N/A","19238.96","19238.96","N/A","N/A","N/A","19238.96","19238.96","N/A","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96","19238.96"
"5","N/A","ERCP EA DUCT/AMPULLA DILATE","43277","N/A","N/A","N/A","N/A","N/A","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","HCHG ERCP EA DUCT/AMPULLA DILATE","43277","N/A","N/A","N/A","N/A","N/A","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","ERCP LESION ABLATE W/DILATE","43278","N/A","N/A","N/A","N/A","N/A","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","HCHG ERCP LESION ABLATE W DILATE","43278","N/A","N/A","N/A","N/A","N/A","7839.00","7839.00","N/A","N/A","N/A","7839.00","7839.00","N/A","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00","7839.00"
"5","N/A","LAPAROSCOPY FUNDOPLASTY","43280","N/A","N/A","N/A","N/A","39026.51","35612.81","35612.81","N/A","N/A","N/A","35612.81","35612.81","N/A","35612.81","35612.81","35612.81","35612.81","35612.81","35612.81","35612.81","35612.81","35612.81","35612.81"
"5","N/A","LAP PARAESOPHAG HERN REPAIR","43281","N/A","N/A","N/A","N/A","45859.82","30913.34","30913.34","N/A","N/A","N/A","30913.34","30913.34","N/A","30913.34","30913.34","30913.34","30913.34","30913.34","30913.34","30913.34","30913.34","30913.34","30913.34"
"5","N/A","LAP PARAESOPH HER RPR W/MESH","43282","N/A","N/A","N/A","N/A","50677.00","35765.88","35765.88","N/A","N/A","N/A","35765.88","35765.88","N/A","35765.88","35765.88","35765.88","35765.88","35765.88","35765.88","35765.88","35765.88","35765.88","35765.88"
"5","N/A","DILATE ESOPHAGUS 1/MULT PASS","43450","N/A","N/A","N/A","N/A","N/A","6600.50","6600.50","N/A","N/A","N/A","6600.50","6600.50","N/A","6600.50","6600.50","6600.50","6600.50","6600.50","6600.50","6600.50","6600.50","6600.50","6600.50"
"5","N/A","DILATE ESOPHAGUS","43453","N/A","N/A","N/A","N/A","N/A","4524.00","4524.00","N/A","N/A","N/A","4524.00","4524.00","N/A","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00"
"5","N/A","HCHG DILATE ESOPHAGUS OVER GUIDE WIRE","43453","N/A","N/A","N/A","N/A","N/A","4524.00","4524.00","N/A","N/A","N/A","4524.00","4524.00","N/A","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00","4524.00"
"5","N/A","HCHG ESOPHAGOGASTRIC TAMPONADE W BA","43460","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","PRESSURE TREATMENT ESOPHAGUS","43460","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","HCHG UNLISTED PROCEDURE ESOPHAGUS","43499","N/A","N/A","N/A","N/A","N/A","3430.00","3430.00","N/A","N/A","N/A","3430.00","3430.00","N/A","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00"
"5","N/A","ESOPHAGUS SURGERY PROCEDURE","43499","N/A","N/A","N/A","N/A","68564.24","3430.00","3430.00","N/A","N/A","N/A","3430.00","3430.00","N/A","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00","3430.00"
"5","N/A","HCHG NASO/ORO G TUBE PLCMT MD","43752","N/A","N/A","N/A","N/A","N/A","1192.92","1192.92","N/A","N/A","N/A","1192.92","1192.92","N/A","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92"
"5","N/A","HCHG NG TUBE PLCMT W FLUORO","43752","N/A","N/A","N/A","N/A","N/A","1192.92","1192.92","N/A","N/A","N/A","1192.92","1192.92","N/A","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92"
"5","N/A","NASAL/OROGASTRIC W/TUBE PLMT","43752","N/A","N/A","N/A","N/A","N/A","1192.92","1192.92","N/A","N/A","N/A","1192.92","1192.92","N/A","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92","1192.92"
"5","N/A","HCHG GASTRIC INTUB & ASP TX, NECESSITATING PHYS SKILL, INCL LAVAGE","43753","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","TX GASTRO INTUB W/ASP","43753","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","DX DUOD INTUB W/ASP SPEC","43756","N/A","N/A","N/A","N/A","N/A","2283.00","2283.00","N/A","N/A","N/A","2283.00","2283.00","N/A","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00"
"5","N/A","HCHG DX DUOD INTUB W ASP/SPEC SINGLE","43756","N/A","N/A","N/A","N/A","N/A","2283.00","2283.00","N/A","N/A","N/A","2283.00","2283.00","N/A","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00"
"5","N/A","DX DUOD INTUB W/ASP SPECS","43757","N/A","N/A","N/A","N/A","N/A","2283.00","2283.00","N/A","N/A","N/A","2283.00","2283.00","N/A","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00"
"5","N/A","HCHG DX DUOD INTUB W ASP/SPEC MULTIPLE","43757","N/A","N/A","N/A","N/A","N/A","2283.00","2283.00","N/A","N/A","N/A","2283.00","2283.00","N/A","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00"
"5","N/A","HCHG REPOSITION GASTRIC FEED TUBE","43761","N/A","N/A","N/A","N/A","N/A","2953.00","2953.00","N/A","N/A","N/A","2953.00","2953.00","N/A","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00"
"5","N/A","HCHG REPOSITION GASTROSTOMY TUBE","43761","N/A","N/A","N/A","N/A","N/A","2953.00","2953.00","N/A","N/A","N/A","2953.00","2953.00","N/A","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00"
"5","N/A","REPOSITION GASTROSTOMY TUBE","43761","N/A","N/A","N/A","N/A","N/A","2953.00","2953.00","N/A","N/A","N/A","2953.00","2953.00","N/A","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00","2953.00"
"5","N/A","HCHG REPLACE GTUBE NO REV J TRACT","43762","N/A","N/A","N/A","N/A","N/A","10255.74","10255.74","N/A","N/A","N/A","10255.74","10255.74","N/A","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74"
"5","N/A","HCHG RPLC GTUBE NO REVJ TRC","43762","N/A","N/A","N/A","N/A","N/A","10255.74","10255.74","N/A","N/A","N/A","10255.74","10255.74","N/A","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74"
"5","N/A","RPLC GTUBE NO REVJ TRC","43762","N/A","N/A","N/A","N/A","N/A","10255.74","10255.74","N/A","N/A","N/A","10255.74","10255.74","N/A","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74","10255.74"
"5","N/A","HCHG REPLACE GTUBE GSTRST TRACT","43763","N/A","N/A","N/A","N/A","N/A","1185.00","1185.00","N/A","N/A","N/A","1185.00","1185.00","N/A","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00"
"5","N/A","HCHG RPLC GTUBE REVJ GSTRST TRC","43763","N/A","N/A","N/A","N/A","N/A","1185.00","1185.00","N/A","N/A","N/A","1185.00","1185.00","N/A","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00"
"5","N/A","RPLC GTUBE REVJ GSTRST TRC","43763","N/A","N/A","N/A","N/A","N/A","1185.00","1185.00","N/A","N/A","N/A","1185.00","1185.00","N/A","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00","1185.00"
"5","N/A","HCHG LAP GASTRIC W/BAND","43771","N/A","N/A","N/A","N/A","N/A","3063.00","3063.00","N/A","N/A","N/A","3063.00","3063.00","N/A","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00"
"5","N/A","LAP REVISE GASTR ADJ DEVICE","43771","N/A","N/A","N/A","N/A","N/A","3063.00","3063.00","N/A","N/A","N/A","3063.00","3063.00","N/A","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00","3063.00"
"5","N/A","LAP RMVL GASTR ADJ ALL PARTS","43774","N/A","N/A","N/A","N/A","N/A","19280.14","19280.14","N/A","N/A","N/A","19280.14","19280.14","N/A","19280.14","19280.14","19280.14","19280.14","19280.14","19280.14","19280.14","19280.14","19280.14","19280.14"
"5","N/A","FREEING OF BOWEL ADHESION","44005","N/A","N/A","N/A","N/A","71406.89","52780.21","52780.21","N/A","N/A","N/A","52780.21","52780.21","N/A","52780.21","52780.21","52780.21","52780.21","52780.21","52780.21","52780.21","52780.21","52780.21","52780.21"
"5","N/A","LAP ENTEROLYSIS","44180","N/A","N/A","N/A","N/A","64855.09","32165.36","32165.36","N/A","N/A","N/A","32165.36","32165.36","N/A","32165.36","32165.36","32165.36","32165.36","32165.36","32165.36","32165.36","32165.36","32165.36","32165.36"
"5","N/A","LAP JEJUNOSTOMY","44186","N/A","N/A","N/A","N/A","178628.28","27265.26","27265.26","N/A","N/A","N/A","27265.26","27265.26","N/A","27265.26","27265.26","27265.26","27265.26","27265.26","27265.26","27265.26","27265.26","27265.26","27265.26"
"5","N/A","LAPARO PARTIAL COLECTOMY","44204","N/A","N/A","N/A","N/A","65990.14","28908.66","28908.66","N/A","N/A","N/A","28908.66","28908.66","N/A","28908.66","28908.66","28908.66","28908.66","28908.66","28908.66","28908.66","28908.66","28908.66","28908.66"
"5","N/A","LAP COLECTOMY PART W/ILEUM","44205","N/A","N/A","N/A","N/A","70372.67","20226.69","20226.69","N/A","N/A","N/A","20226.69","20226.69","N/A","20226.69","20226.69","20226.69","20226.69","20226.69","20226.69","20226.69","20226.69","20226.69","20226.69"
"5","N/A","LAPAROSCOPE PROC INTESTINE","44238","N/A","N/A","N/A","N/A","85641.03","26945.50","26945.50","N/A","N/A","N/A","26945.50","26945.50","N/A","26945.50","26945.50","26945.50","26945.50","26945.50","26945.50","26945.50","26945.50","26945.50","26945.50"
"5","N/A","REVISION OF COLOSTOMY","44340","N/A","N/A","N/A","N/A","170771.43","7397.28","7397.28","N/A","N/A","N/A","7397.28","7397.28","N/A","7397.28","7397.28","7397.28","7397.28","7397.28","7397.28","7397.28","7397.28","7397.28","7397.28"
"5","N/A","HCHG SMALL BOWEL ENDOSCOPY","44360","N/A","N/A","N/A","N/A","N/A","13275.02","13275.02","N/A","N/A","N/A","13275.02","13275.02","N/A","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02"
"5","N/A","SMALL BOWEL ENDOSCOPY","44360","N/A","N/A","N/A","N/A","N/A","13275.02","13275.02","N/A","N/A","N/A","13275.02","13275.02","N/A","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02","13275.02"
"5","N/A","HCHG SMALL INTESTINE ENDO WITH BIOPSY; SINGLE/MULTI","44361","N/A","N/A","N/A","N/A","N/A","8763.60","8763.60","N/A","N/A","N/A","8763.60","8763.60","N/A","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60"
"5","N/A","SMALL BOWEL ENDOSCOPY/BIOPSY","44361","N/A","N/A","N/A","N/A","N/A","8763.60","8763.60","N/A","N/A","N/A","8763.60","8763.60","N/A","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60","8763.60"
"5","N/A","HCHG SMALL INTESTINE ENDO W REM T/P/L W SNARE","44364","N/A","N/A","N/A","N/A","N/A","4948.00","4948.00","N/A","N/A","N/A","4948.00","4948.00","N/A","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00"
"5","N/A","SMALL BOWEL ENDOSCOPY","44364","N/A","N/A","N/A","N/A","N/A","4948.00","4948.00","N/A","N/A","N/A","4948.00","4948.00","N/A","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00"
"5","N/A","HCHG SMALL INTESTINE ENDO W REM BY HOT BX/BP CAUTERY","44365","N/A","N/A","N/A","N/A","N/A","14928.63","14928.63","N/A","N/A","N/A","14928.63","14928.63","N/A","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63"
"5","N/A","SMALL BOWEL ENDOSCOPY","44365","N/A","N/A","N/A","N/A","N/A","14928.63","14928.63","N/A","N/A","N/A","14928.63","14928.63","N/A","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63","14928.63"
"5","N/A","SMALL BOWEL ENDOSCOPY","44369","N/A","N/A","N/A","N/A","N/A","10206.57","10206.57","N/A","N/A","N/A","10206.57","10206.57","N/A","10206.57","10206.57","10206.57","10206.57","10206.57","10206.57","10206.57","10206.57","10206.57","10206.57"
"5","N/A","SMALL BOWEL ENDOSCOPY","44372","N/A","N/A","N/A","N/A","N/A","16019.43","16019.43","N/A","N/A","N/A","16019.43","16019.43","N/A","16019.43","16019.43","16019.43","16019.43","16019.43","16019.43","16019.43","16019.43","16019.43","16019.43"
"5","N/A","HCHG CONVERT PERC GT TO JT","44373","N/A","N/A","N/A","N/A","N/A","26272.61","26272.61","N/A","N/A","N/A","26272.61","26272.61","N/A","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61"
"5","N/A","SMALL BOWEL ENDOSCOPY","44373","N/A","N/A","N/A","N/A","N/A","26272.61","26272.61","N/A","N/A","N/A","26272.61","26272.61","N/A","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61","26272.61"
"5","N/A","SMALL BOWEL ENDOSCOPY","44376","N/A","N/A","N/A","N/A","N/A","14784.62","14784.62","N/A","N/A","N/A","14784.62","14784.62","N/A","14784.62","14784.62","14784.62","14784.62","14784.62","14784.62","14784.62","14784.62","14784.62","14784.62"
"5","N/A","SMALL BOWEL ENDOSCOPY/BIOPSY","44377","N/A","N/A","N/A","N/A","N/A","13578.12","13578.12","N/A","N/A","N/A","13578.12","13578.12","N/A","13578.12","13578.12","13578.12","13578.12","13578.12","13578.12","13578.12","13578.12","13578.12","13578.12"
"5","N/A","HCHG SMALL BOWEL ENDOSCOPY BR/WA","44380","N/A","N/A","N/A","N/A","N/A","2497.00","2497.00","N/A","N/A","N/A","2497.00","2497.00","N/A","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00"
"5","N/A","SMALL BOWEL ENDOSCOPY BR/WA","44380","N/A","N/A","N/A","N/A","N/A","2497.00","2497.00","N/A","N/A","N/A","2497.00","2497.00","N/A","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00"
"5","N/A","HCHG SMALL BOWEL ENDOSCOPY BR/WA WITH BALLOON DILATION","44381","N/A","N/A","N/A","N/A","N/A","4948.00","4948.00","N/A","N/A","N/A","4948.00","4948.00","N/A","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00"
"5","N/A","SMALL BOWEL ENDOSCOPY BR/WA","44381","N/A","N/A","N/A","N/A","N/A","4948.00","4948.00","N/A","N/A","N/A","4948.00","4948.00","N/A","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00","4948.00"
"5","N/A","HCHG SMALL BOWEL ENDOSCOPY","44384","N/A","N/A","N/A","N/A","N/A","9526.00","9526.00","N/A","N/A","N/A","9526.00","9526.00","N/A","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00"
"5","N/A","SMALL BOWEL ENDOSCOPY","44384","N/A","N/A","N/A","N/A","N/A","9526.00","9526.00","N/A","N/A","N/A","9526.00","9526.00","N/A","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00","9526.00"
"5","N/A","ENDOSCOPY BOWEL POUCH/BIOP","44386","N/A","N/A","N/A","N/A","N/A","7652.75","7652.75","N/A","N/A","N/A","7652.75","7652.75","N/A","7652.75","7652.75","7652.75","7652.75","7652.75","7652.75","7652.75","7652.75","7652.75","7652.75"
"5","N/A","COLONOSCOPY THRU STOMA SPX","44388","N/A","N/A","N/A","N/A","N/A","6749.47","6749.47","N/A","N/A","N/A","6749.47","6749.47","N/A","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47"
"5","N/A","HCHG COLONOSCOPY THROUGH STOMA SPX","44388","N/A","N/A","N/A","N/A","N/A","6749.47","6749.47","N/A","N/A","N/A","6749.47","6749.47","N/A","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47","6749.47"
"5","N/A","COLONOSCOPY WITH BIOPSY","44389","N/A","N/A","N/A","N/A","N/A","7518.54","7518.54","N/A","N/A","N/A","7518.54","7518.54","N/A","7518.54","7518.54","7518.54","7518.54","7518.54","7518.54","7518.54","7518.54","7518.54","7518.54"
"5","N/A","COLONOSCOPY FOR BLEEDING","44391","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG COLONOSCOPY FOR BLEEDING","44391","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","COLONOSCOPY W/SNARE","44394","N/A","N/A","N/A","N/A","45773.26","7762.71","7762.71","N/A","N/A","N/A","7762.71","7762.71","N/A","7762.71","7762.71","7762.71","7762.71","7762.71","7762.71","7762.71","7762.71","7762.71","7762.71"
"5","N/A","COLONOSCOPY WITH ABLATION","44401","N/A","N/A","N/A","N/A","36340.61","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG COLONOSCOPY WITH ABLATION","44401","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG INTRO OF LONG GI TUBE","44500","N/A","N/A","N/A","N/A","N/A","1510.00","1510.00","N/A","N/A","N/A","1510.00","1510.00","N/A","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00"
"5","N/A","INTRO GASTROINTESTINAL TUBE","44500","N/A","N/A","N/A","N/A","N/A","1510.00","1510.00","N/A","N/A","N/A","1510.00","1510.00","N/A","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00","1510.00"
"5","N/A","HCHG UNLISTED PX SMALL INTESTINE","44799","N/A","N/A","N/A","N/A","N/A","11887.78","11887.78","N/A","N/A","N/A","11887.78","11887.78","N/A","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78"
"5","N/A","UNLISTED PX SMALL INTESTINE","44799","N/A","N/A","N/A","N/A","82787.71","11887.78","11887.78","N/A","N/A","N/A","11887.78","11887.78","N/A","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78","11887.78"
"5","N/A","LAPAROSCOPY APPENDECTOMY","44970","N/A","N/A","N/A","N/A","47526.90","26145.00","26145.00","N/A","N/A","N/A","26145.00","26145.00","N/A","26145.00","26145.00","26145.00","26145.00","26145.00","26145.00","26145.00","26145.00","26145.00","26145.00"
"5","N/A","DRAINAGE OF RECTAL ABSCESS","45005","N/A","N/A","N/A","N/A","41368.87","5167.00","5167.00","N/A","N/A","N/A","5167.00","5167.00","N/A","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00"
"5","N/A","HCHG I&D SUBMUCOSAL ABSCESS RECTUM","45005","N/A","N/A","N/A","N/A","N/A","5167.00","5167.00","N/A","N/A","N/A","5167.00","5167.00","N/A","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00","5167.00"
"5","N/A","BIOPSY OF RECTUM","45100","N/A","N/A","N/A","N/A","38060.34","10447.64","10447.64","N/A","N/A","N/A","10447.64","10447.64","N/A","10447.64","10447.64","10447.64","10447.64","10447.64","10447.64","10447.64","10447.64","10447.64","10447.64"
"5","N/A","PARTIAL REMOVAL OF RECTUM","45116","N/A","N/A","N/A","N/A","50414.86","30784.00","30784.00","N/A","N/A","N/A","30784.00","30784.00","N/A","30784.00","30784.00","30784.00","30784.00","30784.00","30784.00","30784.00","30784.00","30784.00","30784.00"
"5","N/A","EXCISION OF RECTAL PROLAPSE","45130","N/A","N/A","N/A","N/A","50164.77","23318.99","23318.99","N/A","N/A","N/A","23318.99","23318.99","N/A","23318.99","23318.99","23318.99","23318.99","23318.99","23318.99","23318.99","23318.99","23318.99","23318.99"
"5","N/A","EXCISION OF RECTAL LESION","45160","N/A","N/A","N/A","N/A","50164.77","28354.62","28354.62","N/A","N/A","N/A","28354.62","28354.62","N/A","28354.62","28354.62","28354.62","28354.62","28354.62","28354.62","28354.62","28354.62","28354.62","28354.62"
"5","N/A","EXC RECT TUM TRANSANAL PART","45171","N/A","N/A","N/A","N/A","50164.77","13044.25","13044.25","N/A","N/A","N/A","13044.25","13044.25","N/A","13044.25","13044.25","13044.25","13044.25","13044.25","13044.25","13044.25","13044.25","13044.25","13044.25"
"5","N/A","EXC RECT TUM TRANSANAL FULL","45172","N/A","N/A","N/A","N/A","N/A","16210.66","16210.66","N/A","N/A","N/A","16210.66","16210.66","N/A","16210.66","16210.66","16210.66","16210.66","16210.66","16210.66","16210.66","16210.66","16210.66","16210.66"
"5","N/A","HCHG PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY","45307","N/A","N/A","N/A","N/A","N/A","3371.00","3371.00","N/A","N/A","N/A","3371.00","3371.00","N/A","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00"
"5","N/A","PROCTOSIGMOIDOSCOPY FB","45307","N/A","N/A","N/A","N/A","N/A","3371.00","3371.00","N/A","N/A","N/A","3371.00","3371.00","N/A","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00","3371.00"
"5","N/A","HCHG PROCTOSIGMOIDOSCOPY W STENT","45327","N/A","N/A","N/A","N/A","N/A","12500.00","12500.00","N/A","N/A","N/A","12500.00","12500.00","N/A","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00"
"5","N/A","PROCTOSIGMOIDOSCOPY W/STENT","45327","N/A","N/A","N/A","N/A","N/A","12500.00","12500.00","N/A","N/A","N/A","12500.00","12500.00","N/A","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00","12500.00"
"5","N/A","DIAGNOSTIC SIGMOIDOSCOPY","45330","N/A","N/A","N/A","N/A","N/A","8136.47","8136.47","N/A","N/A","N/A","8136.47","8136.47","N/A","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47"
"5","N/A","HCHG DIAGNOSTIC SIGMOIDOSCOPY","45330","N/A","N/A","N/A","N/A","N/A","8136.47","8136.47","N/A","N/A","N/A","8136.47","8136.47","N/A","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47","8136.47"
"5","N/A","HCHG SIGMOIDOSCOPY FLEX WITH BIOPSY","45331","N/A","N/A","N/A","N/A","N/A","6548.76","6548.76","N/A","N/A","N/A","6548.76","6548.76","N/A","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76"
"5","N/A","SIGMOIDOSCOPY AND BIOPSY","45331","N/A","N/A","N/A","N/A","N/A","6548.76","6548.76","N/A","N/A","N/A","6548.76","6548.76","N/A","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76","6548.76"
"5","N/A","HCHG SIGMOIDOSCOPY WITH FB REMOVAL","45332","N/A","N/A","N/A","N/A","N/A","13456.23","13456.23","N/A","N/A","N/A","13456.23","13456.23","N/A","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23"
"5","N/A","SIGMOIDOSCOPY W/FB REMOVAL","45332","N/A","N/A","N/A","N/A","N/A","13456.23","13456.23","N/A","N/A","N/A","13456.23","13456.23","N/A","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23","13456.23"
"5","N/A","HCHG SIGMOIDOSCOPY AND POLYPECTOMY","45333","N/A","N/A","N/A","N/A","N/A","1998.00","1998.00","N/A","N/A","N/A","1998.00","1998.00","N/A","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00"
"5","N/A","SIGMOIDOSCOPY & POLYPECTOMY","45333","N/A","N/A","N/A","N/A","N/A","1998.00","1998.00","N/A","N/A","N/A","1998.00","1998.00","N/A","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00"
"5","N/A","HCHG SIGMOIDOSCOPY FOR BLEEDING","45334","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","SIGMOIDOSCOPY FOR BLEEDING","45334","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG SIGMOIDOSCOPY W SUBMUCUS INJ","45335","N/A","N/A","N/A","N/A","N/A","6688.92","6688.92","N/A","N/A","N/A","6688.92","6688.92","N/A","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92"
"5","N/A","SIGMOIDOSCOPY W/SUBMUC INJ","45335","N/A","N/A","N/A","N/A","N/A","6688.92","6688.92","N/A","N/A","N/A","6688.92","6688.92","N/A","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92","6688.92"
"5","N/A","HCHG SIGMOIDOSCOPY AND DECOMPRESS","45337","N/A","N/A","N/A","N/A","N/A","1998.00","1998.00","N/A","N/A","N/A","1998.00","1998.00","N/A","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00"
"5","N/A","SIGMOIDOSCOPY & DECOMPRESS","45337","N/A","N/A","N/A","N/A","24112.12","1998.00","1998.00","N/A","N/A","N/A","1998.00","1998.00","N/A","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00","1998.00"
"5","N/A","HCHG SIGMOIDOSCOPY W REM T/P/LES BY SNARE","45338","N/A","N/A","N/A","N/A","N/A","8910.21","8910.21","N/A","N/A","N/A","8910.21","8910.21","N/A","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21"
"5","N/A","SIGMOIDOSCOPY W/TUMR REMOVE","45338","N/A","N/A","N/A","N/A","N/A","8910.21","8910.21","N/A","N/A","N/A","8910.21","8910.21","N/A","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21","8910.21"
"5","N/A","SIG W/TNDSC BALLOON DILATION","45340","N/A","N/A","N/A","N/A","N/A","7735.99","7735.99","N/A","N/A","N/A","7735.99","7735.99","N/A","7735.99","7735.99","7735.99","7735.99","7735.99","7735.99","7735.99","7735.99","7735.99","7735.99"
"5","N/A","HCHG SIGMOIDOSCOPY W ULTRASOUND","45341","N/A","N/A","N/A","N/A","N/A","7116.66","7116.66","N/A","N/A","N/A","7116.66","7116.66","N/A","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66"
"5","N/A","SIGMOIDOSCOPY W/ULTRASOUND","45341","N/A","N/A","N/A","N/A","N/A","7116.66","7116.66","N/A","N/A","N/A","7116.66","7116.66","N/A","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66","7116.66"
"5","N/A","HCHG SIGMOIDOSCOPY W ULTRASOUND GUID AND BIOPSY","45342","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","SIGMOIDOSCOPY W/US GUIDE BX","45342","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG SIGMOIDOSCOPY FLX W ABLATION","45346","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG SIGMOIDOSCOPY W ABLATION","45346","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","SIGMOIDOSCOPY W/ABLATION","45346","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","HCHG SIGMOID W/PLCMT ENDO STENT","45347","N/A","N/A","N/A","N/A","N/A","5451.00","5451.00","N/A","N/A","N/A","5451.00","5451.00","N/A","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00"
"5","N/A","HCHG SIGMOIDOSCOPY W PLACEMENT STENT","45347","N/A","N/A","N/A","N/A","N/A","5451.00","5451.00","N/A","N/A","N/A","5451.00","5451.00","N/A","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00"
"5","N/A","SIGMOIDOSCOPY W/PLCMT STENT","45347","N/A","N/A","N/A","N/A","N/A","5451.00","5451.00","N/A","N/A","N/A","5451.00","5451.00","N/A","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00","5451.00"
"5","N/A","HCHG SIGMOIDOSCOPY W RESECTION","45349","N/A","N/A","N/A","N/A","N/A","9683.82","9683.82","N/A","N/A","N/A","9683.82","9683.82","N/A","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82"
"5","N/A","SIGMOIDOSCOPY W/RESECTION","45349","N/A","N/A","N/A","N/A","N/A","9683.82","9683.82","N/A","N/A","N/A","9683.82","9683.82","N/A","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82","9683.82"
"5","N/A","HCHG SIGMOIDOSCOPY W BAND LIGATION","45350","N/A","N/A","N/A","N/A","N/A","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","SGMDSC W/BAND LIGATION","45350","N/A","N/A","N/A","N/A","89136.64","2627.00","2627.00","N/A","N/A","N/A","2627.00","2627.00","N/A","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00","2627.00"
"5","N/A","DIAGNOSTIC COLONOSCOPY","45378","N/A","N/A","N/A","N/A","N/A","6274.27","6274.27","N/A","N/A","N/A","6274.27","6274.27","N/A","6274.27","6274.27","6274.27","6274.27","6274.27","6274.27","6274.27","6274.27","6274.27","6274.27"
"5","N/A","COLONOSCOPY W/FB REMOVAL","45379","N/A","N/A","N/A","N/A","N/A","9036.06","9036.06","N/A","N/A","N/A","9036.06","9036.06","N/A","9036.06","9036.06","9036.06","9036.06","9036.06","9036.06","9036.06","9036.06","9036.06","9036.06"
"5","N/A","COLONOSCOPY AND BIOPSY","45380","N/A","N/A","N/A","N/A","N/A","7575.55","7575.55","N/A","N/A","N/A","7575.55","7575.55","N/A","7575.55","7575.55","7575.55","7575.55","7575.55","7575.55","7575.55","7575.55","7575.55","7575.55"
"5","N/A","COLONOSCOPY SUBMUCOUS NJX","45381","N/A","N/A","N/A","N/A","N/A","8779.34","8779.34","N/A","N/A","N/A","8779.34","8779.34","N/A","8779.34","8779.34","8779.34","8779.34","8779.34","8779.34","8779.34","8779.34","8779.34","8779.34"
"5","N/A","COLONOSCOPY W/CONTROL BLEED","45382","N/A","N/A","N/A","N/A","N/A","15189.73","15189.73","N/A","N/A","N/A","15189.73","15189.73","N/A","15189.73","15189.73","15189.73","15189.73","15189.73","15189.73","15189.73","15189.73","15189.73","15189.73"
"5","N/A","COLONOSCOPY W/LESION REMOVAL","45384","N/A","N/A","N/A","N/A","52061.70","7888.21","7888.21","N/A","N/A","N/A","7888.21","7888.21","N/A","7888.21","7888.21","7888.21","7888.21","7888.21","7888.21","7888.21","7888.21","7888.21","7888.21"
"5","N/A","COLONOSCOPY W/LESION REMOVAL","45385","N/A","N/A","N/A","N/A","52061.70","7882.34","7882.34","N/A","N/A","N/A","7882.34","7882.34","N/A","7882.34","7882.34","7882.34","7882.34","7882.34","7882.34","7882.34","7882.34","7882.34","7882.34"
"5","N/A","COLONOSCOPY W/BALLOON DILAT","45386","N/A","N/A","N/A","N/A","N/A","6513.51","6513.51","N/A","N/A","N/A","6513.51","6513.51","N/A","6513.51","6513.51","6513.51","6513.51","6513.51","6513.51","6513.51","6513.51","6513.51","6513.51"
"5","N/A","COLONOSCOPY W/ABLATION","45388","N/A","N/A","N/A","N/A","N/A","9296.77","9296.77","N/A","N/A","N/A","9296.77","9296.77","N/A","9296.77","9296.77","9296.77","9296.77","9296.77","9296.77","9296.77","9296.77","9296.77","9296.77"
"5","N/A","COLONOSCOPY W/RESECTION","45390","N/A","N/A","N/A","N/A","N/A","10678.89","10678.89","N/A","N/A","N/A","10678.89","10678.89","N/A","10678.89","10678.89","10678.89","10678.89","10678.89","10678.89","10678.89","10678.89","10678.89","10678.89"
"5","N/A","COLONOSCOPY W/ENDOSCOPE US","45391","N/A","N/A","N/A","N/A","N/A","7603.41","7603.41","N/A","N/A","N/A","7603.41","7603.41","N/A","7603.41","7603.41","7603.41","7603.41","7603.41","7603.41","7603.41","7603.41","7603.41","7603.41"
"5","N/A","COLONOSCOPY W/ENDOSCOPIC FNB","45392","N/A","N/A","N/A","N/A","N/A","14603.58","14603.58","N/A","N/A","N/A","14603.58","14603.58","N/A","14603.58","14603.58","14603.58","14603.58","14603.58","14603.58","14603.58","14603.58","14603.58","14603.58"
"5","N/A","HCHG UNLISTED PROCEDURE COLON IVR","45399","N/A","N/A","N/A","N/A","N/A","1943.00","1943.00","N/A","N/A","N/A","1943.00","1943.00","N/A","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00"
"5","N/A","UNLISTED PROCEDURE COLON","45399","N/A","N/A","N/A","N/A","196549.82","1943.00","1943.00","N/A","N/A","N/A","1943.00","1943.00","N/A","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00","1943.00"
"5","N/A","REPAIR OF RECTUM","45500","N/A","N/A","N/A","N/A","51130.71","10923.04","10923.04","N/A","N/A","N/A","10923.04","10923.04","N/A","10923.04","10923.04","10923.04","10923.04","10923.04","10923.04","10923.04","10923.04","10923.04","10923.04"
"5","N/A","REPAIR OF RECTUM","45505","N/A","N/A","N/A","N/A","51130.71","13348.93","13348.93","N/A","N/A","N/A","13348.93","13348.93","N/A","13348.93","13348.93","13348.93","13348.93","13348.93","13348.93","13348.93","13348.93","13348.93","13348.93"
"5","N/A","CORRECT RECTAL PROLAPSE","45541","N/A","N/A","N/A","N/A","35974.72","10680.31","10680.31","N/A","N/A","N/A","10680.31","10680.31","N/A","10680.31","10680.31","10680.31","10680.31","10680.31","10680.31","10680.31","10680.31","10680.31","10680.31"
"5","N/A","REPAIR OF RECTOCELE","45560","N/A","N/A","N/A","N/A","29360.81","28436.58","28436.58","N/A","N/A","N/A","28436.58","28436.58","N/A","28436.58","28436.58","28436.58","28436.58","28436.58","28436.58","28436.58","28436.58","28436.58","28436.58"
"5","N/A","HCHG REDUCTION OF PROCIDENTIA UNDER ANESTH","45900","N/A","N/A","N/A","N/A","N/A","29508.31","29508.31","N/A","N/A","N/A","29508.31","29508.31","N/A","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31"
"5","N/A","REDUCTION OF RECTAL PROLAPSE","45900","N/A","N/A","N/A","N/A","N/A","29508.31","29508.31","N/A","N/A","N/A","29508.31","29508.31","N/A","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31","29508.31"
"5","N/A","DILATION OF ANAL SPHINCTER","45905","N/A","N/A","N/A","N/A","N/A","12292.53","12292.53","N/A","N/A","N/A","12292.53","12292.53","N/A","12292.53","12292.53","12292.53","12292.53","12292.53","12292.53","12292.53","12292.53","12292.53","12292.53"
"5","N/A","DILATION OF RECTAL NARROWING","45910","N/A","N/A","N/A","N/A","N/A","15340.99","15340.99","N/A","N/A","N/A","15340.99","15340.99","N/A","15340.99","15340.99","15340.99","15340.99","15340.99","15340.99","15340.99","15340.99","15340.99","15340.99"
"5","N/A","HCHG REMOVAL OF FECAL IMPACT OR FB","45915","N/A","N/A","N/A","N/A","N/A","13342.60","13342.60","N/A","N/A","N/A","13342.60","13342.60","N/A","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60"
"5","N/A","REMOVE RECTAL OBSTRUCTION","45915","N/A","N/A","N/A","N/A","N/A","13342.60","13342.60","N/A","N/A","N/A","13342.60","13342.60","N/A","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60","13342.60"
"5","N/A","HCHG SURG DX EXAM ANORECTAL","45990","N/A","N/A","N/A","N/A","N/A","10851.33","10851.33","N/A","N/A","N/A","10851.33","10851.33","N/A","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33"
"5","N/A","SURG DX EXAM ANORECTAL","45990","N/A","N/A","N/A","N/A","N/A","10851.33","10851.33","N/A","N/A","N/A","10851.33","10851.33","N/A","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33","10851.33"
"5","N/A","PLACEMENT OF SETON","46020","N/A","N/A","N/A","N/A","451863.13","11551.15","11551.15","N/A","N/A","N/A","11551.15","11551.15","N/A","11551.15","11551.15","11551.15","11551.15","11551.15","11551.15","11551.15","11551.15","11551.15","11551.15"
"5","N/A","REMOVAL OF RECTAL MARKER","46030","N/A","N/A","N/A","N/A","N/A","9177.81","9177.81","N/A","N/A","N/A","9177.81","9177.81","N/A","9177.81","9177.81","9177.81","9177.81","9177.81","9177.81","9177.81","9177.81","9177.81","9177.81"
"5","N/A","HCHG INCISION OF RECTAL ABSCESS","46040","N/A","N/A","N/A","N/A","N/A","15403.60","15403.60","N/A","N/A","N/A","15403.60","15403.60","N/A","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60"
"5","N/A","INCISION OF RECTAL ABSCESS","46040","N/A","N/A","N/A","N/A","23275.10","15403.60","15403.60","N/A","N/A","N/A","15403.60","15403.60","N/A","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60","15403.60"
"5","N/A","INCISION OF RECTAL ABSCESS","46045","N/A","N/A","N/A","N/A","23275.10","10086.96","10086.96","N/A","N/A","N/A","10086.96","10086.96","N/A","10086.96","10086.96","10086.96","10086.96","10086.96","10086.96","10086.96","10086.96","10086.96","10086.96"
"5","N/A","INCISION OF ANAL ABSCESS","46050","N/A","N/A","N/A","N/A","23275.10","21492.58","21492.58","N/A","N/A","N/A","21492.58","21492.58","N/A","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58"
"5","N/A","HCHG I&D PERIANAL ABSCESS SUPERFIC","46050","N/A","N/A","N/A","N/A","N/A","21492.58","21492.58","N/A","N/A","N/A","21492.58","21492.58","N/A","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58","21492.58"
"5","N/A","HCHG I&D; ISCHIORECTAL","46060","N/A","N/A","N/A","N/A","N/A","10960.91","10960.91","N/A","N/A","N/A","10960.91","10960.91","N/A","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91"
"5","N/A","INCISION OF RECTAL ABSCESS","46060","N/A","N/A","N/A","N/A","38873.19","10960.91","10960.91","N/A","N/A","N/A","10960.91","10960.91","N/A","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91","10960.91"
"5","N/A","INCISION OF ANAL SPHINCTER","46080","N/A","N/A","N/A","N/A","N/A","8990.69","8990.69","N/A","N/A","N/A","8990.69","8990.69","N/A","8990.69","8990.69","8990.69","8990.69","8990.69","8990.69","8990.69","8990.69","8990.69","8990.69"
"5","N/A","HCHG INCISION THROMBOSED HEMORRHOID","46083","N/A","N/A","N/A","N/A","N/A","727.00","727.00","N/A","N/A","N/A","727.00","727.00","N/A","727.00","727.00","727.00","727.00","727.00","727.00","727.00","727.00","727.00","727.00"
"5","N/A","INCISE EXTERNAL HEMORRHOID","46083","N/A","N/A","N/A","N/A","63958.45","727.00","727.00","N/A","N/A","N/A","727.00","727.00","N/A","727.00","727.00","727.00","727.00","727.00","727.00","727.00","727.00","727.00","727.00"
"5","N/A","REMOVAL OF ANAL FISSURE","46200","N/A","N/A","N/A","N/A","N/A","9276.50","9276.50","N/A","N/A","N/A","9276.50","9276.50","N/A","9276.50","9276.50","9276.50","9276.50","9276.50","9276.50","9276.50","9276.50","9276.50","9276.50"
"5","N/A","EXCISE ANAL EXT TAG/PAPILLA","46220","N/A","N/A","N/A","N/A","N/A","8990.31","8990.31","N/A","N/A","N/A","8990.31","8990.31","N/A","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31"
"5","N/A","HCHG EXCISE ANAL EXT TAG PAPILLA","46220","N/A","N/A","N/A","N/A","N/A","8990.31","8990.31","N/A","N/A","N/A","8990.31","8990.31","N/A","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31","8990.31"
"5","N/A","HCHG LIGATION EXT HEMORRHOID","46221","N/A","N/A","N/A","N/A","N/A","2219.00","2219.00","N/A","N/A","N/A","2219.00","2219.00","N/A","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00"
"5","N/A","HCHG LIGATION OF HEHORRHOIDS","46221","N/A","N/A","N/A","N/A","N/A","2219.00","2219.00","N/A","N/A","N/A","2219.00","2219.00","N/A","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00"
"5","N/A","LIGATION OF HEMORRHOID(S)","46221","N/A","N/A","N/A","N/A","N/A","2219.00","2219.00","N/A","N/A","N/A","2219.00","2219.00","N/A","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00","2219.00"
"5","N/A","HCHG REMOVAL OF ANAL TAGS","46230","N/A","N/A","N/A","N/A","N/A","6810.00","6810.00","N/A","N/A","N/A","6810.00","6810.00","N/A","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00"
"5","N/A","REMOVAL OF ANAL TAGS","46230","N/A","N/A","N/A","N/A","N/A","6810.00","6810.00","N/A","N/A","N/A","6810.00","6810.00","N/A","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00","6810.00"
"5","N/A","REMOVE EXT HEM GROUPS 2+","46250","N/A","N/A","N/A","N/A","63958.45","13341.67","13341.67","N/A","N/A","N/A","13341.67","13341.67","N/A","13341.67","13341.67","13341.67","13341.67","13341.67","13341.67","13341.67","13341.67","13341.67","13341.67"
"5","N/A","REMOVE INT/EXT HEM 1 GROUP","46255","N/A","N/A","N/A","N/A","63958.45","9832.87","9832.87","N/A","N/A","N/A","9832.87","9832.87","N/A","9832.87","9832.87","9832.87","9832.87","9832.87","9832.87","9832.87","9832.87","9832.87","9832.87"
"5","N/A","REMOVE IN/EX HEM GRP & FISS","46257","N/A","N/A","N/A","N/A","63958.45","8876.86","8876.86","N/A","N/A","N/A","8876.86","8876.86","N/A","8876.86","8876.86","8876.86","8876.86","8876.86","8876.86","8876.86","8876.86","8876.86","8876.86"
"5","N/A","REMOVE IN/EX HEM GRP W/FISTU","46258","N/A","N/A","N/A","N/A","63958.45","8543.77","8543.77","N/A","N/A","N/A","8543.77","8543.77","N/A","8543.77","8543.77","8543.77","8543.77","8543.77","8543.77","8543.77","8543.77","8543.77","8543.77"
"5","N/A","REMOVE IN/EX HEM GROUPS 2+","46260","N/A","N/A","N/A","N/A","63958.45","11730.98","11730.98","N/A","N/A","N/A","11730.98","11730.98","N/A","11730.98","11730.98","11730.98","11730.98","11730.98","11730.98","11730.98","11730.98","11730.98","11730.98"
"5","N/A","REMOVE IN/EX HEM GRPS & FISS","46261","N/A","N/A","N/A","N/A","63958.45","7950.72","7950.72","N/A","N/A","N/A","7950.72","7950.72","N/A","7950.72","7950.72","7950.72","7950.72","7950.72","7950.72","7950.72","7950.72","7950.72","7950.72"
"5","N/A","REMOVE ANAL FIST SUBQ","46270","N/A","N/A","N/A","N/A","N/A","9847.29","9847.29","N/A","N/A","N/A","9847.29","9847.29","N/A","9847.29","9847.29","9847.29","9847.29","9847.29","9847.29","9847.29","9847.29","9847.29","9847.29"
"5","N/A","REMOVE ANAL FIST INTER","46275","N/A","N/A","N/A","N/A","N/A","9958.36","9958.36","N/A","N/A","N/A","9958.36","9958.36","N/A","9958.36","9958.36","9958.36","9958.36","9958.36","9958.36","9958.36","9958.36","9958.36","9958.36"
"5","N/A","REMOVE ANAL FIST COMPLEX","46280","N/A","N/A","N/A","N/A","N/A","14371.26","14371.26","N/A","N/A","N/A","14371.26","14371.26","N/A","14371.26","14371.26","14371.26","14371.26","14371.26","14371.26","14371.26","14371.26","14371.26","14371.26"
"5","N/A","REMOVE ANAL FIST 2 STAGE","46285","N/A","N/A","N/A","N/A","N/A","8890.96","8890.96","N/A","N/A","N/A","8890.96","8890.96","N/A","8890.96","8890.96","8890.96","8890.96","8890.96","8890.96","8890.96","8890.96","8890.96","8890.96"
"5","N/A","REPAIR ANAL FISTULA","46288","N/A","N/A","N/A","N/A","N/A","11830.89","11830.89","N/A","N/A","N/A","11830.89","11830.89","N/A","11830.89","11830.89","11830.89","11830.89","11830.89","11830.89","11830.89","11830.89","11830.89","11830.89"
"5","N/A","HCHG ENUCLEATE/EXCISE HEMORRHOID","46320","N/A","N/A","N/A","N/A","N/A","12779.98","12779.98","N/A","N/A","N/A","12779.98","12779.98","N/A","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98"
"5","N/A","HCHG REMOVAL OF HEMORRHOID CLOT","46320","N/A","N/A","N/A","N/A","N/A","12779.98","12779.98","N/A","N/A","N/A","12779.98","12779.98","N/A","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98"
"5","N/A","REMOVAL OF HEMORRHOID CLOT","46320","N/A","N/A","N/A","N/A","63958.45","12779.98","12779.98","N/A","N/A","N/A","12779.98","12779.98","N/A","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98","12779.98"
"5","N/A","CHEMODENERVATION ANAL MUSC","46505","N/A","N/A","N/A","N/A","N/A","8159.17","8159.17","N/A","N/A","N/A","8159.17","8159.17","N/A","8159.17","8159.17","8159.17","8159.17","8159.17","8159.17","8159.17","8159.17","8159.17","8159.17"
"5","N/A","DIAGNOSTIC ANOSCOPY SPX","46600","N/A","N/A","N/A","N/A","N/A","10713.76","10713.76","N/A","N/A","N/A","10713.76","10713.76","N/A","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76"
"5","N/A","HCHG ANOSCOPY DX","46600","N/A","N/A","N/A","N/A","N/A","10713.76","10713.76","N/A","N/A","N/A","10713.76","10713.76","N/A","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76","10713.76"
"5","N/A","ANOSCOPY AND BIOPSY","46606","N/A","N/A","N/A","N/A","N/A","9114.39","9114.39","N/A","N/A","N/A","9114.39","9114.39","N/A","9114.39","9114.39","9114.39","9114.39","9114.39","9114.39","9114.39","9114.39","9114.39","9114.39"
"5","N/A","ANOSCOPY REMOVE FOR BODY","46608","N/A","N/A","N/A","N/A","N/A","2428.00","2428.00","N/A","N/A","N/A","2428.00","2428.00","N/A","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00"
"5","N/A","HCHG ANOSCOPY W FB REMOVE","46608","N/A","N/A","N/A","N/A","N/A","2428.00","2428.00","N/A","N/A","N/A","2428.00","2428.00","N/A","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00"
"5","N/A","ANOSCOPY CONTROL BLEEDING","46614","N/A","N/A","N/A","N/A","N/A","2428.00","2428.00","N/A","N/A","N/A","2428.00","2428.00","N/A","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00"
"5","N/A","HCHG ANOSCOPY W CONTROL OF BLEEDING","46614","N/A","N/A","N/A","N/A","N/A","2428.00","2428.00","N/A","N/A","N/A","2428.00","2428.00","N/A","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00","2428.00"
"5","N/A","ANOSCOPY","46615","N/A","N/A","N/A","N/A","N/A","10002.34","10002.34","N/A","N/A","N/A","10002.34","10002.34","N/A","10002.34","10002.34","10002.34","10002.34","10002.34","10002.34","10002.34","10002.34","10002.34","10002.34"
"5","N/A","REPAIR OF ANAL STRICTURE","46700","N/A","N/A","N/A","N/A","N/A","16277.64","16277.64","N/A","N/A","N/A","16277.64","16277.64","N/A","16277.64","16277.64","16277.64","16277.64","16277.64","16277.64","16277.64","16277.64","16277.64","16277.64"
"5","N/A","REPR OF ANAL FISTULA W/GLUE","46706","N/A","N/A","N/A","N/A","N/A","13075.79","13075.79","N/A","N/A","N/A","13075.79","13075.79","N/A","13075.79","13075.79","13075.79","13075.79","13075.79","13075.79","13075.79","13075.79","13075.79","13075.79"
"5","N/A","DESTRUCTION ANAL LESION(S)","46900","N/A","N/A","N/A","N/A","N/A","9219.55","9219.55","N/A","N/A","N/A","9219.55","9219.55","N/A","9219.55","9219.55","9219.55","9219.55","9219.55","9219.55","9219.55","9219.55","9219.55","9219.55"
"5","N/A","DESTRUCTION ANAL LESION(S)","46910","N/A","N/A","N/A","N/A","N/A","11084.94","11084.94","N/A","N/A","N/A","11084.94","11084.94","N/A","11084.94","11084.94","11084.94","11084.94","11084.94","11084.94","11084.94","11084.94","11084.94","11084.94"
"5","N/A","EXCISION OF ANAL LESION(S)","46922","N/A","N/A","N/A","N/A","N/A","11212.51","11212.51","N/A","N/A","N/A","11212.51","11212.51","N/A","11212.51","11212.51","11212.51","11212.51","11212.51","11212.51","11212.51","11212.51","11212.51","11212.51"
"5","N/A","DESTRUCTION ANAL LESION(S)","46924","N/A","N/A","N/A","N/A","N/A","9590.55","9590.55","N/A","N/A","N/A","9590.55","9590.55","N/A","9590.55","9590.55","9590.55","9590.55","9590.55","9590.55","9590.55","9590.55","9590.55","9590.55"
"5","N/A","DESTROY INTERNAL HEMORRHOIDS","46930","N/A","N/A","N/A","N/A","N/A","6984.30","6984.30","N/A","N/A","N/A","6984.30","6984.30","N/A","6984.30","6984.30","6984.30","6984.30","6984.30","6984.30","6984.30","6984.30","6984.30","6984.30"
"5","N/A","INT HRHC LIG 1 HROID W/O IMG","46945","N/A","N/A","N/A","N/A","70688.62","11016.94","11016.94","N/A","N/A","N/A","11016.94","11016.94","N/A","11016.94","11016.94","11016.94","11016.94","11016.94","11016.94","11016.94","11016.94","11016.94","11016.94"
"5","N/A","INT HRHC LIG 2+HROID W/O IMG","46946","N/A","N/A","N/A","N/A","70688.62","12875.71","12875.71","N/A","N/A","N/A","12875.71","12875.71","N/A","12875.71","12875.71","12875.71","12875.71","12875.71","12875.71","12875.71","12875.71","12875.71","12875.71"
"5","N/A","HEMORRHOIDOPEXY BY STAPLING","46947","N/A","N/A","N/A","N/A","N/A","11142.53","11142.53","N/A","N/A","N/A","11142.53","11142.53","N/A","11142.53","11142.53","11142.53","11142.53","11142.53","11142.53","11142.53","11142.53","11142.53","11142.53"
"5","N/A","INT HRHC TRANAL DARTLZJ 2+","46948","N/A","N/A","N/A","N/A","70688.62","10932.59","10932.59","N/A","N/A","N/A","10932.59","10932.59","N/A","10932.59","10932.59","10932.59","10932.59","10932.59","10932.59","10932.59","10932.59","10932.59","10932.59"
"5","N/A","ANUS SURGERY PROCEDURE","46999","N/A","N/A","N/A","N/A","88527.76","13452.43","13452.43","N/A","N/A","N/A","13452.43","13452.43","N/A","13452.43","13452.43","13452.43","13452.43","13452.43","13452.43","13452.43","13452.43","13452.43","13452.43"
"5","N/A","HCHG BX LIVER NDL","47000","N/A","N/A","N/A","N/A","N/A","7688.25","7688.25","N/A","N/A","N/A","7688.25","7688.25","N/A","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25"
"5","N/A","HCHG BX OF LIVER PERCUT","47000","N/A","N/A","N/A","N/A","N/A","7688.25","7688.25","N/A","N/A","N/A","7688.25","7688.25","N/A","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25"
"5","N/A","HCHG PERC BX LIVER","47000","N/A","N/A","N/A","N/A","N/A","7688.25","7688.25","N/A","N/A","N/A","7688.25","7688.25","N/A","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25"
"5","N/A","NEEDLE BIOPSY OF LIVER","47000","N/A","N/A","N/A","N/A","N/A","7688.25","7688.25","N/A","N/A","N/A","7688.25","7688.25","N/A","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25","7688.25"
"5","N/A","HCHG BX LIVER W TIPS","47001","N/A","N/A","N/A","N/A","N/A","272.00","272.00","N/A","N/A","N/A","272.00","272.00","N/A","272.00","272.00","272.00","272.00","272.00","272.00","272.00","272.00","272.00","272.00"
"5","N/A","NEEDLE BIOPSY LIVER ADD-ON","47001","N/A","N/A","N/A","N/A","N/A","272.00","272.00","N/A","N/A","N/A","272.00","272.00","N/A","272.00","272.00","272.00","272.00","272.00","272.00","272.00","272.00","272.00","272.00"
"5","N/A","LAPAROSCOPE PROCEDURE LIVER","47379","N/A","N/A","N/A","N/A","50659.59","24426.39","24426.39","N/A","N/A","N/A","24426.39","24426.39","N/A","24426.39","24426.39","24426.39","24426.39","24426.39","24426.39","24426.39","24426.39","24426.39","24426.39"
"5","N/A","PERCUT ABLATE LIVER RF","47382","N/A","N/A","N/A","N/A","53415.26","16790.22","16790.22","N/A","N/A","N/A","16790.22","16790.22","N/A","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22"
"5","N/A","HCHG CT RF ABLATION LIVER","47382","N/A","N/A","N/A","N/A","N/A","16790.22","16790.22","N/A","N/A","N/A","16790.22","16790.22","N/A","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22","16790.22"
"5","N/A","HCHG CT UNLISTED PROCEDURE LIVER","47399","N/A","N/A","N/A","N/A","N/A","7068.00","7068.00","N/A","N/A","N/A","7068.00","7068.00","N/A","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00"
"5","N/A","LIVER SURGERY PROCEDURE","47399","N/A","N/A","N/A","N/A","15238.73","7068.00","7068.00","N/A","N/A","N/A","7068.00","7068.00","N/A","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00","7068.00"
"5","N/A","HCHG PERC CHOLESYSTOSTOMY","47490","N/A","N/A","N/A","N/A","N/A","16475.85","16475.85","N/A","N/A","N/A","16475.85","16475.85","N/A","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85"
"5","N/A","INCISION OF GALLBLADDER","47490","N/A","N/A","N/A","N/A","N/A","16475.85","16475.85","N/A","N/A","N/A","16475.85","16475.85","N/A","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85","16475.85"
"5","N/A","INJECTION FOR CHOLANGIOGRAM","47531","N/A","N/A","N/A","N/A","N/A","4442.14","4442.14","N/A","N/A","N/A","4442.14","4442.14","N/A","4442.14","4442.14","4442.14","4442.14","4442.14","4442.14","4442.14","4442.14","4442.14","4442.14"
"5","N/A","PLMT BILIARY DRAINAGE CATH","47533","N/A","N/A","N/A","N/A","N/A","15943.78","15943.78","N/A","N/A","N/A","15943.78","15943.78","N/A","15943.78","15943.78","15943.78","15943.78","15943.78","15943.78","15943.78","15943.78","15943.78","15943.78"
"5","N/A","PLMT BILIARY DRAINAGE CATH","47534","N/A","N/A","N/A","N/A","N/A","14537.99","14537.99","N/A","N/A","N/A","14537.99","14537.99","N/A","14537.99","14537.99","14537.99","14537.99","14537.99","14537.99","14537.99","14537.99","14537.99","14537.99"
"5","N/A","HCHG CONVERSION EXTERNAL BILIARY DRAINAGE CATHETER","47535","N/A","N/A","N/A","N/A","N/A","13115.71","13115.71","N/A","N/A","N/A","13115.71","13115.71","N/A","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71"
"5","N/A","CONVERSION EXT BIL DRG CATH","47535","N/A","N/A","N/A","N/A","104734.16","13115.71","13115.71","N/A","N/A","N/A","13115.71","13115.71","N/A","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71","13115.71"
"5","N/A","EXCHANGE BILIARY DRG CATH","47536","N/A","N/A","N/A","N/A","104734.16","10201.75","10201.75","N/A","N/A","N/A","10201.75","10201.75","N/A","10201.75","10201.75","10201.75","10201.75","10201.75","10201.75","10201.75","10201.75","10201.75","10201.75"
"5","N/A","REMOVAL BILIARY DRG CATH","47537","N/A","N/A","N/A","N/A","79373.74","1446.72","1446.72","N/A","N/A","N/A","1446.72","1446.72","N/A","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72"
"5","N/A","HCHG REMOVAL BILIARY DRAINAGE CATHETER","47537","N/A","N/A","N/A","N/A","N/A","1446.72","1446.72","N/A","N/A","N/A","1446.72","1446.72","N/A","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72","1446.72"
"5","N/A","HCHG PERQ PLMT BILE DUCT STENT EXIST ACC","47538","N/A","N/A","N/A","N/A","N/A","20837.77","20837.77","N/A","N/A","N/A","20837.77","20837.77","N/A","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77"
"5","N/A","PERQ PLMT BILE DUCT STENT","47538","N/A","N/A","N/A","N/A","N/A","20837.77","20837.77","N/A","N/A","N/A","20837.77","20837.77","N/A","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77","20837.77"
"5","N/A","HCHG PERQ PLMT BILE DUCT STENT NEW ACC WO SEPARATE PLMT","47539","N/A","N/A","N/A","N/A","N/A","11787.00","11787.00","N/A","N/A","N/A","11787.00","11787.00","N/A","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00"
"5","N/A","PERQ PLMT BILE DUCT STENT","47539","N/A","N/A","N/A","N/A","N/A","11787.00","11787.00","N/A","N/A","N/A","11787.00","11787.00","N/A","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00"
"5","N/A","HCHG PERQ PLMT BILE DUCT STENT NEW ACC W SEPARATE PLMT","47540","N/A","N/A","N/A","N/A","N/A","11787.00","11787.00","N/A","N/A","N/A","11787.00","11787.00","N/A","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00"
"5","N/A","PERQ PLMT BILE DUCT STENT","47540","N/A","N/A","N/A","N/A","N/A","11787.00","11787.00","N/A","N/A","N/A","11787.00","11787.00","N/A","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00","11787.00"
"5","N/A","DILATE BILIARY DUCT/AMPULLA","47542","N/A","N/A","N/A","N/A","N/A","4007.00","4007.00","N/A","N/A","N/A","4007.00","4007.00","N/A","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00"
"5","N/A","HCHG DILATE BILIARY DUCT/AMPULLA","47542","N/A","N/A","N/A","N/A","N/A","4007.00","4007.00","N/A","N/A","N/A","4007.00","4007.00","N/A","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00","4007.00"
"5","N/A","ENDOLUMINAL BX BILIARY TREE","47543","N/A","N/A","N/A","N/A","N/A","2135.00","2135.00","N/A","N/A","N/A","2135.00","2135.00","N/A","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00"
"5","N/A","HCHG ENDOLUMINAL BX BILIARY TREE","47543","N/A","N/A","N/A","N/A","N/A","2135.00","2135.00","N/A","N/A","N/A","2135.00","2135.00","N/A","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00","2135.00"
"5","N/A","HCHG REMOVAL OF CALCULI/DEBRIS FROM BILIARY DUCT/GALLBLADDER","47544","N/A","N/A","N/A","N/A","N/A","14996.11","14996.11","N/A","N/A","N/A","14996.11","14996.11","N/A","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11"
"5","N/A","REMOVAL DUCT GLBLDR CALCULI","47544","N/A","N/A","N/A","N/A","N/A","14996.11","14996.11","N/A","N/A","N/A","14996.11","14996.11","N/A","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11","14996.11"
"5","N/A","BILIARY ENDOSCOPY THRU SKIN","47554","N/A","N/A","N/A","N/A","N/A","36890.27","36890.27","N/A","N/A","N/A","36890.27","36890.27","N/A","36890.27","36890.27","36890.27","36890.27","36890.27","36890.27","36890.27","36890.27","36890.27","36890.27"
"5","N/A","LAPAROSCOPIC CHOLECYSTECTOMY","47562","N/A","N/A","N/A","N/A","57048.46","20862.35","20862.35","N/A","N/A","N/A","20862.35","20862.35","N/A","20862.35","20862.35","20862.35","20862.35","20862.35","20862.35","20862.35","20862.35","20862.35","20862.35"
"5","N/A","LAPARO CHOLECYSTECTOMY/GRAPH","47563","N/A","N/A","N/A","N/A","56357.74","21317.51","21317.51","N/A","N/A","N/A","21317.51","21317.51","N/A","21317.51","21317.51","21317.51","21317.51","21317.51","21317.51","21317.51","21317.51","21317.51","21317.51"
"5","N/A","LAPARO CHOLECYSTECTOMY/EXPLR","47564","N/A","N/A","N/A","N/A","57056.52","30794.35","30794.35","N/A","N/A","N/A","30794.35","30794.35","N/A","30794.35","30794.35","30794.35","30794.35","30794.35","30794.35","30794.35","30794.35","30794.35","30794.35"
"5","N/A","LAPAROSCOPE PROC BILIARY","47579","N/A","N/A","N/A","N/A","37777.92","25681.16","25681.16","N/A","N/A","N/A","25681.16","25681.16","N/A","25681.16","25681.16","25681.16","25681.16","25681.16","25681.16","25681.16","25681.16","25681.16","25681.16"
"5","N/A","EXCISION OF BILE DUCT CYST","47715","N/A","N/A","N/A","N/A","66650.24","28544.92","28544.92","N/A","N/A","N/A","28544.92","28544.92","N/A","28544.92","28544.92","28544.92","28544.92","28544.92","28544.92","28544.92","28544.92","28544.92","28544.92"
"5","N/A","HCHG PERC BX PANCREAS","48102","N/A","N/A","N/A","N/A","N/A","6694.71","6694.71","N/A","N/A","N/A","6694.71","6694.71","N/A","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71"
"5","N/A","NEEDLE BIOPSY PANCREAS","48102","N/A","N/A","N/A","N/A","N/A","6694.71","6694.71","N/A","N/A","N/A","6694.71","6694.71","N/A","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71","6694.71"
"5","N/A","EXPLORATION OF ABDOMEN","49000","N/A","N/A","N/A","N/A","201383.91","72962.05","72962.05","N/A","N/A","N/A","72962.05","72962.05","N/A","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05","72962.05"
"5","N/A","ABD PARACENTESIS","49082","N/A","N/A","N/A","N/A","120106.47","2283.00","2283.00","N/A","N/A","N/A","2283.00","2283.00","N/A","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00"
"5","N/A","HCHG ABD PARACENTESIS","49082","N/A","N/A","N/A","N/A","N/A","2283.00","2283.00","N/A","N/A","N/A","2283.00","2283.00","N/A","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00"
"5","N/A","HCHG ABD PARACENTESIS DIAG/THERP;W/O IMG GUID","49082","N/A","N/A","N/A","N/A","N/A","2283.00","2283.00","N/A","N/A","N/A","2283.00","2283.00","N/A","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00","2283.00"
"5","N/A","ABD PARACENTESIS W/IMAGING","49083","N/A","N/A","N/A","N/A","N/A","2220.51","2220.51","N/A","N/A","N/A","2220.51","2220.51","N/A","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51"
"5","N/A","HCHG ABD PARACENTESIS DX/THER W/IMG GUID","49083","N/A","N/A","N/A","N/A","N/A","2220.51","2220.51","N/A","N/A","N/A","2220.51","2220.51","N/A","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51","2220.51"
"5","N/A","HCHG PERITONEAL LAVAGE, INCL IMG GUID","49084","N/A","N/A","N/A","N/A","N/A","1127.00","1127.00","N/A","N/A","N/A","1127.00","1127.00","N/A","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00"
"5","N/A","PERITONEAL LAVAGE","49084","N/A","N/A","N/A","N/A","N/A","1127.00","1127.00","N/A","N/A","N/A","1127.00","1127.00","N/A","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00","1127.00"
"5","N/A","BIOPSY ABDOMINAL MASS","49180","N/A","N/A","N/A","N/A","N/A","8579.74","8579.74","N/A","N/A","N/A","8579.74","8579.74","N/A","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74"
"5","N/A","HCHG PERC BX RETROP OR ABD","49180","N/A","N/A","N/A","N/A","N/A","8579.74","8579.74","N/A","N/A","N/A","8579.74","8579.74","N/A","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74","8579.74"
"5","N/A","HCHG SCLEROTX FLUID COLLECTION","49185","N/A","N/A","N/A","N/A","N/A","6195.55","6195.55","N/A","N/A","N/A","6195.55","6195.55","N/A","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55"
"5","N/A","SCLEROTX FLUID COLLECTION","49185","N/A","N/A","N/A","N/A","N/A","6195.55","6195.55","N/A","N/A","N/A","6195.55","6195.55","N/A","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55","6195.55"
"5","N/A","EXC ABD TUM 5 CM OR LESS","49203","N/A","N/A","N/A","N/A","62241.09","9265.32","9265.32","N/A","N/A","N/A","9265.32","9265.32","N/A","9265.32","9265.32","9265.32","9265.32","9265.32","9265.32","9265.32","9265.32","9265.32","9265.32"
"5","N/A","REMOVAL OF OMENTUM","49255","N/A","N/A","N/A","N/A","45049.82","18681.42","18681.42","N/A","N/A","N/A","18681.42","18681.42","N/A","18681.42","18681.42","18681.42","18681.42","18681.42","18681.42","18681.42","18681.42","18681.42","18681.42"
"5","N/A","DIAG LAPARO SEPARATE PROC","49320","N/A","N/A","N/A","N/A","124722.21","17245.61","17245.61","N/A","N/A","N/A","17245.61","17245.61","N/A","17245.61","17245.61","17245.61","17245.61","17245.61","17245.61","17245.61","17245.61","17245.61","17245.61"
"5","N/A","LAPAROSCOPY BIOPSY","49321","N/A","N/A","N/A","N/A","29585.92","16927.60","16927.60","N/A","N/A","N/A","16927.60","16927.60","N/A","16927.60","16927.60","16927.60","16927.60","16927.60","16927.60","16927.60","16927.60","16927.60","16927.60"
"5","N/A","LAPAROSCOPY ASPIRATION","49322","N/A","N/A","N/A","N/A","173520.53","18166.86","18166.86","N/A","N/A","N/A","18166.86","18166.86","N/A","18166.86","18166.86","18166.86","18166.86","18166.86","18166.86","18166.86","18166.86","18166.86","18166.86"
"5","N/A","LAP INSERT TUNNEL IP CATH","49324","N/A","N/A","N/A","N/A","N/A","10637.00","10637.00","N/A","N/A","N/A","10637.00","10637.00","N/A","10637.00","10637.00","10637.00","10637.00","10637.00","10637.00","10637.00","10637.00","10637.00","10637.00"
"5","N/A","LAP REVISION PERM IP CATH","49325","N/A","N/A","N/A","N/A","55250.79","10220.41","10220.41","N/A","N/A","N/A","10220.41","10220.41","N/A","10220.41","10220.41","10220.41","10220.41","10220.41","10220.41","10220.41","10220.41","10220.41","10220.41"
"5","N/A","LAP W/OMENTOPEXY ADD-ON","49326","N/A","N/A","N/A","N/A","24765.98","11407.05","11407.05","N/A","N/A","N/A","11407.05","11407.05","N/A","11407.05","11407.05","11407.05","11407.05","11407.05","11407.05","11407.05","11407.05","11407.05","11407.05"
"5","N/A","LAPARO PROC ABDM/PER/OMENT","49329","N/A","N/A","N/A","N/A","59975.22","29156.86","29156.86","N/A","N/A","N/A","29156.86","29156.86","N/A","29156.86","29156.86","29156.86","29156.86","29156.86","29156.86","29156.86","29156.86","29156.86","29156.86"
"5","N/A","HCHG IMAGE CATH FLUID COLXN PERQ VISC","49405","N/A","N/A","N/A","N/A","N/A","7087.29","7087.29","N/A","N/A","N/A","7087.29","7087.29","N/A","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29"
"5","N/A","IMAGE CATH FLUID COLXN VISC","49405","N/A","N/A","N/A","N/A","N/A","7087.29","7087.29","N/A","N/A","N/A","7087.29","7087.29","N/A","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29","7087.29"
"5","N/A","HCHG IMAGE CATH FLUID COLXN PERQ","49406","N/A","N/A","N/A","N/A","N/A","7986.62","7986.62","N/A","N/A","N/A","7986.62","7986.62","N/A","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62"
"5","N/A","IMAGE CATH FLUID PERI/RETRO","49406","N/A","N/A","N/A","N/A","N/A","7986.62","7986.62","N/A","N/A","N/A","7986.62","7986.62","N/A","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62","7986.62"
"5","N/A","HCHG IMAGE CATH FLUID COLXN PERQ TRNS/VGNL","49407","N/A","N/A","N/A","N/A","N/A","3878.00","3878.00","N/A","N/A","N/A","3878.00","3878.00","N/A","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00"
"5","N/A","IMAGE CATH FLUID TRNS/VGNL","49407","N/A","N/A","N/A","N/A","N/A","3878.00","3878.00","N/A","N/A","N/A","3878.00","3878.00","N/A","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00","3878.00"
"5","N/A","HCHG PLACEMENT OF GOLD FIDUCIAL MARKER","49411","N/A","N/A","N/A","N/A","N/A","4050.00","4050.00","N/A","N/A","N/A","4050.00","4050.00","N/A","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00"
"5","N/A","HCHG PLCMT OF INTERSTITL DEV FOR RAD THX GUID,PERC,INTRA ABDOM/PELVC AND/OR RETROPERITONEUM, SINGL/M","49411","N/A","N/A","N/A","N/A","N/A","4050.00","4050.00","N/A","N/A","N/A","4050.00","4050.00","N/A","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00"
"5","N/A","INS MARK ABD/PEL FOR RT PERQ","49411","N/A","N/A","N/A","N/A","N/A","4050.00","4050.00","N/A","N/A","N/A","4050.00","4050.00","N/A","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00","4050.00"
"5","N/A","HCHG INSERTION OF TUNNELED INTRAPERITONEAL CATH","49418","N/A","N/A","N/A","N/A","N/A","13444.11","13444.11","N/A","N/A","N/A","13444.11","13444.11","N/A","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11"
"5","N/A","INSERT TUN IP CATH PERC","49418","N/A","N/A","N/A","N/A","54673.67","13444.11","13444.11","N/A","N/A","N/A","13444.11","13444.11","N/A","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11","13444.11"
"5","N/A","INS TUN IP CATH FOR DIAL OPN","49421","N/A","N/A","N/A","N/A","105471.62","18374.83","18374.83","N/A","N/A","N/A","18374.83","18374.83","N/A","18374.83","18374.83","18374.83","18374.83","18374.83","18374.83","18374.83","18374.83","18374.83","18374.83"
"5","N/A","HCHG REMOVAL OF TUNNELED INTRAPERITONEAL CATH","49422","N/A","N/A","N/A","N/A","N/A","9568.12","9568.12","N/A","N/A","N/A","9568.12","9568.12","N/A","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12"
"5","N/A","HCHG RMV PERM INTRAPERITO CANN/CATH","49422","N/A","N/A","N/A","N/A","N/A","9568.12","9568.12","N/A","N/A","N/A","9568.12","9568.12","N/A","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12"
"5","N/A","REMOVE TUNNELED IP CATH","49422","N/A","N/A","N/A","N/A","N/A","9568.12","9568.12","N/A","N/A","N/A","9568.12","9568.12","N/A","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12","9568.12"
"5","N/A","EXCHANGE DRAINAGE CATHETER","49423","N/A","N/A","N/A","N/A","N/A","4200.82","4200.82","N/A","N/A","N/A","4200.82","4200.82","N/A","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82"
"5","N/A","HCHG EXCHANGE DRAIN CATH","49423","N/A","N/A","N/A","N/A","N/A","4200.82","4200.82","N/A","N/A","N/A","4200.82","4200.82","N/A","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82","4200.82"
"5","N/A","ASSESS CYST CONTRAST INJECT","49424","N/A","N/A","N/A","N/A","N/A","2502.09","2502.09","N/A","N/A","N/A","2502.09","2502.09","N/A","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09"
"5","N/A","HCHG ABSCESSOGRAM","49424","N/A","N/A","N/A","N/A","N/A","2502.09","2502.09","N/A","N/A","N/A","2502.09","2502.09","N/A","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09"
"5","N/A","HCHG CONTR INJ ABSC PREV CATH SEP P","49424","N/A","N/A","N/A","N/A","N/A","2502.09","2502.09","N/A","N/A","N/A","2502.09","2502.09","N/A","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09","2502.09"
"5","N/A","REVISE ABDOMEN-VENOUS SHUNT","49426","N/A","N/A","N/A","N/A","58561.73","12432.23","12432.23","N/A","N/A","N/A","12432.23","12432.23","N/A","12432.23","12432.23","12432.23","12432.23","12432.23","12432.23","12432.23","12432.23","12432.23","12432.23"
"5","N/A","EMBEDDED IP CATH EXIT-SITE","49436","N/A","N/A","N/A","N/A","55250.79","8422.54","8422.54","N/A","N/A","N/A","8422.54","8422.54","N/A","8422.54","8422.54","8422.54","8422.54","8422.54","8422.54","8422.54","8422.54","8422.54","8422.54"
"5","N/A","HCHG PERC INSERT G-TUBE W/FLUORO INCL CONTR","49440","N/A","N/A","N/A","N/A","N/A","7429.97","7429.97","N/A","N/A","N/A","7429.97","7429.97","N/A","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97"
"5","N/A","PLACE GASTROSTOMY TUBE PERC","49440","N/A","N/A","N/A","N/A","N/A","7429.97","7429.97","N/A","N/A","N/A","7429.97","7429.97","N/A","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97","7429.97"
"5","N/A","HCHG JEJUNOSTOMY (PERCUTANEOUS) INSERTION","49441","N/A","N/A","N/A","N/A","N/A","9070.55","9070.55","N/A","N/A","N/A","9070.55","9070.55","N/A","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55"
"5","N/A","PLACE DUOD/JEJ TUBE PERC","49441","N/A","N/A","N/A","N/A","N/A","9070.55","9070.55","N/A","N/A","N/A","9070.55","9070.55","N/A","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55","9070.55"
"5","N/A","HCHG CONV G TUBE TO GASTRO-JEJUNO, PERC","49446","N/A","N/A","N/A","N/A","N/A","9172.26","9172.26","N/A","N/A","N/A","9172.26","9172.26","N/A","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26"
"5","N/A","CHANGE G-TUBE TO G-J PERC","49446","N/A","N/A","N/A","N/A","230129.41","9172.26","9172.26","N/A","N/A","N/A","9172.26","9172.26","N/A","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26","9172.26"
"5","N/A","HCHG REPL GAST/CECO TUBE, PERC, FLUOR GUIDE","49450","N/A","N/A","N/A","N/A","N/A","1811.20","1811.20","N/A","N/A","N/A","1811.20","1811.20","N/A","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20"
"5","N/A","HCHG REPL GAST/CECO/OTHER TUBE, PERC, FLUORO GUIDE, INCL CONT INJ, IMAGE DOC/REPT","49450","N/A","N/A","N/A","N/A","N/A","1811.20","1811.20","N/A","N/A","N/A","1811.20","1811.20","N/A","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20"
"5","N/A","REPLACE G/C TUBE PERC","49450","N/A","N/A","N/A","N/A","N/A","1811.20","1811.20","N/A","N/A","N/A","1811.20","1811.20","N/A","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20","1811.20"
"5","N/A","HCHG REPL DUODEN/JEJUNO TUBE PERC UNDER FLUORO","49451","N/A","N/A","N/A","N/A","N/A","2727.08","2727.08","N/A","N/A","N/A","2727.08","2727.08","N/A","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08"
"5","N/A","HCHG REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ","49451","N/A","N/A","N/A","N/A","N/A","2727.08","2727.08","N/A","N/A","N/A","2727.08","2727.08","N/A","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08"
"5","N/A","REPLACE DUOD/JEJ TUBE PERC","49451","N/A","N/A","N/A","N/A","N/A","2727.08","2727.08","N/A","N/A","N/A","2727.08","2727.08","N/A","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08","2727.08"
"5","N/A","HCHG REPL GASTRO/JEJUNO TUBE PERC UNDER FLUORO","49452","N/A","N/A","N/A","N/A","N/A","3584.19","3584.19","N/A","N/A","N/A","3584.19","3584.19","N/A","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19"
"5","N/A","REPLACE G-J TUBE PERC","49452","N/A","N/A","N/A","N/A","N/A","3584.19","3584.19","N/A","N/A","N/A","3584.19","3584.19","N/A","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19","3584.19"
"5","N/A","FIX G/COLON TUBE W/DEVICE","49460","N/A","N/A","N/A","N/A","N/A","980.00","980.00","N/A","N/A","N/A","980.00","980.00","N/A","980.00","980.00","980.00","980.00","980.00","980.00","980.00","980.00","980.00","980.00"
"5","N/A","HCHG MECHANICAL REMV OBSTRUCT GASTRO/DUODENO/JEJUNO TUBE","49460","N/A","N/A","N/A","N/A","N/A","980.00","980.00","N/A","N/A","N/A","980.00","980.00","N/A","980.00","980.00","980.00","980.00","980.00","980.00","980.00","980.00","980.00","980.00"
"5","N/A","FLUORO EXAM OF G/COLON TUBE","49465","N/A","N/A","N/A","N/A","N/A","2684.85","2684.85","N/A","N/A","N/A","2684.85","2684.85","N/A","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85"
"5","N/A","HCHG CONTR INJ RAD EVAL EXIST GASTRO/DUODEN/JEJUNO/CECO TUBE","49465","N/A","N/A","N/A","N/A","N/A","2684.85","2684.85","N/A","N/A","N/A","2684.85","2684.85","N/A","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85","2684.85"
"5","N/A","PRP I/HERN INIT REDUC >5 YR","49505","N/A","N/A","N/A","N/A","48386.05","14719.76","14719.76","N/A","N/A","N/A","14719.76","14719.76","N/A","14719.76","14719.76","14719.76","14719.76","14719.76","14719.76","14719.76","14719.76","14719.76","14719.76"
"5","N/A","PRP I/HERN INIT BLOCK >5 YR","49507","N/A","N/A","N/A","N/A","48386.05","19272.55","19272.55","N/A","N/A","N/A","19272.55","19272.55","N/A","19272.55","19272.55","19272.55","19272.55","19272.55","19272.55","19272.55","19272.55","19272.55","19272.55"
"5","N/A","REREPAIR ING HERNIA REDUCE","49520","N/A","N/A","N/A","N/A","48386.05","16048.14","16048.14","N/A","N/A","N/A","16048.14","16048.14","N/A","16048.14","16048.14","16048.14","16048.14","16048.14","16048.14","16048.14","16048.14","16048.14","16048.14"
"5","N/A","REREPAIR ING HERNIA BLOCKED","49521","N/A","N/A","N/A","N/A","48386.05","22115.28","22115.28","N/A","N/A","N/A","22115.28","22115.28","N/A","22115.28","22115.28","22115.28","22115.28","22115.28","22115.28","22115.28","22115.28","22115.28","22115.28"
"5","N/A","REPAIR ING HERNIA SLIDING","49525","N/A","N/A","N/A","N/A","48386.05","12624.54","12624.54","N/A","N/A","N/A","12624.54","12624.54","N/A","12624.54","12624.54","12624.54","12624.54","12624.54","12624.54","12624.54","12624.54","12624.54","12624.54"
"5","N/A","RPR REM HERNIA INIT REDUCE","49550","N/A","N/A","N/A","N/A","36425.69","11961.06","11961.06","N/A","N/A","N/A","11961.06","11961.06","N/A","11961.06","11961.06","11961.06","11961.06","11961.06","11961.06","11961.06","11961.06","11961.06","11961.06"
"5","N/A","RPR FEM HERNIA INIT BLOCKED","49553","N/A","N/A","N/A","N/A","36425.69","16006.58","16006.58","N/A","N/A","N/A","16006.58","16006.58","N/A","16006.58","16006.58","16006.58","16006.58","16006.58","16006.58","16006.58","16006.58","16006.58","16006.58"
"5","N/A","RPR VENTRAL HERN INIT REDUC","49560","N/A","N/A","N/A","N/A","56838.05","14349.80","14349.80","N/A","N/A","N/A","14349.80","14349.80","N/A","14349.80","14349.80","14349.80","14349.80","14349.80","14349.80","14349.80","14349.80","14349.80","14349.80"
"5","N/A","RPR VENTRAL HERN INIT BLOCK","49561","N/A","N/A","N/A","N/A","56838.05","18286.15","18286.15","N/A","N/A","N/A","18286.15","18286.15","N/A","18286.15","18286.15","18286.15","18286.15","18286.15","18286.15","18286.15","18286.15","18286.15","18286.15"
"5","N/A","REREPAIR VENTRL HERN REDUCE","49565","N/A","N/A","N/A","N/A","56838.05","16436.38","16436.38","N/A","N/A","N/A","16436.38","16436.38","N/A","16436.38","16436.38","16436.38","16436.38","16436.38","16436.38","16436.38","16436.38","16436.38","16436.38"
"5","N/A","REREPAIR VENTRL HERN BLOCK","49566","N/A","N/A","N/A","N/A","56838.05","12702.83","12702.83","N/A","N/A","N/A","12702.83","12702.83","N/A","12702.83","12702.83","12702.83","12702.83","12702.83","12702.83","12702.83","12702.83","12702.83","12702.83"
"5","N/A","HERNIA REPAIR W/MESH","49568","N/A","N/A","N/A","N/A","60147.34","15060.77","15060.77","N/A","N/A","N/A","15060.77","15060.77","N/A","15060.77","15060.77","15060.77","15060.77","15060.77","15060.77","15060.77","15060.77","15060.77","15060.77"
"5","N/A","RPR EPIGASTRIC HERN REDUCE","49570","N/A","N/A","N/A","N/A","56838.05","13817.62","13817.62","N/A","N/A","N/A","13817.62","13817.62","N/A","13817.62","13817.62","13817.62","13817.62","13817.62","13817.62","13817.62","13817.62","13817.62","13817.62"
"5","N/A","RPR UMBIL HERN REDUC < 5 YR","49580","N/A","N/A","N/A","N/A","57773.03","13069.31","13069.31","N/A","N/A","N/A","13069.31","13069.31","N/A","13069.31","13069.31","13069.31","13069.31","13069.31","13069.31","13069.31","13069.31","13069.31","13069.31"
"5","N/A","RPR UMBIL HERN REDUC > 5 YR","49585","N/A","N/A","N/A","N/A","57773.03","13626.85","13626.85","N/A","N/A","N/A","13626.85","13626.85","N/A","13626.85","13626.85","13626.85","13626.85","13626.85","13626.85","13626.85","13626.85","13626.85","13626.85"
"5","N/A","RPR UMBIL HERN BLOCK > 5 YR","49587","N/A","N/A","N/A","N/A","57773.03","17719.07","17719.07","N/A","N/A","N/A","17719.07","17719.07","N/A","17719.07","17719.07","17719.07","17719.07","17719.07","17719.07","17719.07","17719.07","17719.07","17719.07"
"5","N/A","LAP ING HERNIA REPAIR INIT","49650","N/A","N/A","N/A","N/A","57176.50","21689.97","21689.97","N/A","N/A","N/A","21689.97","21689.97","N/A","21689.97","21689.97","21689.97","21689.97","21689.97","21689.97","21689.97","21689.97","21689.97","21689.97"
"5","N/A","LAP ING HERNIA REPAIR RECUR","49651","N/A","N/A","N/A","N/A","57176.50","25703.30","25703.30","N/A","N/A","N/A","25703.30","25703.30","N/A","25703.30","25703.30","25703.30","25703.30","25703.30","25703.30","25703.30","25703.30","25703.30","25703.30"
"5","N/A","LAP VENT/ABD HERNIA REPAIR","49652","N/A","N/A","N/A","N/A","52049.10","24033.11","24033.11","N/A","N/A","N/A","24033.11","24033.11","N/A","24033.11","24033.11","24033.11","24033.11","24033.11","24033.11","24033.11","24033.11","24033.11","24033.11"
"5","N/A","LAP VENT/ABD HERN PROC COMP","49653","N/A","N/A","N/A","N/A","52049.10","24889.65","24889.65","N/A","N/A","N/A","24889.65","24889.65","N/A","24889.65","24889.65","24889.65","24889.65","24889.65","24889.65","24889.65","24889.65","24889.65","24889.65"
"5","N/A","LAP INC HERNIA REPAIR","49654","N/A","N/A","N/A","N/A","52049.10","32663.17","32663.17","N/A","N/A","N/A","32663.17","32663.17","N/A","32663.17","32663.17","32663.17","32663.17","32663.17","32663.17","32663.17","32663.17","32663.17","32663.17"
"5","N/A","LAP INC HERN REPAIR COMP","49655","N/A","N/A","N/A","N/A","51192.78","31906.08","31906.08","N/A","N/A","N/A","31906.08","31906.08","N/A","31906.08","31906.08","31906.08","31906.08","31906.08","31906.08","31906.08","31906.08","31906.08","31906.08"
"5","N/A","LAP INC HERNIA REPAIR RECUR","49656","N/A","N/A","N/A","N/A","50634.87","28386.13","28386.13","N/A","N/A","N/A","28386.13","28386.13","N/A","28386.13","28386.13","28386.13","28386.13","28386.13","28386.13","28386.13","28386.13","28386.13","28386.13"
"5","N/A","ABDOMEN SURGERY PROCEDURE","49999","N/A","N/A","N/A","N/A","78720.15","9733.01","9733.01","N/A","N/A","N/A","9733.01","9733.01","N/A","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01"
"5","N/A","HCHG UNLISTED PX ABDOMEN, PERITONEUM AND OMENTUM","49999","N/A","N/A","N/A","N/A","N/A","9733.01","9733.01","N/A","N/A","N/A","9733.01","9733.01","N/A","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01","9733.01"
"5","N/A","REMOVAL OF KIDNEY STONE","50080","N/A","N/A","N/A","N/A","52598.99","25910.48","25910.48","N/A","N/A","N/A","25910.48","25910.48","N/A","25910.48","25910.48","25910.48","25910.48","25910.48","25910.48","25910.48","25910.48","25910.48","25910.48"
"5","N/A","REMOVAL OF KIDNEY STONE","50081","N/A","N/A","N/A","N/A","52598.99","30225.76","30225.76","N/A","N/A","N/A","30225.76","30225.76","N/A","30225.76","30225.76","30225.76","30225.76","30225.76","30225.76","30225.76","30225.76","30225.76","30225.76"
"5","N/A","HCHG RENAL BX NDL","50200","N/A","N/A","N/A","N/A","N/A","10868.83","10868.83","N/A","N/A","N/A","10868.83","10868.83","N/A","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83"
"5","N/A","RENAL BIOPSY PERQ","50200","N/A","N/A","N/A","N/A","N/A","10868.83","10868.83","N/A","N/A","N/A","10868.83","10868.83","N/A","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83","10868.83"
"5","N/A","CHANGE URETER STENT PERCUT","50382","N/A","N/A","N/A","N/A","N/A","5414.00","5414.00","N/A","N/A","N/A","5414.00","5414.00","N/A","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00"
"5","N/A","HCHG CHANGE URETER STENT PERCUT","50382","N/A","N/A","N/A","N/A","N/A","5414.00","5414.00","N/A","N/A","N/A","5414.00","5414.00","N/A","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00"
"5","N/A","HCHG REMOVE URETER STENT PERCUT","50384","N/A","N/A","N/A","N/A","N/A","5414.00","5414.00","N/A","N/A","N/A","5414.00","5414.00","N/A","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00"
"5","N/A","REMOVE URETER STENT PERCUT","50384","N/A","N/A","N/A","N/A","149930.14","5414.00","5414.00","N/A","N/A","N/A","5414.00","5414.00","N/A","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00","5414.00"
"5","N/A","REMOVE STENT VIA TRANSURETH","50386","N/A","N/A","N/A","N/A","N/A","22568.84","22568.84","N/A","N/A","N/A","22568.84","22568.84","N/A","22568.84","22568.84","22568.84","22568.84","22568.84","22568.84","22568.84","22568.84","22568.84","22568.84"
"5","N/A","CHANGE NEPHROURETERAL CATH","50387","N/A","N/A","N/A","N/A","N/A","8207.70","8207.70","N/A","N/A","N/A","8207.70","8207.70","N/A","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70"
"5","N/A","HCHG CHANGE EXT INT URETER STENT","50387","N/A","N/A","N/A","N/A","N/A","8207.70","8207.70","N/A","N/A","N/A","8207.70","8207.70","N/A","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70","8207.70"
"5","N/A","HCHG REMOVE NEPHROSTOMY TUBE W FLUORO","50389","N/A","N/A","N/A","N/A","N/A","1547.91","1547.91","N/A","N/A","N/A","1547.91","1547.91","N/A","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91"
"5","N/A","REMOVE RENAL TUBE W/FLUORO","50389","N/A","N/A","N/A","N/A","N/A","1547.91","1547.91","N/A","N/A","N/A","1547.91","1547.91","N/A","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91","1547.91"
"5","N/A","DRAINAGE OF KIDNEY LESION","50390","N/A","N/A","N/A","N/A","N/A","4806.68","4806.68","N/A","N/A","N/A","4806.68","4806.68","N/A","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68"
"5","N/A","HCHG PERC ASP RENAL CYST/PELVIS","50390","N/A","N/A","N/A","N/A","N/A","4806.68","4806.68","N/A","N/A","N/A","4806.68","4806.68","N/A","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68","4806.68"
"5","N/A","INSTLL RX AGNT INTO RNAL TUB","50391","N/A","N/A","N/A","N/A","N/A","13289.15","13289.15","N/A","N/A","N/A","13289.15","13289.15","N/A","13289.15","13289.15","13289.15","13289.15","13289.15","13289.15","13289.15","13289.15","13289.15","13289.15"
"5","N/A","HCHG INJECTION PX FOR ANTEGRADE NEPHROSTOGRAM AND/OR URETEROGRAM, NEW ACC","50430","N/A","N/A","N/A","N/A","N/A","23145.57","23145.57","N/A","N/A","N/A","23145.57","23145.57","N/A","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57"
"5","N/A","NJX PX NFROSGRM &/URTRGRM","50430","N/A","N/A","N/A","N/A","N/A","23145.57","23145.57","N/A","N/A","N/A","23145.57","23145.57","N/A","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57","23145.57"
"5","N/A","NJX PX NFROSGRM &/URTRGRM","50431","N/A","N/A","N/A","N/A","N/A","1731.69","1731.69","N/A","N/A","N/A","1731.69","1731.69","N/A","1731.69","1731.69","1731.69","1731.69","1731.69","1731.69","1731.69","1731.69","1731.69","1731.69"
"5","N/A","PLMT NEPHROSTOMY CATHETER","50432","N/A","N/A","N/A","N/A","N/A","18928.94","18928.94","N/A","N/A","N/A","18928.94","18928.94","N/A","18928.94","18928.94","18928.94","18928.94","18928.94","18928.94","18928.94","18928.94","18928.94","18928.94"
"5","N/A","HCHG PLMT NEPHROURETERAL CATHETER","50433","N/A","N/A","N/A","N/A","N/A","32682.67","32682.67","N/A","N/A","N/A","32682.67","32682.67","N/A","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67"
"5","N/A","PLMT NEPHROURETERAL CATHETER","50433","N/A","N/A","N/A","N/A","N/A","32682.67","32682.67","N/A","N/A","N/A","32682.67","32682.67","N/A","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67","32682.67"
"5","N/A","CONVERT NEPHROSTOMY CATHETER","50434","N/A","N/A","N/A","N/A","N/A","5692.00","5692.00","N/A","N/A","N/A","5692.00","5692.00","N/A","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00"
"5","N/A","HCHG CONVERT NEPHROSTOMY CATHETER","50434","N/A","N/A","N/A","N/A","N/A","5692.00","5692.00","N/A","N/A","N/A","5692.00","5692.00","N/A","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00","5692.00"
"5","N/A","EXCHANGE NEPHROSTOMY CATH","50435","N/A","N/A","N/A","N/A","N/A","10316.30","10316.30","N/A","N/A","N/A","10316.30","10316.30","N/A","10316.30","10316.30","10316.30","10316.30","10316.30","10316.30","10316.30","10316.30","10316.30","10316.30"
"5","N/A","HCHG DILAT XST TRC NDURLGC PX","50436","N/A","N/A","N/A","N/A","N/A","5211.00","5211.00","N/A","N/A","N/A","5211.00","5211.00","N/A","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00"
"5","N/A","DILAT XST TRC NDURLGC PX","50436","N/A","N/A","N/A","N/A","48134.00","5211.00","5211.00","N/A","N/A","N/A","5211.00","5211.00","N/A","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00","5211.00"
"5","N/A","DILAT XST TRC NEW ACCESS RCS","50437","N/A","N/A","N/A","N/A","48208.10","6936.00","6936.00","N/A","N/A","N/A","6936.00","6936.00","N/A","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00"
"5","N/A","HCHG DILAT XST TRC NEW ACCESS RCS","50437","N/A","N/A","N/A","N/A","N/A","6936.00","6936.00","N/A","N/A","N/A","6936.00","6936.00","N/A","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00","6936.00"
"5","N/A","LAPARO ABLATE RENAL CYST","50541","N/A","N/A","N/A","N/A","N/A","24278.64","24278.64","N/A","N/A","N/A","24278.64","24278.64","N/A","24278.64","24278.64","24278.64","24278.64","24278.64","24278.64","24278.64","24278.64","24278.64","24278.64"
"5","N/A","LAPARO PARTIAL NEPHRECTOMY","50543","N/A","N/A","N/A","N/A","43991.94","32428.48","32428.48","N/A","N/A","N/A","32428.48","32428.48","N/A","32428.48","32428.48","32428.48","32428.48","32428.48","32428.48","32428.48","32428.48","32428.48","32428.48"
"5","N/A","LAPAROSCOPY PYELOPLASTY","50544","N/A","N/A","N/A","N/A","28630.29","24415.84","24415.84","N/A","N/A","N/A","24415.84","24415.84","N/A","24415.84","24415.84","24415.84","24415.84","24415.84","24415.84","24415.84","24415.84","24415.84","24415.84"
"5","N/A","KIDNEY ENDOSCOPY","50551","N/A","N/A","N/A","N/A","48134.00","16469.86","16469.86","N/A","N/A","N/A","16469.86","16469.86","N/A","16469.86","16469.86","16469.86","16469.86","16469.86","16469.86","16469.86","16469.86","16469.86","16469.86"
"5","N/A","KIDNEY ENDOSCOPY & TREATMENT","50561","N/A","N/A","N/A","N/A","50743.04","10237.52","10237.52","N/A","N/A","N/A","10237.52","10237.52","N/A","10237.52","10237.52","10237.52","10237.52","10237.52","10237.52","10237.52","10237.52","10237.52","10237.52"
"5","N/A","FRAGMENTING OF KIDNEY STONE","50590","N/A","N/A","N/A","N/A","N/A","12215.84","12215.84","N/A","N/A","N/A","12215.84","12215.84","N/A","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84"
"5","N/A","HCHG ESL","50590","N/A","N/A","N/A","N/A","N/A","12215.84","12215.84","N/A","N/A","N/A","12215.84","12215.84","N/A","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84","12215.84"
"5","N/A","HCHG PERQ RF ABLATE RENAL TUMOR","50592","N/A","N/A","N/A","N/A","N/A","9085.00","9085.00","N/A","N/A","N/A","9085.00","9085.00","N/A","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00"
"5","N/A","PERC RF ABLATE RENAL TUMOR","50592","N/A","N/A","N/A","N/A","73388.57","9085.00","9085.00","N/A","N/A","N/A","9085.00","9085.00","N/A","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00","9085.00"
"5","N/A","PERC CRYO ABLATE RENAL TUM","50593","N/A","N/A","N/A","N/A","73388.57","29322.68","29322.68","N/A","N/A","N/A","29322.68","29322.68","N/A","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68"
"5","N/A","HCHG PERQ CRYOABLATION RENAL TUMOR","50593","N/A","N/A","N/A","N/A","N/A","29322.68","29322.68","N/A","N/A","N/A","29322.68","29322.68","N/A","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68","29322.68"
"5","N/A","ENDOLUMINAL BX URTR RNL PLVS","50606","N/A","N/A","N/A","N/A","N/A","1656.00","1656.00","N/A","N/A","N/A","1656.00","1656.00","N/A","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00"
"5","N/A","HCHG ENDOLUMINAL BX URETER RENAL PELVIS W/ IMAGING GUIDANCE","50606","N/A","N/A","N/A","N/A","N/A","1656.00","1656.00","N/A","N/A","N/A","1656.00","1656.00","N/A","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00","1656.00"
"5","N/A","CHANGE OF URETER TUBE/STENT","50688","N/A","N/A","N/A","N/A","N/A","8669.66","8669.66","N/A","N/A","N/A","8669.66","8669.66","N/A","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66"
"5","N/A","HCHG URETERAL TUBE CHANGE","50688","N/A","N/A","N/A","N/A","N/A","8669.66","8669.66","N/A","N/A","N/A","8669.66","8669.66","N/A","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66","8669.66"
"5","N/A","HCHG ILEOCONDUIT INJ","50690","N/A","N/A","N/A","N/A","N/A","1684.72","1684.72","N/A","N/A","N/A","1684.72","1684.72","N/A","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72"
"5","N/A","INJECTION FOR URETER X-RAY","50690","N/A","N/A","N/A","N/A","65369.00","1684.72","1684.72","N/A","N/A","N/A","1684.72","1684.72","N/A","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72","1684.72"
"5","N/A","HCHG PLMT URETERAL STENT PRQ PRE EXIST NEPHROSTOMY TRACT","50693","N/A","N/A","N/A","N/A","N/A","5958.00","5958.00","N/A","N/A","N/A","5958.00","5958.00","N/A","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00"
"5","N/A","PLMT URETERAL STENT PRQ","50693","N/A","N/A","N/A","N/A","N/A","5958.00","5958.00","N/A","N/A","N/A","5958.00","5958.00","N/A","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00","5958.00"
"5","N/A","HCHG PLMT URETERAL STENT PRQ NEW ACC WO SEP NEPHROSTOMY CATH","50694","N/A","N/A","N/A","N/A","N/A","7021.00","7021.00","N/A","N/A","N/A","7021.00","7021.00","N/A","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00"
"5","N/A","PLMT URETERAL STENT PRQ","50694","N/A","N/A","N/A","N/A","N/A","7021.00","7021.00","N/A","N/A","N/A","7021.00","7021.00","N/A","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00","7021.00"
"5","N/A","HCHG PLMT URETERAL STENT PRQ NEW ACC W SEP NEPHROSTOMY CATH","50695","N/A","N/A","N/A","N/A","N/A","8167.00","8167.00","N/A","N/A","N/A","8167.00","8167.00","N/A","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00"
"5","N/A","PLMT URETERAL STENT PRQ","50695","N/A","N/A","N/A","N/A","N/A","8167.00","8167.00","N/A","N/A","N/A","8167.00","8167.00","N/A","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00","8167.00"
"5","N/A","HCHG BALLOON DILATE URTRL STRIX","50706","N/A","N/A","N/A","N/A","N/A","4010.00","4010.00","N/A","N/A","N/A","4010.00","4010.00","N/A","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00"
"5","N/A","BALLOON DILATE URTRL STRIX","50706","N/A","N/A","N/A","N/A","45558.57","4010.00","4010.00","N/A","N/A","N/A","4010.00","4010.00","N/A","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00","4010.00"
"5","N/A","ENDOSCOPY OF URETER","50951","N/A","N/A","N/A","N/A","N/A","7032.20","7032.20","N/A","N/A","N/A","7032.20","7032.20","N/A","7032.20","7032.20","7032.20","7032.20","7032.20","7032.20","7032.20","7032.20","7032.20","7032.20"
"5","N/A","ENDOSCOPY OF URETER","50953","N/A","N/A","N/A","N/A","48134.00","5746.47","5746.47","N/A","N/A","N/A","5746.47","5746.47","N/A","5746.47","5746.47","5746.47","5746.47","5746.47","5746.47","5746.47","5746.47","5746.47","5746.47"
"5","N/A","HCHG CYSTOSTOMY CYSTOTOMY W/DRAINAGE","51040","N/A","N/A","N/A","N/A","N/A","9211.22","9211.22","N/A","N/A","N/A","9211.22","9211.22","N/A","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22"
"5","N/A","INCISE & DRAIN BLADDER","51040","N/A","N/A","N/A","N/A","N/A","9211.22","9211.22","N/A","N/A","N/A","9211.22","9211.22","N/A","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22","9211.22"
"5","N/A","DRAIN BLADDER BY NEEDLE","51100","N/A","N/A","N/A","N/A","N/A","1186.00","1186.00","N/A","N/A","N/A","1186.00","1186.00","N/A","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00"
"5","N/A","HCHG ASPIRATE BLADDER NEEDLE","51100","N/A","N/A","N/A","N/A","N/A","1186.00","1186.00","N/A","N/A","N/A","1186.00","1186.00","N/A","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00","1186.00"
"5","N/A","DRAIN BLADDER BY TROCAR/CATH","51101","N/A","N/A","N/A","N/A","N/A","1866.00","1866.00","N/A","N/A","N/A","1866.00","1866.00","N/A","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00"
"5","N/A","HCHG ASPIRATE BLADDER TROCAR","51101","N/A","N/A","N/A","N/A","N/A","1866.00","1866.00","N/A","N/A","N/A","1866.00","1866.00","N/A","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00","1866.00"
"5","N/A","DRAIN BL W/CATH INSERTION","51102","N/A","N/A","N/A","N/A","N/A","8872.51","8872.51","N/A","N/A","N/A","8872.51","8872.51","N/A","8872.51","8872.51","8872.51","8872.51","8872.51","8872.51","8872.51","8872.51","8872.51","8872.51"
"5","N/A","REMOVAL OF BLADDER CYST","51500","N/A","N/A","N/A","N/A","78577.78","10464.08","10464.08","N/A","N/A","N/A","10464.08","10464.08","N/A","10464.08","10464.08","10464.08","10464.08","10464.08","10464.08","10464.08","10464.08","10464.08","10464.08"
"5","N/A","HCHG INJ FOR CYSTOGM/VCUG","51600","N/A","N/A","N/A","N/A","N/A","1325.04","1325.04","N/A","N/A","N/A","1325.04","1325.04","N/A","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04"
"5","N/A","HCHG INJ FOR CYSTOGRAPHY","51600","N/A","N/A","N/A","N/A","N/A","1325.04","1325.04","N/A","N/A","N/A","1325.04","1325.04","N/A","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04"
"5","N/A","HCHG INJ PROC FOR CYSTOGRAPHY","51600","N/A","N/A","N/A","N/A","N/A","1325.04","1325.04","N/A","N/A","N/A","1325.04","1325.04","N/A","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04"
"5","N/A","INJECTION FOR BLADDER X-RAY","51600","N/A","N/A","N/A","N/A","N/A","1325.04","1325.04","N/A","N/A","N/A","1325.04","1325.04","N/A","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04","1325.04"
"5","N/A","HCHG INJ FOR RETRO URETHROCYSTOGRAPHY","51610","N/A","N/A","N/A","N/A","N/A","169.00","169.00","N/A","N/A","N/A","169.00","169.00","N/A","169.00","169.00","169.00","169.00","169.00","169.00","169.00","169.00","169.00","169.00"
"5","N/A","INJECTION FOR BLADDER X-RAY","51610","N/A","N/A","N/A","N/A","N/A","169.00","169.00","N/A","N/A","N/A","169.00","169.00","N/A","169.00","169.00","169.00","169.00","169.00","169.00","169.00","169.00","169.00","169.00"
"5","N/A","HCHG BLADDER IRRIG SIMPL LAV/INSTIL","51700","N/A","N/A","N/A","N/A","N/A","692.00","692.00","N/A","N/A","N/A","692.00","692.00","N/A","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00"
"5","N/A","IRRIGATION OF BLADDER","51700","N/A","N/A","N/A","N/A","N/A","692.00","692.00","N/A","N/A","N/A","692.00","692.00","N/A","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00"
"5","N/A","HCHG INSERT NON INDWELL BLAD CATH","51701","N/A","N/A","N/A","N/A","N/A","240.00","240.00","N/A","N/A","N/A","240.00","240.00","N/A","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00"
"5","N/A","INSERT BLADDER CATHETER","51701","N/A","N/A","N/A","N/A","N/A","240.00","240.00","N/A","N/A","N/A","240.00","240.00","N/A","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00","240.00"
"5","N/A","HCHG INSERT INDWELL BLAD CATH SIMP","51702","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","HCHG INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE","51702","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","INSERT TEMP BLADDER CATH","51702","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","HCHG INSERT INDWELL BLAD CATH COMP","51703","N/A","N/A","N/A","N/A","N/A","12362.33","12362.33","N/A","N/A","N/A","12362.33","12362.33","N/A","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33"
"5","N/A","INSERT BLADDER CATH COMPLEX","51703","N/A","N/A","N/A","N/A","N/A","12362.33","12362.33","N/A","N/A","N/A","12362.33","12362.33","N/A","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33","12362.33"
"5","N/A","CHANGE OF BLADDER TUBE","51705","N/A","N/A","N/A","N/A","N/A","10649.09","10649.09","N/A","N/A","N/A","10649.09","10649.09","N/A","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09"
"5","N/A","HCHG CHANGE OF CYSTOSTOMY TUBE SIMPLE","51705","N/A","N/A","N/A","N/A","N/A","10649.09","10649.09","N/A","N/A","N/A","10649.09","10649.09","N/A","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09","10649.09"
"5","N/A","CHANGE OF BLADDER TUBE","51710","N/A","N/A","N/A","N/A","N/A","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","HCHG CHG CYSTOSTOMY TUBE COMPLICATE","51710","N/A","N/A","N/A","N/A","N/A","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","ENDOSCOPIC INJECTION/IMPLANT","51715","N/A","N/A","N/A","N/A","N/A","11157.31","11157.31","N/A","N/A","N/A","11157.31","11157.31","N/A","11157.31","11157.31","11157.31","11157.31","11157.31","11157.31","11157.31","11157.31","11157.31","11157.31"
"5","N/A","HCHG CHEMO ADMIN INTRAVESICAL","51720","N/A","N/A","N/A","N/A","N/A","6319.83","6319.83","N/A","N/A","N/A","6319.83","6319.83","N/A","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83"
"5","N/A","TREATMENT OF BLADDER LESION","51720","N/A","N/A","N/A","N/A","N/A","6319.83","6319.83","N/A","N/A","N/A","6319.83","6319.83","N/A","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83","6319.83"
"5","N/A","ELECTRO-UROFLOWMETRY FIRST","51741","N/A","N/A","N/A","N/A","N/A","508.00","508.00","N/A","N/A","N/A","508.00","508.00","N/A","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00"
"5","N/A","HCHG UROFLOW COMPLEX","51741","N/A","N/A","N/A","N/A","N/A","508.00","508.00","N/A","N/A","N/A","508.00","508.00","N/A","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00"
"5","N/A","HCHG VOIDING INTRA-ABD PRESSURE","51797","N/A","N/A","N/A","N/A","N/A","683.00","683.00","N/A","N/A","N/A","683.00","683.00","N/A","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00"
"5","N/A","INTRAABDOMINAL PRESSURE TEST","51797","N/A","N/A","N/A","N/A","N/A","683.00","683.00","N/A","N/A","N/A","683.00","683.00","N/A","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00"
"5","N/A","HCHG MEASUREMENT OF POST-VOIDING RESIDUAL URINE AND/OR BLADDER CAPACITY BY ULTRASOUND, NON-IMAGING","51798","N/A","N/A","N/A","N/A","N/A","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","HCHG US URINE CAPACITY MEASURE","51798","N/A","N/A","N/A","N/A","N/A","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","US URINE CAPACITY MEASURE","51798","N/A","N/A","N/A","N/A","N/A","264.00","264.00","N/A","N/A","N/A","264.00","264.00","N/A","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00","264.00"
"5","N/A","LAPAROSCOPE PROC BLA","51999","N/A","N/A","N/A","N/A","31628.41","23072.45","23072.45","N/A","N/A","N/A","23072.45","23072.45","N/A","23072.45","23072.45","23072.45","23072.45","23072.45","23072.45","23072.45","23072.45","23072.45","23072.45"
"5","N/A","CYSTOSCOPY","52000","N/A","N/A","N/A","N/A","52189.32","14937.57","14937.57","N/A","N/A","N/A","14937.57","14937.57","N/A","14937.57","14937.57","14937.57","14937.57","14937.57","14937.57","14937.57","14937.57","14937.57","14937.57"
"5","N/A","CYSTOSCOPY REMOVAL OF CLOTS","52001","N/A","N/A","N/A","N/A","N/A","19655.79","19655.79","N/A","N/A","N/A","19655.79","19655.79","N/A","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79"
"5","N/A","HCHG CYSTOURETHRO IRRIG/EVAC CLT","52001","N/A","N/A","N/A","N/A","N/A","19655.79","19655.79","N/A","N/A","N/A","19655.79","19655.79","N/A","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79","19655.79"
"5","N/A","CYSTOSCOPY & URETER CATHETER","52005","N/A","N/A","N/A","N/A","N/A","10520.05","10520.05","N/A","N/A","N/A","10520.05","10520.05","N/A","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05"
"5","N/A","HCHG CYSTOURETHRO W URETER CATH","52005","N/A","N/A","N/A","N/A","N/A","10520.05","10520.05","N/A","N/A","N/A","10520.05","10520.05","N/A","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05","10520.05"
"5","N/A","CYSTOSCOPY W/BIOPSY(S)","52204","N/A","N/A","N/A","N/A","32720.99","12188.90","12188.90","N/A","N/A","N/A","12188.90","12188.90","N/A","12188.90","12188.90","12188.90","12188.90","12188.90","12188.90","12188.90","12188.90","12188.90","12188.90"
"5","N/A","CYSTOSCOPY AND TREATMENT","52214","N/A","N/A","N/A","N/A","42467.25","11278.87","11278.87","N/A","N/A","N/A","11278.87","11278.87","N/A","11278.87","11278.87","11278.87","11278.87","11278.87","11278.87","11278.87","11278.87","11278.87","11278.87"
"5","N/A","CYSTOSCOPY AND TREATMENT","52224","N/A","N/A","N/A","N/A","52655.21","13979.61","13979.61","N/A","N/A","N/A","13979.61","13979.61","N/A","13979.61","13979.61","13979.61","13979.61","13979.61","13979.61","13979.61","13979.61","13979.61","13979.61"
"5","N/A","CYSTOSCOPY AND TREATMENT","52234","N/A","N/A","N/A","N/A","36956.59","12905.30","12905.30","N/A","N/A","N/A","12905.30","12905.30","N/A","12905.30","12905.30","12905.30","12905.30","12905.30","12905.30","12905.30","12905.30","12905.30","12905.30"
"5","N/A","CYSTOSCOPY AND TREATMENT","52235","N/A","N/A","N/A","N/A","36956.59","13742.58","13742.58","N/A","N/A","N/A","13742.58","13742.58","N/A","13742.58","13742.58","13742.58","13742.58","13742.58","13742.58","13742.58","13742.58","13742.58","13742.58"
"5","N/A","CYSTOSCOPY AND TREATMENT","52240","N/A","N/A","N/A","N/A","36956.59","15555.85","15555.85","N/A","N/A","N/A","15555.85","15555.85","N/A","15555.85","15555.85","15555.85","15555.85","15555.85","15555.85","15555.85","15555.85","15555.85","15555.85"
"5","N/A","CYSTOSCOPY AND TREATMENT","52260","N/A","N/A","N/A","N/A","N/A","11299.37","11299.37","N/A","N/A","N/A","11299.37","11299.37","N/A","11299.37","11299.37","11299.37","11299.37","11299.37","11299.37","11299.37","11299.37","11299.37","11299.37"
"5","N/A","CYSTOSCOPY & REVISE URETHRA","52275","N/A","N/A","N/A","N/A","N/A","14146.37","14146.37","N/A","N/A","N/A","14146.37","14146.37","N/A","14146.37","14146.37","14146.37","14146.37","14146.37","14146.37","14146.37","14146.37","14146.37","14146.37"
"5","N/A","CYSTOSCOPY AND TREATMENT","52276","N/A","N/A","N/A","N/A","N/A","10197.68","10197.68","N/A","N/A","N/A","10197.68","10197.68","N/A","10197.68","10197.68","10197.68","10197.68","10197.68","10197.68","10197.68","10197.68","10197.68","10197.68"
"5","N/A","HCHG CYSTO URETHRAL DILATION","52281","N/A","N/A","N/A","N/A","N/A","11053.22","11053.22","N/A","N/A","N/A","11053.22","11053.22","N/A","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22"
"5","N/A","CYSTOSCOPY AND TREATMENT","52281","N/A","N/A","N/A","N/A","26258.45","11053.22","11053.22","N/A","N/A","N/A","11053.22","11053.22","N/A","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22","11053.22"
"5","N/A","CYSTOSCOPY AND TREATMENT","52283","N/A","N/A","N/A","N/A","N/A","14017.92","14017.92","N/A","N/A","N/A","14017.92","14017.92","N/A","14017.92","14017.92","14017.92","14017.92","14017.92","14017.92","14017.92","14017.92","14017.92","14017.92"
"5","N/A","CYSTOSCOPY CHEMODENERVATION","52287","N/A","N/A","N/A","N/A","N/A","8986.57","8986.57","N/A","N/A","N/A","8986.57","8986.57","N/A","8986.57","8986.57","8986.57","8986.57","8986.57","8986.57","8986.57","8986.57","8986.57","8986.57"
"5","N/A","CYSTOSCOPY AND TREATMENT","52310","N/A","N/A","N/A","N/A","N/A","9853.82","9853.82","N/A","N/A","N/A","9853.82","9853.82","N/A","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82"
"5","N/A","HCHG CYSTOURETHRO PROC SIMPL","52310","N/A","N/A","N/A","N/A","N/A","9853.82","9853.82","N/A","N/A","N/A","9853.82","9853.82","N/A","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82","9853.82"
"5","N/A","CYSTOSCOPY AND TREATMENT","52315","N/A","N/A","N/A","N/A","N/A","10923.07","10923.07","N/A","N/A","N/A","10923.07","10923.07","N/A","10923.07","10923.07","10923.07","10923.07","10923.07","10923.07","10923.07","10923.07","10923.07","10923.07"
"5","N/A","REMOVE BLADDER STONE","52317","N/A","N/A","N/A","N/A","N/A","16331.47","16331.47","N/A","N/A","N/A","16331.47","16331.47","N/A","16331.47","16331.47","16331.47","16331.47","16331.47","16331.47","16331.47","16331.47","16331.47","16331.47"
"5","N/A","REMOVE BLADDER STONE","52318","N/A","N/A","N/A","N/A","91676.60","18166.25","18166.25","N/A","N/A","N/A","18166.25","18166.25","N/A","18166.25","18166.25","18166.25","18166.25","18166.25","18166.25","18166.25","18166.25","18166.25","18166.25"
"5","N/A","CYSTOSCOPY AND TREATMENT","52320","N/A","N/A","N/A","N/A","40435.80","25502.40","25502.40","N/A","N/A","N/A","25502.40","25502.40","N/A","25502.40","25502.40","25502.40","25502.40","25502.40","25502.40","25502.40","25502.40","25502.40","25502.40"
"5","N/A","CYSTOSCOPY STONE REMOVAL","52325","N/A","N/A","N/A","N/A","40435.80","18873.08","18873.08","N/A","N/A","N/A","18873.08","18873.08","N/A","18873.08","18873.08","18873.08","18873.08","18873.08","18873.08","18873.08","18873.08","18873.08","18873.08"
"5","N/A","CYSTOSCOPY AND TREATMENT","52330","N/A","N/A","N/A","N/A","48134.00","19613.52","19613.52","N/A","N/A","N/A","19613.52","19613.52","N/A","19613.52","19613.52","19613.52","19613.52","19613.52","19613.52","19613.52","19613.52","19613.52","19613.52"
"5","N/A","CYSTOSCOPY AND TREATMENT","52332","N/A","N/A","N/A","N/A","48134.00","13461.28","13461.28","N/A","N/A","N/A","13461.28","13461.28","N/A","13461.28","13461.28","13461.28","13461.28","13461.28","13461.28","13461.28","13461.28","13461.28","13461.28"
"5","N/A","CYSTO W/URETER STRICTURE TX","52341","N/A","N/A","N/A","N/A","48175.92","16453.30","16453.30","N/A","N/A","N/A","16453.30","16453.30","N/A","16453.30","16453.30","16453.30","16453.30","16453.30","16453.30","16453.30","16453.30","16453.30","16453.30"
"5","N/A","CYSTO W/UP STRICTURE TX","52342","N/A","N/A","N/A","N/A","48134.00","13641.83","13641.83","N/A","N/A","N/A","13641.83","13641.83","N/A","13641.83","13641.83","13641.83","13641.83","13641.83","13641.83","13641.83","13641.83","13641.83","13641.83"
"5","N/A","CYSTO/URETERO STRICTURE TX","52344","N/A","N/A","N/A","N/A","48134.00","14566.80","14566.80","N/A","N/A","N/A","14566.80","14566.80","N/A","14566.80","14566.80","14566.80","14566.80","14566.80","14566.80","14566.80","14566.80","14566.80","14566.80"
"5","N/A","CYSTO/URETERO W/UP STRICTURE","52345","N/A","N/A","N/A","N/A","48145.53","17664.50","17664.50","N/A","N/A","N/A","17664.50","17664.50","N/A","17664.50","17664.50","17664.50","17664.50","17664.50","17664.50","17664.50","17664.50","17664.50","17664.50"
"5","N/A","CYSTOURETERO & OR PYELOSCOPE","52351","N/A","N/A","N/A","N/A","N/A","10108.74","10108.74","N/A","N/A","N/A","10108.74","10108.74","N/A","10108.74","10108.74","10108.74","10108.74","10108.74","10108.74","10108.74","10108.74","10108.74","10108.74"
"5","N/A","CYSTOURETERO W/STONE REMOVE","52352","N/A","N/A","N/A","N/A","40435.80","15848.51","15848.51","N/A","N/A","N/A","15848.51","15848.51","N/A","15848.51","15848.51","15848.51","15848.51","15848.51","15848.51","15848.51","15848.51","15848.51","15848.51"
"5","N/A","CYSTOURETERO W/LITHOTRIPSY","52353","N/A","N/A","N/A","N/A","40254.68","13410.88","13410.88","N/A","N/A","N/A","13410.88","13410.88","N/A","13410.88","13410.88","13410.88","13410.88","13410.88","13410.88","13410.88","13410.88","13410.88","13410.88"
"5","N/A","CYSTOURETERO W/BIOPSY","52354","N/A","N/A","N/A","N/A","44825.91","14668.56","14668.56","N/A","N/A","N/A","14668.56","14668.56","N/A","14668.56","14668.56","14668.56","14668.56","14668.56","14668.56","14668.56","14668.56","14668.56","14668.56"
"5","N/A","CYSTO/URETERO W/LITHOTRIPSY","52356","N/A","N/A","N/A","N/A","45558.57","16418.24","16418.24","N/A","N/A","N/A","16418.24","16418.24","N/A","16418.24","16418.24","16418.24","16418.24","16418.24","16418.24","16418.24","16418.24","16418.24","16418.24"
"5","N/A","CYSTOURETHRO W/IMPLANT","52441","N/A","N/A","N/A","N/A","N/A","21136.28","21136.28","N/A","N/A","N/A","21136.28","21136.28","N/A","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28"
"5","N/A","CYSTOURETHRO W/ADDL IMPLANT","52442","N/A","N/A","N/A","N/A","N/A","21136.28","21136.28","N/A","N/A","N/A","21136.28","21136.28","N/A","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28","21136.28"
"5","N/A","REVISION OF BLADDER NECK","52500","N/A","N/A","N/A","N/A","39174.55","11732.89","11732.89","N/A","N/A","N/A","11732.89","11732.89","N/A","11732.89","11732.89","11732.89","11732.89","11732.89","11732.89","11732.89","11732.89","11732.89","11732.89"
"5","N/A","PROSTATECTOMY (TURP)","52601","N/A","N/A","N/A","N/A","45093.80","18371.44","18371.44","N/A","N/A","N/A","18371.44","18371.44","N/A","18371.44","18371.44","18371.44","18371.44","18371.44","18371.44","18371.44","18371.44","18371.44","18371.44"
"5","N/A","REMOVE PROSTATE REGROWTH","52630","N/A","N/A","N/A","N/A","42908.61","14213.59","14213.59","N/A","N/A","N/A","14213.59","14213.59","N/A","14213.59","14213.59","14213.59","14213.59","14213.59","14213.59","14213.59","14213.59","14213.59","14213.59"
"5","N/A","RELIEVE BLADDER CONTRACTURE","52640","N/A","N/A","N/A","N/A","51082.88","11497.47","11497.47","N/A","N/A","N/A","11497.47","11497.47","N/A","11497.47","11497.47","11497.47","11497.47","11497.47","11497.47","11497.47","11497.47","11497.47","11497.47"
"5","N/A","LASER SURGERY OF PROSTATE","52648","N/A","N/A","N/A","N/A","45766.75","13815.04","13815.04","N/A","N/A","N/A","13815.04","13815.04","N/A","13815.04","13815.04","13815.04","13815.04","13815.04","13815.04","13815.04","13815.04","13815.04","13815.04"
"5","N/A","INCISION OF URETHRA","53020","N/A","N/A","N/A","N/A","N/A","7669.44","7669.44","N/A","N/A","N/A","7669.44","7669.44","N/A","7669.44","7669.44","7669.44","7669.44","7669.44","7669.44","7669.44","7669.44","7669.44","7669.44"
"5","N/A","REMOVAL OF URETHRA LESION","53230","N/A","N/A","N/A","N/A","N/A","16562.20","16562.20","N/A","N/A","N/A","16562.20","16562.20","N/A","16562.20","16562.20","16562.20","16562.20","16562.20","16562.20","16562.20","16562.20","16562.20","16562.20"
"5","N/A","REVISE URETHRA STAGE 1","53400","N/A","N/A","N/A","N/A","N/A","24097.11","24097.11","N/A","N/A","N/A","24097.11","24097.11","N/A","24097.11","24097.11","24097.11","24097.11","24097.11","24097.11","24097.11","24097.11","24097.11","24097.11"
"5","N/A","RECONSTRUCT URETHRA STAGE 2","53425","N/A","N/A","N/A","N/A","N/A","20248.48","20248.48","N/A","N/A","N/A","20248.48","20248.48","N/A","20248.48","20248.48","20248.48","20248.48","20248.48","20248.48","20248.48","20248.48","20248.48","20248.48"
"5","N/A","MALE SLING PROCEDURE","53440","N/A","N/A","N/A","N/A","N/A","40473.82","40473.82","N/A","N/A","N/A","40473.82","40473.82","N/A","40473.82","40473.82","40473.82","40473.82","40473.82","40473.82","40473.82","40473.82","40473.82","40473.82"
"5","N/A","INSERT TANDEM CUFF","53444","N/A","N/A","N/A","N/A","N/A","42347.19","42347.19","N/A","N/A","N/A","42347.19","42347.19","N/A","42347.19","42347.19","42347.19","42347.19","42347.19","42347.19","42347.19","42347.19","42347.19","42347.19"
"5","N/A","INSERT URO/VES NCK SPHINCTER","53445","N/A","N/A","N/A","N/A","N/A","77790.99","77790.99","N/A","N/A","N/A","77790.99","77790.99","N/A","77790.99","77790.99","77790.99","77790.99","77790.99","77790.99","77790.99","77790.99","77790.99","77790.99"
"5","N/A","REMOVE/REPLACE UR SPHINCTER","53447","N/A","N/A","N/A","N/A","33627.35","82657.01","82657.01","N/A","N/A","N/A","82657.01","82657.01","N/A","82657.01","82657.01","82657.01","82657.01","82657.01","82657.01","82657.01","82657.01","82657.01","82657.01"
"5","N/A","REPAIR OF URETHRA INJURY","53502","N/A","N/A","N/A","N/A","98856.01","16359.59","16359.59","N/A","N/A","N/A","16359.59","16359.59","N/A","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59"
"5","N/A","DILATE URETHRA STRICTURE","53600","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","HCHG DILATE URETHRA STRICT S/D MALE","53600","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","DILATE URETHRA STRICTURE","53620","N/A","N/A","N/A","N/A","N/A","1949.00","1949.00","N/A","N/A","N/A","1949.00","1949.00","N/A","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00"
"5","N/A","HCHG DILATE URETHRA STRICT F&F MALE","53620","N/A","N/A","N/A","N/A","N/A","1949.00","1949.00","N/A","N/A","N/A","1949.00","1949.00","N/A","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00","1949.00"
"5","N/A","HCHG TRURL DSTRJ PRST8 TISS RF WV","53854","N/A","N/A","N/A","N/A","N/A","7361.00","7361.00","N/A","N/A","N/A","7361.00","7361.00","N/A","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00"
"5","N/A","TRURL DSTRJ PRST8 TISS RF WV","53854","N/A","N/A","N/A","N/A","52393.27","7361.00","7361.00","N/A","N/A","N/A","7361.00","7361.00","N/A","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00","7361.00"
"5","N/A","UROLOGY SURGERY PROCEDURE","53899","N/A","N/A","N/A","N/A","59768.76","13009.56","13009.56","N/A","N/A","N/A","13009.56","13009.56","N/A","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56"
"5","N/A","HCHG UNLISTED TUR PROC","53899","N/A","N/A","N/A","N/A","N/A","13009.56","13009.56","N/A","N/A","N/A","13009.56","13009.56","N/A","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56","13009.56"
"5","N/A","HCHG SLITTING OF PREPUCE","54001","N/A","N/A","N/A","N/A","N/A","3550.00","3550.00","N/A","N/A","N/A","3550.00","3550.00","N/A","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00"
"5","N/A","SLITTING OF PREPUCE","54001","N/A","N/A","N/A","N/A","N/A","3550.00","3550.00","N/A","N/A","N/A","3550.00","3550.00","N/A","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00","3550.00"
"5","N/A","HCHG BX PENIS","54100","N/A","N/A","N/A","N/A","N/A","2479.00","2479.00","N/A","N/A","N/A","2479.00","2479.00","N/A","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00"
"5","N/A","BIOPSY OF PENIS","54100","N/A","N/A","N/A","N/A","80769.10","2479.00","2479.00","N/A","N/A","N/A","2479.00","2479.00","N/A","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00","2479.00"
"5","N/A","TREAT PENIS LESION GRAFT","54111","N/A","N/A","N/A","N/A","69057.04","24779.87","24779.87","N/A","N/A","N/A","24779.87","24779.87","N/A","24779.87","24779.87","24779.87","24779.87","24779.87","24779.87","24779.87","24779.87","24779.87","24779.87"
"5","N/A","TREAT PENIS LESION GRAFT","54112","N/A","N/A","N/A","N/A","N/A","18561.08","18561.08","N/A","N/A","N/A","18561.08","18561.08","N/A","18561.08","18561.08","18561.08","18561.08","18561.08","18561.08","18561.08","18561.08","18561.08","18561.08"
"5","N/A","HCHG REMVL FB FROM DEEP PENILE TISSUE","54115","N/A","N/A","N/A","N/A","N/A","10444.56","10444.56","N/A","N/A","N/A","10444.56","10444.56","N/A","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56"
"5","N/A","TREATMENT OF PENIS LESION","54115","N/A","N/A","N/A","N/A","74378.41","10444.56","10444.56","N/A","N/A","N/A","10444.56","10444.56","N/A","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56","10444.56"
"5","N/A","CIRCUMCISION W/REGIONL BLOCK","54150","N/A","N/A","N/A","N/A","N/A","9613.68","9613.68","N/A","N/A","N/A","9613.68","9613.68","N/A","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68"
"5","N/A","HCHG CIRCUMCISION (NURSERY)","54150","N/A","N/A","N/A","N/A","N/A","9613.68","9613.68","N/A","N/A","N/A","9613.68","9613.68","N/A","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68","9613.68"
"5","N/A","CIRCUM 28 DAYS OR OLDER","54161","N/A","N/A","N/A","N/A","N/A","10285.90","10285.90","N/A","N/A","N/A","10285.90","10285.90","N/A","10285.90","10285.90","10285.90","10285.90","10285.90","10285.90","10285.90","10285.90","10285.90","10285.90"
"5","N/A","REPAIR OF CIRCUMCISION","54163","N/A","N/A","N/A","N/A","N/A","9019.29","9019.29","N/A","N/A","N/A","9019.29","9019.29","N/A","9019.29","9019.29","9019.29","9019.29","9019.29","9019.29","9019.29","9019.29","9019.29","9019.29"
"5","N/A","HCHG IRRIG CORPORA CAVERNOSA PRIAP","54220","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","TREATMENT OF PENIS LESION","54220","N/A","N/A","N/A","N/A","N/A","950.00","950.00","N/A","N/A","N/A","950.00","950.00","N/A","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00","950.00"
"5","N/A","HCHG INJ CORPORA CAVERNOSA W PHARM","54235","N/A","N/A","N/A","N/A","N/A","473.00","473.00","N/A","N/A","N/A","473.00","473.00","N/A","473.00","473.00","473.00","473.00","473.00","473.00","473.00","473.00","473.00","473.00"
"5","N/A","PENILE INJECTION","54235","N/A","N/A","N/A","N/A","N/A","473.00","473.00","N/A","N/A","N/A","473.00","473.00","N/A","473.00","473.00","473.00","473.00","473.00","473.00","473.00","473.00","473.00","473.00"
"5","N/A","REVISION OF PENIS","54300","N/A","N/A","N/A","N/A","30488.33","10474.78","10474.78","N/A","N/A","N/A","10474.78","10474.78","N/A","10474.78","10474.78","10474.78","10474.78","10474.78","10474.78","10474.78","10474.78","10474.78","10474.78"
"5","N/A","RECONSTRUCT URETHRA/PENIS","54352","N/A","N/A","N/A","N/A","N/A","19858.18","19858.18","N/A","N/A","N/A","19858.18","19858.18","N/A","19858.18","19858.18","19858.18","19858.18","19858.18","19858.18","19858.18","19858.18","19858.18","19858.18"
"5","N/A","PENIS PLASTIC SURGERY","54360","N/A","N/A","N/A","N/A","N/A","11780.23","11780.23","N/A","N/A","N/A","11780.23","11780.23","N/A","11780.23","11780.23","11780.23","11780.23","11780.23","11780.23","11780.23","11780.23","11780.23","11780.23"
"5","N/A","INSERT SELF-CONTD PROSTHESIS","54401","N/A","N/A","N/A","N/A","69057.04","75951.40","75951.40","N/A","N/A","N/A","75951.40","75951.40","N/A","75951.40","75951.40","75951.40","75951.40","75951.40","75951.40","75951.40","75951.40","75951.40","75951.40"
"5","N/A","INSERT MULTI-COMP PENIS PROS","54405","N/A","N/A","N/A","N/A","69057.04","67899.09","67899.09","N/A","N/A","N/A","67899.09","67899.09","N/A","67899.09","67899.09","67899.09","67899.09","67899.09","67899.09","67899.09","67899.09","67899.09","67899.09"
"5","N/A","REMOVE/REPLACE PENIS PROSTH","54410","N/A","N/A","N/A","N/A","N/A","69674.63","69674.63","N/A","N/A","N/A","69674.63","69674.63","N/A","69674.63","69674.63","69674.63","69674.63","69674.63","69674.63","69674.63","69674.63","69674.63","69674.63"
"5","N/A","REMV/REPL PENIS CONTAIN PROS","54416","N/A","N/A","N/A","N/A","69057.04","58824.06","58824.06","N/A","N/A","N/A","58824.06","58824.06","N/A","58824.06","58824.06","58824.06","58824.06","58824.06","58824.06","58824.06","58824.06","58824.06","58824.06"
"5","N/A","REPAIR OF PENIS","54440","N/A","N/A","N/A","N/A","69057.04","23386.47","23386.47","N/A","N/A","N/A","23386.47","23386.47","N/A","23386.47","23386.47","23386.47","23386.47","23386.47","23386.47","23386.47","23386.47","23386.47","23386.47"
"5","N/A","HCHG FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING","54450","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","PREPUTIAL STRETCHING","54450","N/A","N/A","N/A","N/A","N/A","760.00","760.00","N/A","N/A","N/A","760.00","760.00","N/A","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00","760.00"
"5","N/A","REMOVAL OF TESTIS","54520","N/A","N/A","N/A","N/A","93890.37","13065.75","13065.75","N/A","N/A","N/A","13065.75","13065.75","N/A","13065.75","13065.75","13065.75","13065.75","13065.75","13065.75","13065.75","13065.75","13065.75","13065.75"
"5","N/A","ORCHIECTOMY PARTIAL","54522","N/A","N/A","N/A","N/A","76295.16","15209.30","15209.30","N/A","N/A","N/A","15209.30","15209.30","N/A","15209.30","15209.30","15209.30","15209.30","15209.30","15209.30","15209.30","15209.30","15209.30","15209.30"
"5","N/A","REMOVAL OF TESTIS","54530","N/A","N/A","N/A","N/A","93890.37","16239.83","16239.83","N/A","N/A","N/A","16239.83","16239.83","N/A","16239.83","16239.83","16239.83","16239.83","16239.83","16239.83","16239.83","16239.83","16239.83","16239.83"
"5","N/A","EXPLORATION FOR TESTIS","54550","N/A","N/A","N/A","N/A","N/A","15509.95","15509.95","N/A","N/A","N/A","15509.95","15509.95","N/A","15509.95","15509.95","15509.95","15509.95","15509.95","15509.95","15509.95","15509.95","15509.95","15509.95"
"5","N/A","REDUCE TESTIS TORSION","54600","N/A","N/A","N/A","N/A","N/A","22071.18","22071.18","N/A","N/A","N/A","22071.18","22071.18","N/A","22071.18","22071.18","22071.18","22071.18","22071.18","22071.18","22071.18","22071.18","22071.18","22071.18"
"5","N/A","SUSPENSION OF TESTIS","54620","N/A","N/A","N/A","N/A","N/A","13957.35","13957.35","N/A","N/A","N/A","13957.35","13957.35","N/A","13957.35","13957.35","13957.35","13957.35","13957.35","13957.35","13957.35","13957.35","13957.35","13957.35"
"5","N/A","ORCHIOPEXY INGUN/SCROT APPR","54640","N/A","N/A","N/A","N/A","N/A","11897.42","11897.42","N/A","N/A","N/A","11897.42","11897.42","N/A","11897.42","11897.42","11897.42","11897.42","11897.42","11897.42","11897.42","11897.42","11897.42","11897.42"
"5","N/A","HCHG I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE","54700","N/A","N/A","N/A","N/A","N/A","7648.00","7648.00","N/A","N/A","N/A","7648.00","7648.00","N/A","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00"
"5","N/A","DRAINAGE OF SCROTUM","54700","N/A","N/A","N/A","N/A","36874.88","7648.00","7648.00","N/A","N/A","N/A","7648.00","7648.00","N/A","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00","7648.00"
"5","N/A","REMOVE EPIDIDYMIS LESION","54830","N/A","N/A","N/A","N/A","N/A","11847.65","11847.65","N/A","N/A","N/A","11847.65","11847.65","N/A","11847.65","11847.65","11847.65","11847.65","11847.65","11847.65","11847.65","11847.65","11847.65","11847.65"
"5","N/A","REMOVE EPIDIDYMIS LESION","54840","N/A","N/A","N/A","N/A","N/A","13942.32","13942.32","N/A","N/A","N/A","13942.32","13942.32","N/A","13942.32","13942.32","13942.32","13942.32","13942.32","13942.32","13942.32","13942.32","13942.32","13942.32"
"5","N/A","DRAINAGE OF HYDROCELE","55000","N/A","N/A","N/A","N/A","N/A","1772.00","1772.00","N/A","N/A","N/A","1772.00","1772.00","N/A","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00"
"5","N/A","HCHG PUNCT ASP HYDROCELE TUNICA VAGINALIS","55000","N/A","N/A","N/A","N/A","N/A","1772.00","1772.00","N/A","N/A","N/A","1772.00","1772.00","N/A","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00","1772.00"
"5","N/A","REMOVAL OF HYDROCELE","55040","N/A","N/A","N/A","N/A","18583.85","12201.81","12201.81","N/A","N/A","N/A","12201.81","12201.81","N/A","12201.81","12201.81","12201.81","12201.81","12201.81","12201.81","12201.81","12201.81","12201.81","12201.81"
"5","N/A","REMOVAL OF HYDROCELES","55041","N/A","N/A","N/A","N/A","18583.85","11003.66","11003.66","N/A","N/A","N/A","11003.66","11003.66","N/A","11003.66","11003.66","11003.66","11003.66","11003.66","11003.66","11003.66","11003.66","11003.66","11003.66"
"5","N/A","REPAIR OF HYDROCELE","55060","N/A","N/A","N/A","N/A","N/A","17042.29","17042.29","N/A","N/A","N/A","17042.29","17042.29","N/A","17042.29","17042.29","17042.29","17042.29","17042.29","17042.29","17042.29","17042.29","17042.29","17042.29"
"5","N/A","HCHG I&D SCROTAL WALL ABSCESS","55100","N/A","N/A","N/A","N/A","N/A","11912.50","11912.50","N/A","N/A","N/A","11912.50","11912.50","N/A","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50"
"5","N/A","DRAINAGE OF SCROTUM ABSCESS","55100","N/A","N/A","N/A","N/A","36874.88","11912.50","11912.50","N/A","N/A","N/A","11912.50","11912.50","N/A","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50","11912.50"
"5","N/A","REMOVAL OF SCROTUM LESION","55120","N/A","N/A","N/A","N/A","49836.98","7873.93","7873.93","N/A","N/A","N/A","7873.93","7873.93","N/A","7873.93","7873.93","7873.93","7873.93","7873.93","7873.93","7873.93","7873.93","7873.93","7873.93"
"5","N/A","REMOVAL OF SPERM DUCT(S)","55250","N/A","N/A","N/A","N/A","N/A","9692.30","9692.30","N/A","N/A","N/A","9692.30","9692.30","N/A","9692.30","9692.30","9692.30","9692.30","9692.30","9692.30","9692.30","9692.30","9692.30","9692.30"
"5","N/A","REPAIR OF SPERM DUCT","55400","N/A","N/A","N/A","N/A","N/A","19291.30","19291.30","N/A","N/A","N/A","19291.30","19291.30","N/A","19291.30","19291.30","19291.30","19291.30","19291.30","19291.30","19291.30","19291.30","19291.30","19291.30"
"5","N/A","REMOVAL OF HYDROCELE","55500","N/A","N/A","N/A","N/A","N/A","13995.94","13995.94","N/A","N/A","N/A","13995.94","13995.94","N/A","13995.94","13995.94","13995.94","13995.94","13995.94","13995.94","13995.94","13995.94","13995.94","13995.94"
"5","N/A","REMOVAL OF SPERM CORD LESION","55520","N/A","N/A","N/A","N/A","N/A","16078.18","16078.18","N/A","N/A","N/A","16078.18","16078.18","N/A","16078.18","16078.18","16078.18","16078.18","16078.18","16078.18","16078.18","16078.18","16078.18","16078.18"
"5","N/A","REVISE SPERMATIC CORD VEINS","55530","N/A","N/A","N/A","N/A","N/A","17208.62","17208.62","N/A","N/A","N/A","17208.62","17208.62","N/A","17208.62","17208.62","17208.62","17208.62","17208.62","17208.62","17208.62","17208.62","17208.62","17208.62"
"5","N/A","REVISE SPERMATIC CORD VEINS","55535","N/A","N/A","N/A","N/A","N/A","20936.65","20936.65","N/A","N/A","N/A","20936.65","20936.65","N/A","20936.65","20936.65","20936.65","20936.65","20936.65","20936.65","20936.65","20936.65","20936.65","20936.65"
"5","N/A","BIOPSY OF PROSTATE","55700","N/A","N/A","N/A","N/A","N/A","15295.05","15295.05","N/A","N/A","N/A","15295.05","15295.05","N/A","15295.05","15295.05","15295.05","15295.05","15295.05","15295.05","15295.05","15295.05","15295.05","15295.05"
"5","N/A","PROSTATE SATURATION SAMPLING","55706","N/A","N/A","N/A","N/A","N/A","19961.82","19961.82","N/A","N/A","N/A","19961.82","19961.82","N/A","19961.82","19961.82","19961.82","19961.82","19961.82","19961.82","19961.82","19961.82","19961.82","19961.82"
"5","N/A","LAPARO RADICAL PROSTATECTOMY","55866","N/A","N/A","N/A","N/A","35653.61","29124.88","29124.88","N/A","N/A","N/A","29124.88","29124.88","N/A","29124.88","29124.88","29124.88","29124.88","29124.88","29124.88","29124.88","29124.88","29124.88","29124.88"
"5","N/A","CRYOABLATE PROSTATE","55873","N/A","N/A","N/A","N/A","N/A","28730.40","28730.40","N/A","N/A","N/A","28730.40","28730.40","N/A","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40"
"5","N/A","HCHG CRYOABLATION OF PROSTATE","55873","N/A","N/A","N/A","N/A","N/A","28730.40","28730.40","N/A","N/A","N/A","28730.40","28730.40","N/A","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40","28730.40"
"5","N/A","TRANSPERI NEEDLE PLACE PROS","55875","N/A","N/A","N/A","N/A","N/A","40563.82","40563.82","N/A","N/A","N/A","40563.82","40563.82","N/A","40563.82","40563.82","40563.82","40563.82","40563.82","40563.82","40563.82","40563.82","40563.82","40563.82"
"5","N/A","HCHG UNLISTED MALE GENITAL SYSTEM","55899","N/A","N/A","N/A","N/A","N/A","30177.02","30177.02","N/A","N/A","N/A","30177.02","30177.02","N/A","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02"
"5","N/A","GENITAL SURGERY PROCEDURE","55899","N/A","N/A","N/A","N/A","50429.74","30177.02","30177.02","N/A","N/A","N/A","30177.02","30177.02","N/A","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02","30177.02"
"5","N/A","I & D OF VULVA/PERINEUM","56405","N/A","N/A","N/A","N/A","27865.93","9081.47","9081.47","N/A","N/A","N/A","9081.47","9081.47","N/A","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47"
"5","N/A","HCHG I&D VULVA/PERINEAL ABSCESS","56405","N/A","N/A","N/A","N/A","N/A","9081.47","9081.47","N/A","N/A","N/A","9081.47","9081.47","N/A","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47","9081.47"
"5","N/A","DRAINAGE OF GLAND ABSCESS","56420","N/A","N/A","N/A","N/A","N/A","536.00","536.00","N/A","N/A","N/A","536.00","536.00","N/A","536.00","536.00","536.00","536.00","536.00","536.00","536.00","536.00","536.00","536.00"
"5","N/A","HCHG I&D BARTHOLIN GLAND ABSCESS","56420","N/A","N/A","N/A","N/A","N/A","536.00","536.00","N/A","N/A","N/A","536.00","536.00","N/A","536.00","536.00","536.00","536.00","536.00","536.00","536.00","536.00","536.00","536.00"
"5","N/A","HCHG MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST","56440","N/A","N/A","N/A","N/A","N/A","7937.85","7937.85","N/A","N/A","N/A","7937.85","7937.85","N/A","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85"
"5","N/A","SURGERY FOR VULVA LESION","56440","N/A","N/A","N/A","N/A","N/A","7937.85","7937.85","N/A","N/A","N/A","7937.85","7937.85","N/A","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85","7937.85"
"5","N/A","DESTROY VULVA LESIONS SIM","56501","N/A","N/A","N/A","N/A","N/A","11673.40","11673.40","N/A","N/A","N/A","11673.40","11673.40","N/A","11673.40","11673.40","11673.40","11673.40","11673.40","11673.40","11673.40","11673.40","11673.40","11673.40"
"5","N/A","PARTIAL REMOVAL OF VULVA","56620","N/A","N/A","N/A","N/A","N/A","10874.76","10874.76","N/A","N/A","N/A","10874.76","10874.76","N/A","10874.76","10874.76","10874.76","10874.76","10874.76","10874.76","10874.76","10874.76","10874.76","10874.76"
"5","N/A","COMPLETE REMOVAL OF VULVA","56625","N/A","N/A","N/A","N/A","29485.39","26888.52","26888.52","N/A","N/A","N/A","26888.52","26888.52","N/A","26888.52","26888.52","26888.52","26888.52","26888.52","26888.52","26888.52","26888.52","26888.52","26888.52"
"5","N/A","EXTENSIVE VULVA SURGERY","56630","N/A","N/A","N/A","N/A","N/A","12742.50","12742.50","N/A","N/A","N/A","12742.50","12742.50","N/A","12742.50","12742.50","12742.50","12742.50","12742.50","12742.50","12742.50","12742.50","12742.50","12742.50"
"5","N/A","REPAIR OF VAGINA","56800","N/A","N/A","N/A","N/A","N/A","16359.59","16359.59","N/A","N/A","N/A","16359.59","16359.59","N/A","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59","16359.59"
"5","N/A","DRAINAGE OF PELVIC FLUID","57020","N/A","N/A","N/A","N/A","N/A","12020.18","12020.18","N/A","N/A","N/A","12020.18","12020.18","N/A","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18"
"5","N/A","HCHG COLPOCENTESIS","57020","N/A","N/A","N/A","N/A","N/A","12020.18","12020.18","N/A","N/A","N/A","12020.18","12020.18","N/A","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18","12020.18"
"5","N/A","I & D VAGINAL HEMATOMA PP","57022","N/A","N/A","N/A","N/A","N/A","7353.33","7353.33","N/A","N/A","N/A","7353.33","7353.33","N/A","7353.33","7353.33","7353.33","7353.33","7353.33","7353.33","7353.33","7353.33","7353.33","7353.33"
"5","N/A","BIOPSY OF VAGINA","57100","N/A","N/A","N/A","N/A","N/A","14023.85","14023.85","N/A","N/A","N/A","14023.85","14023.85","N/A","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85"
"5","N/A","HCHG BX VAGINAL MUCOSA SIMP","57100","N/A","N/A","N/A","N/A","N/A","14023.85","14023.85","N/A","N/A","N/A","14023.85","14023.85","N/A","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85","14023.85"
"5","N/A","REMOVE VAGINA WALL PARTIAL","57106","N/A","N/A","N/A","N/A","30215.32","10762.75","10762.75","N/A","N/A","N/A","10762.75","10762.75","N/A","10762.75","10762.75","10762.75","10762.75","10762.75","10762.75","10762.75","10762.75","10762.75","10762.75"
"5","N/A","CLOSURE OF VAGINA","57120","N/A","N/A","N/A","N/A","48924.34","19944.05","19944.05","N/A","N/A","N/A","19944.05","19944.05","N/A","19944.05","19944.05","19944.05","19944.05","19944.05","19944.05","19944.05","19944.05","19944.05","19944.05"
"5","N/A","REMOVE VAGINA LESION","57135","N/A","N/A","N/A","N/A","N/A","8570.77","8570.77","N/A","N/A","N/A","8570.77","8570.77","N/A","8570.77","8570.77","8570.77","8570.77","8570.77","8570.77","8570.77","8570.77","8570.77","8570.77"
"5","N/A","HCHG INSERT TANDEMS/OVOIDS BRACHYTX","57155","N/A","N/A","N/A","N/A","N/A","22256.91","22256.91","N/A","N/A","N/A","22256.91","22256.91","N/A","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91"
"5","N/A","INSERT UTERI TANDEM/OVOIDS","57155","N/A","N/A","N/A","N/A","N/A","22256.91","22256.91","N/A","N/A","N/A","22256.91","22256.91","N/A","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91","22256.91"
"5","N/A","HCHG INSERT VAG RAD APPARATUS BRACHYTX","57156","N/A","N/A","N/A","N/A","N/A","20749.76","20749.76","N/A","N/A","N/A","20749.76","20749.76","N/A","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76"
"5","N/A","INS VAG BRACHYTX DEVICE","57156","N/A","N/A","N/A","N/A","N/A","20749.76","20749.76","N/A","N/A","N/A","20749.76","20749.76","N/A","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76","20749.76"
"5","N/A","HCHG TREAT NONOB VAGINAL HEMORRHAGE","57180","N/A","N/A","N/A","N/A","N/A","464.00","464.00","N/A","N/A","N/A","464.00","464.00","N/A","464.00","464.00","464.00","464.00","464.00","464.00","464.00","464.00","464.00","464.00"
"5","N/A","TREAT VAGINAL BLEEDING","57180","N/A","N/A","N/A","N/A","N/A","464.00","464.00","N/A","N/A","N/A","464.00","464.00","N/A","464.00","464.00","464.00","464.00","464.00","464.00","464.00","464.00","464.00","464.00"
"5","N/A","HCHG COLPORRHAPHY SUTURE INJ VAGINA","57200","N/A","N/A","N/A","N/A","N/A","25592.54","25592.54","N/A","N/A","N/A","25592.54","25592.54","N/A","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54"
"5","N/A","REPAIR OF VAGINA","57200","N/A","N/A","N/A","N/A","N/A","25592.54","25592.54","N/A","N/A","N/A","25592.54","25592.54","N/A","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54","25592.54"
"5","N/A","REVISION OF URETHRA","57220","N/A","N/A","N/A","N/A","N/A","20601.83","20601.83","N/A","N/A","N/A","20601.83","20601.83","N/A","20601.83","20601.83","20601.83","20601.83","20601.83","20601.83","20601.83","20601.83","20601.83","20601.83"
"5","N/A","ANTERIOR COLPORRHAPHY","57240","N/A","N/A","N/A","N/A","N/A","21001.57","21001.57","N/A","N/A","N/A","21001.57","21001.57","N/A","21001.57","21001.57","21001.57","21001.57","21001.57","21001.57","21001.57","21001.57","21001.57","21001.57"
"5","N/A","REPAIR RECTUM & VAGINA","57250","N/A","N/A","N/A","N/A","N/A","20284.95","20284.95","N/A","N/A","N/A","20284.95","20284.95","N/A","20284.95","20284.95","20284.95","20284.95","20284.95","20284.95","20284.95","20284.95","20284.95","20284.95"
"5","N/A","CMBN ANT PST COLPRHY","57260","N/A","N/A","N/A","N/A","N/A","22791.50","22791.50","N/A","N/A","N/A","22791.50","22791.50","N/A","22791.50","22791.50","22791.50","22791.50","22791.50","22791.50","22791.50","22791.50","22791.50","22791.50"
"5","N/A","CMBN AP COLPRHY W/NTRCL RPR","57265","N/A","N/A","N/A","N/A","N/A","23514.65","23514.65","N/A","N/A","N/A","23514.65","23514.65","N/A","23514.65","23514.65","23514.65","23514.65","23514.65","23514.65","23514.65","23514.65","23514.65","23514.65"
"5","N/A","INSERT MESH/PELVIC FLR ADDON","57267","N/A","N/A","N/A","N/A","N/A","26970.85","26970.85","N/A","N/A","N/A","26970.85","26970.85","N/A","26970.85","26970.85","26970.85","26970.85","26970.85","26970.85","26970.85","26970.85","26970.85","26970.85"
"5","N/A","COLPOPEXY INTRAPERITONEAL","57283","N/A","N/A","N/A","N/A","N/A","24087.16","24087.16","N/A","N/A","N/A","24087.16","24087.16","N/A","24087.16","24087.16","24087.16","24087.16","24087.16","24087.16","24087.16","24087.16","24087.16","24087.16"
"5","N/A","REVISE/REMOVE SLING REPAIR","57287","N/A","N/A","N/A","N/A","N/A","12377.81","12377.81","N/A","N/A","N/A","12377.81","12377.81","N/A","12377.81","12377.81","12377.81","12377.81","12377.81","12377.81","12377.81","12377.81","12377.81","12377.81"
"5","N/A","REPAIR BLADDER DEFECT","57288","N/A","N/A","N/A","N/A","N/A","21513.38","21513.38","N/A","N/A","N/A","21513.38","21513.38","N/A","21513.38","21513.38","21513.38","21513.38","21513.38","21513.38","21513.38","21513.38","21513.38","21513.38"
"5","N/A","REVISE VAG GRAFT VIA VAGINA","57295","N/A","N/A","N/A","N/A","N/A","8785.83","8785.83","N/A","N/A","N/A","8785.83","8785.83","N/A","8785.83","8785.83","8785.83","8785.83","8785.83","8785.83","8785.83","8785.83","8785.83","8785.83"
"5","N/A","REPAIR RECTUM-VAGINA FISTULA","57300","N/A","N/A","N/A","N/A","51130.71","13980.87","13980.87","N/A","N/A","N/A","13980.87","13980.87","N/A","13980.87","13980.87","13980.87","13980.87","13980.87","13980.87","13980.87","13980.87","13980.87","13980.87"
"5","N/A","PELVIC EXAMINATION","57410","N/A","N/A","N/A","N/A","N/A","8395.32","8395.32","N/A","N/A","N/A","8395.32","8395.32","N/A","8395.32","8395.32","8395.32","8395.32","8395.32","8395.32","8395.32","8395.32","8395.32","8395.32"
"5","N/A","REPAIR PARAVAG DEFECT LAP","57423","N/A","N/A","N/A","N/A","34333.15","12288.53","12288.53","N/A","N/A","N/A","12288.53","12288.53","N/A","12288.53","12288.53","12288.53","12288.53","12288.53","12288.53","12288.53","12288.53","12288.53","12288.53"
"5","N/A","LAPAROSCOPY SURG COLPOPEXY","57425","N/A","N/A","N/A","N/A","30466.64","29791.59","29791.59","N/A","N/A","N/A","29791.59","29791.59","N/A","29791.59","29791.59","29791.59","29791.59","29791.59","29791.59","29791.59","29791.59","29791.59","29791.59"
"5","N/A","CONZ OF CERVIX W/SCOPE LEEP","57461","N/A","N/A","N/A","N/A","N/A","11457.92","11457.92","N/A","N/A","N/A","11457.92","11457.92","N/A","11457.92","11457.92","11457.92","11457.92","11457.92","11457.92","11457.92","11457.92","11457.92","11457.92"
"5","N/A","HCHG BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX","57500","N/A","N/A","N/A","N/A","N/A","9784.49","9784.49","N/A","N/A","N/A","9784.49","9784.49","N/A","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49"
"5","N/A","BIOPSY OF CERVIX","57500","N/A","N/A","N/A","N/A","50503.40","9784.49","9784.49","N/A","N/A","N/A","9784.49","9784.49","N/A","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49","9784.49"
"5","N/A","ENDOCERVICAL CURETTAGE","57505","N/A","N/A","N/A","N/A","65650.65","9280.50","9280.50","N/A","N/A","N/A","9280.50","9280.50","N/A","9280.50","9280.50","9280.50","9280.50","9280.50","9280.50","9280.50","9280.50","9280.50","9280.50"
"5","N/A","CAUTERIZATION OF CERVIX","57510","N/A","N/A","N/A","N/A","N/A","6556.00","6556.00","N/A","N/A","N/A","6556.00","6556.00","N/A","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00"
"5","N/A","HCHG CAUTERY OF CERVIX; ELECTRO OR THERMAL","57510","N/A","N/A","N/A","N/A","N/A","6556.00","6556.00","N/A","N/A","N/A","6556.00","6556.00","N/A","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00"
"5","N/A","CONIZATION OF CERVIX","57520","N/A","N/A","N/A","N/A","14988.43","8258.00","8258.00","N/A","N/A","N/A","8258.00","8258.00","N/A","8258.00","8258.00","8258.00","8258.00","8258.00","8258.00","8258.00","8258.00","8258.00","8258.00"
"5","N/A","CONIZATION OF CERVIX","57522","N/A","N/A","N/A","N/A","14988.43","8572.97","8572.97","N/A","N/A","N/A","8572.97","8572.97","N/A","8572.97","8572.97","8572.97","8572.97","8572.97","8572.97","8572.97","8572.97","8572.97","8572.97"
"5","N/A","REMOVAL OF RESIDUAL CERVIX","57550","N/A","N/A","N/A","N/A","N/A","16078.35","16078.35","N/A","N/A","N/A","16078.35","16078.35","N/A","16078.35","16078.35","16078.35","16078.35","16078.35","16078.35","16078.35","16078.35","16078.35","16078.35"
"5","N/A","BIOPSY OF UTERUS LINING","58100","N/A","N/A","N/A","N/A","N/A","5415.15","5415.15","N/A","N/A","N/A","5415.15","5415.15","N/A","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15"
"5","N/A","HCHG ENDOMETRIAL BX WO CERVICAL DILATION","58100","N/A","N/A","N/A","N/A","N/A","5415.15","5415.15","N/A","N/A","N/A","5415.15","5415.15","N/A","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15"
"5","N/A","HCHG ENDOMETRIAL BX WO DILAT","58100","N/A","N/A","N/A","N/A","N/A","5415.15","5415.15","N/A","N/A","N/A","5415.15","5415.15","N/A","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15","5415.15"
"5","N/A","HCHG D&C DIAG/TX (NONOBSTETRICAL)","58120","N/A","N/A","N/A","N/A","N/A","10952.89","10952.89","N/A","N/A","N/A","10952.89","10952.89","N/A","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89"
"5","N/A","DILATION AND CURETTAGE","58120","N/A","N/A","N/A","N/A","65650.65","10952.89","10952.89","N/A","N/A","N/A","10952.89","10952.89","N/A","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89","10952.89"
"5","N/A","MYOMECTOMY ABDOM METHOD","58140","N/A","N/A","N/A","N/A","30366.93","20166.04","20166.04","N/A","N/A","N/A","20166.04","20166.04","N/A","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04"
"5","N/A","HCHG MYOMECTOMY VAG METHOD 1-4 MYOMAS","58145","N/A","N/A","N/A","N/A","N/A","13827.65","13827.65","N/A","N/A","N/A","13827.65","13827.65","N/A","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65"
"5","N/A","HCHG MYOMECTOMY VAG METHOD,1-4 INTRAMURAL MYOMA(S)","58145","N/A","N/A","N/A","N/A","N/A","13827.65","13827.65","N/A","N/A","N/A","13827.65","13827.65","N/A","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65"
"5","N/A","MYOMECTOMY VAG METHOD","58145","N/A","N/A","N/A","N/A","N/A","13827.65","13827.65","N/A","N/A","N/A","13827.65","13827.65","N/A","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65","13827.65"
"5","N/A","VAGINAL HYSTERECTOMY","58260","N/A","N/A","N/A","N/A","30457.02","23003.65","23003.65","N/A","N/A","N/A","23003.65","23003.65","N/A","23003.65","23003.65","23003.65","23003.65","23003.65","23003.65","23003.65","23003.65","23003.65","23003.65"
"5","N/A","VAG HYST INCLUDING T/O","58262","N/A","N/A","N/A","N/A","31483.42","22686.89","22686.89","N/A","N/A","N/A","22686.89","22686.89","N/A","22686.89","22686.89","22686.89","22686.89","22686.89","22686.89","22686.89","22686.89","22686.89","22686.89"
"5","N/A","VAG HYST W/T/O & VAG REPAIR","58263","N/A","N/A","N/A","N/A","31483.42","23179.65","23179.65","N/A","N/A","N/A","23179.65","23179.65","N/A","23179.65","23179.65","23179.65","23179.65","23179.65","23179.65","23179.65","23179.65","23179.65","23179.65"
"5","N/A","HYSTERECTOMY/REVISE VAGINA","58275","N/A","N/A","N/A","N/A","30436.05","23581.93","23581.93","N/A","N/A","N/A","23581.93","23581.93","N/A","23581.93","23581.93","23581.93","23581.93","23581.93","23581.93","23581.93","23581.93","23581.93","23581.93"
"5","N/A","VAG HYST COMPLEX","58290","N/A","N/A","N/A","N/A","30457.02","23376.11","23376.11","N/A","N/A","N/A","23376.11","23376.11","N/A","23376.11","23376.11","23376.11","23376.11","23376.11","23376.11","23376.11","23376.11","23376.11","23376.11"
"5","N/A","VAG HYST INCL T/O COMPLEX","58291","N/A","N/A","N/A","N/A","31483.42","25806.29","25806.29","N/A","N/A","N/A","25806.29","25806.29","N/A","25806.29","25806.29","25806.29","25806.29","25806.29","25806.29","25806.29","25806.29","25806.29","25806.29"
"5","N/A","HCHG INSERT IUD","58300","N/A","N/A","N/A","N/A","N/A","9411.36","9411.36","N/A","N/A","N/A","9411.36","9411.36","N/A","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36"
"5","N/A","INSERT INTRAUTERINE DEVICE","58300","N/A","N/A","N/A","N/A","N/A","9411.36","9411.36","N/A","N/A","N/A","9411.36","9411.36","N/A","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36","9411.36"
"5","N/A","HCHG REMOVAL INTRAUTERINE DEVICE IUD","58301","N/A","N/A","N/A","N/A","N/A","11619.92","11619.92","N/A","N/A","N/A","11619.92","11619.92","N/A","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92"
"5","N/A","REMOVE INTRAUTERINE DEVICE","58301","N/A","N/A","N/A","N/A","N/A","11619.92","11619.92","N/A","N/A","N/A","11619.92","11619.92","N/A","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92","11619.92"
"5","N/A","CATHETER FOR HYSTEROGRAPHY","58340","N/A","N/A","N/A","N/A","N/A","1678.40","1678.40","N/A","N/A","N/A","1678.40","1678.40","N/A","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40"
"5","N/A","HCHG CATH & INTRO HYSTEROSONOGRAM","58340","N/A","N/A","N/A","N/A","N/A","1678.40","1678.40","N/A","N/A","N/A","1678.40","1678.40","N/A","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40","1678.40"
"5","N/A","HCHG REOPEN FALLOPIAN TUBE","58345","N/A","N/A","N/A","N/A","N/A","14327.98","14327.98","N/A","N/A","N/A","14327.98","14327.98","N/A","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98"
"5","N/A","REOPEN FALLOPIAN TUBE","58345","N/A","N/A","N/A","N/A","N/A","14327.98","14327.98","N/A","N/A","N/A","14327.98","14327.98","N/A","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98","14327.98"
"5","N/A","REOPEN FALLOPIAN TUBE","58350","N/A","N/A","N/A","N/A","N/A","17807.84","17807.84","N/A","N/A","N/A","17807.84","17807.84","N/A","17807.84","17807.84","17807.84","17807.84","17807.84","17807.84","17807.84","17807.84","17807.84","17807.84"
"5","N/A","ENDOMETR ABLATE THERMAL","58353","N/A","N/A","N/A","N/A","N/A","12604.98","12604.98","N/A","N/A","N/A","12604.98","12604.98","N/A","12604.98","12604.98","12604.98","12604.98","12604.98","12604.98","12604.98","12604.98","12604.98","12604.98"
"5","N/A","REPAIR OF RUPTURED UTERUS","58520","N/A","N/A","N/A","N/A","N/A","27898.44","27898.44","N/A","N/A","N/A","27898.44","27898.44","N/A","27898.44","27898.44","27898.44","27898.44","27898.44","27898.44","27898.44","27898.44","27898.44","27898.44"
"5","N/A","LSH UTERUS 250 G OR LESS","58541","N/A","N/A","N/A","N/A","40507.92","20874.45","20874.45","N/A","N/A","N/A","20874.45","20874.45","N/A","20874.45","20874.45","20874.45","20874.45","20874.45","20874.45","20874.45","20874.45","20874.45","20874.45"
"5","N/A","LSH W/T/O UT 250 G OR LESS","58542","N/A","N/A","N/A","N/A","38620.18","27580.85","27580.85","N/A","N/A","N/A","27580.85","27580.85","N/A","27580.85","27580.85","27580.85","27580.85","27580.85","27580.85","27580.85","27580.85","27580.85","27580.85"
"5","N/A","LSH W/T/O UTERUS ABOVE 250 G","58544","N/A","N/A","N/A","N/A","38620.18","30292.50","30292.50","N/A","N/A","N/A","30292.50","30292.50","N/A","30292.50","30292.50","30292.50","30292.50","30292.50","30292.50","30292.50","30292.50","30292.50","30292.50"
"5","N/A","LAPAROSCOPIC MYOMECTOMY","58545","N/A","N/A","N/A","N/A","N/A","25123.81","25123.81","N/A","N/A","N/A","25123.81","25123.81","N/A","25123.81","25123.81","25123.81","25123.81","25123.81","25123.81","25123.81","25123.81","25123.81","25123.81"
"5","N/A","LAPARO-MYOMECTOMY COMPLEX","58546","N/A","N/A","N/A","N/A","N/A","32901.89","32901.89","N/A","N/A","N/A","32901.89","32901.89","N/A","32901.89","32901.89","32901.89","32901.89","32901.89","32901.89","32901.89","32901.89","32901.89","32901.89"
"5","N/A","LAP RADICAL HYST","58548","N/A","N/A","N/A","N/A","36560.43","24045.36","24045.36","N/A","N/A","N/A","24045.36","24045.36","N/A","24045.36","24045.36","24045.36","24045.36","24045.36","24045.36","24045.36","24045.36","24045.36","24045.36"
"5","N/A","LAPARO-ASST VAG HYSTERECTOMY","58550","N/A","N/A","N/A","N/A","79858.27","22269.25","22269.25","N/A","N/A","N/A","22269.25","22269.25","N/A","22269.25","22269.25","22269.25","22269.25","22269.25","22269.25","22269.25","22269.25","22269.25","22269.25"
"5","N/A","LAPARO-VAG HYST INCL T/O","58552","N/A","N/A","N/A","N/A","33288.74","26690.39","26690.39","N/A","N/A","N/A","26690.39","26690.39","N/A","26690.39","26690.39","26690.39","26690.39","26690.39","26690.39","26690.39","26690.39","26690.39","26690.39"
"5","N/A","LAPARO-VAG HYST W/T/O COMPL","58554","N/A","N/A","N/A","N/A","33288.74","25541.70","25541.70","N/A","N/A","N/A","25541.70","25541.70","N/A","25541.70","25541.70","25541.70","25541.70","25541.70","25541.70","25541.70","25541.70","25541.70","25541.70"
"5","N/A","HYSTEROSCOPY DX SEP PROC","58555","N/A","N/A","N/A","N/A","N/A","11931.36","11931.36","N/A","N/A","N/A","11931.36","11931.36","N/A","11931.36","11931.36","11931.36","11931.36","11931.36","11931.36","11931.36","11931.36","11931.36","11931.36"
"5","N/A","HYSTEROSCOPY BIOPSY","58558","N/A","N/A","N/A","N/A","27185.15","10117.75","10117.75","N/A","N/A","N/A","10117.75","10117.75","N/A","10117.75","10117.75","10117.75","10117.75","10117.75","10117.75","10117.75","10117.75","10117.75","10117.75"
"5","N/A","HYSTEROSCOPY LYSIS","58559","N/A","N/A","N/A","N/A","N/A","10429.15","10429.15","N/A","N/A","N/A","10429.15","10429.15","N/A","10429.15","10429.15","10429.15","10429.15","10429.15","10429.15","10429.15","10429.15","10429.15","10429.15"
"5","N/A","HYSTEROSCOPY RESECT SEPTUM","58560","N/A","N/A","N/A","N/A","68837.68","11519.69","11519.69","N/A","N/A","N/A","11519.69","11519.69","N/A","11519.69","11519.69","11519.69","11519.69","11519.69","11519.69","11519.69","11519.69","11519.69","11519.69"
"5","N/A","HYSTEROSCOPY REMOVE MYOMA","58561","N/A","N/A","N/A","N/A","68837.68","12264.18","12264.18","N/A","N/A","N/A","12264.18","12264.18","N/A","12264.18","12264.18","12264.18","12264.18","12264.18","12264.18","12264.18","12264.18","12264.18","12264.18"
"5","N/A","HYSTEROSCOPY REMOVE FB","58562","N/A","N/A","N/A","N/A","N/A","7260.72","7260.72","N/A","N/A","N/A","7260.72","7260.72","N/A","7260.72","7260.72","7260.72","7260.72","7260.72","7260.72","7260.72","7260.72","7260.72","7260.72"
"5","N/A","HYSTEROSCOPY ABLATION","58563","N/A","N/A","N/A","N/A","50550.06","14638.17","14638.17","N/A","N/A","N/A","14638.17","14638.17","N/A","14638.17","14638.17","14638.17","14638.17","14638.17","14638.17","14638.17","14638.17","14638.17","14638.17"
"5","N/A","TLH UTERUS 250 G OR LESS","58570","N/A","N/A","N/A","N/A","40500.65","26452.19","26452.19","N/A","N/A","N/A","26452.19","26452.19","N/A","26452.19","26452.19","26452.19","26452.19","26452.19","26452.19","26452.19","26452.19","26452.19","26452.19"
"5","N/A","TLH W/T/O 250 G OR LESS","58571","N/A","N/A","N/A","N/A","38629.44","26037.89","26037.89","N/A","N/A","N/A","26037.89","26037.89","N/A","26037.89","26037.89","26037.89","26037.89","26037.89","26037.89","26037.89","26037.89","26037.89","26037.89"
"5","N/A","TLH UTERUS OVER 250 G","58572","N/A","N/A","N/A","N/A","40500.65","26212.31","26212.31","N/A","N/A","N/A","26212.31","26212.31","N/A","26212.31","26212.31","26212.31","26212.31","26212.31","26212.31","26212.31","26212.31","26212.31","26212.31"
"5","N/A","TLH W/T/O UTERUS OVER 250 G","58573","N/A","N/A","N/A","N/A","38629.44","28522.06","28522.06","N/A","N/A","N/A","28522.06","28522.06","N/A","28522.06","28522.06","28522.06","28522.06","28522.06","28522.06","28522.06","28522.06","28522.06","28522.06"
"5","N/A","LAPARO PROC UTERUS","58578","N/A","N/A","N/A","N/A","N/A","21305.90","21305.90","N/A","N/A","N/A","21305.90","21305.90","N/A","21305.90","21305.90","21305.90","21305.90","21305.90","21305.90","21305.90","21305.90","21305.90","21305.90"
"5","N/A","HYSTEROSCOPE PROCEDURE","58579","N/A","N/A","N/A","N/A","N/A","6497.67","6497.67","N/A","N/A","N/A","6497.67","6497.67","N/A","6497.67","6497.67","6497.67","6497.67","6497.67","6497.67","6497.67","6497.67","6497.67","6497.67"
"5","N/A","LAPAROSCOPY LYSIS","58660","N/A","N/A","N/A","N/A","N/A","13847.44","13847.44","N/A","N/A","N/A","13847.44","13847.44","N/A","13847.44","13847.44","13847.44","13847.44","13847.44","13847.44","13847.44","13847.44","13847.44","13847.44"
"5","N/A","LAPAROSCOPY REMOVE ADNEXA","58661","N/A","N/A","N/A","N/A","37428.34","17042.56","17042.56","N/A","N/A","N/A","17042.56","17042.56","N/A","17042.56","17042.56","17042.56","17042.56","17042.56","17042.56","17042.56","17042.56","17042.56","17042.56"
"5","N/A","LAPAROSCOPY EXCISE LESIONS","58662","N/A","N/A","N/A","N/A","30403.67","20579.66","20579.66","N/A","N/A","N/A","20579.66","20579.66","N/A","20579.66","20579.66","20579.66","20579.66","20579.66","20579.66","20579.66","20579.66","20579.66","20579.66"
"5","N/A","LAPAROSCOPY TUBAL CAUTERY","58670","N/A","N/A","N/A","N/A","N/A","9160.79","9160.79","N/A","N/A","N/A","9160.79","9160.79","N/A","9160.79","9160.79","9160.79","9160.79","9160.79","9160.79","9160.79","9160.79","9160.79","9160.79"
"5","N/A","LAPS ABLTJ UTERINE FIBROIDS","58674","N/A","N/A","N/A","N/A","N/A","32956.05","32956.05","N/A","N/A","N/A","32956.05","32956.05","N/A","32956.05","32956.05","32956.05","32956.05","32956.05","32956.05","32956.05","32956.05","32956.05","32956.05"
"5","N/A","REMOVAL OF FALLOPIAN TUBE","58700","N/A","N/A","N/A","N/A","36440.38","27043.94","27043.94","N/A","N/A","N/A","27043.94","27043.94","N/A","27043.94","27043.94","27043.94","27043.94","27043.94","27043.94","27043.94","27043.94","27043.94","27043.94"
"5","N/A","REMOVAL OF OVARY/TUBE(S)","58720","N/A","N/A","N/A","N/A","37528.60","16212.43","16212.43","N/A","N/A","N/A","16212.43","16212.43","N/A","16212.43","16212.43","16212.43","16212.43","16212.43","16212.43","16212.43","16212.43","16212.43","16212.43"
"5","N/A","ADHESIOLYSIS TUBE OVARY","58740","N/A","N/A","N/A","N/A","N/A","20166.04","20166.04","N/A","N/A","N/A","20166.04","20166.04","N/A","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04","20166.04"
"5","N/A","REMOVAL OF OVARIAN CYST(S)","58925","N/A","N/A","N/A","N/A","30052.88","23391.68","23391.68","N/A","N/A","N/A","23391.68","23391.68","N/A","23391.68","23391.68","23391.68","23391.68","23391.68","23391.68","23391.68","23391.68","23391.68","23391.68"
"5","N/A","REMOVAL OF OVARY(S)","58940","N/A","N/A","N/A","N/A","38683.36","19743.53","19743.53","N/A","N/A","N/A","19743.53","19743.53","N/A","19743.53","19743.53","19743.53","19743.53","19743.53","19743.53","19743.53","19743.53","19743.53","19743.53"
"5","N/A","GENITAL SURGERY PROCEDURE","58999","N/A","N/A","N/A","N/A","27713.82","19440.41","19440.41","N/A","N/A","N/A","19440.41","19440.41","N/A","19440.41","19440.41","19440.41","19440.41","19440.41","19440.41","19440.41","19440.41","19440.41","19440.41"
"5","N/A","AMNIOCENTESIS DIAGNOSTIC","59000","N/A","N/A","N/A","N/A","N/A","2552.63","2552.63","N/A","N/A","N/A","2552.63","2552.63","N/A","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63"
"5","N/A","HCHG AMNIO DIAGNOSTIC","59000","N/A","N/A","N/A","N/A","N/A","2552.63","2552.63","N/A","N/A","N/A","2552.63","2552.63","N/A","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63","2552.63"
"5","N/A","FETAL NON-STRESS TEST","59025","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","HCHG FETAL NON-STRESS TEST","59025","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","TREAT ECTOPIC PREGNANCY","59120","N/A","N/A","N/A","N/A","37154.17","17693.00","17693.00","N/A","N/A","N/A","17693.00","17693.00","N/A","17693.00","17693.00","17693.00","17693.00","17693.00","17693.00","17693.00","17693.00","17693.00","17693.00"
"5","N/A","TREAT ECTOPIC PREGNANCY","59150","N/A","N/A","N/A","N/A","N/A","22488.31","22488.31","N/A","N/A","N/A","22488.31","22488.31","N/A","22488.31","22488.31","22488.31","22488.31","22488.31","22488.31","22488.31","22488.31","22488.31","22488.31"
"5","N/A","TREAT ECTOPIC PREGNANCY","59151","N/A","N/A","N/A","N/A","37902.40","24051.98","24051.98","N/A","N/A","N/A","24051.98","24051.98","N/A","24051.98","24051.98","24051.98","24051.98","24051.98","24051.98","24051.98","24051.98","24051.98","24051.98"
"5","N/A","D & C AFTER DELIVERY","59160","N/A","N/A","N/A","N/A","12564.42","10098.75","10098.75","N/A","N/A","N/A","10098.75","10098.75","N/A","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75"
"5","N/A","HCHG CURETTAGE POSTPARTUM","59160","N/A","N/A","N/A","N/A","N/A","10098.75","10098.75","N/A","N/A","N/A","10098.75","10098.75","N/A","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75","10098.75"
"5","N/A","EPISIOTOMY OR VAGINAL REPAIR","59300","N/A","N/A","N/A","N/A","N/A","3069.70","3069.70","N/A","N/A","N/A","3069.70","3069.70","N/A","3069.70","3069.70","3069.70","3069.70","3069.70","3069.70","3069.70","3069.70","3069.70","3069.70"
"5","N/A","HCHG CERCLAGE OF CX DURING PREG VAG","59320","N/A","N/A","N/A","N/A","N/A","5188.57","5188.57","N/A","N/A","N/A","5188.57","5188.57","N/A","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57"
"5","N/A","REVISION OF CERVIX","59320","N/A","N/A","N/A","N/A","N/A","5188.57","5188.57","N/A","N/A","N/A","5188.57","5188.57","N/A","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57","5188.57"
"5","N/A","HCHG VAGINAL DELIVERY ONLY","59409","N/A","N/A","N/A","N/A","N/A","2919.00","2919.00","N/A","N/A","N/A","2919.00","2919.00","N/A","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00"
"5","N/A","OBSTETRICAL CARE","59409","N/A","N/A","N/A","N/A","12694.16","2919.00","2919.00","N/A","N/A","N/A","2919.00","2919.00","N/A","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00","2919.00"
"5","N/A","ANTEPARTUM MANIPULATION","59412","N/A","N/A","N/A","N/A","N/A","8479.80","8479.80","N/A","N/A","N/A","8479.80","8479.80","N/A","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80"
"5","N/A","HCHG EXTERNAL VERSION","59412","N/A","N/A","N/A","N/A","N/A","8479.80","8479.80","N/A","N/A","N/A","8479.80","8479.80","N/A","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80","8479.80"
"5","N/A","HCHG DELIVERY OF PLACENTA ONLY","59414","N/A","N/A","N/A","N/A","N/A","6556.00","6556.00","N/A","N/A","N/A","6556.00","6556.00","N/A","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00"
"5","N/A","DELIVER PLACENTA","59414","N/A","N/A","N/A","N/A","25094.58","6556.00","6556.00","N/A","N/A","N/A","6556.00","6556.00","N/A","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00","6556.00"
"5","N/A","CESAREAN DELIVERY ONLY","59514","N/A","N/A","N/A","N/A","20341.29","2595.00","2595.00","N/A","N/A","N/A","2595.00","2595.00","N/A","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00"
"5","N/A","HCHG CESAREAN SECTION","59514","N/A","N/A","N/A","N/A","N/A","2595.00","2595.00","N/A","N/A","N/A","2595.00","2595.00","N/A","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00","2595.00"
"5","N/A","HCHG HYSTERECTOMY AFTER C-SECTION","59525","N/A","N/A","N/A","N/A","N/A","3408.00","3408.00","N/A","N/A","N/A","3408.00","3408.00","N/A","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00"
"5","N/A","REMOVE UTERUS AFTER CESAREAN","59525","N/A","N/A","N/A","N/A","38737.95","3408.00","3408.00","N/A","N/A","N/A","3408.00","3408.00","N/A","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00","3408.00"
"5","N/A","TREATMENT OF MISCARRIAGE","59812","N/A","N/A","N/A","N/A","36789.40","12004.30","12004.30","N/A","N/A","N/A","12004.30","12004.30","N/A","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30"
"5","N/A","HCHG TX INCOMPL AB COMPL SURGICALLY","59812","N/A","N/A","N/A","N/A","N/A","12004.30","12004.30","N/A","N/A","N/A","12004.30","12004.30","N/A","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30","12004.30"
"5","N/A","HCHG TX MISSED AB COMPL SURGICALLY","59820","N/A","N/A","N/A","N/A","N/A","6364.08","6364.08","N/A","N/A","N/A","6364.08","6364.08","N/A","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08"
"5","N/A","CARE OF MISCARRIAGE","59820","N/A","N/A","N/A","N/A","36789.40","6364.08","6364.08","N/A","N/A","N/A","6364.08","6364.08","N/A","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08","6364.08"
"5","N/A","TREATMENT OF MISCARRIAGE","59821","N/A","N/A","N/A","N/A","36789.40","7686.61","7686.61","N/A","N/A","N/A","7686.61","7686.61","N/A","7686.61","7686.61","7686.61","7686.61","7686.61","7686.61","7686.61","7686.61","7686.61","7686.61"
"5","N/A","ABORTION","59840","N/A","N/A","N/A","N/A","78375.98","7205.32","7205.32","N/A","N/A","N/A","7205.32","7205.32","N/A","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32"
"5","N/A","HCHG INDUCED ABORTION BY D&C","59840","N/A","N/A","N/A","N/A","N/A","7205.32","7205.32","N/A","N/A","N/A","7205.32","7205.32","N/A","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32","7205.32"
"5","N/A","ABORTION","59841","N/A","N/A","N/A","N/A","N/A","7661.53","7661.53","N/A","N/A","N/A","7661.53","7661.53","N/A","7661.53","7661.53","7661.53","7661.53","7661.53","7661.53","7661.53","7661.53","7661.53","7661.53"
"5","N/A","EVACUATE MOLE OF UTERUS","59870","N/A","N/A","N/A","N/A","36789.40","7146.94","7146.94","N/A","N/A","N/A","7146.94","7146.94","N/A","7146.94","7146.94","7146.94","7146.94","7146.94","7146.94","7146.94","7146.94","7146.94","7146.94"
"5","N/A","REMOVE CERCLAGE SUTURE","59871","N/A","N/A","N/A","N/A","N/A","7913.48","7913.48","N/A","N/A","N/A","7913.48","7913.48","N/A","7913.48","7913.48","7913.48","7913.48","7913.48","7913.48","7913.48","7913.48","7913.48","7913.48"
"5","N/A","HCHG I&D INFECTED THYROGLOSSAL DUCT CYST","60000","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","DRAIN THYROID/TONGUE CYST","60000","N/A","N/A","N/A","N/A","86580.66","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","BIOPSY OF THYROID","60100","N/A","N/A","N/A","N/A","N/A","4461.95","4461.95","N/A","N/A","N/A","4461.95","4461.95","N/A","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95"
"5","N/A","HCHG BX THYROID NDL","60100","N/A","N/A","N/A","N/A","N/A","4461.95","4461.95","N/A","N/A","N/A","4461.95","4461.95","N/A","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95","4461.95"
"5","N/A","PARTIAL REMOVAL OF THYROID","60220","N/A","N/A","N/A","N/A","44467.03","23347.89","23347.89","N/A","N/A","N/A","23347.89","23347.89","N/A","23347.89","23347.89","23347.89","23347.89","23347.89","23347.89","23347.89","23347.89","23347.89","23347.89"
"5","N/A","PARTIAL REMOVAL OF THYROID","60225","N/A","N/A","N/A","N/A","40542.97","19489.06","19489.06","N/A","N/A","N/A","19489.06","19489.06","N/A","19489.06","19489.06","19489.06","19489.06","19489.06","19489.06","19489.06","19489.06","19489.06","19489.06"
"5","N/A","REMOVAL OF THYROID","60240","N/A","N/A","N/A","N/A","45868.12","29823.33","29823.33","N/A","N/A","N/A","29823.33","29823.33","N/A","29823.33","29823.33","29823.33","29823.33","29823.33","29823.33","29823.33","29823.33","29823.33","29823.33"
"5","N/A","REMOVAL OF THYROID","60252","N/A","N/A","N/A","N/A","105564.82","31122.21","31122.21","N/A","N/A","N/A","31122.21","31122.21","N/A","31122.21","31122.21","31122.21","31122.21","31122.21","31122.21","31122.21","31122.21","31122.21","31122.21"
"5","N/A","REPEAT THYROID SURGERY","60260","N/A","N/A","N/A","N/A","45868.12","23081.73","23081.73","N/A","N/A","N/A","23081.73","23081.73","N/A","23081.73","23081.73","23081.73","23081.73","23081.73","23081.73","23081.73","23081.73","23081.73","23081.73"
"5","N/A","REMOVAL OF THYROID","60270","N/A","N/A","N/A","N/A","45384.01","38173.32","38173.32","N/A","N/A","N/A","38173.32","38173.32","N/A","38173.32","38173.32","38173.32","38173.32","38173.32","38173.32","38173.32","38173.32","38173.32","38173.32"
"5","N/A","REMOVAL OF THYROID","60271","N/A","N/A","N/A","N/A","45384.01","33084.32","33084.32","N/A","N/A","N/A","33084.32","33084.32","N/A","33084.32","33084.32","33084.32","33084.32","33084.32","33084.32","33084.32","33084.32","33084.32","33084.32"
"5","N/A","REMOVE THYROID DUCT LESION","60280","N/A","N/A","N/A","N/A","86580.66","14047.36","14047.36","N/A","N/A","N/A","14047.36","14047.36","N/A","14047.36","14047.36","14047.36","14047.36","14047.36","14047.36","14047.36","14047.36","14047.36","14047.36"
"5","N/A","REMOVE THYROID DUCT LESION","60281","N/A","N/A","N/A","N/A","86580.66","10027.21","10027.21","N/A","N/A","N/A","10027.21","10027.21","N/A","10027.21","10027.21","10027.21","10027.21","10027.21","10027.21","10027.21","10027.21","10027.21","10027.21"
"5","N/A","ASPIR/INJ THYROID CYST","60300","N/A","N/A","N/A","N/A","N/A","2162.00","2162.00","N/A","N/A","N/A","2162.00","2162.00","N/A","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00"
"5","N/A","HCHG THYROID CYST ASPIRATION","60300","N/A","N/A","N/A","N/A","N/A","2162.00","2162.00","N/A","N/A","N/A","2162.00","2162.00","N/A","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00","2162.00"
"5","N/A","EXPLORE PARATHYROID GLANDS","60500","N/A","N/A","N/A","N/A","47363.05","27075.33","27075.33","N/A","N/A","N/A","27075.33","27075.33","N/A","27075.33","27075.33","27075.33","27075.33","27075.33","27075.33","27075.33","27075.33","27075.33","27075.33"
"5","N/A","RE-EXPLORE PARATHYROIDS","60502","N/A","N/A","N/A","N/A","45782.36","24620.12","24620.12","N/A","N/A","N/A","24620.12","24620.12","N/A","24620.12","24620.12","24620.12","24620.12","24620.12","24620.12","24620.12","24620.12","24620.12","24620.12"
"5","N/A","AUTOTRANSPLANT PARATHYROID","60512","N/A","N/A","N/A","N/A","58133.46","33410.84","33410.84","N/A","N/A","N/A","33410.84","33410.84","N/A","33410.84","33410.84","33410.84","33410.84","33410.84","33410.84","33410.84","33410.84","33410.84","33410.84"
"5","N/A","LAPAROSCOPY ADRENALECTOMY","60650","N/A","N/A","N/A","N/A","51301.10","34400.00","34400.00","N/A","N/A","N/A","34400.00","34400.00","N/A","34400.00","34400.00","34400.00","34400.00","34400.00","34400.00","34400.00","34400.00","34400.00","34400.00"
"5","N/A","BRAIN CANAL SHUNT PROCEDURE","61070","N/A","N/A","N/A","N/A","N/A","5649.00","5649.00","N/A","N/A","N/A","5649.00","5649.00","N/A","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00"
"5","N/A","HCHG INJECTION FOR CEREBRAL SHUNT STUDY","61070","N/A","N/A","N/A","N/A","N/A","5649.00","5649.00","N/A","N/A","N/A","5649.00","5649.00","N/A","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00"
"5","N/A","HCHG PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX","61070","N/A","N/A","N/A","N/A","N/A","5649.00","5649.00","N/A","N/A","N/A","5649.00","5649.00","N/A","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00","5649.00"
"5","N/A","HCHG BURR HOLE W/EVAC OR DRAINAGE OF HEMATOMA","61154","N/A","N/A","N/A","N/A","N/A","10478.00","10478.00","N/A","N/A","N/A","10478.00","10478.00","N/A","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00"
"5","N/A","PIERCE SKULL & REMOVE CLOT","61154","N/A","N/A","N/A","N/A","116369.39","10478.00","10478.00","N/A","N/A","N/A","10478.00","10478.00","N/A","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00","10478.00"
"5","N/A","PIERCE SKULL IMPLANT DEVICE","61210","N/A","N/A","N/A","N/A","393511.35","17961.20","17961.20","N/A","N/A","N/A","17961.20","17961.20","N/A","17961.20","17961.20","17961.20","17961.20","17961.20","17961.20","17961.20","17961.20","17961.20","17961.20"
"5","N/A","REMOVAL OF SKULL LESION","61500","N/A","N/A","N/A","N/A","N/A","10335.88","10335.88","N/A","N/A","N/A","10335.88","10335.88","N/A","10335.88","10335.88","10335.88","10335.88","10335.88","10335.88","10335.88","10335.88","10335.88","10335.88"
"5","N/A","HCHG BAL ART OCCL HEAD/NECK TEMP","61623","N/A","N/A","N/A","N/A","N/A","13645.00","13645.00","N/A","N/A","N/A","13645.00","13645.00","N/A","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00"
"5","N/A","ENDOVASC TEMPORY VESSEL OCCL","61623","N/A","N/A","N/A","N/A","136098.77","13645.00","13645.00","N/A","N/A","N/A","13645.00","13645.00","N/A","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00"
"5","N/A","TRANSCATH OCCLUSION CNS","61624","N/A","N/A","N/A","N/A","214703.38","20080.00","20080.00","N/A","N/A","N/A","20080.00","20080.00","N/A","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00"
"5","N/A","HCHG PERC OCCL/EMBOL PERM CNS","61624","N/A","N/A","N/A","N/A","N/A","20080.00","20080.00","N/A","N/A","N/A","20080.00","20080.00","N/A","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00","20080.00"
"5","N/A","HCHG PERC OCCL/EMBOL PERM EXTRACRAN","61626","N/A","N/A","N/A","N/A","N/A","13645.00","13645.00","N/A","N/A","N/A","13645.00","13645.00","N/A","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00"
"5","N/A","TRANSCATH OCCLUSION NON-CNS","61626","N/A","N/A","N/A","N/A","297819.06","13645.00","13645.00","N/A","N/A","N/A","13645.00","13645.00","N/A","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00","13645.00"
"5","N/A","HCHG INTRACRAN ANGIOPLASTY","61630","N/A","N/A","N/A","N/A","N/A","30426.00","30426.00","N/A","N/A","N/A","30426.00","30426.00","N/A","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00"
"5","N/A","INTRACRANIAL ANGIOPLASTY","61630","N/A","N/A","N/A","N/A","N/A","30426.00","30426.00","N/A","N/A","N/A","30426.00","30426.00","N/A","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00"
"5","N/A","HCHG INTRACRAN ANGIOPLASTY W STENT","61635","N/A","N/A","N/A","N/A","N/A","30238.00","30238.00","N/A","N/A","N/A","30238.00","30238.00","N/A","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00"
"5","N/A","INTRACRAN ANGIOPLSTY W/STENT","61635","N/A","N/A","N/A","N/A","194400.45","30238.00","30238.00","N/A","N/A","N/A","30238.00","30238.00","N/A","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00","30238.00"
"5","N/A","DILATE IC VASOSPASM INIT","61640","N/A","N/A","N/A","N/A","194400.45","30426.00","30426.00","N/A","N/A","N/A","30426.00","30426.00","N/A","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00"
"5","N/A","HCHG DILATE INTRACRAN VASOSPASM INIT","61640","N/A","N/A","N/A","N/A","N/A","30426.00","30426.00","N/A","N/A","N/A","30426.00","30426.00","N/A","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00","30426.00"
"5","N/A","HCHG DILATE INTRACRAN VASOSPASM INIT ADD ON","61641","N/A","N/A","N/A","N/A","N/A","5735.00","5735.00","N/A","N/A","N/A","5735.00","5735.00","N/A","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00"
"5","N/A","DILAT IC VSPSM EA VSL SM TER","61641","N/A","N/A","N/A","N/A","194400.45","5735.00","5735.00","N/A","N/A","N/A","5735.00","5735.00","N/A","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00","5735.00"
"5","N/A","DILAT IC VSPSM EA DIFF TER","61642","N/A","N/A","N/A","N/A","N/A","15213.00","15213.00","N/A","N/A","N/A","15213.00","15213.00","N/A","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00"
"5","N/A","HCHG DILATE INTRACRAN VASOSPASM INIT ADD ON DIFF VASC FAMILY","61642","N/A","N/A","N/A","N/A","N/A","15213.00","15213.00","N/A","N/A","N/A","15213.00","15213.00","N/A","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00","15213.00"
"5","N/A","HCHG PERQ ART M-THROMBECT &/NFS","61645","N/A","N/A","N/A","N/A","N/A","16130.00","16130.00","N/A","N/A","N/A","16130.00","16130.00","N/A","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00"
"5","N/A","PERQ ART M-THROMBECT &/NFS","61645","N/A","N/A","N/A","N/A","92597.86","16130.00","16130.00","N/A","N/A","N/A","16130.00","16130.00","N/A","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00","16130.00"
"5","N/A","EVASC PRLNG ADMN RX AGNT 1ST","61650","N/A","N/A","N/A","N/A","N/A","12950.00","12950.00","N/A","N/A","N/A","12950.00","12950.00","N/A","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00"
"5","N/A","HCHG ENDOVASCULAR PROLONGED ADMN RX AGNT 1ST","61650","N/A","N/A","N/A","N/A","N/A","12950.00","12950.00","N/A","N/A","N/A","12950.00","12950.00","N/A","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00","12950.00"
"5","N/A","EVASC PRLNG ADMN RX AGNT ADD","61651","N/A","N/A","N/A","N/A","N/A","14389.00","14389.00","N/A","N/A","N/A","14389.00","14389.00","N/A","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00"
"5","N/A","HCHG ENDOVASCULAR PROLONGED ADMN RX AGNT ADDITIONAL","61651","N/A","N/A","N/A","N/A","N/A","14389.00","14389.00","N/A","N/A","N/A","14389.00","14389.00","N/A","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00","14389.00"
"5","N/A","SCAN PROC CRANIAL EXTRA","61782","N/A","N/A","N/A","N/A","N/A","29014.75","29014.75","N/A","N/A","N/A","29014.75","29014.75","N/A","29014.75","29014.75","29014.75","29014.75","29014.75","29014.75","29014.75","29014.75","29014.75","29014.75"
"5","N/A","REVISE/REMOVE NEUROELECTRODE","61880","N/A","N/A","N/A","N/A","N/A","25540.91","25540.91","N/A","N/A","N/A","25540.91","25540.91","N/A","25540.91","25540.91","25540.91","25540.91","25540.91","25540.91","25540.91","25540.91","25540.91","25540.91"
"5","N/A","INSRT/REDO NEUROSTIM 1 ARRAY","61885","N/A","N/A","N/A","N/A","202548.28","92404.97","92404.97","N/A","N/A","N/A","92404.97","92404.97","N/A","92404.97","92404.97","92404.97","92404.97","92404.97","92404.97","92404.97","92404.97","92404.97","92404.97"
"5","N/A","IMPLANT NEUROSTIM ARRAYS","61886","N/A","N/A","N/A","N/A","202548.28","83795.17","83795.17","N/A","N/A","N/A","83795.17","83795.17","N/A","83795.17","83795.17","83795.17","83795.17","83795.17","83795.17","83795.17","83795.17","83795.17","83795.17"
"5","N/A","REVISE/REMOVE NEURORECEIVER","61888","N/A","N/A","N/A","N/A","N/A","21366.37","21366.37","N/A","N/A","N/A","21366.37","21366.37","N/A","21366.37","21366.37","21366.37","21366.37","21366.37","21366.37","21366.37","21366.37","21366.37","21366.37"
"5","N/A","HCHG ASPIRATION VERTEBRAL DISC","62267","N/A","N/A","N/A","N/A","N/A","4247.37","4247.37","N/A","N/A","N/A","4247.37","4247.37","N/A","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37"
"5","N/A","INTERDISCAL PERQ ASPIR DX","62267","N/A","N/A","N/A","N/A","N/A","4247.37","4247.37","N/A","N/A","N/A","4247.37","4247.37","N/A","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37","4247.37"
"5","N/A","DX LMBR SPI PNXR","62270","N/A","N/A","N/A","N/A","N/A","4732.24","4732.24","N/A","N/A","N/A","4732.24","4732.24","N/A","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24"
"5","N/A","HCHG LUMBAR PUNCTURE","62270","N/A","N/A","N/A","N/A","N/A","4732.24","4732.24","N/A","N/A","N/A","4732.24","4732.24","N/A","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24"
"5","N/A","HCHG LUMBAR PUNCTURE DIAG","62270","N/A","N/A","N/A","N/A","N/A","4732.24","4732.24","N/A","N/A","N/A","4732.24","4732.24","N/A","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24"
"5","N/A","HCHG SPINAL PUNC LUMBAR DX","62270","N/A","N/A","N/A","N/A","N/A","4732.24","4732.24","N/A","N/A","N/A","4732.24","4732.24","N/A","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24","4732.24"
"5","N/A","HCHG DRAIN CEREBRO SPINAL FLUID","62272","N/A","N/A","N/A","N/A","N/A","1073.00","1073.00","N/A","N/A","N/A","1073.00","1073.00","N/A","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00"
"5","N/A","THER SPI PNXR DRG CSF","62272","N/A","N/A","N/A","N/A","N/A","1073.00","1073.00","N/A","N/A","N/A","1073.00","1073.00","N/A","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00","1073.00"
"5","N/A","HCHG INJ EPIDURAL BLD/CLOT","62273","N/A","N/A","N/A","N/A","N/A","3884.79","3884.79","N/A","N/A","N/A","3884.79","3884.79","N/A","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79"
"5","N/A","HCHG INJ EPIDURAL OF BLOOD OR CLOT PATCH","62273","N/A","N/A","N/A","N/A","N/A","3884.79","3884.79","N/A","N/A","N/A","3884.79","3884.79","N/A","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79"
"5","N/A","INJECT EPIDURAL PATCH","62273","N/A","N/A","N/A","N/A","N/A","3884.79","3884.79","N/A","N/A","N/A","3884.79","3884.79","N/A","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79","3884.79"
"5","N/A","HCHG INJ FOR MYELOGRAPHY","62284","N/A","N/A","N/A","N/A","N/A","6348.11","6348.11","N/A","N/A","N/A","6348.11","6348.11","N/A","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11"
"5","N/A","INJECTION FOR MYELOGRAM","62284","N/A","N/A","N/A","N/A","N/A","6348.11","6348.11","N/A","N/A","N/A","6348.11","6348.11","N/A","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11","6348.11"
"5","N/A","HCHG DISKOGRAPHY LUMBAR(EA LEVEL)","62290","N/A","N/A","N/A","N/A","N/A","15158.57","15158.57","N/A","N/A","N/A","15158.57","15158.57","N/A","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57"
"5","N/A","NJX PX DISCOGRAPHY LUMBAR","62290","N/A","N/A","N/A","N/A","N/A","15158.57","15158.57","N/A","N/A","N/A","15158.57","15158.57","N/A","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57","15158.57"
"5","N/A","HCHG INJ FOR DISCOGRAM CERVICAL OR THORACIC","62291","N/A","N/A","N/A","N/A","N/A","412.00","412.00","N/A","N/A","N/A","412.00","412.00","N/A","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00"
"5","N/A","NJX PX DISCOGRAPHY CRV/THRC","62291","N/A","N/A","N/A","N/A","N/A","412.00","412.00","N/A","N/A","N/A","412.00","412.00","N/A","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00"
"5","N/A","NJX CHEMONUCLEOLYSIS LMBR","62292","N/A","N/A","N/A","N/A","N/A","4943.31","4943.31","N/A","N/A","N/A","4943.31","4943.31","N/A","4943.31","4943.31","4943.31","4943.31","4943.31","4943.31","4943.31","4943.31","4943.31","4943.31"
"5","N/A","HCHG MYELOGRAPHY LUMBAR CERV","62302","N/A","N/A","N/A","N/A","N/A","5435.58","5435.58","N/A","N/A","N/A","5435.58","5435.58","N/A","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58"
"5","N/A","MYELOGRAPHY LUMBAR INJECTION","62302","N/A","N/A","N/A","N/A","N/A","5435.58","5435.58","N/A","N/A","N/A","5435.58","5435.58","N/A","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58","5435.58"
"5","N/A","HCHG MYELOGRAPHY LUMBAR THORACIC","62303","N/A","N/A","N/A","N/A","N/A","1768.00","1768.00","N/A","N/A","N/A","1768.00","1768.00","N/A","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00"
"5","N/A","MYELOGRAPHY LUMBAR INJECTION","62303","N/A","N/A","N/A","N/A","N/A","1768.00","1768.00","N/A","N/A","N/A","1768.00","1768.00","N/A","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00","1768.00"
"5","N/A","HCHG MYELOGRAPHY LUMBAR LUMBOSACRAL","62304","N/A","N/A","N/A","N/A","N/A","5001.26","5001.26","N/A","N/A","N/A","5001.26","5001.26","N/A","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26"
"5","N/A","MYELOGRAPHY LUMBAR INJECTION","62304","N/A","N/A","N/A","N/A","N/A","5001.26","5001.26","N/A","N/A","N/A","5001.26","5001.26","N/A","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26","5001.26"
"5","N/A","HCHG MYELOGRAPHY LUMBAR 2+ REGIONS","62305","N/A","N/A","N/A","N/A","N/A","8119.62","8119.62","N/A","N/A","N/A","8119.62","8119.62","N/A","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62"
"5","N/A","MYELOGRAPHY LUMBAR INJECTION","62305","N/A","N/A","N/A","N/A","N/A","8119.62","8119.62","N/A","N/A","N/A","8119.62","8119.62","N/A","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62","8119.62"
"5","N/A","HCHG INJ DIAG/THER SUB CERV/THOR W/O IMG GDE","62320","N/A","N/A","N/A","N/A","N/A","1492.00","1492.00","N/A","N/A","N/A","1492.00","1492.00","N/A","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00"
"5","N/A","NJX INTERLAMINAR CRV/THRC","62320","N/A","N/A","N/A","N/A","N/A","1492.00","1492.00","N/A","N/A","N/A","1492.00","1492.00","N/A","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00","1492.00"
"5","N/A","HCHG INJ DIAG/THER SUB CERV/THOR W/ IMG GDE","62321","N/A","N/A","N/A","N/A","N/A","1727.81","1727.81","N/A","N/A","N/A","1727.81","1727.81","N/A","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81"
"5","N/A","NJX INTERLAMINAR CRV/THRC","62321","N/A","N/A","N/A","N/A","N/A","1727.81","1727.81","N/A","N/A","N/A","1727.81","1727.81","N/A","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81","1727.81"
"5","N/A","HCHG INJ DIAG/THER SUB LUMB/SAC W/O IMG GDE","62322","N/A","N/A","N/A","N/A","N/A","13159.57","13159.57","N/A","N/A","N/A","13159.57","13159.57","N/A","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57"
"5","N/A","NJX INTERLAMINAR LMBR/SAC","62322","N/A","N/A","N/A","N/A","N/A","13159.57","13159.57","N/A","N/A","N/A","13159.57","13159.57","N/A","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57","13159.57"
"5","N/A","HCHG INJ DIAG/THER SUB LUMB/SAC W/ IMG GDE","62323","N/A","N/A","N/A","N/A","N/A","2085.37","2085.37","N/A","N/A","N/A","2085.37","2085.37","N/A","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37"
"5","N/A","NJX INTERLAMINAR LMBR/SAC","62323","N/A","N/A","N/A","N/A","N/A","2085.37","2085.37","N/A","N/A","N/A","2085.37","2085.37","N/A","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37","2085.37"
"5","N/A","NJX INTERLAMINAR LMBR/SAC","62327","N/A","N/A","N/A","N/A","N/A","1761.16","1761.16","N/A","N/A","N/A","1761.16","1761.16","N/A","1761.16","1761.16","1761.16","1761.16","1761.16","1761.16","1761.16","1761.16","1761.16","1761.16"
"5","N/A","DX LMBR SPI PNXR W/FLUOR/CT","62328","N/A","N/A","N/A","N/A","N/A","4732.96","4732.96","N/A","N/A","N/A","4732.96","4732.96","N/A","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96"
"5","N/A","HCHG LUMBAR PUNCTURE DIAGNOSTIC W/ GUIDANCE","62328","N/A","N/A","N/A","N/A","N/A","4732.96","4732.96","N/A","N/A","N/A","4732.96","4732.96","N/A","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96","4732.96"
"5","N/A","HCHG SPINAL PUNCTURE THERAPEUTIC W/ GUIDANCE","62329","N/A","N/A","N/A","N/A","N/A","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","THER SPI PNXR CSF FLUOR/CT","62329","N/A","N/A","N/A","N/A","N/A","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","IMPLANT SPINAL CANAL CATH","62350","N/A","N/A","N/A","N/A","N/A","52800.09","52800.09","N/A","N/A","N/A","52800.09","52800.09","N/A","52800.09","52800.09","52800.09","52800.09","52800.09","52800.09","52800.09","52800.09","52800.09","52800.09"
"5","N/A","IMPLANT SPINE INFUSION PUMP","62362","N/A","N/A","N/A","N/A","46579.36","51383.35","51383.35","N/A","N/A","N/A","51383.35","51383.35","N/A","51383.35","51383.35","51383.35","51383.35","51383.35","51383.35","51383.35","51383.35","51383.35","51383.35"
"5","N/A","ANALYZE SP INF PUMP W/REPROG","62368","N/A","N/A","N/A","N/A","N/A","1098.00","1098.00","N/A","N/A","N/A","1098.00","1098.00","N/A","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00"
"5","N/A","HCHG ANALYZE SP INF PUMP W/REPROG","62368","N/A","N/A","N/A","N/A","N/A","1098.00","1098.00","N/A","N/A","N/A","1098.00","1098.00","N/A","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00","1098.00"
"5","N/A","ANL SP INF PMP W/MDREPRG&FIL","62370","N/A","N/A","N/A","N/A","N/A","1737.02","1737.02","N/A","N/A","N/A","1737.02","1737.02","N/A","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02"
"5","N/A","HCHG ANL SP INF PMP W/MDREPRG&FIL","62370","N/A","N/A","N/A","N/A","N/A","1737.02","1737.02","N/A","N/A","N/A","1737.02","1737.02","N/A","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02","1737.02"
"5","N/A","REMOVE SPINE LAMINA 1/2 CRVL","63001","N/A","N/A","N/A","N/A","75121.36","52668.63","52668.63","N/A","N/A","N/A","52668.63","52668.63","N/A","52668.63","52668.63","52668.63","52668.63","52668.63","52668.63","52668.63","52668.63","52668.63","52668.63"
"5","N/A","REMOVE SPINE LAMINA 1/2 LMBR","63005","N/A","N/A","N/A","N/A","78952.21","18907.99","18907.99","N/A","N/A","N/A","18907.99","18907.99","N/A","18907.99","18907.99","18907.99","18907.99","18907.99","18907.99","18907.99","18907.99","18907.99","18907.99"
"5","N/A","REMOVE LAMINA/FACETS LUMBAR","63012","N/A","N/A","N/A","N/A","78952.21","46495.74","46495.74","N/A","N/A","N/A","46495.74","46495.74","N/A","46495.74","46495.74","46495.74","46495.74","46495.74","46495.74","46495.74","46495.74","46495.74","46495.74"
"5","N/A","LOW BACK DISK SURGERY","63030","N/A","N/A","N/A","N/A","47518.93","25871.25","25871.25","N/A","N/A","N/A","25871.25","25871.25","N/A","25871.25","25871.25","25871.25","25871.25","25871.25","25871.25","25871.25","25871.25","25871.25","25871.25"
"5","N/A","SPINAL DISK SURGERY ADD-ON","63035","N/A","N/A","N/A","N/A","49222.78","28665.98","28665.98","N/A","N/A","N/A","28665.98","28665.98","N/A","28665.98","28665.98","28665.98","28665.98","28665.98","28665.98","28665.98","28665.98","28665.98","28665.98"
"5","N/A","LAMINOTOMY SINGLE CERVICAL","63040","N/A","N/A","N/A","N/A","75121.36","33167.26","33167.26","N/A","N/A","N/A","33167.26","33167.26","N/A","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26"
"5","N/A","LAMINOTOMY SINGLE LUMBAR","63042","N/A","N/A","N/A","N/A","47518.93","29847.49","29847.49","N/A","N/A","N/A","29847.49","29847.49","N/A","29847.49","29847.49","29847.49","29847.49","29847.49","29847.49","29847.49","29847.49","29847.49","29847.49"
"5","N/A","LAMINOTOMY ADDL CERVICAL","63043","N/A","N/A","N/A","N/A","75121.36","33167.26","33167.26","N/A","N/A","N/A","33167.26","33167.26","N/A","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26","33167.26"
"5","N/A","LAMINOTOMY ADDL LUMBAR","63044","N/A","N/A","N/A","N/A","42924.92","35511.98","35511.98","N/A","N/A","N/A","35511.98","35511.98","N/A","35511.98","35511.98","35511.98","35511.98","35511.98","35511.98","35511.98","35511.98","35511.98","35511.98"
"5","N/A","REMOVE SPINE LAMINA 1 CRVL","63045","N/A","N/A","N/A","N/A","75121.36","40899.63","40899.63","N/A","N/A","N/A","40899.63","40899.63","N/A","40899.63","40899.63","40899.63","40899.63","40899.63","40899.63","40899.63","40899.63","40899.63","40899.63"
"5","N/A","REMOVE SPINE LAMINA 1 LMBR","63047","N/A","N/A","N/A","N/A","78952.21","32258.14","32258.14","N/A","N/A","N/A","32258.14","32258.14","N/A","32258.14","32258.14","32258.14","32258.14","32258.14","32258.14","32258.14","32258.14","32258.14","32258.14"
"5","N/A","REMOVE SPINAL LAMINA ADD-ON","63048","N/A","N/A","N/A","N/A","93573.70","32933.63","32933.63","N/A","N/A","N/A","32933.63","32933.63","N/A","32933.63","32933.63","32933.63","32933.63","32933.63","32933.63","32933.63","32933.63","32933.63","32933.63"
"5","N/A","REMOVE VERT BODY DCMPRN CRVL","63081","N/A","N/A","N/A","N/A","N/A","88164.39","88164.39","N/A","N/A","N/A","88164.39","88164.39","N/A","88164.39","88164.39","88164.39","88164.39","88164.39","88164.39","88164.39","88164.39","88164.39","88164.39"
"5","N/A","EXCISE INTRSPINL LESION LMBR","63267","N/A","N/A","N/A","N/A","132056.94","42360.74","42360.74","N/A","N/A","N/A","42360.74","42360.74","N/A","42360.74","42360.74","42360.74","42360.74","42360.74","42360.74","42360.74","42360.74","42360.74","42360.74"
"5","N/A","IMPLANT NEUROELECTRODES","63650","N/A","N/A","N/A","N/A","N/A","53852.09","53852.09","N/A","N/A","N/A","53852.09","53852.09","N/A","53852.09","53852.09","53852.09","53852.09","53852.09","53852.09","53852.09","53852.09","53852.09","53852.09"
"5","N/A","REMOVE SPINE ELTRD PERQ ARAY","63661","N/A","N/A","N/A","N/A","N/A","4947.81","4947.81","N/A","N/A","N/A","4947.81","4947.81","N/A","4947.81","4947.81","4947.81","4947.81","4947.81","4947.81","4947.81","4947.81","4947.81","4947.81"
"5","N/A","REMOVE SPINE ELTRD PLATE","63662","N/A","N/A","N/A","N/A","143679.12","18242.78","18242.78","N/A","N/A","N/A","18242.78","18242.78","N/A","18242.78","18242.78","18242.78","18242.78","18242.78","18242.78","18242.78","18242.78","18242.78","18242.78"
"5","N/A","REVISE SPINE ELTRD PERQ ARAY","63663","N/A","N/A","N/A","N/A","115920.87","17588.77","17588.77","N/A","N/A","N/A","17588.77","17588.77","N/A","17588.77","17588.77","17588.77","17588.77","17588.77","17588.77","17588.77","17588.77","17588.77","17588.77"
"5","N/A","INSRT/REDO SPINE N GENERATOR","63685","N/A","N/A","N/A","N/A","N/A","93835.46","93835.46","N/A","N/A","N/A","93835.46","93835.46","N/A","93835.46","93835.46","93835.46","93835.46","93835.46","93835.46","93835.46","93835.46","93835.46","93835.46"
"5","N/A","REVISE/REMOVE NEURORECEIVER","63688","N/A","N/A","N/A","N/A","35670.36","16380.44","16380.44","N/A","N/A","N/A","16380.44","16380.44","N/A","16380.44","16380.44","16380.44","16380.44","16380.44","16380.44","16380.44","16380.44","16380.44","16380.44"
"5","N/A","HCHG INJ ANESTH AGT TRIG NERVE","64400","N/A","N/A","N/A","N/A","N/A","1576.59","1576.59","N/A","N/A","N/A","1576.59","1576.59","N/A","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59"
"5","N/A","NJX AA&/STRD TRIGEMINAL NRV","64400","N/A","N/A","N/A","N/A","N/A","1576.59","1576.59","N/A","N/A","N/A","1576.59","1576.59","N/A","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59","1576.59"
"5","N/A","HCHG INJ ANESTH ; GREATER OCCIPITAL NERVE","64405","N/A","N/A","N/A","N/A","N/A","1730.20","1730.20","N/A","N/A","N/A","1730.20","1730.20","N/A","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20"
"5","N/A","HCHG INJ. ANESTHETIC AGENT; GREATER OCCIPITAL NERVE","64405","N/A","N/A","N/A","N/A","N/A","1730.20","1730.20","N/A","N/A","N/A","1730.20","1730.20","N/A","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20"
"5","N/A","NJX AA&/STRD GR OCPL NRV","64405","N/A","N/A","N/A","N/A","N/A","1730.20","1730.20","N/A","N/A","N/A","1730.20","1730.20","N/A","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20","1730.20"
"5","N/A","NJX AA&/STRD BRACH PLEXUS","64415","N/A","N/A","N/A","N/A","N/A","25131.99","25131.99","N/A","N/A","N/A","25131.99","25131.99","N/A","25131.99","25131.99","25131.99","25131.99","25131.99","25131.99","25131.99","25131.99","25131.99","25131.99"
"5","N/A","NJX AA&/STRD AXILLARY NRV","64417","N/A","N/A","N/A","N/A","N/A","15035.24","15035.24","N/A","N/A","N/A","15035.24","15035.24","N/A","15035.24","15035.24","15035.24","15035.24","15035.24","15035.24","15035.24","15035.24","15035.24","15035.24"
"5","N/A","HCHG N BLOCK INJ ANESTH; SUPRASCAPULAR NERVE","64418","N/A","N/A","N/A","N/A","N/A","1797.16","1797.16","N/A","N/A","N/A","1797.16","1797.16","N/A","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16"
"5","N/A","NJX AA&/STRD SPRSCAP NRV","64418","N/A","N/A","N/A","N/A","N/A","1797.16","1797.16","N/A","N/A","N/A","1797.16","1797.16","N/A","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16","1797.16"
"5","N/A","HCHG INJ, ANESTH AGENT; INERCOSTAL NERVE, SINGLE","64420","N/A","N/A","N/A","N/A","N/A","2402.44","2402.44","N/A","N/A","N/A","2402.44","2402.44","N/A","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44"
"5","N/A","HCHG INJECTION AA &/STRD INTERCOSTAL NRV SINGLE LVL","64420","N/A","N/A","N/A","N/A","N/A","2402.44","2402.44","N/A","N/A","N/A","2402.44","2402.44","N/A","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44"
"5","N/A","NJX AA&/STRD NTRCOST NRV 1","64420","N/A","N/A","N/A","N/A","N/A","2402.44","2402.44","N/A","N/A","N/A","2402.44","2402.44","N/A","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44"
"5","N/A","HCHG INJ ANESTH AGT INTRCOSTL NERV MX","64421","N/A","N/A","N/A","N/A","N/A","2402.44","2402.44","N/A","N/A","N/A","2402.44","2402.44","N/A","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44"
"5","N/A","HCHG INJECTION AA &/STRD INTERCOSTAL NRV EA ADDL LVL","64421","N/A","N/A","N/A","N/A","N/A","2402.44","2402.44","N/A","N/A","N/A","2402.44","2402.44","N/A","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44"
"5","N/A","NJX AA&/STRD NTRCOST NRV EA","64421","N/A","N/A","N/A","N/A","N/A","2402.44","2402.44","N/A","N/A","N/A","2402.44","2402.44","N/A","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44","2402.44"
"5","N/A","HCHG NERVE BLOCK; ILIOINGUINAL;ILIOHYPGASTRIC NRVS","64425","N/A","N/A","N/A","N/A","N/A","3216.10","3216.10","N/A","N/A","N/A","3216.10","3216.10","N/A","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10"
"5","N/A","NJX AA&/STRD II IH NERVES","64425","N/A","N/A","N/A","N/A","N/A","3216.10","3216.10","N/A","N/A","N/A","3216.10","3216.10","N/A","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10","3216.10"
"5","N/A","HCHG N BLOCK INJ ANESTH; PUDENDAL NERVE","64430","N/A","N/A","N/A","N/A","N/A","1977.70","1977.70","N/A","N/A","N/A","1977.70","1977.70","N/A","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70"
"5","N/A","NJX AA&/STRD PUDENDAL NERVE","64430","N/A","N/A","N/A","N/A","N/A","1977.70","1977.70","N/A","N/A","N/A","1977.70","1977.70","N/A","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70","1977.70"
"5","N/A","HCHG INJ ANESTH AGENT SCIATIC NERVE,SINGLE","64445","N/A","N/A","N/A","N/A","N/A","37498.34","37498.34","N/A","N/A","N/A","37498.34","37498.34","N/A","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34"
"5","N/A","NJX AA&/STRD SCIATIC NERVE","64445","N/A","N/A","N/A","N/A","N/A","37498.34","37498.34","N/A","N/A","N/A","37498.34","37498.34","N/A","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34","37498.34"
"5","N/A","HCHG INJ, ANESTH AGENT;FEMORAL NERVE,SINGLE","64447","N/A","N/A","N/A","N/A","N/A","44632.59","44632.59","N/A","N/A","N/A","44632.59","44632.59","N/A","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59"
"5","N/A","NJX AA&/STRD FEMORAL NERVE","64447","N/A","N/A","N/A","N/A","N/A","44632.59","44632.59","N/A","N/A","N/A","44632.59","44632.59","N/A","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59","44632.59"
"5","N/A","HCHG INJ ANESTH; OTHR PERIPHERAL NRV/BRANCH","64450","N/A","N/A","N/A","N/A","N/A","22525.55","22525.55","N/A","N/A","N/A","22525.55","22525.55","N/A","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55"
"5","N/A","HCHG INJ NERVE BLOCK OTHER PERIPH","64450","N/A","N/A","N/A","N/A","N/A","22525.55","22525.55","N/A","N/A","N/A","22525.55","22525.55","N/A","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55"
"5","N/A","NJX AA&/STRD OTHER PN/BRANCH","64450","N/A","N/A","N/A","N/A","N/A","22525.55","22525.55","N/A","N/A","N/A","22525.55","22525.55","N/A","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55","22525.55"
"5","N/A","NJX AA&/STRD NRV NRVTG SI JT","64451","N/A","N/A","N/A","N/A","N/A","1917.85","1917.85","N/A","N/A","N/A","1917.85","1917.85","N/A","1917.85","1917.85","1917.85","1917.85","1917.85","1917.85","1917.85","1917.85","1917.85","1917.85"
"5","N/A","NJX AA&/STRD GNCLR NRV BRNCH","64454","N/A","N/A","N/A","N/A","N/A","1716.00","1716.00","N/A","N/A","N/A","1716.00","1716.00","N/A","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00","1716.00"
"5","N/A","HCHG N BLOCK INJ PLANTAR DIGIT","64455","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","HCHG NERVE BLOCK INJECTION, PLANTAR DIGIT","64455","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","N BLOCK INJ PLANTAR DIGIT","64455","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","PVB THORACIC SINGLE INJ SITE","64461","N/A","N/A","N/A","N/A","N/A","51043.00","51043.00","N/A","N/A","N/A","51043.00","51043.00","N/A","51043.00","51043.00","51043.00","51043.00","51043.00","51043.00","51043.00","51043.00","51043.00","51043.00"
"5","N/A","PVB THORACIC 2ND+ INJ SITE","64462","N/A","N/A","N/A","N/A","N/A","49156.56","49156.56","N/A","N/A","N/A","49156.56","49156.56","N/A","49156.56","49156.56","49156.56","49156.56","49156.56","49156.56","49156.56","49156.56","49156.56","49156.56"
"5","N/A","INJ FORAMEN EPIDURAL C/T","64479","N/A","N/A","N/A","N/A","N/A","4693.11","4693.11","N/A","N/A","N/A","4693.11","4693.11","N/A","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11"
"5","N/A","INJ FORAMEN EPIDURAL ADD-ON","64480","N/A","N/A","N/A","N/A","N/A","4693.11","4693.11","N/A","N/A","N/A","4693.11","4693.11","N/A","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11","4693.11"
"5","N/A","INJ FORAMEN EPIDURAL L/S","64483","N/A","N/A","N/A","N/A","N/A","1603.21","1603.21","N/A","N/A","N/A","1603.21","1603.21","N/A","1603.21","1603.21","1603.21","1603.21","1603.21","1603.21","1603.21","1603.21","1603.21","1603.21"
"5","N/A","INJ FORAMEN EPIDURAL ADD-ON","64484","N/A","N/A","N/A","N/A","N/A","1612.62","1612.62","N/A","N/A","N/A","1612.62","1612.62","N/A","1612.62","1612.62","1612.62","1612.62","1612.62","1612.62","1612.62","1612.62","1612.62","1612.62"
"5","N/A","HCHG TAP BLOCK INJ, BILATERAL","64488","N/A","N/A","N/A","N/A","N/A","25794.50","25794.50","N/A","N/A","N/A","25794.50","25794.50","N/A","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50"
"5","N/A","TAP BLOCK BI INJECTION","64488","N/A","N/A","N/A","N/A","N/A","25794.50","25794.50","N/A","N/A","N/A","25794.50","25794.50","N/A","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50","25794.50"
"5","N/A","HCHG TAP BLOCK INJ, BILATERAL; BY CONT INFUSIONS","64489","N/A","N/A","N/A","N/A","N/A","488.00","488.00","N/A","N/A","N/A","488.00","488.00","N/A","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00"
"5","N/A","TAP BLOCK BI BY INFUSION","64489","N/A","N/A","N/A","N/A","N/A","488.00","488.00","N/A","N/A","N/A","488.00","488.00","N/A","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00"
"5","N/A","INJ PARAVERT F JNT C/T 1 LEV","64490","N/A","N/A","N/A","N/A","N/A","1755.15","1755.15","N/A","N/A","N/A","1755.15","1755.15","N/A","1755.15","1755.15","1755.15","1755.15","1755.15","1755.15","1755.15","1755.15","1755.15","1755.15"
"5","N/A","INJ PARAVERT F JNT C/T 2 LEV","64491","N/A","N/A","N/A","N/A","N/A","1711.78","1711.78","N/A","N/A","N/A","1711.78","1711.78","N/A","1711.78","1711.78","1711.78","1711.78","1711.78","1711.78","1711.78","1711.78","1711.78","1711.78"
"5","N/A","INJ PARAVERT F JNT C/T 3 LEV","64492","N/A","N/A","N/A","N/A","N/A","1718.89","1718.89","N/A","N/A","N/A","1718.89","1718.89","N/A","1718.89","1718.89","1718.89","1718.89","1718.89","1718.89","1718.89","1718.89","1718.89","1718.89"
"5","N/A","HCHG INJ PARAVERT F JNT L/S 1 LEV","64493","N/A","N/A","N/A","N/A","N/A","1536.98","1536.98","N/A","N/A","N/A","1536.98","1536.98","N/A","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98"
"5","N/A","INJ PARAVERT F JNT L/S 1 LEV","64493","N/A","N/A","N/A","N/A","N/A","1536.98","1536.98","N/A","N/A","N/A","1536.98","1536.98","N/A","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98","1536.98"
"5","N/A","HCHG INJ PARAVERT F JNT L/S 2 LEV","64494","N/A","N/A","N/A","N/A","N/A","1545.14","1545.14","N/A","N/A","N/A","1545.14","1545.14","N/A","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14"
"5","N/A","INJ PARAVERT F JNT L/S 2 LEV","64494","N/A","N/A","N/A","N/A","N/A","1545.14","1545.14","N/A","N/A","N/A","1545.14","1545.14","N/A","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14","1545.14"
"5","N/A","HCHG INJ PARAVERT F JNT L/S 3 LEV","64495","N/A","N/A","N/A","N/A","N/A","1547.59","1547.59","N/A","N/A","N/A","1547.59","1547.59","N/A","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59"
"5","N/A","INJ PARAVERT F JNT L/S 3 LEV","64495","N/A","N/A","N/A","N/A","N/A","1547.59","1547.59","N/A","N/A","N/A","1547.59","1547.59","N/A","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59","1547.59"
"5","N/A","HCHG INJ ANES AGENT SPHENOPALATINE GANGLION","64505","N/A","N/A","N/A","N/A","N/A","436.00","436.00","N/A","N/A","N/A","436.00","436.00","N/A","436.00","436.00","436.00","436.00","436.00","436.00","436.00","436.00","436.00","436.00"
"5","N/A","N BLOCK SPENOPALATINE GANGL","64505","N/A","N/A","N/A","N/A","N/A","436.00","436.00","N/A","N/A","N/A","436.00","436.00","N/A","436.00","436.00","436.00","436.00","436.00","436.00","436.00","436.00","436.00","436.00"
"5","N/A","HCHG INJ ANESTH AGENT STELLATE GANGL","64510","N/A","N/A","N/A","N/A","N/A","1636.51","1636.51","N/A","N/A","N/A","1636.51","1636.51","N/A","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51"
"5","N/A","N BLOCK STELLATE GANGLION","64510","N/A","N/A","N/A","N/A","N/A","1636.51","1636.51","N/A","N/A","N/A","1636.51","1636.51","N/A","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51","1636.51"
"5","N/A","N BLOCK INJ HYPOGAS PLXS","64517","N/A","N/A","N/A","N/A","N/A","1922.76","1922.76","N/A","N/A","N/A","1922.76","1922.76","N/A","1922.76","1922.76","1922.76","1922.76","1922.76","1922.76","1922.76","1922.76","1922.76","1922.76"
"5","N/A","N BLOCK LUMBAR/THORACIC","64520","N/A","N/A","N/A","N/A","N/A","1964.33","1964.33","N/A","N/A","N/A","1964.33","1964.33","N/A","1964.33","1964.33","1964.33","1964.33","1964.33","1964.33","1964.33","1964.33","1964.33","1964.33"
"5","N/A","HCHG INJ ANES; CELIAC PLEXUS","64530","N/A","N/A","N/A","N/A","N/A","1804.34","1804.34","N/A","N/A","N/A","1804.34","1804.34","N/A","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34"
"5","N/A","N BLOCK INJ CELIAC PELUS","64530","N/A","N/A","N/A","N/A","N/A","1804.34","1804.34","N/A","N/A","N/A","1804.34","1804.34","N/A","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34","1804.34"
"5","N/A","IMPLANT NEUROELECTRODES","64561","N/A","N/A","N/A","N/A","N/A","71135.52","71135.52","N/A","N/A","N/A","71135.52","71135.52","N/A","71135.52","71135.52","71135.52","71135.52","71135.52","71135.52","71135.52","71135.52","71135.52","71135.52"
"5","N/A","INC FOR VAGUS N ELECT IMPL","64568","N/A","N/A","N/A","N/A","N/A","156157.79","156157.79","N/A","N/A","N/A","156157.79","156157.79","N/A","156157.79","156157.79","156157.79","156157.79","156157.79","156157.79","156157.79","156157.79","156157.79","156157.79"
"5","N/A","REVISE/REPL VAGUS N ELTRD","64569","N/A","N/A","N/A","N/A","N/A","126781.07","126781.07","N/A","N/A","N/A","126781.07","126781.07","N/A","126781.07","126781.07","126781.07","126781.07","126781.07","126781.07","126781.07","126781.07","126781.07","126781.07"
"5","N/A","IMPLANT NEUROELECTRODES","64581","N/A","N/A","N/A","N/A","N/A","50195.36","50195.36","N/A","N/A","N/A","50195.36","50195.36","N/A","50195.36","50195.36","50195.36","50195.36","50195.36","50195.36","50195.36","50195.36","50195.36","50195.36"
"5","N/A","REVISE/REMOVE NEUROELECTRODE","64585","N/A","N/A","N/A","N/A","N/A","7315.40","7315.40","N/A","N/A","N/A","7315.40","7315.40","N/A","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40"
"5","N/A","INSRT/REDO PN/GASTR STIMUL","64590","N/A","N/A","N/A","N/A","N/A","58560.59","58560.59","N/A","N/A","N/A","58560.59","58560.59","N/A","58560.59","58560.59","58560.59","58560.59","58560.59","58560.59","58560.59","58560.59","58560.59","58560.59"
"5","N/A","REVISE/RMV PN/GASTR STIMUL","64595","N/A","N/A","N/A","N/A","N/A","7315.40","7315.40","N/A","N/A","N/A","7315.40","7315.40","N/A","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40","7315.40"
"5","N/A","CHEMODENERV SALIV GLANDS","64611","N/A","N/A","N/A","N/A","N/A","754.00","754.00","N/A","N/A","N/A","754.00","754.00","N/A","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00"
"5","N/A","HCHG CHEMODENERV SALIV GLANDS","64611","N/A","N/A","N/A","N/A","N/A","754.00","754.00","N/A","N/A","N/A","754.00","754.00","N/A","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00"
"5","N/A","DESTROY NERVE FACE MUSCLE","64612","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG CHEMODENERVATION OF FACE MUSCLE","64612","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","CHEMODENERV MUSC MIGRAINE","64615","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG CHEMODENERVE MUSC MIGRAINE","64615","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","CHEMODENERV MUSC NECK DYSTON","64616","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","HCHG CHEMODENERVATION OF MUSCLE NECK DYSTONIA","64616","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","INJECTION TREATMENT OF NERVE","64620","N/A","N/A","N/A","N/A","N/A","3357.87","3357.87","N/A","N/A","N/A","3357.87","3357.87","N/A","3357.87","3357.87","3357.87","3357.87","3357.87","3357.87","3357.87","3357.87","3357.87","3357.87"
"5","N/A","DSTRJ NULYT AGT GNCLR NRV","64624","N/A","N/A","N/A","N/A","N/A","2243.00","2243.00","N/A","N/A","N/A","2243.00","2243.00","N/A","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00","2243.00"
"5","N/A","RF ABLTJ NRV NRVTG SI JT","64625","N/A","N/A","N/A","N/A","N/A","2395.47","2395.47","N/A","N/A","N/A","2395.47","2395.47","N/A","2395.47","2395.47","2395.47","2395.47","2395.47","2395.47","2395.47","2395.47","2395.47","2395.47"
"5","N/A","DESTROY CERV/THOR FACET JNT","64633","N/A","N/A","N/A","N/A","N/A","2227.64","2227.64","N/A","N/A","N/A","2227.64","2227.64","N/A","2227.64","2227.64","2227.64","2227.64","2227.64","2227.64","2227.64","2227.64","2227.64","2227.64"
"5","N/A","DESTROY C/TH FACET JNT ADDL","64634","N/A","N/A","N/A","N/A","N/A","2229.77","2229.77","N/A","N/A","N/A","2229.77","2229.77","N/A","2229.77","2229.77","2229.77","2229.77","2229.77","2229.77","2229.77","2229.77","2229.77","2229.77"
"5","N/A","DESTROY LUMB/SAC FACET JNT","64635","N/A","N/A","N/A","N/A","N/A","2232.97","2232.97","N/A","N/A","N/A","2232.97","2232.97","N/A","2232.97","2232.97","2232.97","2232.97","2232.97","2232.97","2232.97","2232.97","2232.97","2232.97"
"5","N/A","DESTROY L/S FACET JNT ADDL","64636","N/A","N/A","N/A","N/A","N/A","2235.56","2235.56","N/A","N/A","N/A","2235.56","2235.56","N/A","2235.56","2235.56","2235.56","2235.56","2235.56","2235.56","2235.56","2235.56","2235.56","2235.56"
"5","N/A","HCHG DESTR W NEUROLYTIC; OTHER PERIPH NRV","64640","N/A","N/A","N/A","N/A","N/A","2287.15","2287.15","N/A","N/A","N/A","2287.15","2287.15","N/A","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15"
"5","N/A","INJECTION TREATMENT OF NERVE","64640","N/A","N/A","N/A","N/A","N/A","2287.15","2287.15","N/A","N/A","N/A","2287.15","2287.15","N/A","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15","2287.15"
"5","N/A","CHEMODENERV 1 EXTREMITY 1-4","64642","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","HCHG CHEMODENERV 1 EXTREMITY 1-4","64642","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","CHEMODENERV 1 EXTREM 1-4 EA","64643","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","HCHG CHEMODENERV 1 EXTREM 1-4 EA","64643","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","CHEMODENERV 1 EXTREM 5/> MUS","64644","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","HCHG CHEMODENERV 1 EXTREM 5/> MUS","64644","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","CHEMODENERV 1 EXTREM 5/> EA","64645","N/A","N/A","N/A","N/A","N/A","346.00","346.00","N/A","N/A","N/A","346.00","346.00","N/A","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00"
"5","N/A","HCHG CHEMODENERV 1 EXTREM 5/> EA","64645","N/A","N/A","N/A","N/A","N/A","346.00","346.00","N/A","N/A","N/A","346.00","346.00","N/A","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00"
"5","N/A","CHEMODENERV TRUNK MUSC 1-5","64646","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","HCHG CHEMODENERV TRUNK MUSC 1-5","64646","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","CHEMODENERV TRUNK MUSC 6/>","64647","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","HCHG CHEMODENERV TRUNK MUSC 6/>","64647","N/A","N/A","N/A","N/A","N/A","1844.00","1844.00","N/A","N/A","N/A","1844.00","1844.00","N/A","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00","1844.00"
"5","N/A","HCHG DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS","64680","N/A","N/A","N/A","N/A","N/A","2034.76","2034.76","N/A","N/A","N/A","2034.76","2034.76","N/A","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76"
"5","N/A","INJECTION TREATMENT OF NERVE","64680","N/A","N/A","N/A","N/A","N/A","2034.76","2034.76","N/A","N/A","N/A","2034.76","2034.76","N/A","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76","2034.76"
"5","N/A","INJECTION TREATMENT OF NERVE","64681","N/A","N/A","N/A","N/A","N/A","2248.04","2248.04","N/A","N/A","N/A","2248.04","2248.04","N/A","2248.04","2248.04","2248.04","2248.04","2248.04","2248.04","2248.04","2248.04","2248.04","2248.04"
"5","N/A","REVISE FINGER/TOE NERVE","64702","N/A","N/A","N/A","N/A","102653.61","25733.05","25733.05","N/A","N/A","N/A","25733.05","25733.05","N/A","25733.05","25733.05","25733.05","25733.05","25733.05","25733.05","25733.05","25733.05","25733.05","25733.05"
"5","N/A","REVISE HAND/FOOT NERVE","64704","N/A","N/A","N/A","N/A","102653.61","11091.90","11091.90","N/A","N/A","N/A","11091.90","11091.90","N/A","11091.90","11091.90","11091.90","11091.90","11091.90","11091.90","11091.90","11091.90","11091.90","11091.90"
"5","N/A","REVISE ARM/LEG NERVE","64708","N/A","N/A","N/A","N/A","102653.61","19436.16","19436.16","N/A","N/A","N/A","19436.16","19436.16","N/A","19436.16","19436.16","19436.16","19436.16","19436.16","19436.16","19436.16","19436.16","19436.16","19436.16"
"5","N/A","REVISE LOW BACK NERVE(S)","64714","N/A","N/A","N/A","N/A","N/A","30457.78","30457.78","N/A","N/A","N/A","30457.78","30457.78","N/A","30457.78","30457.78","30457.78","30457.78","30457.78","30457.78","30457.78","30457.78","30457.78","30457.78"
"5","N/A","REVISION OF CRANIAL NERVE","64716","N/A","N/A","N/A","N/A","57796.93","30683.56","30683.56","N/A","N/A","N/A","30683.56","30683.56","N/A","30683.56","30683.56","30683.56","30683.56","30683.56","30683.56","30683.56","30683.56","30683.56","30683.56"
"5","N/A","REVISE ULNAR NERVE AT ELBOW","64718","N/A","N/A","N/A","N/A","N/A","15344.11","15344.11","N/A","N/A","N/A","15344.11","15344.11","N/A","15344.11","15344.11","15344.11","15344.11","15344.11","15344.11","15344.11","15344.11","15344.11","15344.11"
"5","N/A","REVISE ULNAR NERVE AT WRIST","64719","N/A","N/A","N/A","N/A","N/A","15685.54","15685.54","N/A","N/A","N/A","15685.54","15685.54","N/A","15685.54","15685.54","15685.54","15685.54","15685.54","15685.54","15685.54","15685.54","15685.54","15685.54"
"5","N/A","CARPAL TUNNEL SURGERY","64721","N/A","N/A","N/A","N/A","102653.61","9179.63","9179.63","N/A","N/A","N/A","9179.63","9179.63","N/A","9179.63","9179.63","9179.63","9179.63","9179.63","9179.63","9179.63","9179.63","9179.63","9179.63"
"5","N/A","RELEASE FOOT/TOE NERVE","64726","N/A","N/A","N/A","N/A","N/A","9296.10","9296.10","N/A","N/A","N/A","9296.10","9296.10","N/A","9296.10","9296.10","9296.10","9296.10","9296.10","9296.10","9296.10","9296.10","9296.10","9296.10"
"5","N/A","INTERNAL NERVE REVISION","64727","N/A","N/A","N/A","N/A","41776.94","21688.82","21688.82","N/A","N/A","N/A","21688.82","21688.82","N/A","21688.82","21688.82","21688.82","21688.82","21688.82","21688.82","21688.82","21688.82","21688.82","21688.82"
"5","N/A","INCISION OF SPINAL NERVE","64772","N/A","N/A","N/A","N/A","56774.81","19317.10","19317.10","N/A","N/A","N/A","19317.10","19317.10","N/A","19317.10","19317.10","19317.10","19317.10","19317.10","19317.10","19317.10","19317.10","19317.10","19317.10"
"5","N/A","REMOVE DIGIT NERVE LESION","64776","N/A","N/A","N/A","N/A","27711.37","11200.89","11200.89","N/A","N/A","N/A","11200.89","11200.89","N/A","11200.89","11200.89","11200.89","11200.89","11200.89","11200.89","11200.89","11200.89","11200.89","11200.89"
"5","N/A","REMOVE LIMB NERVE LESION","64782","N/A","N/A","N/A","N/A","N/A","15972.72","15972.72","N/A","N/A","N/A","15972.72","15972.72","N/A","15972.72","15972.72","15972.72","15972.72","15972.72","15972.72","15972.72","15972.72","15972.72","15972.72"
"5","N/A","REMOVE NERVE LESION","64784","N/A","N/A","N/A","N/A","40167.13","19928.23","19928.23","N/A","N/A","N/A","19928.23","19928.23","N/A","19928.23","19928.23","19928.23","19928.23","19928.23","19928.23","19928.23","19928.23","19928.23","19928.23"
"5","N/A","IMPLANT NERVE END","64787","N/A","N/A","N/A","N/A","N/A","24600.13","24600.13","N/A","N/A","N/A","24600.13","24600.13","N/A","24600.13","24600.13","24600.13","24600.13","24600.13","24600.13","24600.13","24600.13","24600.13","24600.13"
"5","N/A","REMOVE SKIN NERVE LESION","64788","N/A","N/A","N/A","N/A","27711.37","11562.72","11562.72","N/A","N/A","N/A","11562.72","11562.72","N/A","11562.72","11562.72","11562.72","11562.72","11562.72","11562.72","11562.72","11562.72","11562.72","11562.72"
"5","N/A","REMOVAL OF NERVE LESION","64790","N/A","N/A","N/A","N/A","27711.37","13328.04","13328.04","N/A","N/A","N/A","13328.04","13328.04","N/A","13328.04","13328.04","13328.04","13328.04","13328.04","13328.04","13328.04","13328.04","13328.04","13328.04"
"5","N/A","REMOVAL OF NERVE LESION","64792","N/A","N/A","N/A","N/A","27711.37","17295.97","17295.97","N/A","N/A","N/A","17295.97","17295.97","N/A","17295.97","17295.97","17295.97","17295.97","17295.97","17295.97","17295.97","17295.97","17295.97","17295.97"
"5","N/A","REPAIR OF DIGIT NERVE","64831","N/A","N/A","N/A","N/A","50508.57","19562.25","19562.25","N/A","N/A","N/A","19562.25","19562.25","N/A","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25"
"5","N/A","HCHG SUTURE DIGITAL NERVE HAND/FOOT ONE NERVE","64831","N/A","N/A","N/A","N/A","N/A","19562.25","19562.25","N/A","N/A","N/A","19562.25","19562.25","N/A","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25","19562.25"
"5","N/A","HCHG SUTURE DIGITAL NERVE HAND/FOOT EA ADDL NERVE","64832","N/A","N/A","N/A","N/A","N/A","6552.00","6552.00","N/A","N/A","N/A","6552.00","6552.00","N/A","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00"
"5","N/A","REPAIR NERVE ADD-ON","64832","N/A","N/A","N/A","N/A","50508.57","6552.00","6552.00","N/A","N/A","N/A","6552.00","6552.00","N/A","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00","6552.00"
"5","N/A","REPAIR OF HAND OR FOOT NERVE","64835","N/A","N/A","N/A","N/A","N/A","21680.73","21680.73","N/A","N/A","N/A","21680.73","21680.73","N/A","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73","21680.73"
"5","N/A","HCHG SUTURE FACIAL NERVE EXTRACRANIAL","64864","N/A","N/A","N/A","N/A","N/A","8185.00","8185.00","N/A","N/A","N/A","8185.00","8185.00","N/A","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00"
"5","N/A","REPAIR OF FACIAL NERVE","64864","N/A","N/A","N/A","N/A","N/A","8185.00","8185.00","N/A","N/A","N/A","8185.00","8185.00","N/A","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00","8185.00"
"5","N/A","NERVE GRAFT ARM/LEG 4 CM","64897","N/A","N/A","N/A","N/A","N/A","52222.66","52222.66","N/A","N/A","N/A","52222.66","52222.66","N/A","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66","52222.66"
"5","N/A","NERVE GRAFT ARM/LEG >4 CM","64898","N/A","N/A","N/A","N/A","N/A","53431.62","53431.62","N/A","N/A","N/A","53431.62","53431.62","N/A","53431.62","53431.62","53431.62","53431.62","53431.62","53431.62","53431.62","53431.62","53431.62","53431.62"
"5","N/A","NERVE REPAIR W/ALLOGRAFT","64910","N/A","N/A","N/A","N/A","187061.58","48462.08","48462.08","N/A","N/A","N/A","48462.08","48462.08","N/A","48462.08","48462.08","48462.08","48462.08","48462.08","48462.08","48462.08","48462.08","48462.08","48462.08"
"5","N/A","NEURORRAPHY W/VEIN AUTOGRAFT","64911","N/A","N/A","N/A","N/A","187061.58","59951.82","59951.82","N/A","N/A","N/A","59951.82","59951.82","N/A","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82"
"5","N/A","NRV RPR W/NRV ALGRFT 1ST","64912","N/A","N/A","N/A","N/A","N/A","44729.22","44729.22","N/A","N/A","N/A","44729.22","44729.22","N/A","44729.22","44729.22","44729.22","44729.22","44729.22","44729.22","44729.22","44729.22","44729.22","44729.22"
"5","N/A","NERVOUS SYSTEM SURGERY","64999","N/A","N/A","N/A","N/A","71167.47","23153.79","23153.79","N/A","N/A","N/A","23153.79","23153.79","N/A","23153.79","23153.79","23153.79","23153.79","23153.79","23153.79","23153.79","23153.79","23153.79","23153.79"
"5","N/A","REVISE EYE WITH IMPLANT","65093","N/A","N/A","N/A","N/A","143576.69","13940.09","13940.09","N/A","N/A","N/A","13940.09","13940.09","N/A","13940.09","13940.09","13940.09","13940.09","13940.09","13940.09","13940.09","13940.09","13940.09","13940.09"
"5","N/A","REMOVE EYE/ATTACH IMPLANT","65105","N/A","N/A","N/A","N/A","N/A","16899.90","16899.90","N/A","N/A","N/A","16899.90","16899.90","N/A","16899.90","16899.90","16899.90","16899.90","16899.90","16899.90","16899.90","16899.90","16899.90","16899.90"
"5","N/A","REMOVE EYE/REVISE SOCKET","65114","N/A","N/A","N/A","N/A","143576.69","18614.61","18614.61","N/A","N/A","N/A","18614.61","18614.61","N/A","18614.61","18614.61","18614.61","18614.61","18614.61","18614.61","18614.61","18614.61","18614.61","18614.61"
"5","N/A","INSERT OCULAR IMPLANT","65135","N/A","N/A","N/A","N/A","N/A","8771.25","8771.25","N/A","N/A","N/A","8771.25","8771.25","N/A","8771.25","8771.25","8771.25","8771.25","8771.25","8771.25","8771.25","8771.25","8771.25","8771.25"
"5","N/A","REVISE OCULAR IMPLANT","65150","N/A","N/A","N/A","N/A","N/A","12843.25","12843.25","N/A","N/A","N/A","12843.25","12843.25","N/A","12843.25","12843.25","12843.25","12843.25","12843.25","12843.25","12843.25","12843.25","12843.25","12843.25"
"5","N/A","HCHG REMOVE FB CONJUCTIVA SUPERFIC","65205","N/A","N/A","N/A","N/A","N/A","10352.60","10352.60","N/A","N/A","N/A","10352.60","10352.60","N/A","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60"
"5","N/A","REMOVE FOREIGN BODY FROM EYE","65205","N/A","N/A","N/A","N/A","N/A","10352.60","10352.60","N/A","N/A","N/A","10352.60","10352.60","N/A","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60","10352.60"
"5","N/A","HCHG REMOVE FB CONJUCTIVA EMBEDDED","65210","N/A","N/A","N/A","N/A","N/A","513.00","513.00","N/A","N/A","N/A","513.00","513.00","N/A","513.00","513.00","513.00","513.00","513.00","513.00","513.00","513.00","513.00","513.00"
"5","N/A","REMOVE FOREIGN BODY FROM EYE","65210","N/A","N/A","N/A","N/A","N/A","513.00","513.00","N/A","N/A","N/A","513.00","513.00","N/A","513.00","513.00","513.00","513.00","513.00","513.00","513.00","513.00","513.00","513.00"
"5","N/A","HCHG REMOVE FB CORNEA WO SLIT LAMP","65220","N/A","N/A","N/A","N/A","N/A","478.00","478.00","N/A","N/A","N/A","478.00","478.00","N/A","478.00","478.00","478.00","478.00","478.00","478.00","478.00","478.00","478.00","478.00"
"5","N/A","REMOVE FOREIGN BODY FROM EYE","65220","N/A","N/A","N/A","N/A","N/A","478.00","478.00","N/A","N/A","N/A","478.00","478.00","N/A","478.00","478.00","478.00","478.00","478.00","478.00","478.00","478.00","478.00","478.00"
"5","N/A","HCHG REMOVE FB CORNEA W SLIT LAMP","65222","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","REMOVE FOREIGN BODY FROM EYE","65222","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG REMOVAL FOREIGN BODY INTRAOCCULAR","65235","N/A","N/A","N/A","N/A","N/A","15056.10","15056.10","N/A","N/A","N/A","15056.10","15056.10","N/A","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10"
"5","N/A","REMOVE FOREIGN BODY FROM EYE","65235","N/A","N/A","N/A","N/A","N/A","15056.10","15056.10","N/A","N/A","N/A","15056.10","15056.10","N/A","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10","15056.10"
"5","N/A","HCHG REPAIR OF EYE WOUND","65270","N/A","N/A","N/A","N/A","N/A","11107.25","11107.25","N/A","N/A","N/A","11107.25","11107.25","N/A","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25"
"5","N/A","REPAIR OF EYE WOUND","65270","N/A","N/A","N/A","N/A","58129.87","11107.25","11107.25","N/A","N/A","N/A","11107.25","11107.25","N/A","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25","11107.25"
"5","N/A","REPAIR OF EYE WOUND","65275","N/A","N/A","N/A","N/A","N/A","9351.06","9351.06","N/A","N/A","N/A","9351.06","9351.06","N/A","9351.06","9351.06","9351.06","9351.06","9351.06","9351.06","9351.06","9351.06","9351.06","9351.06"
"5","N/A","REPAIR OF EYE WOUND","65280","N/A","N/A","N/A","N/A","37638.11","14048.46","14048.46","N/A","N/A","N/A","14048.46","14048.46","N/A","14048.46","14048.46","14048.46","14048.46","14048.46","14048.46","14048.46","14048.46","14048.46","14048.46"
"5","N/A","REPAIR OF EYE SOCKET WOUND","65290","N/A","N/A","N/A","N/A","40581.03","4146.00","4146.00","N/A","N/A","N/A","4146.00","4146.00","N/A","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00"
"5","N/A","HCHG REPR WOUND EXTRAOCU MUSC/TEND","65290","N/A","N/A","N/A","N/A","N/A","4146.00","4146.00","N/A","N/A","N/A","4146.00","4146.00","N/A","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00","4146.00"
"5","N/A","REMOVAL OF EYE LESION","65400","N/A","N/A","N/A","N/A","N/A","9126.86","9126.86","N/A","N/A","N/A","9126.86","9126.86","N/A","9126.86","9126.86","9126.86","9126.86","9126.86","9126.86","9126.86","9126.86","9126.86","9126.86"
"5","N/A","BIOPSY OF CORNEA","65410","N/A","N/A","N/A","N/A","N/A","6016.76","6016.76","N/A","N/A","N/A","6016.76","6016.76","N/A","6016.76","6016.76","6016.76","6016.76","6016.76","6016.76","6016.76","6016.76","6016.76","6016.76"
"5","N/A","REMOVAL OF EYE LESION","65420","N/A","N/A","N/A","N/A","N/A","20052.46","20052.46","N/A","N/A","N/A","20052.46","20052.46","N/A","20052.46","20052.46","20052.46","20052.46","20052.46","20052.46","20052.46","20052.46","20052.46","20052.46"
"5","N/A","REMOVAL OF EYE LESION","65426","N/A","N/A","N/A","N/A","N/A","10926.61","10926.61","N/A","N/A","N/A","10926.61","10926.61","N/A","10926.61","10926.61","10926.61","10926.61","10926.61","10926.61","10926.61","10926.61","10926.61","10926.61"
"5","N/A","CURETTE/TREAT CORNEA","65435","N/A","N/A","N/A","N/A","N/A","15896.22","15896.22","N/A","N/A","N/A","15896.22","15896.22","N/A","15896.22","15896.22","15896.22","15896.22","15896.22","15896.22","15896.22","15896.22","15896.22","15896.22"
"5","N/A","TREATMENT OF CORNEAL LESION","65450","N/A","N/A","N/A","N/A","N/A","10320.68","10320.68","N/A","N/A","N/A","10320.68","10320.68","N/A","10320.68","10320.68","10320.68","10320.68","10320.68","10320.68","10320.68","10320.68","10320.68","10320.68"
"5","N/A","CORNEAL TRANSPLANT","65710","N/A","N/A","N/A","N/A","49440.96","22144.29","22144.29","N/A","N/A","N/A","22144.29","22144.29","N/A","22144.29","22144.29","22144.29","22144.29","22144.29","22144.29","22144.29","22144.29","22144.29","22144.29"
"5","N/A","CORNEAL TRANSPLANT","65730","N/A","N/A","N/A","N/A","49440.96","27429.27","27429.27","N/A","N/A","N/A","27429.27","27429.27","N/A","27429.27","27429.27","27429.27","27429.27","27429.27","27429.27","27429.27","27429.27","27429.27","27429.27"
"5","N/A","CORNEAL TRANSPLANT","65750","N/A","N/A","N/A","N/A","49440.96","27835.13","27835.13","N/A","N/A","N/A","27835.13","27835.13","N/A","27835.13","27835.13","27835.13","27835.13","27835.13","27835.13","27835.13","27835.13","27835.13","27835.13"
"5","N/A","CORNEAL TRANSPLANT","65755","N/A","N/A","N/A","N/A","49440.96","26708.69","26708.69","N/A","N/A","N/A","26708.69","26708.69","N/A","26708.69","26708.69","26708.69","26708.69","26708.69","26708.69","26708.69","26708.69","26708.69","26708.69"
"5","N/A","CORNEAL TRNSPL ENDOTHELIAL","65756","N/A","N/A","N/A","N/A","49440.96","29946.16","29946.16","N/A","N/A","N/A","29946.16","29946.16","N/A","29946.16","29946.16","29946.16","29946.16","29946.16","29946.16","29946.16","29946.16","29946.16","29946.16"
"5","N/A","OCULAR RECONST TRANSPLANT","65780","N/A","N/A","N/A","N/A","27392.24","10188.78","10188.78","N/A","N/A","N/A","10188.78","10188.78","N/A","10188.78","10188.78","10188.78","10188.78","10188.78","10188.78","10188.78","10188.78","10188.78","10188.78"
"5","N/A","DRAINAGE OF EYE","65800","N/A","N/A","N/A","N/A","N/A","3674.04","3674.04","N/A","N/A","N/A","3674.04","3674.04","N/A","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04"
"5","N/A","HCHG DRAINAGE OF EYE","65800","N/A","N/A","N/A","N/A","N/A","3674.04","3674.04","N/A","N/A","N/A","3674.04","3674.04","N/A","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04","3674.04"
"5","N/A","DRAINAGE OF EYE","65815","N/A","N/A","N/A","N/A","N/A","7392.35","7392.35","N/A","N/A","N/A","7392.35","7392.35","N/A","7392.35","7392.35","7392.35","7392.35","7392.35","7392.35","7392.35","7392.35","7392.35","7392.35"
"5","N/A","TRABECULOPLASTY LASER SURG","65855","N/A","N/A","N/A","N/A","N/A","2302.12","2302.12","N/A","N/A","N/A","2302.12","2302.12","N/A","2302.12","2302.12","2302.12","2302.12","2302.12","2302.12","2302.12","2302.12","2302.12","2302.12"
"5","N/A","INJECTION TREATMENT OF EYE","66020","N/A","N/A","N/A","N/A","N/A","9675.94","9675.94","N/A","N/A","N/A","9675.94","9675.94","N/A","9675.94","9675.94","9675.94","9675.94","9675.94","9675.94","9675.94","9675.94","9675.94","9675.94"
"5","N/A","INJECTION TREATMENT OF EYE","66030","N/A","N/A","N/A","N/A","N/A","5336.05","5336.05","N/A","N/A","N/A","5336.05","5336.05","N/A","5336.05","5336.05","5336.05","5336.05","5336.05","5336.05","5336.05","5336.05","5336.05","5336.05"
"5","N/A","GLAUCOMA SURGERY","66170","N/A","N/A","N/A","N/A","N/A","10713.03","10713.03","N/A","N/A","N/A","10713.03","10713.03","N/A","10713.03","10713.03","10713.03","10713.03","10713.03","10713.03","10713.03","10713.03","10713.03","10713.03"
"5","N/A","TRANSLUM DIL EYE CANAL","66174","N/A","N/A","N/A","N/A","N/A","13241.47","13241.47","N/A","N/A","N/A","13241.47","13241.47","N/A","13241.47","13241.47","13241.47","13241.47","13241.47","13241.47","13241.47","13241.47","13241.47","13241.47"
"5","N/A","AQUEOUS SHUNT EYE W/GRAFT","66180","N/A","N/A","N/A","N/A","N/A","12948.09","12948.09","N/A","N/A","N/A","12948.09","12948.09","N/A","12948.09","12948.09","12948.09","12948.09","12948.09","12948.09","12948.09","12948.09","12948.09","12948.09"
"5","N/A","INSERT ANT DRAINAGE DEVICE","66183","N/A","N/A","N/A","N/A","N/A","14449.99","14449.99","N/A","N/A","N/A","14449.99","14449.99","N/A","14449.99","14449.99","14449.99","14449.99","14449.99","14449.99","14449.99","14449.99","14449.99","14449.99"
"5","N/A","FOLLOW-UP SURGERY OF EYE","66250","N/A","N/A","N/A","N/A","N/A","8671.51","8671.51","N/A","N/A","N/A","8671.51","8671.51","N/A","8671.51","8671.51","8671.51","8671.51","8671.51","8671.51","8671.51","8671.51","8671.51","8671.51"
"5","N/A","REPAIR IRIS & CILIARY BODY","66680","N/A","N/A","N/A","N/A","N/A","8383.66","8383.66","N/A","N/A","N/A","8383.66","8383.66","N/A","8383.66","8383.66","8383.66","8383.66","8383.66","8383.66","8383.66","8383.66","8383.66","8383.66"
"5","N/A","ECP CILIARY BODY DESTRUCTION","66711","N/A","N/A","N/A","N/A","19061.87","9132.15","9132.15","N/A","N/A","N/A","9132.15","9132.15","N/A","9132.15","9132.15","9132.15","9132.15","9132.15","9132.15","9132.15","9132.15","9132.15","9132.15"
"5","N/A","REVISION OF IRIS","66761","N/A","N/A","N/A","N/A","19061.87","2868.49","2868.49","N/A","N/A","N/A","2868.49","2868.49","N/A","2868.49","2868.49","2868.49","2868.49","2868.49","2868.49","2868.49","2868.49","2868.49","2868.49"
"5","N/A","AFTER CATARACT LASER SURGERY","66821","N/A","N/A","N/A","N/A","N/A","2250.40","2250.40","N/A","N/A","N/A","2250.40","2250.40","N/A","2250.40","2250.40","2250.40","2250.40","2250.40","2250.40","2250.40","2250.40","2250.40","2250.40"
"5","N/A","REPOSITION INTRAOCULAR LENS","66825","N/A","N/A","N/A","N/A","N/A","9840.25","9840.25","N/A","N/A","N/A","9840.25","9840.25","N/A","9840.25","9840.25","9840.25","9840.25","9840.25","9840.25","9840.25","9840.25","9840.25","9840.25"
"5","N/A","REMOVAL OF LENS MATERIAL","66840","N/A","N/A","N/A","N/A","N/A","8109.86","8109.86","N/A","N/A","N/A","8109.86","8109.86","N/A","8109.86","8109.86","8109.86","8109.86","8109.86","8109.86","8109.86","8109.86","8109.86","8109.86"
"5","N/A","REMOVAL OF LENS MATERIAL","66850","N/A","N/A","N/A","N/A","N/A","7573.81","7573.81","N/A","N/A","N/A","7573.81","7573.81","N/A","7573.81","7573.81","7573.81","7573.81","7573.81","7573.81","7573.81","7573.81","7573.81","7573.81"
"5","N/A","REMOVAL OF LENS MATERIAL","66852","N/A","N/A","N/A","N/A","23045.93","12329.37","12329.37","N/A","N/A","N/A","12329.37","12329.37","N/A","12329.37","12329.37","12329.37","12329.37","12329.37","12329.37","12329.37","12329.37","12329.37","12329.37"
"5","N/A","EXTRACTION OF LENS","66920","N/A","N/A","N/A","N/A","N/A","6466.40","6466.40","N/A","N/A","N/A","6466.40","6466.40","N/A","6466.40","6466.40","6466.40","6466.40","6466.40","6466.40","6466.40","6466.40","6466.40","6466.40"
"5","N/A","XCAPSL CTRC RMVL CPLX WO ECP","66982","N/A","N/A","N/A","N/A","N/A","9103.38","9103.38","N/A","N/A","N/A","9103.38","9103.38","N/A","9103.38","9103.38","9103.38","9103.38","9103.38","9103.38","9103.38","9103.38","9103.38","9103.38"
"5","N/A","XCAPSL CTRC RMVL W/O ECP","66984","N/A","N/A","N/A","N/A","N/A","8095.80","8095.80","N/A","N/A","N/A","8095.80","8095.80","N/A","8095.80","8095.80","8095.80","8095.80","8095.80","8095.80","8095.80","8095.80","8095.80","8095.80"
"5","N/A","INSERT LENS PROSTHESIS","66985","N/A","N/A","N/A","N/A","N/A","11610.31","11610.31","N/A","N/A","N/A","11610.31","11610.31","N/A","11610.31","11610.31","11610.31","11610.31","11610.31","11610.31","11610.31","11610.31","11610.31","11610.31"
"5","N/A","EXCHANGE LENS PROSTHESIS","66986","N/A","N/A","N/A","N/A","N/A","12286.27","12286.27","N/A","N/A","N/A","12286.27","12286.27","N/A","12286.27","12286.27","12286.27","12286.27","12286.27","12286.27","12286.27","12286.27","12286.27","12286.27"
"5","N/A","XCAPSL CTRC RMVL CPLX W/ECP","66987","N/A","N/A","N/A","N/A","N/A","10134.41","10134.41","N/A","N/A","N/A","10134.41","10134.41","N/A","10134.41","10134.41","10134.41","10134.41","10134.41","10134.41","10134.41","10134.41","10134.41","10134.41"
"5","N/A","XCAPSL CTRC RMVL W/ECP","66988","N/A","N/A","N/A","N/A","N/A","7878.13","7878.13","N/A","N/A","N/A","7878.13","7878.13","N/A","7878.13","7878.13","7878.13","7878.13","7878.13","7878.13","7878.13","7878.13","7878.13","7878.13"
"5","N/A","RELEASE OF EYE FLUID","67015","N/A","N/A","N/A","N/A","203859.37","10044.50","10044.50","N/A","N/A","N/A","10044.50","10044.50","N/A","10044.50","10044.50","10044.50","10044.50","10044.50","10044.50","10044.50","10044.50","10044.50","10044.50"
"5","N/A","INJECTION EYE DRUG","67028","N/A","N/A","N/A","N/A","N/A","6332.97","6332.97","N/A","N/A","N/A","6332.97","6332.97","N/A","6332.97","6332.97","6332.97","6332.97","6332.97","6332.97","6332.97","6332.97","6332.97","6332.97"
"5","N/A","REMOVAL OF INNER EYE FLUID","67036","N/A","N/A","N/A","N/A","23045.93","9407.64","9407.64","N/A","N/A","N/A","9407.64","9407.64","N/A","9407.64","9407.64","9407.64","9407.64","9407.64","9407.64","9407.64","9407.64","9407.64","9407.64"
"5","N/A","LASER TREATMENT OF RETINA","67039","N/A","N/A","N/A","N/A","23045.93","9720.02","9720.02","N/A","N/A","N/A","9720.02","9720.02","N/A","9720.02","9720.02","9720.02","9720.02","9720.02","9720.02","9720.02","9720.02","9720.02","9720.02"
"5","N/A","LASER TREATMENT OF RETINA","67040","N/A","N/A","N/A","N/A","23045.93","8859.64","8859.64","N/A","N/A","N/A","8859.64","8859.64","N/A","8859.64","8859.64","8859.64","8859.64","8859.64","8859.64","8859.64","8859.64","8859.64","8859.64"
"5","N/A","VIT FOR MACULAR PUCKER","67041","N/A","N/A","N/A","N/A","23045.93","8574.36","8574.36","N/A","N/A","N/A","8574.36","8574.36","N/A","8574.36","8574.36","8574.36","8574.36","8574.36","8574.36","8574.36","8574.36","8574.36","8574.36"
"5","N/A","VIT FOR MACULAR HOLE","67042","N/A","N/A","N/A","N/A","23045.93","8630.57","8630.57","N/A","N/A","N/A","8630.57","8630.57","N/A","8630.57","8630.57","8630.57","8630.57","8630.57","8630.57","8630.57","8630.57","8630.57","8630.57"
"5","N/A","REPAIR DETACHED RETINA CRTX","67101","N/A","N/A","N/A","N/A","N/A","7480.95","7480.95","N/A","N/A","N/A","7480.95","7480.95","N/A","7480.95","7480.95","7480.95","7480.95","7480.95","7480.95","7480.95","7480.95","7480.95","7480.95"
"5","N/A","REPAIR DETACHED RETINA PC","67105","N/A","N/A","N/A","N/A","N/A","8809.13","8809.13","N/A","N/A","N/A","8809.13","8809.13","N/A","8809.13","8809.13","8809.13","8809.13","8809.13","8809.13","8809.13","8809.13","8809.13","8809.13"
"5","N/A","REPAIR DETACHED RETINA","67107","N/A","N/A","N/A","N/A","N/A","15819.99","15819.99","N/A","N/A","N/A","15819.99","15819.99","N/A","15819.99","15819.99","15819.99","15819.99","15819.99","15819.99","15819.99","15819.99","15819.99","15819.99"
"5","N/A","REPAIR DETACHED RETINA","67108","N/A","N/A","N/A","N/A","N/A","10196.96","10196.96","N/A","N/A","N/A","10196.96","10196.96","N/A","10196.96","10196.96","10196.96","10196.96","10196.96","10196.96","10196.96","10196.96","10196.96","10196.96"
"5","N/A","REPAIR DETACHED RETINA","67110","N/A","N/A","N/A","N/A","N/A","6434.06","6434.06","N/A","N/A","N/A","6434.06","6434.06","N/A","6434.06","6434.06","6434.06","6434.06","6434.06","6434.06","6434.06","6434.06","6434.06","6434.06"
"5","N/A","REPAIR RETINAL DETACH CPLX","67113","N/A","N/A","N/A","N/A","29091.48","12721.19","12721.19","N/A","N/A","N/A","12721.19","12721.19","N/A","12721.19","12721.19","12721.19","12721.19","12721.19","12721.19","12721.19","12721.19","12721.19","12721.19"
"5","N/A","REMOVE EYE IMPLANT MATERIAL","67120","N/A","N/A","N/A","N/A","N/A","13384.53","13384.53","N/A","N/A","N/A","13384.53","13384.53","N/A","13384.53","13384.53","13384.53","13384.53","13384.53","13384.53","13384.53","13384.53","13384.53","13384.53"
"5","N/A","REMOVE EYE IMPLANT MATERIAL","67121","N/A","N/A","N/A","N/A","N/A","8240.23","8240.23","N/A","N/A","N/A","8240.23","8240.23","N/A","8240.23","8240.23","8240.23","8240.23","8240.23","8240.23","8240.23","8240.23","8240.23","8240.23"
"5","N/A","TREATMENT OF RETINA","67145","N/A","N/A","N/A","N/A","N/A","5711.45","5711.45","N/A","N/A","N/A","5711.45","5711.45","N/A","5711.45","5711.45","5711.45","5711.45","5711.45","5711.45","5711.45","5711.45","5711.45","5711.45"
"5","N/A","OCULAR PHOTODYNAMIC THER","67221","N/A","N/A","N/A","N/A","N/A","3167.53","3167.53","N/A","N/A","N/A","3167.53","3167.53","N/A","3167.53","3167.53","3167.53","3167.53","3167.53","3167.53","3167.53","3167.53","3167.53","3167.53"
"5","N/A","TREATMENT X10SV RETINOPATHY","67228","N/A","N/A","N/A","N/A","N/A","10204.28","10204.28","N/A","N/A","N/A","10204.28","10204.28","N/A","10204.28","10204.28","10204.28","10204.28","10204.28","10204.28","10204.28","10204.28","10204.28","10204.28"
"5","N/A","REVISE EYE MUSCLE","67311","N/A","N/A","N/A","N/A","31550.84","11087.39","11087.39","N/A","N/A","N/A","11087.39","11087.39","N/A","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39"
"5","N/A","REVISE TWO EYE MUSCLES","67312","N/A","N/A","N/A","N/A","31550.84","11214.02","11214.02","N/A","N/A","N/A","11214.02","11214.02","N/A","11214.02","11214.02","11214.02","11214.02","11214.02","11214.02","11214.02","11214.02","11214.02","11214.02"
"5","N/A","EYE SUTURE DURING SURGERY","67335","N/A","N/A","N/A","N/A","31550.84","11087.39","11087.39","N/A","N/A","N/A","11087.39","11087.39","N/A","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39","11087.39"
"5","N/A","EXPLORE/BIOPSY EYE SOCKET","67400","N/A","N/A","N/A","N/A","N/A","15876.92","15876.92","N/A","N/A","N/A","15876.92","15876.92","N/A","15876.92","15876.92","15876.92","15876.92","15876.92","15876.92","15876.92","15876.92","15876.92","15876.92"
"5","N/A","EXPLORE/TREAT EYE SOCKET","67412","N/A","N/A","N/A","N/A","N/A","10514.56","10514.56","N/A","N/A","N/A","10514.56","10514.56","N/A","10514.56","10514.56","10514.56","10514.56","10514.56","10514.56","10514.56","10514.56","10514.56","10514.56"
"5","N/A","EXPLORE/TREAT EYE SOCKET","67413","N/A","N/A","N/A","N/A","N/A","9740.26","9740.26","N/A","N/A","N/A","9740.26","9740.26","N/A","9740.26","9740.26","9740.26","9740.26","9740.26","9740.26","9740.26","9740.26","9740.26","9740.26"
"5","N/A","EXPLR/DECOMPRESS EYE SOCKET","67414","N/A","N/A","N/A","N/A","N/A","14415.44","14415.44","N/A","N/A","N/A","14415.44","14415.44","N/A","14415.44","14415.44","14415.44","14415.44","14415.44","14415.44","14415.44","14415.44","14415.44","14415.44"
"5","N/A","EXPLORE/TREAT EYE SOCKET","67420","N/A","N/A","N/A","N/A","N/A","22453.37","22453.37","N/A","N/A","N/A","22453.37","22453.37","N/A","22453.37","22453.37","22453.37","22453.37","22453.37","22453.37","22453.37","22453.37","22453.37","22453.37"
"5","N/A","REVISE EYE SOCKET IMPLANT","67560","N/A","N/A","N/A","N/A","N/A","15850.01","15850.01","N/A","N/A","N/A","15850.01","15850.01","N/A","15850.01","15850.01","15850.01","15850.01","15850.01","15850.01","15850.01","15850.01","15850.01","15850.01"
"5","N/A","DECOMPRESS OPTIC NERVE","67570","N/A","N/A","N/A","N/A","N/A","14839.99","14839.99","N/A","N/A","N/A","14839.99","14839.99","N/A","14839.99","14839.99","14839.99","14839.99","14839.99","14839.99","14839.99","14839.99","14839.99","14839.99"
"5","N/A","DRAINAGE OF EYELID ABSCESS","67700","N/A","N/A","N/A","N/A","N/A","917.00","917.00","N/A","N/A","N/A","917.00","917.00","N/A","917.00","917.00","917.00","917.00","917.00","917.00","917.00","917.00","917.00","917.00"
"5","N/A","HCHG BLEPHAROTOMY DRAIN ABSC EYELID","67700","N/A","N/A","N/A","N/A","N/A","917.00","917.00","N/A","N/A","N/A","917.00","917.00","N/A","917.00","917.00","917.00","917.00","917.00","917.00","917.00","917.00","917.00","917.00"
"5","N/A","HCHG CANTHOTOMY","67715","N/A","N/A","N/A","N/A","N/A","2542.00","2542.00","N/A","N/A","N/A","2542.00","2542.00","N/A","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00"
"5","N/A","INCISION OF EYELID FOLD","67715","N/A","N/A","N/A","N/A","66841.85","2542.00","2542.00","N/A","N/A","N/A","2542.00","2542.00","N/A","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00","2542.00"
"5","N/A","REMOVE EYELID LESION","67800","N/A","N/A","N/A","N/A","N/A","6527.30","6527.30","N/A","N/A","N/A","6527.30","6527.30","N/A","6527.30","6527.30","6527.30","6527.30","6527.30","6527.30","6527.30","6527.30","6527.30","6527.30"
"5","N/A","REMOVE EYELID LESION(S)","67808","N/A","N/A","N/A","N/A","N/A","7633.09","7633.09","N/A","N/A","N/A","7633.09","7633.09","N/A","7633.09","7633.09","7633.09","7633.09","7633.09","7633.09","7633.09","7633.09","7633.09","7633.09"
"5","N/A","REVISE EYELASHES","67825","N/A","N/A","N/A","N/A","N/A","10657.72","10657.72","N/A","N/A","N/A","10657.72","10657.72","N/A","10657.72","10657.72","10657.72","10657.72","10657.72","10657.72","10657.72","10657.72","10657.72","10657.72"
"5","N/A","REMOVE EYELID LESION","67840","N/A","N/A","N/A","N/A","N/A","9676.30","9676.30","N/A","N/A","N/A","9676.30","9676.30","N/A","9676.30","9676.30","9676.30","9676.30","9676.30","9676.30","9676.30","9676.30","9676.30","9676.30"
"5","N/A","TREAT EYELID LESION","67850","N/A","N/A","N/A","N/A","N/A","7380.74","7380.74","N/A","N/A","N/A","7380.74","7380.74","N/A","7380.74","7380.74","7380.74","7380.74","7380.74","7380.74","7380.74","7380.74","7380.74","7380.74"
"5","N/A","CLOSURE OF EYELID BY SUTURE","67875","N/A","N/A","N/A","N/A","N/A","17181.96","17181.96","N/A","N/A","N/A","17181.96","17181.96","N/A","17181.96","17181.96","17181.96","17181.96","17181.96","17181.96","17181.96","17181.96","17181.96","17181.96"
"5","N/A","REVISION OF EYELID","67880","N/A","N/A","N/A","N/A","58487.78","8425.66","8425.66","N/A","N/A","N/A","8425.66","8425.66","N/A","8425.66","8425.66","8425.66","8425.66","8425.66","8425.66","8425.66","8425.66","8425.66","8425.66"
"5","N/A","REPAIR BROW DEFECT","67900","N/A","N/A","N/A","N/A","N/A","9832.51","9832.51","N/A","N/A","N/A","9832.51","9832.51","N/A","9832.51","9832.51","9832.51","9832.51","9832.51","9832.51","9832.51","9832.51","9832.51","9832.51"
"5","N/A","REPAIR EYELID DEFECT","67902","N/A","N/A","N/A","N/A","N/A","11007.88","11007.88","N/A","N/A","N/A","11007.88","11007.88","N/A","11007.88","11007.88","11007.88","11007.88","11007.88","11007.88","11007.88","11007.88","11007.88","11007.88"
"5","N/A","REPAIR EYELID DEFECT","67904","N/A","N/A","N/A","N/A","N/A","13019.67","13019.67","N/A","N/A","N/A","13019.67","13019.67","N/A","13019.67","13019.67","13019.67","13019.67","13019.67","13019.67","13019.67","13019.67","13019.67","13019.67"
"5","N/A","REPAIR EYELID DEFECT","67908","N/A","N/A","N/A","N/A","N/A","7820.99","7820.99","N/A","N/A","N/A","7820.99","7820.99","N/A","7820.99","7820.99","7820.99","7820.99","7820.99","7820.99","7820.99","7820.99","7820.99","7820.99"
"5","N/A","REVISE EYELID DEFECT","67911","N/A","N/A","N/A","N/A","N/A","10641.17","10641.17","N/A","N/A","N/A","10641.17","10641.17","N/A","10641.17","10641.17","10641.17","10641.17","10641.17","10641.17","10641.17","10641.17","10641.17","10641.17"
"5","N/A","CORRECTION EYELID W/IMPLANT","67912","N/A","N/A","N/A","N/A","N/A","8505.79","8505.79","N/A","N/A","N/A","8505.79","8505.79","N/A","8505.79","8505.79","8505.79","8505.79","8505.79","8505.79","8505.79","8505.79","8505.79","8505.79"
"5","N/A","REPAIR EYELID DEFECT","67916","N/A","N/A","N/A","N/A","N/A","11579.33","11579.33","N/A","N/A","N/A","11579.33","11579.33","N/A","11579.33","11579.33","11579.33","11579.33","11579.33","11579.33","11579.33","11579.33","11579.33","11579.33"
"5","N/A","REPAIR EYELID DEFECT","67917","N/A","N/A","N/A","N/A","N/A","11913.85","11913.85","N/A","N/A","N/A","11913.85","11913.85","N/A","11913.85","11913.85","11913.85","11913.85","11913.85","11913.85","11913.85","11913.85","11913.85","11913.85"
"5","N/A","HCHG REPAIR OF ENTROPION: SUTURE","67921","N/A","N/A","N/A","N/A","N/A","8229.07","8229.07","N/A","N/A","N/A","8229.07","8229.07","N/A","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07"
"5","N/A","REPAIR EYELID DEFECT","67921","N/A","N/A","N/A","N/A","N/A","8229.07","8229.07","N/A","N/A","N/A","8229.07","8229.07","N/A","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07","8229.07"
"5","N/A","REPAIR EYELID DEFECT","67924","N/A","N/A","N/A","N/A","N/A","9998.65","9998.65","N/A","N/A","N/A","9998.65","9998.65","N/A","9998.65","9998.65","9998.65","9998.65","9998.65","9998.65","9998.65","9998.65","9998.65","9998.65"
"5","N/A","HCHG SUTURE WND EYELID PART THICK","67930","N/A","N/A","N/A","N/A","N/A","3772.00","3772.00","N/A","N/A","N/A","3772.00","3772.00","N/A","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00"
"5","N/A","REPAIR EYELID WOUND","67930","N/A","N/A","N/A","N/A","N/A","3772.00","3772.00","N/A","N/A","N/A","3772.00","3772.00","N/A","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00","3772.00"
"5","N/A","HCHG SUTURE WND EYELID FULL THICK","67935","N/A","N/A","N/A","N/A","N/A","20240.02","20240.02","N/A","N/A","N/A","20240.02","20240.02","N/A","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02"
"5","N/A","REPAIR EYELID WOUND","67935","N/A","N/A","N/A","N/A","N/A","20240.02","20240.02","N/A","N/A","N/A","20240.02","20240.02","N/A","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02","20240.02"
"5","N/A","HCHG REMOVE EYELID FOREIGN BODY","67938","N/A","N/A","N/A","N/A","N/A","5978.17","5978.17","N/A","N/A","N/A","5978.17","5978.17","N/A","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17"
"5","N/A","REMOVE EYELID FOREIGN BODY","67938","N/A","N/A","N/A","N/A","N/A","5978.17","5978.17","N/A","N/A","N/A","5978.17","5978.17","N/A","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17","5978.17"
"5","N/A","REVISION OF EYELID","67950","N/A","N/A","N/A","N/A","N/A","7690.88","7690.88","N/A","N/A","N/A","7690.88","7690.88","N/A","7690.88","7690.88","7690.88","7690.88","7690.88","7690.88","7690.88","7690.88","7690.88","7690.88"
"5","N/A","HCHG EXCIS/REP EYELID <1/4 LID MARG","67961","N/A","N/A","N/A","N/A","N/A","10567.87","10567.87","N/A","N/A","N/A","10567.87","10567.87","N/A","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87"
"5","N/A","REVISION OF EYELID","67961","N/A","N/A","N/A","N/A","N/A","10567.87","10567.87","N/A","N/A","N/A","10567.87","10567.87","N/A","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87","10567.87"
"5","N/A","REVISION OF EYELID","67966","N/A","N/A","N/A","N/A","58487.78","8326.43","8326.43","N/A","N/A","N/A","8326.43","8326.43","N/A","8326.43","8326.43","8326.43","8326.43","8326.43","8326.43","8326.43","8326.43","8326.43","8326.43"
"5","N/A","BIOPSY OF EYELID LINING","68100","N/A","N/A","N/A","N/A","191895.29","12618.04","12618.04","N/A","N/A","N/A","12618.04","12618.04","N/A","12618.04","12618.04","12618.04","12618.04","12618.04","12618.04","12618.04","12618.04","12618.04","12618.04"
"5","N/A","REMOVE EYELID LINING LESION","68110","N/A","N/A","N/A","N/A","N/A","8843.02","8843.02","N/A","N/A","N/A","8843.02","8843.02","N/A","8843.02","8843.02","8843.02","8843.02","8843.02","8843.02","8843.02","8843.02","8843.02","8843.02"
"5","N/A","REMOVE EYELID LINING LESION","68115","N/A","N/A","N/A","N/A","N/A","8538.78","8538.78","N/A","N/A","N/A","8538.78","8538.78","N/A","8538.78","8538.78","8538.78","8538.78","8538.78","8538.78","8538.78","8538.78","8538.78","8538.78"
"5","N/A","TREAT EYELID BY INJECTION","68200","N/A","N/A","N/A","N/A","N/A","7136.00","7136.00","N/A","N/A","N/A","7136.00","7136.00","N/A","7136.00","7136.00","7136.00","7136.00","7136.00","7136.00","7136.00","7136.00","7136.00","7136.00"
"5","N/A","REVISE/GRAFT EYELID LINING","68320","N/A","N/A","N/A","N/A","N/A","8502.22","8502.22","N/A","N/A","N/A","8502.22","8502.22","N/A","8502.22","8502.22","8502.22","8502.22","8502.22","8502.22","8502.22","8502.22","8502.22","8502.22"
"5","N/A","REVISE/GRAFT EYELID LINING","68326","N/A","N/A","N/A","N/A","N/A","12788.95","12788.95","N/A","N/A","N/A","12788.95","12788.95","N/A","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95","12788.95"
"5","N/A","REVISE EYELID LINING","68362","N/A","N/A","N/A","N/A","N/A","14862.24","14862.24","N/A","N/A","N/A","14862.24","14862.24","N/A","14862.24","14862.24","14862.24","14862.24","14862.24","14862.24","14862.24","14862.24","14862.24","14862.24"
"5","N/A","HCHG INCISE/DRAIN TEAR SAC","68420","N/A","N/A","N/A","N/A","N/A","3305.00","3305.00","N/A","N/A","N/A","3305.00","3305.00","N/A","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00"
"5","N/A","INCISE/DRAIN TEAR SAC","68420","N/A","N/A","N/A","N/A","81151.99","3305.00","3305.00","N/A","N/A","N/A","3305.00","3305.00","N/A","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00","3305.00"
"5","N/A","REMOVAL OF TEAR SAC","68520","N/A","N/A","N/A","N/A","N/A","9802.45","9802.45","N/A","N/A","N/A","9802.45","9802.45","N/A","9802.45","9802.45","9802.45","9802.45","9802.45","9802.45","9802.45","9802.45","9802.45","9802.45"
"5","N/A","REMOVE TEAR GLAND LESION","68550","N/A","N/A","N/A","N/A","N/A","11587.48","11587.48","N/A","N/A","N/A","11587.48","11587.48","N/A","11587.48","11587.48","11587.48","11587.48","11587.48","11587.48","11587.48","11587.48","11587.48","11587.48"
"5","N/A","REPAIR TEAR DUCTS","68700","N/A","N/A","N/A","N/A","34276.02","8829.97","8829.97","N/A","N/A","N/A","8829.97","8829.97","N/A","8829.97","8829.97","8829.97","8829.97","8829.97","8829.97","8829.97","8829.97","8829.97","8829.97"
"5","N/A","CREATE TEAR SAC DRAIN","68720","N/A","N/A","N/A","N/A","N/A","11703.63","11703.63","N/A","N/A","N/A","11703.63","11703.63","N/A","11703.63","11703.63","11703.63","11703.63","11703.63","11703.63","11703.63","11703.63","11703.63","11703.63"
"5","N/A","CLOSE TEAR DUCT OPENING","68761","N/A","N/A","N/A","N/A","N/A","27248.36","27248.36","N/A","N/A","N/A","27248.36","27248.36","N/A","27248.36","27248.36","27248.36","27248.36","27248.36","27248.36","27248.36","27248.36","27248.36","27248.36"
"5","N/A","DILATE TEAR DUCT OPENING","68801","N/A","N/A","N/A","N/A","N/A","8185.94","8185.94","N/A","N/A","N/A","8185.94","8185.94","N/A","8185.94","8185.94","8185.94","8185.94","8185.94","8185.94","8185.94","8185.94","8185.94","8185.94"
"5","N/A","PROBE NASOLACRIMAL DUCT","68810","N/A","N/A","N/A","N/A","N/A","10101.23","10101.23","N/A","N/A","N/A","10101.23","10101.23","N/A","10101.23","10101.23","10101.23","10101.23","10101.23","10101.23","10101.23","10101.23","10101.23","10101.23"
"5","N/A","PROBE NASOLACRIMAL DUCT","68815","N/A","N/A","N/A","N/A","91844.59","11744.81","11744.81","N/A","N/A","N/A","11744.81","11744.81","N/A","11744.81","11744.81","11744.81","11744.81","11744.81","11744.81","11744.81","11744.81","11744.81","11744.81"
"5","N/A","PROBE NL DUCT W/BALLOON","68816","N/A","N/A","N/A","N/A","91844.59","11978.72","11978.72","N/A","N/A","N/A","11978.72","11978.72","N/A","11978.72","11978.72","11978.72","11978.72","11978.72","11978.72","11978.72","11978.72","11978.72","11978.72"
"5","N/A","EXPLORE/IRRIGATE TEAR DUCTS","68840","N/A","N/A","N/A","N/A","N/A","6622.57","6622.57","N/A","N/A","N/A","6622.57","6622.57","N/A","6622.57","6622.57","6622.57","6622.57","6622.57","6622.57","6622.57","6622.57","6622.57","6622.57"
"5","N/A","TEAR DUCT SYSTEM SURGERY","68899","N/A","N/A","N/A","N/A","N/A","13901.42","13901.42","N/A","N/A","N/A","13901.42","13901.42","N/A","13901.42","13901.42","13901.42","13901.42","13901.42","13901.42","13901.42","13901.42","13901.42","13901.42"
"5","N/A","DRAIN EXTERNAL EAR LESION","69000","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","HCHG DRAIN EXT EAR LESION SIMP","69000","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","HCHG EXTERNAL EAR; DRAINAGE, ABSCESS","69000","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","DRAIN EXTERNAL EAR LESION","69005","N/A","N/A","N/A","N/A","N/A","3974.00","3974.00","N/A","N/A","N/A","3974.00","3974.00","N/A","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00"
"5","N/A","HCHG DRAIN EXTERNAL EAR LESION","69005","N/A","N/A","N/A","N/A","N/A","3974.00","3974.00","N/A","N/A","N/A","3974.00","3974.00","N/A","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00"
"5","N/A","HCHG I&D EXTERNAL EAR, COMPLICATED","69005","N/A","N/A","N/A","N/A","N/A","3974.00","3974.00","N/A","N/A","N/A","3974.00","3974.00","N/A","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00","3974.00"
"5","N/A","DRAIN OUTER EAR CANAL LESION","69020","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","HCHG DRAIN EXT AUDITORY CANAL ABSC","69020","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","HCHG I&D, EXTERNAL AUDITORY CANAL","69020","N/A","N/A","N/A","N/A","N/A","1674.00","1674.00","N/A","N/A","N/A","1674.00","1674.00","N/A","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00","1674.00"
"5","N/A","BIOPSY OF EXTERNAL EAR","69100","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG EXTERNAL EAR; BIOPSY","69100","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG EXTERNAL EAR; EXCISION, PARTIAL","69110","N/A","N/A","N/A","N/A","N/A","6871.00","6871.00","N/A","N/A","N/A","6871.00","6871.00","N/A","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00"
"5","N/A","REMOVE EXTERNAL EAR PARTIAL","69110","N/A","N/A","N/A","N/A","N/A","6871.00","6871.00","N/A","N/A","N/A","6871.00","6871.00","N/A","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00","6871.00"
"5","N/A","HCHG EXTERNAL EAR; EXCISION, TOTAL","69120","N/A","N/A","N/A","N/A","N/A","8389.24","8389.24","N/A","N/A","N/A","8389.24","8389.24","N/A","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24"
"5","N/A","REMOVAL OF EXTERNAL EAR","69120","N/A","N/A","N/A","N/A","N/A","8389.24","8389.24","N/A","N/A","N/A","8389.24","8389.24","N/A","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24","8389.24"
"5","N/A","HCHG EXTERNAL EAR; EXOTOSIS EXCISION","69140","N/A","N/A","N/A","N/A","N/A","19494.05","19494.05","N/A","N/A","N/A","19494.05","19494.05","N/A","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05"
"5","N/A","REMOVE EAR CANAL LESION(S)","69140","N/A","N/A","N/A","N/A","N/A","19494.05","19494.05","N/A","N/A","N/A","19494.05","19494.05","N/A","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05","19494.05"
"5","N/A","HCHG EXTERNAL EAR; LESION, EXCISION","69145","N/A","N/A","N/A","N/A","N/A","9907.07","9907.07","N/A","N/A","N/A","9907.07","9907.07","N/A","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07"
"5","N/A","REMOVE EAR CANAL LESION(S)","69145","N/A","N/A","N/A","N/A","N/A","9907.07","9907.07","N/A","N/A","N/A","9907.07","9907.07","N/A","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07","9907.07"
"5","N/A","CLEAR OUTER EAR CANAL","69200","N/A","N/A","N/A","N/A","N/A","324.00","324.00","N/A","N/A","N/A","324.00","324.00","N/A","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00"
"5","N/A","HCHG REMOVAL FB EXT AUDITORY CANAL; WO ANESTH","69200","N/A","N/A","N/A","N/A","N/A","324.00","324.00","N/A","N/A","N/A","324.00","324.00","N/A","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00"
"5","N/A","HCHG REMOVE FB EAR WO ANESTH","69200","N/A","N/A","N/A","N/A","N/A","324.00","324.00","N/A","N/A","N/A","324.00","324.00","N/A","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00"
"5","N/A","CLEAR OUTER EAR CANAL","69205","N/A","N/A","N/A","N/A","N/A","8008.79","8008.79","N/A","N/A","N/A","8008.79","8008.79","N/A","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79"
"5","N/A","HCHG REMOVE FB EXT AUDITORY CANAL W ANESTH","69205","N/A","N/A","N/A","N/A","N/A","8008.79","8008.79","N/A","N/A","N/A","8008.79","8008.79","N/A","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79","8008.79"
"5","N/A","HCHG REMOVAL IMPACTED EAR WAX, UNILATERAL","69209","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","REMOVE IMPACTED EAR WAX UNI","69209","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","HCHG REMOVE IMPACTED CERUMEN UNILAT","69210","N/A","N/A","N/A","N/A","N/A","233.00","233.00","N/A","N/A","N/A","233.00","233.00","N/A","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00"
"5","N/A","REMOVE IMPACTED EAR WAX UNI","69210","N/A","N/A","N/A","N/A","N/A","233.00","233.00","N/A","N/A","N/A","233.00","233.00","N/A","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00","233.00"
"5","N/A","CLEAN OUT MASTOID CAVITY","69220","N/A","N/A","N/A","N/A","N/A","510.00","510.00","N/A","N/A","N/A","510.00","510.00","N/A","510.00","510.00","510.00","510.00","510.00","510.00","510.00","510.00","510.00","510.00"
"5","N/A","HCHG EXTERNAL EAR; DEBRIDEMENT, MASTOIDECTOMY CAVITY","69220","N/A","N/A","N/A","N/A","N/A","510.00","510.00","N/A","N/A","N/A","510.00","510.00","N/A","510.00","510.00","510.00","510.00","510.00","510.00","510.00","510.00","510.00","510.00"
"5","N/A","HCHG EXTERNAL EAR; RECONSTRUCTIOM, PROTRUDING EAR","69300","N/A","N/A","N/A","N/A","N/A","13210.58","13210.58","N/A","N/A","N/A","13210.58","13210.58","N/A","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58"
"5","N/A","REVISE EXTERNAL EAR","69300","N/A","N/A","N/A","N/A","61124.01","13210.58","13210.58","N/A","N/A","N/A","13210.58","13210.58","N/A","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58","13210.58"
"5","N/A","HCHG EXTERNAL EAR; RECONSTRUCTION, EXTERNAL AUDITORY CANAL","69310","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REBUILD OUTER EAR CANAL","69310","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG EXTERNAL EAR; RECONSTRUCTION, EXTERNAL AUDITORY CANAL - CONGEN ATRESIA SINGLE STAGE","69320","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REBUILD OUTER EAR CANAL","69320","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","HCHG INCISION OF EARDRUM","69420","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG MYRINGOTOMY","69420","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","INCISION OF EARDRUM","69420","N/A","N/A","N/A","N/A","44881.89","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","INCISION OF EARDRUM","69421","N/A","N/A","N/A","N/A","44881.89","25261.65","25261.65","N/A","N/A","N/A","25261.65","25261.65","N/A","25261.65","25261.65","25261.65","25261.65","25261.65","25261.65","25261.65","25261.65","25261.65","25261.65"
"5","N/A","CREATE EARDRUM OPENING","69433","N/A","N/A","N/A","N/A","N/A","5643.57","5643.57","N/A","N/A","N/A","5643.57","5643.57","N/A","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57"
"5","N/A","HCHG TYMPANOSTOMY","69433","N/A","N/A","N/A","N/A","N/A","5643.57","5643.57","N/A","N/A","N/A","5643.57","5643.57","N/A","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57","5643.57"
"5","N/A","CREATE EARDRUM OPENING","69436","N/A","N/A","N/A","N/A","N/A","11211.83","11211.83","N/A","N/A","N/A","11211.83","11211.83","N/A","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83"
"5","N/A","HCHG TYMPANOSTOMY WITH GENERAL ANESTHESIA","69436","N/A","N/A","N/A","N/A","N/A","11211.83","11211.83","N/A","N/A","N/A","11211.83","11211.83","N/A","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83","11211.83"
"5","N/A","EXPLORATION OF MIDDLE EAR","69440","N/A","N/A","N/A","N/A","N/A","17590.87","17590.87","N/A","N/A","N/A","17590.87","17590.87","N/A","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87"
"5","N/A","HCHG MIDDLE EAR; EXPLORATION","69440","N/A","N/A","N/A","N/A","N/A","17590.87","17590.87","N/A","N/A","N/A","17590.87","17590.87","N/A","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87","17590.87"
"5","N/A","MASTOIDECTOMY","69502","N/A","N/A","N/A","N/A","N/A","35753.48","35753.48","N/A","N/A","N/A","35753.48","35753.48","N/A","35753.48","35753.48","35753.48","35753.48","35753.48","35753.48","35753.48","35753.48","35753.48","35753.48"
"5","N/A","HCHG MIDDLE EAR; EXCISION, POLYP","69540","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","REMOVE EAR LESION","69540","N/A","N/A","N/A","N/A","N/A","3696.00","3696.00","N/A","N/A","N/A","3696.00","3696.00","N/A","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00","3696.00"
"5","N/A","HCHG MIDDLE EAR; EXCISION, GLOMUS TUMOR","69550","N/A","N/A","N/A","N/A","N/A","27165.45","27165.45","N/A","N/A","N/A","27165.45","27165.45","N/A","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45"
"5","N/A","REMOVE EAR LESION","69550","N/A","N/A","N/A","N/A","N/A","27165.45","27165.45","N/A","N/A","N/A","27165.45","27165.45","N/A","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45","27165.45"
"5","N/A","MASTOID SURGERY REVISION","69601","N/A","N/A","N/A","N/A","N/A","22969.34","22969.34","N/A","N/A","N/A","22969.34","22969.34","N/A","22969.34","22969.34","22969.34","22969.34","22969.34","22969.34","22969.34","22969.34","22969.34","22969.34"
"5","N/A","REPAIR OF EARDRUM","69620","N/A","N/A","N/A","N/A","N/A","5480.53","5480.53","N/A","N/A","N/A","5480.53","5480.53","N/A","5480.53","5480.53","5480.53","5480.53","5480.53","5480.53","5480.53","5480.53","5480.53","5480.53"
"5","N/A","REPAIR EARDRUM STRUCTURES","69631","N/A","N/A","N/A","N/A","N/A","16727.69","16727.69","N/A","N/A","N/A","16727.69","16727.69","N/A","16727.69","16727.69","16727.69","16727.69","16727.69","16727.69","16727.69","16727.69","16727.69","16727.69"
"5","N/A","REBUILD EARDRUM STRUCTURES","69632","N/A","N/A","N/A","N/A","71386.48","17925.43","17925.43","N/A","N/A","N/A","17925.43","17925.43","N/A","17925.43","17925.43","17925.43","17925.43","17925.43","17925.43","17925.43","17925.43","17925.43","17925.43"
"5","N/A","REBUILD EARDRUM STRUCTURES","69633","N/A","N/A","N/A","N/A","N/A","18085.48","18085.48","N/A","N/A","N/A","18085.48","18085.48","N/A","18085.48","18085.48","18085.48","18085.48","18085.48","18085.48","18085.48","18085.48","18085.48","18085.48"
"5","N/A","REVISE MIDDLE EAR & MASTOID","69641","N/A","N/A","N/A","N/A","N/A","19963.25","19963.25","N/A","N/A","N/A","19963.25","19963.25","N/A","19963.25","19963.25","19963.25","19963.25","19963.25","19963.25","19963.25","19963.25","19963.25","19963.25"
"5","N/A","REVISE MIDDLE EAR & MASTOID","69642","N/A","N/A","N/A","N/A","N/A","32093.88","32093.88","N/A","N/A","N/A","32093.88","32093.88","N/A","32093.88","32093.88","32093.88","32093.88","32093.88","32093.88","32093.88","32093.88","32093.88","32093.88"
"5","N/A","REVISE MIDDLE EAR & MASTOID","69643","N/A","N/A","N/A","N/A","71386.48","24297.59","24297.59","N/A","N/A","N/A","24297.59","24297.59","N/A","24297.59","24297.59","24297.59","24297.59","24297.59","24297.59","24297.59","24297.59","24297.59","24297.59"
"5","N/A","REVISE MIDDLE EAR & MASTOID","69644","N/A","N/A","N/A","N/A","N/A","29911.24","29911.24","N/A","N/A","N/A","29911.24","29911.24","N/A","29911.24","29911.24","29911.24","29911.24","29911.24","29911.24","29911.24","29911.24","29911.24","29911.24"
"5","N/A","HCHG MIDDLE EAR; STAPES, MOBILIZATION","69650","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","RELEASE MIDDLE EAR BONE","69650","N/A","N/A","N/A","N/A","N/A","6447.00","6447.00","N/A","N/A","N/A","6447.00","6447.00","N/A","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00","6447.00"
"5","N/A","HCHG MIDDLE EAR; STAPES, STAPEDECTOMY","69660","N/A","N/A","N/A","N/A","N/A","19410.14","19410.14","N/A","N/A","N/A","19410.14","19410.14","N/A","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14"
"5","N/A","REVISE MIDDLE EAR BONE","69660","N/A","N/A","N/A","N/A","N/A","19410.14","19410.14","N/A","N/A","N/A","19410.14","19410.14","N/A","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14","19410.14"
"5","N/A","REVISE MIDDLE EAR BONE","69661","N/A","N/A","N/A","N/A","N/A","21264.19","21264.19","N/A","N/A","N/A","21264.19","21264.19","N/A","21264.19","21264.19","21264.19","21264.19","21264.19","21264.19","21264.19","21264.19","21264.19","21264.19"
"5","N/A","HCHG MIDDLE EAR; REPAIR, FISTULA","69666","N/A","N/A","N/A","N/A","N/A","16403.47","16403.47","N/A","N/A","N/A","16403.47","16403.47","N/A","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47"
"5","N/A","REPAIR MIDDLE EAR STRUCTURES","69666","N/A","N/A","N/A","N/A","N/A","16403.47","16403.47","N/A","N/A","N/A","16403.47","16403.47","N/A","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47","16403.47"
"5","N/A","REPAIR MIDDLE EAR STRUCTURES","69667","N/A","N/A","N/A","N/A","N/A","15110.29","15110.29","N/A","N/A","N/A","15110.29","15110.29","N/A","15110.29","15110.29","15110.29","15110.29","15110.29","15110.29","15110.29","15110.29","15110.29","15110.29"
"5","N/A","REMOVE MASTOID AIR CELLS","69670","N/A","N/A","N/A","N/A","N/A","29004.55","29004.55","N/A","N/A","N/A","29004.55","29004.55","N/A","29004.55","29004.55","29004.55","29004.55","29004.55","29004.55","29004.55","29004.55","29004.55","29004.55"
"5","N/A","RELEASE FACIAL NERVE","69720","N/A","N/A","N/A","N/A","57796.93","59951.82","59951.82","N/A","N/A","N/A","59951.82","59951.82","N/A","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82","59951.82"
"5","N/A","HCHG MIDDLE EAR; FACIAL NERVE SUTURE","69740","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","REPAIR FACIAL NERVE","69740","N/A","N/A","N/A","N/A","N/A","12783.00","12783.00","N/A","N/A","N/A","12783.00","12783.00","N/A","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00","12783.00"
"5","N/A","MIDDLE EAR SURGERY PROCEDURE","69799","N/A","N/A","N/A","N/A","N/A","19928.91","19928.91","N/A","N/A","N/A","19928.91","19928.91","N/A","19928.91","19928.91","19928.91","19928.91","19928.91","19928.91","19928.91","19928.91","19928.91","19928.91"
"5","N/A","IMPLANT COCHLEAR DEVICE","69930","N/A","N/A","N/A","N/A","N/A","151095.37","151095.37","N/A","N/A","N/A","151095.37","151095.37","N/A","151095.37","151095.37","151095.37","151095.37","151095.37","151095.37","151095.37","151095.37","151095.37","151095.37"
"5","N/A","MICROSURGERY ADD-ON","69990","N/A","N/A","N/A","N/A","N/A","40561.86","40561.86","N/A","N/A","N/A","40561.86","40561.86","N/A","40561.86","40561.86","40561.86","40561.86","40561.86","40561.86","40561.86","40561.86","40561.86","40561.86"
"5","N/A","HCHG EYE FOREIGN BODY","70030","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","X-RAY EYE FOR FOREIGN BODY","70030","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","HCHG MANDIBLE < 4 VIEWS","70100","N/A","N/A","N/A","N/A","N/A","377.00","377.00","N/A","N/A","N/A","377.00","377.00","N/A","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00"
"5","N/A","HCHG MANDIBLE < 4 VIEWS PORT","70100","N/A","N/A","N/A","N/A","N/A","377.00","377.00","N/A","N/A","N/A","377.00","377.00","N/A","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00"
"5","N/A","HCHG SALV GLAND FOR CALC < 4 VIEWS","70100","N/A","N/A","N/A","N/A","N/A","377.00","377.00","N/A","N/A","N/A","377.00","377.00","N/A","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00"
"5","N/A","X-RAY EXAM OF JAW <4VIEWS","70100","N/A","N/A","N/A","N/A","N/A","377.00","377.00","N/A","N/A","N/A","377.00","377.00","N/A","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00"
"5","N/A","HCHG MANDIBLE COMP MIN 4 VIEWS","70110","N/A","N/A","N/A","N/A","N/A","572.00","572.00","N/A","N/A","N/A","572.00","572.00","N/A","572.00","572.00","572.00","572.00","572.00","572.00","572.00","572.00","572.00","572.00"
"5","N/A","X-RAY EXAM OF JAW 4/> VIEWS","70110","N/A","N/A","N/A","N/A","N/A","572.00","572.00","N/A","N/A","N/A","572.00","572.00","N/A","572.00","572.00","572.00","572.00","572.00","572.00","572.00","572.00","572.00","572.00"
"5","N/A","HCHG MASTOID 3-4 VIEWS/SIDE","70130","N/A","N/A","N/A","N/A","N/A","453.00","453.00","N/A","N/A","N/A","453.00","453.00","N/A","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00"
"5","N/A","X-RAY EXAM OF MASTOIDS","70130","N/A","N/A","N/A","N/A","N/A","453.00","453.00","N/A","N/A","N/A","453.00","453.00","N/A","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00"
"5","N/A","HCHG IA CANALS COMPLETE","70134","N/A","N/A","N/A","N/A","N/A","604.00","604.00","N/A","N/A","N/A","604.00","604.00","N/A","604.00","604.00","604.00","604.00","604.00","604.00","604.00","604.00","604.00","604.00"
"5","N/A","X-RAY EXAM OF MIDDLE EAR","70134","N/A","N/A","N/A","N/A","N/A","604.00","604.00","N/A","N/A","N/A","604.00","604.00","N/A","604.00","604.00","604.00","604.00","604.00","604.00","604.00","604.00","604.00","604.00"
"5","N/A","HCHG FACIAL BONES MIN 3 VIEWS","70150","N/A","N/A","N/A","N/A","N/A","483.00","483.00","N/A","N/A","N/A","483.00","483.00","N/A","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00"
"5","N/A","HCHG FACIAL BONES MIN 3 VIEWS PORT","70150","N/A","N/A","N/A","N/A","N/A","483.00","483.00","N/A","N/A","N/A","483.00","483.00","N/A","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00"
"5","N/A","X-RAY EXAM OF FACIAL BONES","70150","N/A","N/A","N/A","N/A","N/A","483.00","483.00","N/A","N/A","N/A","483.00","483.00","N/A","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00"
"5","N/A","HCHG NASAL BONES MIN 3 VIEWS","70160","N/A","N/A","N/A","N/A","N/A","328.00","328.00","N/A","N/A","N/A","328.00","328.00","N/A","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00"
"5","N/A","X-RAY EXAM OF NASAL BONES","70160","N/A","N/A","N/A","N/A","N/A","328.00","328.00","N/A","N/A","N/A","328.00","328.00","N/A","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00"
"5","N/A","HCHG OPTIC FORAMINA","70190","N/A","N/A","N/A","N/A","N/A","351.00","351.00","N/A","N/A","N/A","351.00","351.00","N/A","351.00","351.00","351.00","351.00","351.00","351.00","351.00","351.00","351.00","351.00"
"5","N/A","X-RAY EXAM OF EYE SOCKETS","70190","N/A","N/A","N/A","N/A","N/A","351.00","351.00","N/A","N/A","N/A","351.00","351.00","N/A","351.00","351.00","351.00","351.00","351.00","351.00","351.00","351.00","351.00","351.00"
"5","N/A","HCHG ORBITS MIN 4 VIEWS","70200","N/A","N/A","N/A","N/A","N/A","453.00","453.00","N/A","N/A","N/A","453.00","453.00","N/A","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00"
"5","N/A","X-RAY EXAM OF EYE SOCKETS","70200","N/A","N/A","N/A","N/A","N/A","453.00","453.00","N/A","N/A","N/A","453.00","453.00","N/A","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00"
"5","N/A","HCHG SINUSES < 3 VIEWS","70210","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","HCHG SKULL - WATERS ONLY < 3 VIEWS","70210","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","HCHG SKULL WATERS VIEW-PORT MIN 3 VIEWS","70210","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","X-RAY EXAM OF SINUSES","70210","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","HCHG SINUSES MIN 3 VIEWS","70220","N/A","N/A","N/A","N/A","N/A","435.00","435.00","N/A","N/A","N/A","435.00","435.00","N/A","435.00","435.00","435.00","435.00","435.00","435.00","435.00","435.00","435.00","435.00"
"5","N/A","X-RAY EXAM OF SINUSES","70220","N/A","N/A","N/A","N/A","N/A","435.00","435.00","N/A","N/A","N/A","435.00","435.00","N/A","435.00","435.00","435.00","435.00","435.00","435.00","435.00","435.00","435.00","435.00"
"5","N/A","HCHG SELLA TURCICA","70240","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","X-RAY EXAM PITUITARY SADDLE","70240","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG SKULL 1-3 VIEWS","70250","N/A","N/A","N/A","N/A","N/A","423.00","423.00","N/A","N/A","N/A","423.00","423.00","N/A","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00"
"5","N/A","HCHG SKULL 1-3 VIEWS PORT","70250","N/A","N/A","N/A","N/A","N/A","423.00","423.00","N/A","N/A","N/A","423.00","423.00","N/A","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00"
"5","N/A","X-RAY EXAM OF SKULL","70250","N/A","N/A","N/A","N/A","N/A","423.00","423.00","N/A","N/A","N/A","423.00","423.00","N/A","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00"
"5","N/A","HCHG SKULL 4-5 VIEWS","70260","N/A","N/A","N/A","N/A","N/A","704.00","704.00","N/A","N/A","N/A","704.00","704.00","N/A","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00"
"5","N/A","X-RAY EXAM OF SKULL","70260","N/A","N/A","N/A","N/A","N/A","704.00","704.00","N/A","N/A","N/A","704.00","704.00","N/A","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00"
"5","N/A","HCHG X-RAY EXAM JAW JOINT OPN & CLSD MOUTH UNILAT","70328","N/A","N/A","N/A","N/A","N/A","177.00","177.00","N/A","N/A","N/A","177.00","177.00","N/A","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00"
"5","N/A","X-RAY EXAM OF JAW JOINT","70328","N/A","N/A","N/A","N/A","N/A","177.00","177.00","N/A","N/A","N/A","177.00","177.00","N/A","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00"
"5","N/A","HCHG TM JOINTS BIL","70330","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","X-RAY EXAM OF JAW JOINTS","70330","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","HCHG TMJ ARTHROGRAM *","70332","N/A","N/A","N/A","N/A","N/A","919.00","919.00","N/A","N/A","N/A","919.00","919.00","N/A","919.00","919.00","919.00","919.00","919.00","919.00","919.00","919.00","919.00","919.00"
"5","N/A","X-RAY EXAM OF JAW JOINT","70332","N/A","N/A","N/A","N/A","N/A","919.00","919.00","N/A","N/A","N/A","919.00","919.00","N/A","919.00","919.00","919.00","919.00","919.00","919.00","919.00","919.00","919.00","919.00"
"5","N/A","HCHG TEMPOROMAND JOINT MRI","70336","N/A","N/A","N/A","N/A","N/A","3092.00","3092.00","N/A","N/A","N/A","3092.00","3092.00","N/A","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00"
"5","N/A","MAGNETIC IMAGE JAW JOINT","70336","N/A","N/A","N/A","N/A","N/A","3092.00","3092.00","N/A","N/A","N/A","3092.00","3092.00","N/A","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00","3092.00"
"5","N/A","HCHG NECK SOFT TISSUE","70360","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","HCHG NECK SOFT TISSUE PORT","70360","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","X-RAY EXAM OF NECK","70360","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","HCHG VIDEO STUDY","70371","N/A","N/A","N/A","N/A","N/A","729.00","729.00","N/A","N/A","N/A","729.00","729.00","N/A","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00"
"5","N/A","SPEECH EVALUATION COMPLEX","70371","N/A","N/A","N/A","N/A","N/A","729.00","729.00","N/A","N/A","N/A","729.00","729.00","N/A","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00"
"5","N/A","HCHG SIALOGRAM *","70390","N/A","N/A","N/A","N/A","N/A","846.00","846.00","N/A","N/A","N/A","846.00","846.00","N/A","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00"
"5","N/A","X-RAY EXAM OF SALIVARY DUCT","70390","N/A","N/A","N/A","N/A","N/A","846.00","846.00","N/A","N/A","N/A","846.00","846.00","N/A","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00"
"5","N/A","CT HEAD/BRAIN W/O DYE","70450","N/A","N/A","N/A","N/A","N/A","1784.00","1784.00","N/A","N/A","N/A","1784.00","1784.00","N/A","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00"
"5","N/A","HCHG CT HEAD WO CONTR","70450","N/A","N/A","N/A","N/A","N/A","1784.00","1784.00","N/A","N/A","N/A","1784.00","1784.00","N/A","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00","1784.00"
"5","N/A","CT HEAD/BRAIN W/DYE","70460","N/A","N/A","N/A","N/A","N/A","2203.00","2203.00","N/A","N/A","N/A","2203.00","2203.00","N/A","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00"
"5","N/A","HCHG CT HEAD W CONTR","70460","N/A","N/A","N/A","N/A","N/A","2203.00","2203.00","N/A","N/A","N/A","2203.00","2203.00","N/A","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00","2203.00"
"5","N/A","CT HEAD/BRAIN W/O & W/DYE","70470","N/A","N/A","N/A","N/A","N/A","2379.00","2379.00","N/A","N/A","N/A","2379.00","2379.00","N/A","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00"
"5","N/A","HCHG CT HEAD W/WO CONTR","70470","N/A","N/A","N/A","N/A","N/A","2379.00","2379.00","N/A","N/A","N/A","2379.00","2379.00","N/A","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00","2379.00"
"5","N/A","CT ORBIT/EAR/FOSSA W/O DYE","70480","N/A","N/A","N/A","N/A","N/A","1814.00","1814.00","N/A","N/A","N/A","1814.00","1814.00","N/A","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00"
"5","N/A","HCHG CT ORBITS WO CONTR","70480","N/A","N/A","N/A","N/A","N/A","1814.00","1814.00","N/A","N/A","N/A","1814.00","1814.00","N/A","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00"
"5","N/A","HCHG CT TEMPORAL BONES, WO CONTR","70480","N/A","N/A","N/A","N/A","N/A","1814.00","1814.00","N/A","N/A","N/A","1814.00","1814.00","N/A","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00"
"5","N/A","HCHG MIDDLE EAR; CT SCAN","70480","N/A","N/A","N/A","N/A","N/A","1814.00","1814.00","N/A","N/A","N/A","1814.00","1814.00","N/A","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00","1814.00"
"5","N/A","CT ORBIT/EAR/FOSSA W/DYE","70481","N/A","N/A","N/A","N/A","N/A","2216.00","2216.00","N/A","N/A","N/A","2216.00","2216.00","N/A","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00"
"5","N/A","HCHG CT IAC W CONTR","70481","N/A","N/A","N/A","N/A","N/A","2216.00","2216.00","N/A","N/A","N/A","2216.00","2216.00","N/A","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00"
"5","N/A","HCHG CT ORB W CONTR","70481","N/A","N/A","N/A","N/A","N/A","2216.00","2216.00","N/A","N/A","N/A","2216.00","2216.00","N/A","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00"
"5","N/A","HCHG CT ORBIT, SELLA, P FOSSA, OUT, MID, INNER EAR W/","70481","N/A","N/A","N/A","N/A","N/A","2216.00","2216.00","N/A","N/A","N/A","2216.00","2216.00","N/A","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00"
"5","N/A","HCHG CT TEMPORAL BONES, W CONTRAST","70481","N/A","N/A","N/A","N/A","N/A","2216.00","2216.00","N/A","N/A","N/A","2216.00","2216.00","N/A","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00","2216.00"
"5","N/A","CT ORBIT/EAR/FOSSA W/O&W/DYE","70482","N/A","N/A","N/A","N/A","N/A","2578.00","2578.00","N/A","N/A","N/A","2578.00","2578.00","N/A","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00"
"5","N/A","HCHG CT ORBITS W/WO CONTR","70482","N/A","N/A","N/A","N/A","N/A","2578.00","2578.00","N/A","N/A","N/A","2578.00","2578.00","N/A","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00","2578.00"
"5","N/A","CT MAXILLOFACIAL W/O DYE","70486","N/A","N/A","N/A","N/A","N/A","1805.00","1805.00","N/A","N/A","N/A","1805.00","1805.00","N/A","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00"
"5","N/A","HCHG CT FACE W/O","70486","N/A","N/A","N/A","N/A","N/A","1805.00","1805.00","N/A","N/A","N/A","1805.00","1805.00","N/A","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00"
"5","N/A","HCHG CT FACIAL SOFT TISSUE W/O","70486","N/A","N/A","N/A","N/A","N/A","1805.00","1805.00","N/A","N/A","N/A","1805.00","1805.00","N/A","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00"
"5","N/A","HCHG CT MANDIBLE W/O","70486","N/A","N/A","N/A","N/A","N/A","1805.00","1805.00","N/A","N/A","N/A","1805.00","1805.00","N/A","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00"
"5","N/A","HCHG CT SINUSES W/O","70486","N/A","N/A","N/A","N/A","N/A","1805.00","1805.00","N/A","N/A","N/A","1805.00","1805.00","N/A","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00","1805.00"
"5","N/A","CT MAXILLOFACIAL W/DYE","70487","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","HCHG CT MAXILLOFACIAL AREA W/CONTR","70487","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","HCHG CT SINUS/FACE W/ CONTRAST","70487","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","CT MAXILLOFACIAL W/O & W/DYE","70488","N/A","N/A","N/A","N/A","N/A","3506.00","3506.00","N/A","N/A","N/A","3506.00","3506.00","N/A","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00"
"5","N/A","HCHG CT MAXILLOFACIAL W&WO","70488","N/A","N/A","N/A","N/A","N/A","3506.00","3506.00","N/A","N/A","N/A","3506.00","3506.00","N/A","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00","3506.00"
"5","N/A","CT SOFT TISSUE NECK W/O DYE","70490","N/A","N/A","N/A","N/A","N/A","2167.00","2167.00","N/A","N/A","N/A","2167.00","2167.00","N/A","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00"
"5","N/A","HCHG CT NECK WO CONTR","70490","N/A","N/A","N/A","N/A","N/A","2167.00","2167.00","N/A","N/A","N/A","2167.00","2167.00","N/A","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00"
"5","N/A","CT SOFT TISSUE NECK W/DYE","70491","N/A","N/A","N/A","N/A","N/A","2326.00","2326.00","N/A","N/A","N/A","2326.00","2326.00","N/A","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00"
"5","N/A","HCHG CT NECK W CONTR","70491","N/A","N/A","N/A","N/A","N/A","2326.00","2326.00","N/A","N/A","N/A","2326.00","2326.00","N/A","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00","2326.00"
"5","N/A","CT SFT TSUE NCK W/O & W/DYE","70492","N/A","N/A","N/A","N/A","N/A","2490.00","2490.00","N/A","N/A","N/A","2490.00","2490.00","N/A","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00"
"5","N/A","HCHG CT SFT NECK W/ WO","70492","N/A","N/A","N/A","N/A","N/A","2490.00","2490.00","N/A","N/A","N/A","2490.00","2490.00","N/A","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00"
"5","N/A","CT ANGIOGRAPHY HEAD","70496","N/A","N/A","N/A","N/A","N/A","3291.00","3291.00","N/A","N/A","N/A","3291.00","3291.00","N/A","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00"
"5","N/A","HCHG CTA HEAD W/ BRAIN PERFUSION","70496","N/A","N/A","N/A","N/A","N/A","3291.00","3291.00","N/A","N/A","N/A","3291.00","3291.00","N/A","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00"
"5","N/A","HCHG CTA HEAD W/WO CONTR","70496","N/A","N/A","N/A","N/A","N/A","3291.00","3291.00","N/A","N/A","N/A","3291.00","3291.00","N/A","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00","3291.00"
"5","N/A","CT ANGIOGRAPHY NECK","70498","N/A","N/A","N/A","N/A","N/A","3490.00","3490.00","N/A","N/A","N/A","3490.00","3490.00","N/A","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00"
"5","N/A","HCHG CTA NECK W/WO CONTR","70498","N/A","N/A","N/A","N/A","N/A","3490.00","3490.00","N/A","N/A","N/A","3490.00","3490.00","N/A","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00","3490.00"
"5","N/A","HCHG MRI FACE/SALV GLAND BILAT","70540","N/A","N/A","N/A","N/A","N/A","2945.00","2945.00","N/A","N/A","N/A","2945.00","2945.00","N/A","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00"
"5","N/A","HCHG MRI NECK WO CONTR","70540","N/A","N/A","N/A","N/A","N/A","2945.00","2945.00","N/A","N/A","N/A","2945.00","2945.00","N/A","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00"
"5","N/A","HCHG MRI ORBITS WO CONTR","70540","N/A","N/A","N/A","N/A","N/A","2945.00","2945.00","N/A","N/A","N/A","2945.00","2945.00","N/A","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00"
"5","N/A","MRI ORBIT/FACE/NECK W/O DYE","70540","N/A","N/A","N/A","N/A","N/A","2945.00","2945.00","N/A","N/A","N/A","2945.00","2945.00","N/A","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00","2945.00"
"5","N/A","HCHG MRI FACE/SALIV W/WO CONTR","70543","N/A","N/A","N/A","N/A","N/A","3057.00","3057.00","N/A","N/A","N/A","3057.00","3057.00","N/A","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00"
"5","N/A","HCHG MRI NECK W/WO CONTR","70543","N/A","N/A","N/A","N/A","N/A","3057.00","3057.00","N/A","N/A","N/A","3057.00","3057.00","N/A","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00"
"5","N/A","HCHG MRI ORBITS W/WO CONTR","70543","N/A","N/A","N/A","N/A","N/A","3057.00","3057.00","N/A","N/A","N/A","3057.00","3057.00","N/A","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00"
"5","N/A","MRI ORBT/FAC/NCK W/O &W/DYE","70543","N/A","N/A","N/A","N/A","N/A","3057.00","3057.00","N/A","N/A","N/A","3057.00","3057.00","N/A","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00","3057.00"
"5","N/A","HCHG MRA HEAD WO CONTR","70544","N/A","N/A","N/A","N/A","N/A","2920.00","2920.00","N/A","N/A","N/A","2920.00","2920.00","N/A","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00"
"5","N/A","MR ANGIOGRAPHY HEAD W/O DYE","70544","N/A","N/A","N/A","N/A","N/A","2920.00","2920.00","N/A","N/A","N/A","2920.00","2920.00","N/A","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00","2920.00"
"5","N/A","HCHG MRA HEAD W CONTR","70545","N/A","N/A","N/A","N/A","N/A","3124.00","3124.00","N/A","N/A","N/A","3124.00","3124.00","N/A","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00"
"5","N/A","MR ANGIOGRAPHY HEAD W/DYE","70545","N/A","N/A","N/A","N/A","N/A","3124.00","3124.00","N/A","N/A","N/A","3124.00","3124.00","N/A","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00","3124.00"
"5","N/A","HCHG MRA HEAD W/WO CONTR","70546","N/A","N/A","N/A","N/A","N/A","3328.00","3328.00","N/A","N/A","N/A","3328.00","3328.00","N/A","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00"
"5","N/A","MR ANGIOGRAPH HEAD W/O&W/DYE","70546","N/A","N/A","N/A","N/A","N/A","3328.00","3328.00","N/A","N/A","N/A","3328.00","3328.00","N/A","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00","3328.00"
"5","N/A","HCHG MRA NECK WO CONTR","70547","N/A","N/A","N/A","N/A","N/A","2883.00","2883.00","N/A","N/A","N/A","2883.00","2883.00","N/A","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00"
"5","N/A","MR ANGIOGRAPHY NECK W/O DYE","70547","N/A","N/A","N/A","N/A","N/A","2883.00","2883.00","N/A","N/A","N/A","2883.00","2883.00","N/A","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00","2883.00"
"5","N/A","HCHG MRA NECK W CONTR ONLY","70548","N/A","N/A","N/A","N/A","N/A","3085.00","3085.00","N/A","N/A","N/A","3085.00","3085.00","N/A","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00"
"5","N/A","MR ANGIOGRAPHY NECK W/DYE","70548","N/A","N/A","N/A","N/A","N/A","3085.00","3085.00","N/A","N/A","N/A","3085.00","3085.00","N/A","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00","3085.00"
"5","N/A","HCHG MRA NECK W/WO CONTR","70549","N/A","N/A","N/A","N/A","N/A","3661.00","3661.00","N/A","N/A","N/A","3661.00","3661.00","N/A","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00"
"5","N/A","MR ANGIOGRAPH NECK W/O&W/DYE","70549","N/A","N/A","N/A","N/A","N/A","3661.00","3661.00","N/A","N/A","N/A","3661.00","3661.00","N/A","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00","3661.00"
"5","N/A","HCHG MRI BRAIN WO CONTR","70551","N/A","N/A","N/A","N/A","N/A","2513.00","2513.00","N/A","N/A","N/A","2513.00","2513.00","N/A","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00"
"5","N/A","MRI BRAIN STEM W/O DYE","70551","N/A","N/A","N/A","N/A","N/A","2513.00","2513.00","N/A","N/A","N/A","2513.00","2513.00","N/A","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00"
"5","N/A","HCHG MRI BRAIN BRAIN STEM W/CONTR","70552","N/A","N/A","N/A","N/A","N/A","2892.00","2892.00","N/A","N/A","N/A","2892.00","2892.00","N/A","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00"
"5","N/A","MRI BRAIN STEM W/DYE","70552","N/A","N/A","N/A","N/A","N/A","2892.00","2892.00","N/A","N/A","N/A","2892.00","2892.00","N/A","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00","2892.00"
"5","N/A","HCHG MRI BRAIN W/WO CONTR","70553","N/A","N/A","N/A","N/A","N/A","2779.00","2779.00","N/A","N/A","N/A","2779.00","2779.00","N/A","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00"
"5","N/A","MRI BRAIN STEM W/O & W/DYE","70553","N/A","N/A","N/A","N/A","N/A","2779.00","2779.00","N/A","N/A","N/A","2779.00","2779.00","N/A","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00","2779.00"
"5","N/A","FMRI BRAIN BY TECH","70554","N/A","N/A","N/A","N/A","N/A","1919.00","1919.00","N/A","N/A","N/A","1919.00","1919.00","N/A","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00"
"5","N/A","HCHG MRI BRAIN FUNCTIONAL MRI","70554","N/A","N/A","N/A","N/A","N/A","1919.00","1919.00","N/A","N/A","N/A","1919.00","1919.00","N/A","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00","1919.00"
"5","N/A","FMRI BRAIN BY PHYS/PSYCH","70555","N/A","N/A","N/A","N/A","N/A","1374.00","1374.00","N/A","N/A","N/A","1374.00","1374.00","N/A","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00"
"5","N/A","HCHG FMRI BRAIN BY PHYS/PSYCH","70555","N/A","N/A","N/A","N/A","N/A","1374.00","1374.00","N/A","N/A","N/A","1374.00","1374.00","N/A","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00","1374.00"
"5","N/A","HCHG CHEST LATERAL DECUBITUS BILAT 2 VIEWS","71046","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG CHEST OBLIQUE & APICAL LORDOTIC 2 VIEWS","71046","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG CHEST PA & OBLIQUE 2 VIEWS","71046","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG CHEST PA & UNILAT DECUBITUS 2 VIEWS","71046","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","X-RAY EXAM CHEST 2 VIEWS","71046","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG CHEST BILAT OBLIQUE & APICAL LORDOTIC 3 VIEWS","71047","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG CHEST PA & BILAT OBLIQUES 3 VIEWS","71047","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG CHEST PA & LATERAL WITH UNILAT DUCUBITUS 3 VIEWS","71047","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","X-RAY EXAM CHEST 3 VIEWS","71047","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG CHEST PA & LATERAL WITH BILAT DUCUBITUS 4 VIEWS","71048","N/A","N/A","N/A","N/A","N/A","487.00","487.00","N/A","N/A","N/A","487.00","487.00","N/A","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00"
"5","N/A","HCHG CHEST PA & LATERAL WITH BILAT OBLIQUES 4 VIEWS","71048","N/A","N/A","N/A","N/A","N/A","487.00","487.00","N/A","N/A","N/A","487.00","487.00","N/A","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00"
"5","N/A","X-RAY EXAM CHEST 4+ VIEWS","71048","N/A","N/A","N/A","N/A","N/A","487.00","487.00","N/A","N/A","N/A","487.00","487.00","N/A","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00"
"5","N/A","HCHG RIBS UNILAT 2 VIEWS","71100","N/A","N/A","N/A","N/A","N/A","338.00","338.00","N/A","N/A","N/A","338.00","338.00","N/A","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00"
"5","N/A","X-RAY EXAM RIBS UNI 2 VIEWS","71100","N/A","N/A","N/A","N/A","N/A","338.00","338.00","N/A","N/A","N/A","338.00","338.00","N/A","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00"
"5","N/A","HCHG RIBS UNI LOW W CHEST MIN 3 VIEWS","71101","N/A","N/A","N/A","N/A","N/A","404.00","404.00","N/A","N/A","N/A","404.00","404.00","N/A","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00"
"5","N/A","HCHG RIBS UNI UPP W CHEST MIN 3 VIEWS","71101","N/A","N/A","N/A","N/A","N/A","404.00","404.00","N/A","N/A","N/A","404.00","404.00","N/A","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00"
"5","N/A","HCHG RIBS UNI W CHEST MIN 3 VIEWS","71101","N/A","N/A","N/A","N/A","N/A","404.00","404.00","N/A","N/A","N/A","404.00","404.00","N/A","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00"
"5","N/A","X-RAY EXAM UNILAT RIBS/CHEST","71101","N/A","N/A","N/A","N/A","N/A","404.00","404.00","N/A","N/A","N/A","404.00","404.00","N/A","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00","404.00"
"5","N/A","HCHG RADIOLOGIC EXAM RIBS 3VW BILAT","71110","N/A","N/A","N/A","N/A","N/A","531.00","531.00","N/A","N/A","N/A","531.00","531.00","N/A","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00"
"5","N/A","X-RAY EXAM RIBS BIL 3 VIEWS","71110","N/A","N/A","N/A","N/A","N/A","531.00","531.00","N/A","N/A","N/A","531.00","531.00","N/A","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00"
"5","N/A","HCHG RIBS BIL W CHEST MIN 4VW","71111","N/A","N/A","N/A","N/A","N/A","704.00","704.00","N/A","N/A","N/A","704.00","704.00","N/A","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00"
"5","N/A","X-RAY EXAM RIBS/CHEST4/> VWS","71111","N/A","N/A","N/A","N/A","N/A","704.00","704.00","N/A","N/A","N/A","704.00","704.00","N/A","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00","704.00"
"5","N/A","HCHG STERNUM MIN 2 VIEWS","71120","N/A","N/A","N/A","N/A","N/A","379.00","379.00","N/A","N/A","N/A","379.00","379.00","N/A","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00"
"5","N/A","HCHG STERNUM W TOMOGRAMS MIN 2 VIEWS","71120","N/A","N/A","N/A","N/A","N/A","379.00","379.00","N/A","N/A","N/A","379.00","379.00","N/A","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00"
"5","N/A","X-RAY EXAM BREASTBONE 2/>VWS","71120","N/A","N/A","N/A","N/A","N/A","379.00","379.00","N/A","N/A","N/A","379.00","379.00","N/A","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00"
"5","N/A","HCHG STERNOCLAVICULAR JNT MIN 3VW","71130","N/A","N/A","N/A","N/A","N/A","372.00","372.00","N/A","N/A","N/A","372.00","372.00","N/A","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00"
"5","N/A","X-RAY STRENOCLAVIC JT 3/>VWS","71130","N/A","N/A","N/A","N/A","N/A","372.00","372.00","N/A","N/A","N/A","372.00","372.00","N/A","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00"
"5","N/A","CT THORAX W/O DYE","71250","N/A","N/A","N/A","N/A","N/A","2299.00","2299.00","N/A","N/A","N/A","2299.00","2299.00","N/A","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00"
"5","N/A","HCHG CT CHEST WO CONTR","71250","N/A","N/A","N/A","N/A","N/A","2299.00","2299.00","N/A","N/A","N/A","2299.00","2299.00","N/A","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00"
"5","N/A","HCHG CT LUNG CA SCREENING FU < 1 YEAR","71250","N/A","N/A","N/A","N/A","N/A","2299.00","2299.00","N/A","N/A","N/A","2299.00","2299.00","N/A","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00"
"5","N/A","CT THORAX W/DYE","71260","N/A","N/A","N/A","N/A","N/A","2529.00","2529.00","N/A","N/A","N/A","2529.00","2529.00","N/A","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00"
"5","N/A","HCHG CT CHEST W CONTR","71260","N/A","N/A","N/A","N/A","N/A","2529.00","2529.00","N/A","N/A","N/A","2529.00","2529.00","N/A","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00","2529.00"
"5","N/A","CT THORAX W/O & W/DYE","71270","N/A","N/A","N/A","N/A","N/A","2908.00","2908.00","N/A","N/A","N/A","2908.00","2908.00","N/A","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00"
"5","N/A","HCHG CT CHEST W/WO CONTR","71270","N/A","N/A","N/A","N/A","N/A","2908.00","2908.00","N/A","N/A","N/A","2908.00","2908.00","N/A","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00","2908.00"
"5","N/A","HCHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C-","71271","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","CT ANGIOGRAPHY CHEST","71275","N/A","N/A","N/A","N/A","N/A","3055.00","3055.00","N/A","N/A","N/A","3055.00","3055.00","N/A","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00"
"5","N/A","HCHG CTA CHEST W/WO CONTR","71275","N/A","N/A","N/A","N/A","N/A","3055.00","3055.00","N/A","N/A","N/A","3055.00","3055.00","N/A","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00","3055.00"
"5","N/A","HCHG CHEST MRI WO CONTR","71550","N/A","N/A","N/A","N/A","N/A","3482.00","3482.00","N/A","N/A","N/A","3482.00","3482.00","N/A","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00"
"5","N/A","MRI CHEST W/O DYE","71550","N/A","N/A","N/A","N/A","N/A","3482.00","3482.00","N/A","N/A","N/A","3482.00","3482.00","N/A","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00","3482.00"
"5","N/A","HCHG CHEST MRI W/WO CONTR","71552","N/A","N/A","N/A","N/A","N/A","3727.00","3727.00","N/A","N/A","N/A","3727.00","3727.00","N/A","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00"
"5","N/A","MRI CHEST W/O & W/DYE","71552","N/A","N/A","N/A","N/A","N/A","3727.00","3727.00","N/A","N/A","N/A","3727.00","3727.00","N/A","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00","3727.00"
"5","N/A","HCHG MRA CHEST W CONTR","71555","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG MRA CHEST WO CONTR","71555","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG MRA CHEST WO FOL W CONTR","71555","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","MRI ANGIO CHEST W OR W/O DYE","71555","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG C- SPINE LAT ONLY-PORT 1 VIEW","72020","N/A","N/A","N/A","N/A","N/A","399.00","399.00","N/A","N/A","N/A","399.00","399.00","N/A","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00"
"5","N/A","HCHG C- SPINE LAT ONLY/SWIM 1 VIEW","72020","N/A","N/A","N/A","N/A","N/A","399.00","399.00","N/A","N/A","N/A","399.00","399.00","N/A","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00"
"5","N/A","HCHG L-SPINE 1V","72020","N/A","N/A","N/A","N/A","N/A","399.00","399.00","N/A","N/A","N/A","399.00","399.00","N/A","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00"
"5","N/A","HCHG SPINE 1 VIEW C-SPINE","72020","N/A","N/A","N/A","N/A","N/A","399.00","399.00","N/A","N/A","N/A","399.00","399.00","N/A","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00"
"5","N/A","HCHG T-SPINE 1V","72020","N/A","N/A","N/A","N/A","N/A","399.00","399.00","N/A","N/A","N/A","399.00","399.00","N/A","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00"
"5","N/A","X-RAY EXAM OF SPINE 1 VIEW","72020","N/A","N/A","N/A","N/A","N/A","399.00","399.00","N/A","N/A","N/A","399.00","399.00","N/A","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00","399.00"
"5","N/A","HCHG C- SPINE AP & LAT ONLY","72040","N/A","N/A","N/A","N/A","N/A","437.00","437.00","N/A","N/A","N/A","437.00","437.00","N/A","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00"
"5","N/A","HCHG C- SPINE FLEX/EXT ONLY 2-3VIEWS","72040","N/A","N/A","N/A","N/A","N/A","437.00","437.00","N/A","N/A","N/A","437.00","437.00","N/A","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00"
"5","N/A","HCHG C-SPINE 2-3 VIEWS","72040","N/A","N/A","N/A","N/A","N/A","437.00","437.00","N/A","N/A","N/A","437.00","437.00","N/A","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00"
"5","N/A","HCHG C-SPINE 2-3 VIEWS PORT","72040","N/A","N/A","N/A","N/A","N/A","437.00","437.00","N/A","N/A","N/A","437.00","437.00","N/A","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00"
"5","N/A","X-RAY EXAM NECK SPINE 2-3 VW","72040","N/A","N/A","N/A","N/A","N/A","437.00","437.00","N/A","N/A","N/A","437.00","437.00","N/A","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00","437.00"
"5","N/A","HCHG C-SPINE 4 OR 5 VIEWS","72050","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","X-RAY EXAM NECK SPINE 4/5VWS","72050","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG C-SPINE 6 VIEWS OR >","72052","N/A","N/A","N/A","N/A","N/A","578.00","578.00","N/A","N/A","N/A","578.00","578.00","N/A","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00"
"5","N/A","X-RAY EXAM NECK SPINE 6/>VWS","72052","N/A","N/A","N/A","N/A","N/A","578.00","578.00","N/A","N/A","N/A","578.00","578.00","N/A","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00","578.00"
"5","N/A","HCHG T-SPINE 2 VIEWS","72070","N/A","N/A","N/A","N/A","N/A","345.00","345.00","N/A","N/A","N/A","345.00","345.00","N/A","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00"
"5","N/A","HCHG T-SPINE 2 VIEWS PORT","72070","N/A","N/A","N/A","N/A","N/A","345.00","345.00","N/A","N/A","N/A","345.00","345.00","N/A","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00"
"5","N/A","X-RAY EXAM THORAC SPINE 2VWS","72070","N/A","N/A","N/A","N/A","N/A","345.00","345.00","N/A","N/A","N/A","345.00","345.00","N/A","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00"
"5","N/A","HCHG T-SPINE 3 VIEWS","72072","N/A","N/A","N/A","N/A","N/A","442.00","442.00","N/A","N/A","N/A","442.00","442.00","N/A","442.00","442.00","442.00","442.00","442.00","442.00","442.00","442.00","442.00","442.00"
"5","N/A","X-RAY EXAM THORAC SPINE 3VWS","72072","N/A","N/A","N/A","N/A","N/A","442.00","442.00","N/A","N/A","N/A","442.00","442.00","N/A","442.00","442.00","442.00","442.00","442.00","442.00","442.00","442.00","442.00","442.00"
"5","N/A","HCHG SPINE THORACOLUMBAR, 2 VIEWS","72080","N/A","N/A","N/A","N/A","N/A","430.00","430.00","N/A","N/A","N/A","430.00","430.00","N/A","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00"
"5","N/A","HCHG THORACIC/LUMB JCT 2 VIEWS","72080","N/A","N/A","N/A","N/A","N/A","430.00","430.00","N/A","N/A","N/A","430.00","430.00","N/A","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00"
"5","N/A","X-RAY EXAM THORACOLMB 2/> VW","72080","N/A","N/A","N/A","N/A","N/A","430.00","430.00","N/A","N/A","N/A","430.00","430.00","N/A","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00","430.00"
"5","N/A","HCHG SPINE ENTIRE (EG SCOLIOSIS EVAL) 1 VIEW","72081","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","X-RAY EXAM ENTIRE SPI 1 VW","72081","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","HCHG SPINE ENTIRE (EG, SCOLIOSIS EVAL) 2-3 VIEWS","72082","N/A","N/A","N/A","N/A","N/A","644.00","644.00","N/A","N/A","N/A","644.00","644.00","N/A","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00"
"5","N/A","X-RAY EXAM ENTIRE SPI 2/3 VW","72082","N/A","N/A","N/A","N/A","N/A","644.00","644.00","N/A","N/A","N/A","644.00","644.00","N/A","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00"
"5","N/A","HCHG SPINE ENTIRE (EG, SCOLIOSIS EVAL) 4-5 VIEWS","72083","N/A","N/A","N/A","N/A","N/A","706.00","706.00","N/A","N/A","N/A","706.00","706.00","N/A","706.00","706.00","706.00","706.00","706.00","706.00","706.00","706.00","706.00","706.00"
"5","N/A","X-RAY EXAM ENTIRE SPI 4/5 VW","72083","N/A","N/A","N/A","N/A","N/A","706.00","706.00","N/A","N/A","N/A","706.00","706.00","N/A","706.00","706.00","706.00","706.00","706.00","706.00","706.00","706.00","706.00","706.00"
"5","N/A","HCHG SPINE ENTIRE (EG, SCOLIOSIS EVAL) MIN 6 VIEWS","72084","N/A","N/A","N/A","N/A","N/A","836.00","836.00","N/A","N/A","N/A","836.00","836.00","N/A","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00"
"5","N/A","X-RAY EXAM ENTIRE SPI 6/> VW","72084","N/A","N/A","N/A","N/A","N/A","836.00","836.00","N/A","N/A","N/A","836.00","836.00","N/A","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00"
"5","N/A","HCHG L-SPINE FLEX EXT ONLY, 2-3 VIEWS","72100","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG L5-S1 AP AND LAT","72100","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG LS SPINE 2 VIEWS","72100","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG LS SPINE 2 VIEWS PORT","72100","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","X-RAY EXAM L-S SPINE 2/3 VWS","72100","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG LS SPINE MIN 4 VIEWS","72110","N/A","N/A","N/A","N/A","N/A","618.00","618.00","N/A","N/A","N/A","618.00","618.00","N/A","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00"
"5","N/A","X-RAY EXAM L-2 SPINE 4/>VWS","72110","N/A","N/A","N/A","N/A","N/A","618.00","618.00","N/A","N/A","N/A","618.00","618.00","N/A","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00"
"5","N/A","HCHG RADIOLOGIC EXAM SPINE, LUMB COMP, INCL BENDING VIEWS","72114","N/A","N/A","N/A","N/A","N/A","482.00","482.00","N/A","N/A","N/A","482.00","482.00","N/A","482.00","482.00","482.00","482.00","482.00","482.00","482.00","482.00","482.00","482.00"
"5","N/A","X-RAY EXAM L-S SPINE BENDING","72114","N/A","N/A","N/A","N/A","N/A","482.00","482.00","N/A","N/A","N/A","482.00","482.00","N/A","482.00","482.00","482.00","482.00","482.00","482.00","482.00","482.00","482.00","482.00"
"5","N/A","HCHG LS SPINE MULT BENDING 2 OR 3 VIEWS","72120","N/A","N/A","N/A","N/A","N/A","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","HCHG LS SPINE MULT BENDING MIN 4 VWS","72120","N/A","N/A","N/A","N/A","N/A","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","X-RAY BEND ONLY L-S SPINE","72120","N/A","N/A","N/A","N/A","N/A","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","CT NECK SPINE W/O DYE","72125","N/A","N/A","N/A","N/A","N/A","2515.00","2515.00","N/A","N/A","N/A","2515.00","2515.00","N/A","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00"
"5","N/A","HCHG CT C-SPINE EXT, WO CONTR","72125","N/A","N/A","N/A","N/A","N/A","2515.00","2515.00","N/A","N/A","N/A","2515.00","2515.00","N/A","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00"
"5","N/A","HCHG CT C-SPINE WO CONTR","72125","N/A","N/A","N/A","N/A","N/A","2515.00","2515.00","N/A","N/A","N/A","2515.00","2515.00","N/A","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00","2515.00"
"5","N/A","CT NECK SPINE W/DYE","72126","N/A","N/A","N/A","N/A","N/A","2912.00","2912.00","N/A","N/A","N/A","2912.00","2912.00","N/A","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00"
"5","N/A","HCHG CT C-SPINE W CONTRAST","72126","N/A","N/A","N/A","N/A","N/A","2912.00","2912.00","N/A","N/A","N/A","2912.00","2912.00","N/A","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00","2912.00"
"5","N/A","CT NECK SPINE W/O & W/DYE","72127","N/A","N/A","N/A","N/A","N/A","3367.00","3367.00","N/A","N/A","N/A","3367.00","3367.00","N/A","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00"
"5","N/A","HCHG CERVICAL SPINE WITHOUT AND WITH CONTRAST","72127","N/A","N/A","N/A","N/A","N/A","3367.00","3367.00","N/A","N/A","N/A","3367.00","3367.00","N/A","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00","3367.00"
"5","N/A","CT CHEST SPINE W/O DYE","72128","N/A","N/A","N/A","N/A","N/A","2548.00","2548.00","N/A","N/A","N/A","2548.00","2548.00","N/A","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00"
"5","N/A","HCHG CT T-SPINE EXT, WO CONTR","72128","N/A","N/A","N/A","N/A","N/A","2548.00","2548.00","N/A","N/A","N/A","2548.00","2548.00","N/A","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00"
"5","N/A","HCHG CT T-SPINE WO CONTR","72128","N/A","N/A","N/A","N/A","N/A","2548.00","2548.00","N/A","N/A","N/A","2548.00","2548.00","N/A","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00","2548.00"
"5","N/A","CT CHEST SPINE W/DYE","72129","N/A","N/A","N/A","N/A","N/A","2555.00","2555.00","N/A","N/A","N/A","2555.00","2555.00","N/A","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00"
"5","N/A","HCHG CT T-SPINE W CONTRAST","72129","N/A","N/A","N/A","N/A","N/A","2555.00","2555.00","N/A","N/A","N/A","2555.00","2555.00","N/A","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00","2555.00"
"5","N/A","CT CHEST SPINE W/O & W/DYE","72130","N/A","N/A","N/A","N/A","N/A","2938.00","2938.00","N/A","N/A","N/A","2938.00","2938.00","N/A","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00"
"5","N/A","HCHG CT T-SPINE W/WO CONTR","72130","N/A","N/A","N/A","N/A","N/A","2938.00","2938.00","N/A","N/A","N/A","2938.00","2938.00","N/A","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00","2938.00"
"5","N/A","CT LUMBAR SPINE W/O DYE","72131","N/A","N/A","N/A","N/A","N/A","2680.00","2680.00","N/A","N/A","N/A","2680.00","2680.00","N/A","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00"
"5","N/A","HCHG CT L-SPINE WO CONTR","72131","N/A","N/A","N/A","N/A","N/A","2680.00","2680.00","N/A","N/A","N/A","2680.00","2680.00","N/A","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00"
"5","N/A","HCHG CT LMBSC SPINE EXT, WO CONTR","72131","N/A","N/A","N/A","N/A","N/A","2680.00","2680.00","N/A","N/A","N/A","2680.00","2680.00","N/A","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00","2680.00"
"5","N/A","CT LUMBAR SPINE W/DYE","72132","N/A","N/A","N/A","N/A","N/A","3132.00","3132.00","N/A","N/A","N/A","3132.00","3132.00","N/A","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00"
"5","N/A","HCHG CT L-SPINE W CONTRAST","72132","N/A","N/A","N/A","N/A","N/A","3132.00","3132.00","N/A","N/A","N/A","3132.00","3132.00","N/A","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00","3132.00"
"5","N/A","CT LUMBAR SPINE W/O & W/DYE","72133","N/A","N/A","N/A","N/A","N/A","3690.00","3690.00","N/A","N/A","N/A","3690.00","3690.00","N/A","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00"
"5","N/A","HCHG CT L-SPINE W/WO CONTR","72133","N/A","N/A","N/A","N/A","N/A","3690.00","3690.00","N/A","N/A","N/A","3690.00","3690.00","N/A","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00","3690.00"
"5","N/A","HCHG C- SPINE MRI WO CONTR","72141","N/A","N/A","N/A","N/A","N/A","2513.00","2513.00","N/A","N/A","N/A","2513.00","2513.00","N/A","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00"
"5","N/A","MRI NECK SPINE W/O DYE","72141","N/A","N/A","N/A","N/A","N/A","2513.00","2513.00","N/A","N/A","N/A","2513.00","2513.00","N/A","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00","2513.00"
"5","N/A","HCHG T-SPINE MRI WO CONTR","72146","N/A","N/A","N/A","N/A","N/A","2870.00","2870.00","N/A","N/A","N/A","2870.00","2870.00","N/A","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00"
"5","N/A","MRI CHEST SPINE W/O DYE","72146","N/A","N/A","N/A","N/A","N/A","2870.00","2870.00","N/A","N/A","N/A","2870.00","2870.00","N/A","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00","2870.00"
"5","N/A","HCHG LUMBAR SPINE MRI WO CONTR","72148","N/A","N/A","N/A","N/A","N/A","2188.00","2188.00","N/A","N/A","N/A","2188.00","2188.00","N/A","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00"
"5","N/A","MRI LUMBAR SPINE W/O DYE","72148","N/A","N/A","N/A","N/A","N/A","2188.00","2188.00","N/A","N/A","N/A","2188.00","2188.00","N/A","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00","2188.00"
"5","N/A","HCHG C-SPINE MRI W/WO CONTR","72156","N/A","N/A","N/A","N/A","N/A","3114.00","3114.00","N/A","N/A","N/A","3114.00","3114.00","N/A","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00"
"5","N/A","MRI NECK SPINE W/O & W/DYE","72156","N/A","N/A","N/A","N/A","N/A","3114.00","3114.00","N/A","N/A","N/A","3114.00","3114.00","N/A","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00","3114.00"
"5","N/A","HCHG T-SPINE MRI W/WO CONTR","72157","N/A","N/A","N/A","N/A","N/A","3516.00","3516.00","N/A","N/A","N/A","3516.00","3516.00","N/A","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00"
"5","N/A","MRI CHEST SPINE W/O & W/DYE","72157","N/A","N/A","N/A","N/A","N/A","3516.00","3516.00","N/A","N/A","N/A","3516.00","3516.00","N/A","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00","3516.00"
"5","N/A","HCHG LUMB SPINE MRI W/WO CONTR","72158","N/A","N/A","N/A","N/A","N/A","3514.00","3514.00","N/A","N/A","N/A","3514.00","3514.00","N/A","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00"
"5","N/A","MRI LUMBAR SPINE W/O & W/DYE","72158","N/A","N/A","N/A","N/A","N/A","3514.00","3514.00","N/A","N/A","N/A","3514.00","3514.00","N/A","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00","3514.00"
"5","N/A","HCHG MRA SPINE W CONTR","72159","N/A","N/A","N/A","N/A","N/A","3002.00","3002.00","N/A","N/A","N/A","3002.00","3002.00","N/A","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00"
"5","N/A","MR ANGIO SPINE W/O&W/DYE","72159","N/A","N/A","N/A","N/A","N/A","3002.00","3002.00","N/A","N/A","N/A","3002.00","3002.00","N/A","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00","3002.00"
"5","N/A","HCHG AP PELVIS 1-2 VIEWS","72170","N/A","N/A","N/A","N/A","N/A","269.00","269.00","N/A","N/A","N/A","269.00","269.00","N/A","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00"
"5","N/A","HCHG AP PELVIS PORT 1-2 VIEWS","72170","N/A","N/A","N/A","N/A","N/A","269.00","269.00","N/A","N/A","N/A","269.00","269.00","N/A","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00"
"5","N/A","HCHG PELVIS FOR RADIUM INSERT -PORT 1-2 VIEW","72170","N/A","N/A","N/A","N/A","N/A","269.00","269.00","N/A","N/A","N/A","269.00","269.00","N/A","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00"
"5","N/A","HCHG PELVIS FOR RADIUM INSERT 1-2 VIEWS","72170","N/A","N/A","N/A","N/A","N/A","269.00","269.00","N/A","N/A","N/A","269.00","269.00","N/A","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00"
"5","N/A","X-RAY EXAM OF PELVIS","72170","N/A","N/A","N/A","N/A","N/A","269.00","269.00","N/A","N/A","N/A","269.00","269.00","N/A","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00","269.00"
"5","N/A","HCHG PELVIS INLET OUTLET, MIN 3 VIEWS","72190","N/A","N/A","N/A","N/A","N/A","438.00","438.00","N/A","N/A","N/A","438.00","438.00","N/A","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00"
"5","N/A","HCHG PELVIS JUDET, MIN 3 VIEWS","72190","N/A","N/A","N/A","N/A","N/A","438.00","438.00","N/A","N/A","N/A","438.00","438.00","N/A","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00"
"5","N/A","X-RAY EXAM OF PELVIS","72190","N/A","N/A","N/A","N/A","N/A","438.00","438.00","N/A","N/A","N/A","438.00","438.00","N/A","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00","438.00"
"5","N/A","CT ANGIOGRAPH PELV W/O&W/DYE","72191","N/A","N/A","N/A","N/A","N/A","3303.00","3303.00","N/A","N/A","N/A","3303.00","3303.00","N/A","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00"
"5","N/A","HCHG CTA PELVIS W/WO CONTR","72191","N/A","N/A","N/A","N/A","N/A","3303.00","3303.00","N/A","N/A","N/A","3303.00","3303.00","N/A","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00","3303.00"
"5","N/A","CT PELVIS W/O DYE","72192","N/A","N/A","N/A","N/A","N/A","2035.00","2035.00","N/A","N/A","N/A","2035.00","2035.00","N/A","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00"
"5","N/A","HCHG CT ACETABULUM, WO CONTR","72192","N/A","N/A","N/A","N/A","N/A","2035.00","2035.00","N/A","N/A","N/A","2035.00","2035.00","N/A","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00"
"5","N/A","HCHG CT PELVIS WO CONTR","72192","N/A","N/A","N/A","N/A","N/A","2035.00","2035.00","N/A","N/A","N/A","2035.00","2035.00","N/A","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00","2035.00"
"5","N/A","CT PELVIS W/DYE","72193","N/A","N/A","N/A","N/A","N/A","2045.00","2045.00","N/A","N/A","N/A","2045.00","2045.00","N/A","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00"
"5","N/A","HCHG CT PELVIS W CONTR","72193","N/A","N/A","N/A","N/A","N/A","2045.00","2045.00","N/A","N/A","N/A","2045.00","2045.00","N/A","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00"
"5","N/A","CT PELVIS W/O & W/DYE","72194","N/A","N/A","N/A","N/A","N/A","2677.00","2677.00","N/A","N/A","N/A","2677.00","2677.00","N/A","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00"
"5","N/A","HCHG CT PELVIS W/WO CONTR","72194","N/A","N/A","N/A","N/A","N/A","2677.00","2677.00","N/A","N/A","N/A","2677.00","2677.00","N/A","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00","2677.00"
"5","N/A","HCHG PELVIS MRI WO CONTR","72195","N/A","N/A","N/A","N/A","N/A","3298.00","3298.00","N/A","N/A","N/A","3298.00","3298.00","N/A","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00"
"5","N/A","MRI PELVIS W/O DYE","72195","N/A","N/A","N/A","N/A","N/A","3298.00","3298.00","N/A","N/A","N/A","3298.00","3298.00","N/A","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00","3298.00"
"5","N/A","HCHG MRI PROSTATE","72197","N/A","N/A","N/A","N/A","N/A","3885.00","3885.00","N/A","N/A","N/A","3885.00","3885.00","N/A","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00"
"5","N/A","HCHG PELVIS MRI W/WO CONTR","72197","N/A","N/A","N/A","N/A","N/A","3885.00","3885.00","N/A","N/A","N/A","3885.00","3885.00","N/A","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00"
"5","N/A","MRI PELVIS W/O & W/DYE","72197","N/A","N/A","N/A","N/A","N/A","3885.00","3885.00","N/A","N/A","N/A","3885.00","3885.00","N/A","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00","3885.00"
"5","N/A","HCHG MRA PELVIS W CONTR","72198","N/A","N/A","N/A","N/A","N/A","3858.00","3858.00","N/A","N/A","N/A","3858.00","3858.00","N/A","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00"
"5","N/A","HCHG MRA PELVIS WO CONTR","72198","N/A","N/A","N/A","N/A","N/A","3858.00","3858.00","N/A","N/A","N/A","3858.00","3858.00","N/A","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00"
"5","N/A","HCHG MRA PELVIS WO FOL W CONTR","72198","N/A","N/A","N/A","N/A","N/A","3858.00","3858.00","N/A","N/A","N/A","3858.00","3858.00","N/A","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00"
"5","N/A","MR ANGIO PELVIS W/O & W/DYE","72198","N/A","N/A","N/A","N/A","N/A","3858.00","3858.00","N/A","N/A","N/A","3858.00","3858.00","N/A","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00","3858.00"
"5","N/A","HCHG SACROILIACS, 3 OR MORE VIEWS","72202","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","X-RAY EXAM SI JOINTS 3/> VWS","72202","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","HCHG SACROCOC SPINE, MIN 2 VIEWS","72220","N/A","N/A","N/A","N/A","N/A","332.00","332.00","N/A","N/A","N/A","332.00","332.00","N/A","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00"
"5","N/A","HCHG SACRUM AND COCCYX, MIN 2 VIEWS","72220","N/A","N/A","N/A","N/A","N/A","332.00","332.00","N/A","N/A","N/A","332.00","332.00","N/A","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00"
"5","N/A","X-RAY EXAM SACRUM TAILBONE","72220","N/A","N/A","N/A","N/A","N/A","332.00","332.00","N/A","N/A","N/A","332.00","332.00","N/A","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00","332.00"
"5","N/A","HCHG MYELOGRAM/CERVICAL *","72240","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","MYELOGRAPHY NECK SPINE","72240","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","HCHG MYELOGRAM THORACIC *","72255","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","MYELOGRAPHY THORACIC SPINE","72255","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","HCHG MYELOGRAM LUMBAR *","72265","N/A","N/A","N/A","N/A","N/A","1111.00","1111.00","N/A","N/A","N/A","1111.00","1111.00","N/A","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00"
"5","N/A","MYELOGRAPHY L-S SPINE","72265","N/A","N/A","N/A","N/A","N/A","1111.00","1111.00","N/A","N/A","N/A","1111.00","1111.00","N/A","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00","1111.00"
"5","N/A","HCHG MYELO COMP CERV/LUM *","72270","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","HCHG MYELOGRAM CERVICAL/LUMBAR","72270","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","HCHG MYELOGRAM THORACIC/LUMBAR","72270","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","MYELOGPHY 2/> SPINE REGIONS","72270","N/A","N/A","N/A","N/A","N/A","1647.00","1647.00","N/A","N/A","N/A","1647.00","1647.00","N/A","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00","1647.00"
"5","N/A","EPIDUROGRAPHY","72275","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG EPIDUROGRAPHY","72275","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","DISCOGRAPHY CERV/THOR SPINE","72285","N/A","N/A","N/A","N/A","N/A","7277.00","7277.00","N/A","N/A","N/A","7277.00","7277.00","N/A","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00"
"5","N/A","HCHG DISCOGRAM CERVICAL OR THORACIC RS&I","72285","N/A","N/A","N/A","N/A","N/A","7277.00","7277.00","N/A","N/A","N/A","7277.00","7277.00","N/A","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00","7277.00"
"5","N/A","HCHG DISCOGRAM LUMBAR","72295","N/A","N/A","N/A","N/A","N/A","5980.00","5980.00","N/A","N/A","N/A","5980.00","5980.00","N/A","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00"
"5","N/A","X-RAY OF LOWER SPINE DISK","72295","N/A","N/A","N/A","N/A","N/A","5980.00","5980.00","N/A","N/A","N/A","5980.00","5980.00","N/A","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00","5980.00"
"5","N/A","HCHG CLAVICLE COMPLETE","73000","N/A","N/A","N/A","N/A","N/A","379.00","379.00","N/A","N/A","N/A","379.00","379.00","N/A","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00"
"5","N/A","HCHG CLAVICLE PORT COMPLETE","73000","N/A","N/A","N/A","N/A","N/A","379.00","379.00","N/A","N/A","N/A","379.00","379.00","N/A","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00"
"5","N/A","X-RAY EXAM OF COLLAR BONE","73000","N/A","N/A","N/A","N/A","N/A","379.00","379.00","N/A","N/A","N/A","379.00","379.00","N/A","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00","379.00"
"5","N/A","HCHG SCAPULA, COMPLETE","73010","N/A","N/A","N/A","N/A","N/A","306.00","306.00","N/A","N/A","N/A","306.00","306.00","N/A","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00"
"5","N/A","X-RAY EXAM OF SHOULDER BLADE","73010","N/A","N/A","N/A","N/A","N/A","306.00","306.00","N/A","N/A","N/A","306.00","306.00","N/A","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00","306.00"
"5","N/A","HCHG HCHG SHOULDER 1 VIEW PORT","73020","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","HCHG SHOULDER 1 VIEW","73020","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","HCHG SHOULDER AXILLARY, 1 VIEW","73020","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","X-RAY EXAM OF SHOULDER","73020","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","HCHG SHOULDER MIN 2 VIEWS","73030","N/A","N/A","N/A","N/A","N/A","387.00","387.00","N/A","N/A","N/A","387.00","387.00","N/A","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00"
"5","N/A","HCHG SHOULDER MIN 2 VIEWS PORT","73030","N/A","N/A","N/A","N/A","N/A","387.00","387.00","N/A","N/A","N/A","387.00","387.00","N/A","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00"
"5","N/A","X-RAY EXAM OF SHOULDER","73030","N/A","N/A","N/A","N/A","N/A","387.00","387.00","N/A","N/A","N/A","387.00","387.00","N/A","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00"
"5","N/A","CONTRAST X-RAY OF SHOULDER","73040","N/A","N/A","N/A","N/A","N/A","1088.00","1088.00","N/A","N/A","N/A","1088.00","1088.00","N/A","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00"
"5","N/A","HCHG SHOULDER ARTHROGRAM *","73040","N/A","N/A","N/A","N/A","N/A","1088.00","1088.00","N/A","N/A","N/A","1088.00","1088.00","N/A","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00","1088.00"
"5","N/A","HCHG ACROMIOCLAV JOINTS W WO WT DISTRACTION","73050","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","X-RAY EXAM OF SHOULDERS","73050","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG HUMERUS PORT, MIN 2 VIEWS","73060","N/A","N/A","N/A","N/A","N/A","279.00","279.00","N/A","N/A","N/A","279.00","279.00","N/A","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00"
"5","N/A","HCHG HUMERUS, MIN 2 VIEWS","73060","N/A","N/A","N/A","N/A","N/A","279.00","279.00","N/A","N/A","N/A","279.00","279.00","N/A","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00"
"5","N/A","HCHG XRAY EXAM OF HUMERUS; 2 VIEWS - MOD 52","73060","N/A","N/A","N/A","N/A","N/A","279.00","279.00","N/A","N/A","N/A","279.00","279.00","N/A","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00"
"5","N/A","X-RAY EXAM OF HUMERUS","73060","N/A","N/A","N/A","N/A","N/A","279.00","279.00","N/A","N/A","N/A","279.00","279.00","N/A","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00","279.00"
"5","N/A","HCHG ELBOW (2 VIEWS)","73070","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG ELBOW COMPL ETE- PORT, 2 VIEWS","73070","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","X-RAY EXAM OF ELBOW","73070","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG ELBOW MIN 3 VIEWS","73080","N/A","N/A","N/A","N/A","N/A","405.00","405.00","N/A","N/A","N/A","405.00","405.00","N/A","405.00","405.00","405.00","405.00","405.00","405.00","405.00","405.00","405.00","405.00"
"5","N/A","X-RAY EXAM OF ELBOW","73080","N/A","N/A","N/A","N/A","N/A","405.00","405.00","N/A","N/A","N/A","405.00","405.00","N/A","405.00","405.00","405.00","405.00","405.00","405.00","405.00","405.00","405.00","405.00"
"5","N/A","CONTRAST X-RAY OF ELBOW","73085","N/A","N/A","N/A","N/A","N/A","908.00","908.00","N/A","N/A","N/A","908.00","908.00","N/A","908.00","908.00","908.00","908.00","908.00","908.00","908.00","908.00","908.00","908.00"
"5","N/A","HCHG ELBOW ARTHROGRAM","73085","N/A","N/A","N/A","N/A","N/A","908.00","908.00","N/A","N/A","N/A","908.00","908.00","N/A","908.00","908.00","908.00","908.00","908.00","908.00","908.00","908.00","908.00","908.00"
"5","N/A","HCHG FOREARM 2 VIEWS","73090","N/A","N/A","N/A","N/A","N/A","338.00","338.00","N/A","N/A","N/A","338.00","338.00","N/A","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00"
"5","N/A","HCHG FOREARM PORT 2 VIEWS","73090","N/A","N/A","N/A","N/A","N/A","338.00","338.00","N/A","N/A","N/A","338.00","338.00","N/A","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00"
"5","N/A","HCHG XRAY EXAM OF FOREARM; 2 VIEWS - MOD 52","73090","N/A","N/A","N/A","N/A","N/A","338.00","338.00","N/A","N/A","N/A","338.00","338.00","N/A","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00"
"5","N/A","X-RAY EXAM OF FOREARM","73090","N/A","N/A","N/A","N/A","N/A","338.00","338.00","N/A","N/A","N/A","338.00","338.00","N/A","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00","338.00"
"5","N/A","HCHG X-RAY EXAM INFANT UPPER EXTREMITY MIN 2 VIEWS","73092","N/A","N/A","N/A","N/A","N/A","335.00","335.00","N/A","N/A","N/A","335.00","335.00","N/A","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00"
"5","N/A","X-RAY EXAM OF ARM INFANT","73092","N/A","N/A","N/A","N/A","N/A","335.00","335.00","N/A","N/A","N/A","335.00","335.00","N/A","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00","335.00"
"5","N/A","HCHG WRIST (2 VIEWS)","73100","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HCHG WRIST 2 VIEWS PORT","73100","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","X-RAY EXAM OF WRIST","73100","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HCHG WRIST MIN 3 VIEWS","73110","N/A","N/A","N/A","N/A","N/A","416.00","416.00","N/A","N/A","N/A","416.00","416.00","N/A","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00"
"5","N/A","HCHG WRIST W NAVICULAR, MIN 3 VIEWS","73110","N/A","N/A","N/A","N/A","N/A","416.00","416.00","N/A","N/A","N/A","416.00","416.00","N/A","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00"
"5","N/A","X-RAY EXAM OF WRIST","73110","N/A","N/A","N/A","N/A","N/A","416.00","416.00","N/A","N/A","N/A","416.00","416.00","N/A","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00"
"5","N/A","CONTRAST X-RAY OF WRIST","73115","N/A","N/A","N/A","N/A","N/A","960.00","960.00","N/A","N/A","N/A","960.00","960.00","N/A","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00"
"5","N/A","HCHG WRIST ARTHROGRAM","73115","N/A","N/A","N/A","N/A","N/A","960.00","960.00","N/A","N/A","N/A","960.00","960.00","N/A","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00"
"5","N/A","HCHG HAND (2 VIEWS)","73120","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG HAND 2 VIEWS (BILATERAL)","73120","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG HAND 2 VIEWS PORT","73120","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG XRAY EXAM OF HAND; 2 VIEWS - MOD 52","73120","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","X-RAY EXAM OF HAND","73120","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG HAND MIN 3 VIEWS","73130","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","X-RAY EXAM OF HAND","73130","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG FINGERS MIN 2 VWS","73140","N/A","N/A","N/A","N/A","N/A","247.00","247.00","N/A","N/A","N/A","247.00","247.00","N/A","247.00","247.00","247.00","247.00","247.00","247.00","247.00","247.00","247.00","247.00"
"5","N/A","X-RAY EXAM OF FINGER(S)","73140","N/A","N/A","N/A","N/A","N/A","247.00","247.00","N/A","N/A","N/A","247.00","247.00","N/A","247.00","247.00","247.00","247.00","247.00","247.00","247.00","247.00","247.00","247.00"
"5","N/A","CT UPPER EXTREMITY W/O DYE","73200","N/A","N/A","N/A","N/A","N/A","2033.00","2033.00","N/A","N/A","N/A","2033.00","2033.00","N/A","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00"
"5","N/A","HCHG CT ARM LOWER W/O CONTRAST","73200","N/A","N/A","N/A","N/A","N/A","2033.00","2033.00","N/A","N/A","N/A","2033.00","2033.00","N/A","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00"
"5","N/A","HCHG CT ARM UPPER W/O CONTRAST","73200","N/A","N/A","N/A","N/A","N/A","2033.00","2033.00","N/A","N/A","N/A","2033.00","2033.00","N/A","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00"
"5","N/A","HCHG CT UPP EXTREM W/O CONTRAST","73200","N/A","N/A","N/A","N/A","N/A","2033.00","2033.00","N/A","N/A","N/A","2033.00","2033.00","N/A","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00","2033.00"
"5","N/A","CT UPPER EXTREMITY W/DYE","73201","N/A","N/A","N/A","N/A","N/A","2361.00","2361.00","N/A","N/A","N/A","2361.00","2361.00","N/A","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00"
"5","N/A","HCHG CT UPP EXTREM W CONTR","73201","N/A","N/A","N/A","N/A","N/A","2361.00","2361.00","N/A","N/A","N/A","2361.00","2361.00","N/A","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00","2361.00"
"5","N/A","CT UPPR EXTREMITY W/O&W/DYE","73202","N/A","N/A","N/A","N/A","N/A","2894.00","2894.00","N/A","N/A","N/A","2894.00","2894.00","N/A","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00"
"5","N/A","HCHG CT UPP EXTREM W/WO CONTR","73202","N/A","N/A","N/A","N/A","N/A","2894.00","2894.00","N/A","N/A","N/A","2894.00","2894.00","N/A","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00","2894.00"
"5","N/A","CT ANGIO UPR EXTRM W/O&W/DYE","73206","N/A","N/A","N/A","N/A","N/A","1115.00","1115.00","N/A","N/A","N/A","1115.00","1115.00","N/A","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00"
"5","N/A","HCHG CTA UPP EXTREM W/WO CONTR","73206","N/A","N/A","N/A","N/A","N/A","1115.00","1115.00","N/A","N/A","N/A","1115.00","1115.00","N/A","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00"
"5","N/A","HCHG MRI UPP EXTREM NOT JNT WO CONTR","73218","N/A","N/A","N/A","N/A","N/A","3212.00","3212.00","N/A","N/A","N/A","3212.00","3212.00","N/A","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00"
"5","N/A","MRI UPPER EXTREMITY W/O DYE","73218","N/A","N/A","N/A","N/A","N/A","3212.00","3212.00","N/A","N/A","N/A","3212.00","3212.00","N/A","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00","3212.00"
"5","N/A","HCHG MRI UPP EXTREM NOT JNT W/WO CONTR","73220","N/A","N/A","N/A","N/A","N/A","3437.00","3437.00","N/A","N/A","N/A","3437.00","3437.00","N/A","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00"
"5","N/A","MRI UPPR EXTREMITY W/O&W/DYE","73220","N/A","N/A","N/A","N/A","N/A","3437.00","3437.00","N/A","N/A","N/A","3437.00","3437.00","N/A","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00","3437.00"
"5","N/A","HCHG MR UPP EXTREM JNT WO CONTR","73221","N/A","N/A","N/A","N/A","N/A","3263.00","3263.00","N/A","N/A","N/A","3263.00","3263.00","N/A","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00"
"5","N/A","MRI JOINT UPR EXTREM W/O DYE","73221","N/A","N/A","N/A","N/A","N/A","3263.00","3263.00","N/A","N/A","N/A","3263.00","3263.00","N/A","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00","3263.00"
"5","N/A","HCHG MRI UPP EXTREM JNT W CONTR","73222","N/A","N/A","N/A","N/A","N/A","3493.00","3493.00","N/A","N/A","N/A","3493.00","3493.00","N/A","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00"
"5","N/A","MRI JOINT UPR EXTREM W/DYE","73222","N/A","N/A","N/A","N/A","N/A","3493.00","3493.00","N/A","N/A","N/A","3493.00","3493.00","N/A","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00","3493.00"
"5","N/A","HCHG MRI UPP EXTREM JNT W/WO CONTR","73223","N/A","N/A","N/A","N/A","N/A","3736.00","3736.00","N/A","N/A","N/A","3736.00","3736.00","N/A","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00"
"5","N/A","MRI JOINT UPR EXTR W/O&W/DYE","73223","N/A","N/A","N/A","N/A","N/A","3736.00","3736.00","N/A","N/A","N/A","3736.00","3736.00","N/A","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00","3736.00"
"5","N/A","HCHG MRA UPP EXTREM W CONTR","73225","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG MRA UPP EXTREM WO CONTR","73225","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG MRA UPP EXTREM WO FOL W CONTR","73225","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","MR ANGIO UPR EXTR W/O&W/DYE","73225","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG HIP UNILAT W/ OR W/O PELVIS 1 VIEW","73501","N/A","N/A","N/A","N/A","N/A","286.00","286.00","N/A","N/A","N/A","286.00","286.00","N/A","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00"
"5","N/A","X-RAY EXAM HIP UNI 1 VIEW","73501","N/A","N/A","N/A","N/A","N/A","286.00","286.00","N/A","N/A","N/A","286.00","286.00","N/A","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00"
"5","N/A","HCHG HIP UNILAT W/ OR W/O PELVIS 2-3 VIEWS","73502","N/A","N/A","N/A","N/A","N/A","416.00","416.00","N/A","N/A","N/A","416.00","416.00","N/A","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00"
"5","N/A","X-RAY EXAM HIP UNI 2-3 VIEWS","73502","N/A","N/A","N/A","N/A","N/A","416.00","416.00","N/A","N/A","N/A","416.00","416.00","N/A","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00","416.00"
"5","N/A","HCHG HIP UNILAT W/ OR W/O PELVIS MIN 4 VIEWS","73503","N/A","N/A","N/A","N/A","N/A","514.00","514.00","N/A","N/A","N/A","514.00","514.00","N/A","514.00","514.00","514.00","514.00","514.00","514.00","514.00","514.00","514.00","514.00"
"5","N/A","X-RAY EXAM HIP UNI 4/> VIEWS","73503","N/A","N/A","N/A","N/A","N/A","514.00","514.00","N/A","N/A","N/A","514.00","514.00","N/A","514.00","514.00","514.00","514.00","514.00","514.00","514.00","514.00","514.00","514.00"
"5","N/A","HCHG HIPS BILAT W/ OR W/O PELVIS 2 VIEWS","73521","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","X-RAY EXAM HIPS BI 2 VIEWS","73521","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG HIPS BILAT W/ OR W/O PELVIS 3-4 VIEWS","73522","N/A","N/A","N/A","N/A","N/A","743.00","743.00","N/A","N/A","N/A","743.00","743.00","N/A","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00"
"5","N/A","X-RAY EXAM HIPS BI 3-4 VIEWS","73522","N/A","N/A","N/A","N/A","N/A","743.00","743.00","N/A","N/A","N/A","743.00","743.00","N/A","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00"
"5","N/A","HCHG HIPS BILAT W/ OR W/O PELVIS MIN 5 VIEWS","73523","N/A","N/A","N/A","N/A","N/A","1239.00","1239.00","N/A","N/A","N/A","1239.00","1239.00","N/A","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00"
"5","N/A","X-RAY EXAM HIPS BI 5/> VIEWS","73523","N/A","N/A","N/A","N/A","N/A","1239.00","1239.00","N/A","N/A","N/A","1239.00","1239.00","N/A","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00","1239.00"
"5","N/A","CONTRAST X-RAY OF HIP","73525","N/A","N/A","N/A","N/A","N/A","1231.00","1231.00","N/A","N/A","N/A","1231.00","1231.00","N/A","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00"
"5","N/A","HCHG HIP ARTHROGRAM","73525","N/A","N/A","N/A","N/A","N/A","1231.00","1231.00","N/A","N/A","N/A","1231.00","1231.00","N/A","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00"
"5","N/A","HCHG FEMUR 1 VIEW","73551","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","X-RAY EXAM OF FEMUR 1","73551","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","HCHG KNEE (1-2) VIEWS","73560","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG KNEE 2 VIEWS PORT","73560","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG KNEE NOTCH 1-2 VIEWS","73560","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG PATELLA KNEE 1-2 VIEWS","73560","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","X-RAY EXAM OF KNEE 1 OR 2","73560","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG KNEE 3 VIEWS","73562","N/A","N/A","N/A","N/A","N/A","339.00","339.00","N/A","N/A","N/A","339.00","339.00","N/A","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00"
"5","N/A","X-RAY EXAM OF KNEE 3","73562","N/A","N/A","N/A","N/A","N/A","339.00","339.00","N/A","N/A","N/A","339.00","339.00","N/A","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00"
"5","N/A","HCHG KNEE W OBLIQUES 4>VIEWS","73564","N/A","N/A","N/A","N/A","N/A","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","X-RAY EXAM KNEE 4 OR MORE","73564","N/A","N/A","N/A","N/A","N/A","389.00","389.00","N/A","N/A","N/A","389.00","389.00","N/A","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00","389.00"
"5","N/A","HCHG KNEE BILAT STANDING","73565","N/A","N/A","N/A","N/A","N/A","372.00","372.00","N/A","N/A","N/A","372.00","372.00","N/A","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00"
"5","N/A","X-RAY EXAM OF KNEES","73565","N/A","N/A","N/A","N/A","N/A","372.00","372.00","N/A","N/A","N/A","372.00","372.00","N/A","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00","372.00"
"5","N/A","CONTRAST X-RAY OF KNEE JOINT","73580","N/A","N/A","N/A","N/A","N/A","793.00","793.00","N/A","N/A","N/A","793.00","793.00","N/A","793.00","793.00","793.00","793.00","793.00","793.00","793.00","793.00","793.00","793.00"
"5","N/A","HCHG ARTHROGRAM KNEE *","73580","N/A","N/A","N/A","N/A","N/A","793.00","793.00","N/A","N/A","N/A","793.00","793.00","N/A","793.00","793.00","793.00","793.00","793.00","793.00","793.00","793.00","793.00","793.00"
"5","N/A","HCHG TIB/FIB PORT, 2 VIEWS","73590","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","HCHG TIB/FIB, 2 VIEWS","73590","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","HCHG XRAY EXAM OF LOWER LEG; 2 VIEWS - MOD 52","73590","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","X-RAY EXAM OF LOWER LEG","73590","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","HCHG X-RAY EXAM INFANT LOWER EXTREMITY MIN 2 VIEWS","73592","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","X-RAY EXAM OF LEG INFANT","73592","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG ANKLE (2 VIEWS)","73600","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","HCHG ANKLE COMPLETE PORT 2 VIEWS","73600","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","X-RAY EXAM OF ANKLE","73600","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","HCHG ANKLE MIN 3 VIEWS","73610","N/A","N/A","N/A","N/A","N/A","400.00","400.00","N/A","N/A","N/A","400.00","400.00","N/A","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00"
"5","N/A","X-RAY EXAM OF ANKLE","73610","N/A","N/A","N/A","N/A","N/A","400.00","400.00","N/A","N/A","N/A","400.00","400.00","N/A","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00","400.00"
"5","N/A","CONTRAST X-RAY OF ANKLE","73615","N/A","N/A","N/A","N/A","N/A","960.00","960.00","N/A","N/A","N/A","960.00","960.00","N/A","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00"
"5","N/A","HCHG ANKLE ARTHROGRAM","73615","N/A","N/A","N/A","N/A","N/A","960.00","960.00","N/A","N/A","N/A","960.00","960.00","N/A","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00","960.00"
"5","N/A","HCHG FOOT (2 VIEWS)","73620","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","HCHG FOOT PORT, 2 VIEWS","73620","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","HCHG XRAY EXAM OF FOOT; 2 VIEWS - MOD 52","73620","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","X-RAY EXAM OF FOOT","73620","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","HCHG FOOT 3 VIEWS","73630","N/A","N/A","N/A","N/A","N/A","307.00","307.00","N/A","N/A","N/A","307.00","307.00","N/A","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00"
"5","N/A","X-RAY EXAM OF FOOT","73630","N/A","N/A","N/A","N/A","N/A","307.00","307.00","N/A","N/A","N/A","307.00","307.00","N/A","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00","307.00"
"5","N/A","HCHG HEEL BRODENS MIN 2 VIEWS","73650","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","HCHG HEEL MIN 2 VIEWS","73650","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","HCHG HEEL PORT MIN 2 VIEWS","73650","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","X-RAY EXAM OF HEEL","73650","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","HCHG TOES MIN 2 VIEWS","73660","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","X-RAY EXAM OF TOE(S)","73660","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","CT LOWER EXTREMITY W/O DYE","73700","N/A","N/A","N/A","N/A","N/A","2136.00","2136.00","N/A","N/A","N/A","2136.00","2136.00","N/A","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00"
"5","N/A","HCHG CT FOOT W/O CONTRAST","73700","N/A","N/A","N/A","N/A","N/A","2136.00","2136.00","N/A","N/A","N/A","2136.00","2136.00","N/A","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00"
"5","N/A","HCHG CT HEEL W/O CONTRAST","73700","N/A","N/A","N/A","N/A","N/A","2136.00","2136.00","N/A","N/A","N/A","2136.00","2136.00","N/A","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00"
"5","N/A","HCHG CT HIP W/O CONTRAST","73700","N/A","N/A","N/A","N/A","N/A","2136.00","2136.00","N/A","N/A","N/A","2136.00","2136.00","N/A","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00"
"5","N/A","HCHG CT LEG LOW W/O CONTRAST","73700","N/A","N/A","N/A","N/A","N/A","2136.00","2136.00","N/A","N/A","N/A","2136.00","2136.00","N/A","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00"
"5","N/A","HCHG CT LEG UP W/O CONTRAST","73700","N/A","N/A","N/A","N/A","N/A","2136.00","2136.00","N/A","N/A","N/A","2136.00","2136.00","N/A","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00"
"5","N/A","HCHG CT LOW EXTREM W/O CONTRAST","73700","N/A","N/A","N/A","N/A","N/A","2136.00","2136.00","N/A","N/A","N/A","2136.00","2136.00","N/A","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00","2136.00"
"5","N/A","CT LOWER EXTREMITY W/DYE","73701","N/A","N/A","N/A","N/A","N/A","2545.00","2545.00","N/A","N/A","N/A","2545.00","2545.00","N/A","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00"
"5","N/A","HCHG CT HIP W CONTRAST","73701","N/A","N/A","N/A","N/A","N/A","2545.00","2545.00","N/A","N/A","N/A","2545.00","2545.00","N/A","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00"
"5","N/A","HCHG CT LOW EXTREM W CONTR","73701","N/A","N/A","N/A","N/A","N/A","2545.00","2545.00","N/A","N/A","N/A","2545.00","2545.00","N/A","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00","2545.00"
"5","N/A","CT LWR EXTREMITY W/O&W/DYE","73702","N/A","N/A","N/A","N/A","N/A","3150.00","3150.00","N/A","N/A","N/A","3150.00","3150.00","N/A","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00"
"5","N/A","HCHG CT LOW EXTREM W/WO CONTR","73702","N/A","N/A","N/A","N/A","N/A","3150.00","3150.00","N/A","N/A","N/A","3150.00","3150.00","N/A","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00","3150.00"
"5","N/A","CT ANGIO LWR EXTR W/O&W/DYE","73706","N/A","N/A","N/A","N/A","N/A","2983.00","2983.00","N/A","N/A","N/A","2983.00","2983.00","N/A","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00"
"5","N/A","HCHG CTA LOW EXTREM W/WO CONTR","73706","N/A","N/A","N/A","N/A","N/A","2983.00","2983.00","N/A","N/A","N/A","2983.00","2983.00","N/A","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00"
"5","N/A","HCHG MRI LOW EXT NOT JOINT W/O CONT","73718","N/A","N/A","N/A","N/A","N/A","4225.00","4225.00","N/A","N/A","N/A","4225.00","4225.00","N/A","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00"
"5","N/A","HCHG MRI LOW EXTREM LOW WO CONTR","73718","N/A","N/A","N/A","N/A","N/A","4225.00","4225.00","N/A","N/A","N/A","4225.00","4225.00","N/A","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00"
"5","N/A","MRI LOWER EXTREMITY W/O DYE","73718","N/A","N/A","N/A","N/A","N/A","4225.00","4225.00","N/A","N/A","N/A","4225.00","4225.00","N/A","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00","4225.00"
"5","N/A","HCHG MRI EXTREM BONE W/WO CONTR","73720","N/A","N/A","N/A","N/A","N/A","3475.00","3475.00","N/A","N/A","N/A","3475.00","3475.00","N/A","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00"
"5","N/A","MRI LWR EXTREMITY W/O&W/DYE","73720","N/A","N/A","N/A","N/A","N/A","3475.00","3475.00","N/A","N/A","N/A","3475.00","3475.00","N/A","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00","3475.00"
"5","N/A","HCHG MRI KNEE RT/LT W/O CONTRAST","73721","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","HCHG MRI LOW EXTREM HIP WO CONTR","73721","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","HCHG MRI LOW EXTREM JNT W/O CONTR","73721","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","MRI JNT OF LWR EXTRE W/O DYE","73721","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","HCHG MRI JOINT LOWER EXTREM W CONTRAST","73722","N/A","N/A","N/A","N/A","N/A","3477.00","3477.00","N/A","N/A","N/A","3477.00","3477.00","N/A","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00"
"5","N/A","MRI JOINT OF LWR EXTR W/DYE","73722","N/A","N/A","N/A","N/A","N/A","3477.00","3477.00","N/A","N/A","N/A","3477.00","3477.00","N/A","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00","3477.00"
"5","N/A","HCHG MRI LOW EXTREM JNT W/WO CONTR","73723","N/A","N/A","N/A","N/A","N/A","3721.00","3721.00","N/A","N/A","N/A","3721.00","3721.00","N/A","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00"
"5","N/A","MRI JOINT LWR EXTR W/O&W/DYE","73723","N/A","N/A","N/A","N/A","N/A","3721.00","3721.00","N/A","N/A","N/A","3721.00","3721.00","N/A","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00","3721.00"
"5","N/A","HCHG MRA LOW EXTREM W CONTR","73725","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","HCHG MRA LOW EXTREM WO CONTR","73725","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","HCHG MRA LOW EXTREM WO FOL W CONTR","73725","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","MR ANG LWR EXT W OR W/O DYE","73725","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","HCHG ABDOMEN 2 VIEWS","74019","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","HCHG ABDOMEN 2 VIEWS PORT","74019","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","X-RAY EXAM ABDOMEN 2 VIEWS","74019","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","HCHG ABDOMEN 3 VIEWS OR MORE","74021","N/A","N/A","N/A","N/A","N/A","479.00","479.00","N/A","N/A","N/A","479.00","479.00","N/A","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00"
"5","N/A","X-RAY EXAM ABDOMEN 3+ VIEWS","74021","N/A","N/A","N/A","N/A","N/A","479.00","479.00","N/A","N/A","N/A","479.00","479.00","N/A","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00","479.00"
"5","N/A","HCHG X-RAY COMPL ABD SERIES W/S/E/D VIEWS 1 VIEW CHEST","74022","N/A","N/A","N/A","N/A","N/A","875.00","875.00","N/A","N/A","N/A","875.00","875.00","N/A","875.00","875.00","875.00","875.00","875.00","875.00","875.00","875.00","875.00","875.00"
"5","N/A","X-RAY EXAM COMPLETE ABDOMEN","74022","N/A","N/A","N/A","N/A","N/A","875.00","875.00","N/A","N/A","N/A","875.00","875.00","N/A","875.00","875.00","875.00","875.00","875.00","875.00","875.00","875.00","875.00","875.00"
"5","N/A","CT ABDOMEN W/O DYE","74150","N/A","N/A","N/A","N/A","N/A","2380.00","2380.00","N/A","N/A","N/A","2380.00","2380.00","N/A","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00"
"5","N/A","HCHG CT ABD W/O CONTR","74150","N/A","N/A","N/A","N/A","N/A","2380.00","2380.00","N/A","N/A","N/A","2380.00","2380.00","N/A","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00","2380.00"
"5","N/A","CT ABDOMEN W/DYE","74160","N/A","N/A","N/A","N/A","N/A","2884.00","2884.00","N/A","N/A","N/A","2884.00","2884.00","N/A","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00"
"5","N/A","HCHG CT ABD EXT W CONTR","74160","N/A","N/A","N/A","N/A","N/A","2884.00","2884.00","N/A","N/A","N/A","2884.00","2884.00","N/A","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00","2884.00"
"5","N/A","CT ABDOMEN W/O & W/DYE","74170","N/A","N/A","N/A","N/A","N/A","2905.00","2905.00","N/A","N/A","N/A","2905.00","2905.00","N/A","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00"
"5","N/A","HCHG CT ABD W/WO CONTR","74170","N/A","N/A","N/A","N/A","N/A","2905.00","2905.00","N/A","N/A","N/A","2905.00","2905.00","N/A","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00"
"5","N/A","CT ANGIO ABD&PELV W/O&W/DYE","74174","N/A","N/A","N/A","N/A","N/A","5576.00","5576.00","N/A","N/A","N/A","5576.00","5576.00","N/A","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00"
"5","N/A","HCHG CTA ABD&PELVIS, W/CONT, INCL NON CONTR IMG IF PERF IMG PROCESS","74174","N/A","N/A","N/A","N/A","N/A","5576.00","5576.00","N/A","N/A","N/A","5576.00","5576.00","N/A","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00"
"5","N/A","HCHG CTA GI BLEED, W/CONT, INCL NON CONTR IMG IF PERF IMG PROCESS","74174","N/A","N/A","N/A","N/A","N/A","5576.00","5576.00","N/A","N/A","N/A","5576.00","5576.00","N/A","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00","5576.00"
"5","N/A","CT ANGIO ABDOM W/O & W/DYE","74175","N/A","N/A","N/A","N/A","N/A","3243.00","3243.00","N/A","N/A","N/A","3243.00","3243.00","N/A","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00"
"5","N/A","HCHG CTA ABD W/WO CONTR","74175","N/A","N/A","N/A","N/A","N/A","3243.00","3243.00","N/A","N/A","N/A","3243.00","3243.00","N/A","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00","3243.00"
"5","N/A","CT ABD & PELVIS W/O CONTRAST","74176","N/A","N/A","N/A","N/A","N/A","3778.00","3778.00","N/A","N/A","N/A","3778.00","3778.00","N/A","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00"
"5","N/A","HCHG CT, ABDOMEN & PELVIS, WO CONTRAST MATERIAL","74176","N/A","N/A","N/A","N/A","N/A","3778.00","3778.00","N/A","N/A","N/A","3778.00","3778.00","N/A","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00","3778.00"
"5","N/A","CT ABD & PELV W/CONTRAST","74177","N/A","N/A","N/A","N/A","N/A","3739.00","3739.00","N/A","N/A","N/A","3739.00","3739.00","N/A","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00"
"5","N/A","HCHG CT, ABDOMEN & PELVIS, W CONTRAST MATERIAL","74177","N/A","N/A","N/A","N/A","N/A","3739.00","3739.00","N/A","N/A","N/A","3739.00","3739.00","N/A","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00","3739.00"
"5","N/A","CT ABD & PELV 1/> REGNS","74178","N/A","N/A","N/A","N/A","N/A","5444.00","5444.00","N/A","N/A","N/A","5444.00","5444.00","N/A","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00"
"5","N/A","HCHG CT, ABDOMEN & PELVIS, WO FOLLOWED BY W CONTRAST MATERIAL","74178","N/A","N/A","N/A","N/A","N/A","5444.00","5444.00","N/A","N/A","N/A","5444.00","5444.00","N/A","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00","5444.00"
"5","N/A","HCHG ABDOMEN MRI WO CONTR","74181","N/A","N/A","N/A","N/A","N/A","3332.00","3332.00","N/A","N/A","N/A","3332.00","3332.00","N/A","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00"
"5","N/A","MRI ABDOMEN W/O DYE","74181","N/A","N/A","N/A","N/A","N/A","3332.00","3332.00","N/A","N/A","N/A","3332.00","3332.00","N/A","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00","3332.00"
"5","N/A","HCHG ABDOMEN MRI W CONTR","74182","N/A","N/A","N/A","N/A","N/A","3565.00","3565.00","N/A","N/A","N/A","3565.00","3565.00","N/A","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00"
"5","N/A","MRI ABDOMEN W/DYE","74182","N/A","N/A","N/A","N/A","N/A","3565.00","3565.00","N/A","N/A","N/A","3565.00","3565.00","N/A","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00","3565.00"
"5","N/A","HCHG ABDOMEN MRI W/WO CONTR","74183","N/A","N/A","N/A","N/A","N/A","3815.00","3815.00","N/A","N/A","N/A","3815.00","3815.00","N/A","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00"
"5","N/A","MRI ABDOMEN W/O & W/DYE","74183","N/A","N/A","N/A","N/A","N/A","3815.00","3815.00","N/A","N/A","N/A","3815.00","3815.00","N/A","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00","3815.00"
"5","N/A","HCHG MRA ABDOMEN W/ CONTR","74185","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG MRA ABDOMEN WO CONTR","74185","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG MRA ABDOMEN WO FOL W CONTR","74185","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","MRI ANGIO ABDOM W ORW/O DYE","74185","N/A","N/A","N/A","N/A","N/A","3507.00","3507.00","N/A","N/A","N/A","3507.00","3507.00","N/A","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00","3507.00"
"5","N/A","HCHG PERITONEOGRAM","74190","N/A","N/A","N/A","N/A","N/A","1667.00","1667.00","N/A","N/A","N/A","1667.00","1667.00","N/A","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00"
"5","N/A","X-RAY EXAM OF PERITONEUM","74190","N/A","N/A","N/A","N/A","N/A","1667.00","1667.00","N/A","N/A","N/A","1667.00","1667.00","N/A","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00","1667.00"
"5","N/A","HCHG ESOPHAGRAM","74220","N/A","N/A","N/A","N/A","N/A","700.00","700.00","N/A","N/A","N/A","700.00","700.00","N/A","700.00","700.00","700.00","700.00","700.00","700.00","700.00","700.00","700.00","700.00"
"5","N/A","X-RAY XM ESOPHAGUS 1CNTRST","74220","N/A","N/A","N/A","N/A","N/A","700.00","700.00","N/A","N/A","N/A","700.00","700.00","N/A","700.00","700.00","700.00","700.00","700.00","700.00","700.00","700.00","700.00","700.00"
"5","N/A","HCHG ESOPHAGRAM DOUBLE CONTRAST","74221","N/A","N/A","N/A","N/A","N/A","816.00","816.00","N/A","N/A","N/A","816.00","816.00","N/A","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00"
"5","N/A","X-RAY XM ESOPHAGUS 2CNTRST","74221","N/A","N/A","N/A","N/A","N/A","816.00","816.00","N/A","N/A","N/A","816.00","816.00","N/A","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00","816.00"
"5","N/A","HCHG ESPHOGRAM VIDEO","74230","N/A","N/A","N/A","N/A","N/A","618.00","618.00","N/A","N/A","N/A","618.00","618.00","N/A","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00"
"5","N/A","HCHG VIDEO STUDY","74230","N/A","N/A","N/A","N/A","N/A","618.00","618.00","N/A","N/A","N/A","618.00","618.00","N/A","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00"
"5","N/A","X-RAY XM SWLNG FUNCJ C+","74230","N/A","N/A","N/A","N/A","N/A","618.00","618.00","N/A","N/A","N/A","618.00","618.00","N/A","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00","618.00"
"5","N/A","HCHG UGI TRACT SINGLE CONTRAST","74240","N/A","N/A","N/A","N/A","N/A","580.00","580.00","N/A","N/A","N/A","580.00","580.00","N/A","580.00","580.00","580.00","580.00","580.00","580.00","580.00","580.00","580.00","580.00"
"5","N/A","X-RAY XM UPR GI TRC 1CNTRST","74240","N/A","N/A","N/A","N/A","N/A","580.00","580.00","N/A","N/A","N/A","580.00","580.00","N/A","580.00","580.00","580.00","580.00","580.00","580.00","580.00","580.00","580.00","580.00"
"5","N/A","HCHG UGI TRACT DOUBLE CONTRAST","74246","N/A","N/A","N/A","N/A","N/A","1488.00","1488.00","N/A","N/A","N/A","1488.00","1488.00","N/A","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00"
"5","N/A","X-RAY XM UPR GI TRC 2CNTRST","74246","N/A","N/A","N/A","N/A","N/A","1488.00","1488.00","N/A","N/A","N/A","1488.00","1488.00","N/A","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00"
"5","N/A","HCHG SM INT FOLLOW-THRU","74248","N/A","N/A","N/A","N/A","N/A","116.00","116.00","N/A","N/A","N/A","116.00","116.00","N/A","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00"
"5","N/A","X-RAY SM INT F-THRU STD","74248","N/A","N/A","N/A","N/A","N/A","116.00","116.00","N/A","N/A","N/A","116.00","116.00","N/A","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00"
"5","N/A","HCHG SMALL BOWEL SERIES","74250","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","HCHG SMALL BOWEL SERIES PORT","74250","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","HCHG SMALL BOWEL/GASTRO","74250","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","X-RAY XM SM INT 1CNTRST STD","74250","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","HCHG SM BOWEL INTUBATION","74251","N/A","N/A","N/A","N/A","N/A","1635.00","1635.00","N/A","N/A","N/A","1635.00","1635.00","N/A","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00"
"5","N/A","X-RAY XM SM INT 2CNTRST STD","74251","N/A","N/A","N/A","N/A","N/A","1635.00","1635.00","N/A","N/A","N/A","1635.00","1635.00","N/A","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00","1635.00"
"5","N/A","HCHG BARIUM ENEMA","74270","N/A","N/A","N/A","N/A","N/A","1171.00","1171.00","N/A","N/A","N/A","1171.00","1171.00","N/A","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00"
"5","N/A","HCHG BARIUM ENEMA SINGLE CONTRAST","74270","N/A","N/A","N/A","N/A","N/A","1171.00","1171.00","N/A","N/A","N/A","1171.00","1171.00","N/A","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00"
"5","N/A","HCHG BARIUM ENEMA/DISTAL COLOSTOMY","74270","N/A","N/A","N/A","N/A","N/A","1171.00","1171.00","N/A","N/A","N/A","1171.00","1171.00","N/A","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00"
"5","N/A","HCHG BARIUM ENEMA/PROXIMAL COLOSTOM","74270","N/A","N/A","N/A","N/A","N/A","1171.00","1171.00","N/A","N/A","N/A","1171.00","1171.00","N/A","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00"
"5","N/A","X-RAY XM COLON 1CNTRST STD","74270","N/A","N/A","N/A","N/A","N/A","1171.00","1171.00","N/A","N/A","N/A","1171.00","1171.00","N/A","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00","1171.00"
"5","N/A","HCHG BARIUM ENEMA DOUBLE CONTRAST","74280","N/A","N/A","N/A","N/A","N/A","1387.00","1387.00","N/A","N/A","N/A","1387.00","1387.00","N/A","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00"
"5","N/A","X-RAY XM COLON 2CNTRST STD","74280","N/A","N/A","N/A","N/A","N/A","1387.00","1387.00","N/A","N/A","N/A","1387.00","1387.00","N/A","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00","1387.00"
"5","N/A","CONTRAST X-RAY GALLBLADDER","74290","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG CHOLECYSTOGRAM","74290","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG OP INTRAOP CHOLANGIO PORT","74300","N/A","N/A","N/A","N/A","N/A","1063.00","1063.00","N/A","N/A","N/A","1063.00","1063.00","N/A","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00"
"5","N/A","X-RAY BILE DUCTS/PANCREAS","74300","N/A","N/A","N/A","N/A","N/A","1063.00","1063.00","N/A","N/A","N/A","1063.00","1063.00","N/A","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00","1063.00"
"5","N/A","HCHG ADDL FILMS IN SURG CHOLE","74301","N/A","N/A","N/A","N/A","N/A","676.00","676.00","N/A","N/A","N/A","676.00","676.00","N/A","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00"
"5","N/A","X-RAYS AT SURGERY ADD-ON","74301","N/A","N/A","N/A","N/A","N/A","676.00","676.00","N/A","N/A","N/A","676.00","676.00","N/A","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00"
"5","N/A","HCHG ENDO CATH BILIARY DUCTS RAD S&I","74328","N/A","N/A","N/A","N/A","N/A","576.00","576.00","N/A","N/A","N/A","576.00","576.00","N/A","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00"
"5","N/A","X-RAY BILE DUCT ENDOSCOPY","74328","N/A","N/A","N/A","N/A","N/A","576.00","576.00","N/A","N/A","N/A","576.00","576.00","N/A","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00"
"5","N/A","HCHG ENDO CATH PANCREATIC DUCT RAD S&I","74329","N/A","N/A","N/A","N/A","N/A","550.00","550.00","N/A","N/A","N/A","550.00","550.00","N/A","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00"
"5","N/A","X-RAY FOR PANCREAS ENDOSCOPY","74329","N/A","N/A","N/A","N/A","N/A","550.00","550.00","N/A","N/A","N/A","550.00","550.00","N/A","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00"
"5","N/A","HCHG ENDO CATH BILIARY/PANCREATIC DUCTS RAD S&I","74330","N/A","N/A","N/A","N/A","N/A","576.00","576.00","N/A","N/A","N/A","576.00","576.00","N/A","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00"
"5","N/A","X-RAY BILE/PANC ENDOSCOPY","74330","N/A","N/A","N/A","N/A","N/A","576.00","576.00","N/A","N/A","N/A","576.00","576.00","N/A","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00","576.00"
"5","N/A","HCHG FEEDING TUBE INSERT","74340","N/A","N/A","N/A","N/A","N/A","677.00","677.00","N/A","N/A","N/A","677.00","677.00","N/A","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00"
"5","N/A","HCHG TUBE INSERT","74340","N/A","N/A","N/A","N/A","N/A","677.00","677.00","N/A","N/A","N/A","677.00","677.00","N/A","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00"
"5","N/A","X-RAY GUIDE FOR GI TUBE","74340","N/A","N/A","N/A","N/A","N/A","677.00","677.00","N/A","N/A","N/A","677.00","677.00","N/A","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00","677.00"
"5","N/A","HCHG PERC PLACE OF ENTEROCLYSIS TUB","74355","N/A","N/A","N/A","N/A","N/A","1538.00","1538.00","N/A","N/A","N/A","1538.00","1538.00","N/A","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00"
"5","N/A","X-RAY GUIDE INTESTINAL TUBE","74355","N/A","N/A","N/A","N/A","N/A","1538.00","1538.00","N/A","N/A","N/A","1538.00","1538.00","N/A","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00","1538.00"
"5","N/A","HCHG INTRALUMINAL DILATION","74360","N/A","N/A","N/A","N/A","N/A","3609.00","3609.00","N/A","N/A","N/A","3609.00","3609.00","N/A","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00"
"5","N/A","X-RAY GUIDE GI DILATION","74360","N/A","N/A","N/A","N/A","N/A","3609.00","3609.00","N/A","N/A","N/A","3609.00","3609.00","N/A","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00","3609.00"
"5","N/A","HCHG DILATATION OF BILIARY DUCTS","74363","N/A","N/A","N/A","N/A","N/A","1841.00","1841.00","N/A","N/A","N/A","1841.00","1841.00","N/A","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00"
"5","N/A","X-RAY BILE DUCT DILATION","74363","N/A","N/A","N/A","N/A","N/A","1841.00","1841.00","N/A","N/A","N/A","1841.00","1841.00","N/A","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00"
"5","N/A","CONTRST X-RAY URINARY TRACT","74400","N/A","N/A","N/A","N/A","N/A","1227.00","1227.00","N/A","N/A","N/A","1227.00","1227.00","N/A","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00"
"5","N/A","HCHG UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY","74400","N/A","N/A","N/A","N/A","N/A","1227.00","1227.00","N/A","N/A","N/A","1227.00","1227.00","N/A","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00","1227.00"
"5","N/A","CONTRST X-RAY URINARY TRACT","74410","N/A","N/A","N/A","N/A","N/A","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","HCHG IVP EX UROGRAM","74410","N/A","N/A","N/A","N/A","N/A","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","HCHG IVP EX UROGRAM PORT","74410","N/A","N/A","N/A","N/A","N/A","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","HCHG IVP HYPERTENSIVE","74410","N/A","N/A","N/A","N/A","N/A","1242.00","1242.00","N/A","N/A","N/A","1242.00","1242.00","N/A","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00","1242.00"
"5","N/A","CONTRST X-RAY URINARY TRACT","74415","N/A","N/A","N/A","N/A","N/A","1333.00","1333.00","N/A","N/A","N/A","1333.00","1333.00","N/A","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00"
"5","N/A","HCHG IVP W TOMO","74415","N/A","N/A","N/A","N/A","N/A","1333.00","1333.00","N/A","N/A","N/A","1333.00","1333.00","N/A","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00","1333.00"
"5","N/A","CONTRST X-RAY URINARY TRACT","74420","N/A","N/A","N/A","N/A","N/A","1099.00","1099.00","N/A","N/A","N/A","1099.00","1099.00","N/A","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00"
"5","N/A","HCHG RETRO PYELOGRAM","74420","N/A","N/A","N/A","N/A","N/A","1099.00","1099.00","N/A","N/A","N/A","1099.00","1099.00","N/A","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00"
"5","N/A","HCHG RETRO PYELOGRAM PORT","74420","N/A","N/A","N/A","N/A","N/A","1099.00","1099.00","N/A","N/A","N/A","1099.00","1099.00","N/A","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00"
"5","N/A","HCHG RETROGRADE PYELOGRAM","74420","N/A","N/A","N/A","N/A","N/A","1099.00","1099.00","N/A","N/A","N/A","1099.00","1099.00","N/A","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00"
"5","N/A","HCHG RETROGRADE URETHROGRAM","74420","N/A","N/A","N/A","N/A","N/A","1099.00","1099.00","N/A","N/A","N/A","1099.00","1099.00","N/A","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00","1099.00"
"5","N/A","CONTRST X-RAY URINARY TRACT","74425","N/A","N/A","N/A","N/A","N/A","1275.00","1275.00","N/A","N/A","N/A","1275.00","1275.00","N/A","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00"
"5","N/A","HCHG LOOPOGRAM *","74425","N/A","N/A","N/A","N/A","N/A","1275.00","1275.00","N/A","N/A","N/A","1275.00","1275.00","N/A","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00"
"5","N/A","HCHG NEPHROSTOGRAM *","74425","N/A","N/A","N/A","N/A","N/A","1275.00","1275.00","N/A","N/A","N/A","1275.00","1275.00","N/A","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00"
"5","N/A","CONTRAST X-RAY BLADDER","74430","N/A","N/A","N/A","N/A","N/A","852.00","852.00","N/A","N/A","N/A","852.00","852.00","N/A","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00"
"5","N/A","HCHG CYSTOGRAPHY PORT MIN 3 VWS","74430","N/A","N/A","N/A","N/A","N/A","852.00","852.00","N/A","N/A","N/A","852.00","852.00","N/A","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00"
"5","N/A","HCHG CYSTOGRAPHY MIN 3 VWS","74430","N/A","N/A","N/A","N/A","N/A","852.00","852.00","N/A","N/A","N/A","852.00","852.00","N/A","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00"
"5","N/A","HCHG VASOGRAM SURG *","74440","N/A","N/A","N/A","N/A","N/A","763.00","763.00","N/A","N/A","N/A","763.00","763.00","N/A","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00"
"5","N/A","X-RAY MALE GENITAL TRACT","74440","N/A","N/A","N/A","N/A","N/A","763.00","763.00","N/A","N/A","N/A","763.00","763.00","N/A","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00"
"5","N/A","HCHG CORPORA CAVERNOSAGRAM","74445","N/A","N/A","N/A","N/A","N/A","2658.00","2658.00","N/A","N/A","N/A","2658.00","2658.00","N/A","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00"
"5","N/A","X-RAY EXAM OF PENIS","74445","N/A","N/A","N/A","N/A","N/A","2658.00","2658.00","N/A","N/A","N/A","2658.00","2658.00","N/A","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00","2658.00"
"5","N/A","HCHG URETHROCYSTOGRAM *","74450","N/A","N/A","N/A","N/A","N/A","1500.00","1500.00","N/A","N/A","N/A","1500.00","1500.00","N/A","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00"
"5","N/A","X-RAY URETHRA/BLADDER","74450","N/A","N/A","N/A","N/A","N/A","1500.00","1500.00","N/A","N/A","N/A","1500.00","1500.00","N/A","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00","1500.00"
"5","N/A","HCHG VOID CYSTO *","74455","N/A","N/A","N/A","N/A","N/A","1066.00","1066.00","N/A","N/A","N/A","1066.00","1066.00","N/A","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00"
"5","N/A","X-RAY URETHRA/BLADDER","74455","N/A","N/A","N/A","N/A","N/A","1066.00","1066.00","N/A","N/A","N/A","1066.00","1066.00","N/A","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00","1066.00"
"5","N/A","DILATION URTR/URT RS&I","74485","N/A","N/A","N/A","N/A","N/A","4016.00","4016.00","N/A","N/A","N/A","4016.00","4016.00","N/A","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00"
"5","N/A","HCHG DILATION OF NEPHRO UTER URETHR","74485","N/A","N/A","N/A","N/A","N/A","4016.00","4016.00","N/A","N/A","N/A","4016.00","4016.00","N/A","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00","4016.00"
"5","N/A","HCHG PELVIMETRY","74710","N/A","N/A","N/A","N/A","N/A","676.00","676.00","N/A","N/A","N/A","676.00","676.00","N/A","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00"
"5","N/A","X-RAY MEASUREMENT OF PELVIS","74710","N/A","N/A","N/A","N/A","N/A","676.00","676.00","N/A","N/A","N/A","676.00","676.00","N/A","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00","676.00"
"5","N/A","HCHG HYSTEROSALPINGOGRAM *","74740","N/A","N/A","N/A","N/A","N/A","1353.00","1353.00","N/A","N/A","N/A","1353.00","1353.00","N/A","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00"
"5","N/A","X-RAY FEMALE GENITAL TRACT","74740","N/A","N/A","N/A","N/A","N/A","1353.00","1353.00","N/A","N/A","N/A","1353.00","1353.00","N/A","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00"
"5","N/A","HCHG FALLOPIAN CATH","74742","N/A","N/A","N/A","N/A","N/A","1841.00","1841.00","N/A","N/A","N/A","1841.00","1841.00","N/A","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00"
"5","N/A","X-RAY FALLOPIAN TUBE","74742","N/A","N/A","N/A","N/A","N/A","1841.00","1841.00","N/A","N/A","N/A","1841.00","1841.00","N/A","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00","1841.00"
"5","N/A","CARDIAC MRI FOR MORPH","75557","N/A","N/A","N/A","N/A","N/A","2840.00","2840.00","N/A","N/A","N/A","2840.00","2840.00","N/A","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00"
"5","N/A","HCHG CARDIAC MRI FOR MORPH W/O CONT","75557","N/A","N/A","N/A","N/A","N/A","2840.00","2840.00","N/A","N/A","N/A","2840.00","2840.00","N/A","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00","2840.00"
"5","N/A","CARDIAC MRI W/STRESS IMG","75559","N/A","N/A","N/A","N/A","N/A","1827.00","1827.00","N/A","N/A","N/A","1827.00","1827.00","N/A","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00"
"5","N/A","HCHG CARDIAC MRI W/STRESS IMG","75559","N/A","N/A","N/A","N/A","N/A","1827.00","1827.00","N/A","N/A","N/A","1827.00","1827.00","N/A","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00","1827.00"
"5","N/A","CARDIAC MRI FOR MORPH W/DYE","75561","N/A","N/A","N/A","N/A","N/A","3532.00","3532.00","N/A","N/A","N/A","3532.00","3532.00","N/A","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00"
"5","N/A","HCHG CARDIAC MRI FOR MORPH W/DYE","75561","N/A","N/A","N/A","N/A","N/A","3532.00","3532.00","N/A","N/A","N/A","3532.00","3532.00","N/A","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00","3532.00"
"5","N/A","CARD MRI W/STRESS IMG & DYE","75563","N/A","N/A","N/A","N/A","N/A","1978.00","1978.00","N/A","N/A","N/A","1978.00","1978.00","N/A","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00"
"5","N/A","HCHG CARD MRI W/STRESS IMG & DYE","75563","N/A","N/A","N/A","N/A","N/A","1978.00","1978.00","N/A","N/A","N/A","1978.00","1978.00","N/A","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00","1978.00"
"5","N/A","CONTRAST EXAM THORACIC AORTA","75600","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG AORTOGRAM THORACIC WO SERIALOGRAPHY","75600","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","CONTRAST EXAM THORACIC AORTA","75605","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","HCHG AORTOGRAM THORACIC","75605","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","CONTRAST EXAM ABDOMINL AORTA","75625","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG AORTOGRAM ABDOMINAL","75625","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG AA W BILAT RUN OFF","75630","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG AORTOGRAM ABD W UNILAT FEM RUN","75630","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","X-RAY AORTA LEG ARTERIES","75630","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","CT ANGIO ABDOMINAL ARTERIES","75635","N/A","N/A","N/A","N/A","N/A","2983.00","2983.00","N/A","N/A","N/A","2983.00","2983.00","N/A","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00"
"5","N/A","HCHG CTA AORTA ILIOFEM","75635","N/A","N/A","N/A","N/A","N/A","2983.00","2983.00","N/A","N/A","N/A","2983.00","2983.00","N/A","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00","2983.00"
"5","N/A","ARTERY X-RAYS SPINE","75705","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","HCHG ARTERIOGRAM SPINAL SELECTIVE","75705","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","ARTERY X-RAYS ARM/LEG","75710","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ANGIO EXT UNILAT","75710","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ARTERIOGRAM LOW EXT UNILAT","75710","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ARTERIOGRAM UPP EXT UNILAT","75710","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG SUBCLAVIAN ARTERIAL UNILAT","75710","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","ARTERY X-RAYS ARMS/LEGS","75716","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ANGIO EXT BILAT","75716","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ANGIO EXT SUBCLAVIAN ART BILAT","75716","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ARTERIOGRAM LOW EXT BILAT","75716","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ARTERIOGRAM UPP EXT BILAT","75716","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","ARTERY X-RAYS ABDOMEN","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG ANGIO BRONCHIAL ARTERY","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG ANGIO CELIAC","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG ARTERIOGRAM HEPATIC","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG ARTERY MESENTERIC INFERIOR","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG ARTERY MESENTERIC SUPERIOR","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG ARTERY SPLENIC","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG VISCERAL W OR WO FLUSH","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG Y90 MAPPING PANEL","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","HCHG Y90 TREATMENT PANEL","75726","N/A","N/A","N/A","N/A","N/A","7509.00","7509.00","N/A","N/A","N/A","7509.00","7509.00","N/A","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00","7509.00"
"5","N/A","ARTERY X-RAYS ADRENAL GLAND","75731","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ADRENAL ARTERY UNILAT","75731","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","ARTERY X-RAYS ADRENALS","75733","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ADRENAL ARTERY BILAT","75733","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","ARTERY X-RAYS PELVIS","75736","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","HCHG ANGIO PELVIC","75736","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","ARTERY X-RAYS LUNG","75741","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ANGIO PULM UNILAT","75741","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG PULM ANGIO UNILAT","75741","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","ARTERY X-RAYS LUNGS","75743","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ANGIO PULM BILAT","75743","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","ARTERY X-RAYS CHEST","75756","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG ANGIO-INT MAMMARY","75756","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","ARTERY X-RAY EACH VESSEL","75774","N/A","N/A","N/A","N/A","N/A","1272.00","1272.00","N/A","N/A","N/A","1272.00","1272.00","N/A","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00"
"5","N/A","HCHG ANGIO SELECTIVE EA ADDL VESSEL","75774","N/A","N/A","N/A","N/A","N/A","1272.00","1272.00","N/A","N/A","N/A","1272.00","1272.00","N/A","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00","1272.00"
"5","N/A","HCHG LYMPHANGIOGRAM PELVIC/ABD S&I UNI","75805","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","LYMPH VESSEL X-RAY TRUNK","75805","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","HCHG LYMPHANGIOGRAM PELVIC/ABD S&I BIL","75807","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","LYMPH VESSEL X-RAY TRUNK","75807","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG SPLENOPORTOGRAPHY","75810","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY SPLEEN/LIVER","75810","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG S & I: VENOGRAPHY EXTREM, UNILATERAL","75820","N/A","N/A","N/A","N/A","N/A","1758.00","1758.00","N/A","N/A","N/A","1758.00","1758.00","N/A","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00"
"5","N/A","HCHG VENOGRAM EXTREM LOW UNILAT","75820","N/A","N/A","N/A","N/A","N/A","1758.00","1758.00","N/A","N/A","N/A","1758.00","1758.00","N/A","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00"
"5","N/A","HCHG VENOGRAM EXTREM UNI","75820","N/A","N/A","N/A","N/A","N/A","1758.00","1758.00","N/A","N/A","N/A","1758.00","1758.00","N/A","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00"
"5","N/A","HCHG VENOGRAM EXTREM UPP UNILAT","75820","N/A","N/A","N/A","N/A","N/A","1758.00","1758.00","N/A","N/A","N/A","1758.00","1758.00","N/A","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00"
"5","N/A","VEIN X-RAY ARM/LEG","75820","N/A","N/A","N/A","N/A","N/A","1758.00","1758.00","N/A","N/A","N/A","1758.00","1758.00","N/A","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00","1758.00"
"5","N/A","HCHG BILAT VENOGRAM EXT *","75822","N/A","N/A","N/A","N/A","N/A","1448.00","1448.00","N/A","N/A","N/A","1448.00","1448.00","N/A","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00"
"5","N/A","HCHG VENOGRAM EXTREM LOW BILAT","75822","N/A","N/A","N/A","N/A","N/A","1448.00","1448.00","N/A","N/A","N/A","1448.00","1448.00","N/A","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00"
"5","N/A","HCHG VENOGRAM EXTREM UPP BILAT","75822","N/A","N/A","N/A","N/A","N/A","1448.00","1448.00","N/A","N/A","N/A","1448.00","1448.00","N/A","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00"
"5","N/A","VEIN X-RAY ARMS/LEGS","75822","N/A","N/A","N/A","N/A","N/A","1448.00","1448.00","N/A","N/A","N/A","1448.00","1448.00","N/A","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00"
"5","N/A","HCHG INF VENACAVAGRAM","75825","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY TRUNK","75825","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG S & I: SVC ANGIO","75827","N/A","N/A","N/A","N/A","N/A","1851.00","1851.00","N/A","N/A","N/A","1851.00","1851.00","N/A","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00"
"5","N/A","HCHG SUP VENACAVAGRAM","75827","N/A","N/A","N/A","N/A","N/A","1851.00","1851.00","N/A","N/A","N/A","1851.00","1851.00","N/A","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00"
"5","N/A","VEIN X-RAY CHEST","75827","N/A","N/A","N/A","N/A","N/A","1851.00","1851.00","N/A","N/A","N/A","1851.00","1851.00","N/A","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00","1851.00"
"5","N/A","HCHG VENOGRAM RENAL UNILAT","75831","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY KIDNEY","75831","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG VEIN RENAL WO IVC GRAM","75833","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG VENOGRAM RENAL BILAT","75833","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY KIDNEYS","75833","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG VENOGRAM ADRENAL UNILAT","75840","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY ADRENAL GLAND","75840","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG VEIN ADRENAL WO IVC GRAM","75842","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","HCHG VENOGRAM ADRENAL BILAT","75842","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","VEIN X-RAY ADRENAL GLANDS","75842","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","HCHG VENOGRAM INFERIOR SAG/SINUS","75860","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY NECK","75860","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG VENOGRAM SUP SAG/SINUS","75870","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","VEIN X-RAY SKULL","75870","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","HCHG VENOGRAM ORBITAL","75880","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY EYE SOCKET","75880","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG PERC TRANSHEP PORTAL VENOGRAM W/PRES","75885","N/A","N/A","N/A","N/A","N/A","6423.00","6423.00","N/A","N/A","N/A","6423.00","6423.00","N/A","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00"
"5","N/A","VEIN X-RAY LIVER W/HEMODYNAM","75885","N/A","N/A","N/A","N/A","N/A","6423.00","6423.00","N/A","N/A","N/A","6423.00","6423.00","N/A","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00"
"5","N/A","HCHG PERC TRANSHEP PORTOGRAPHY WO HDM EVAL, RADIOLOGICAL SUPERVISION AND INTERPRETATION","75887","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","VEIN X-RAY LIVER W/O HEMODYN","75887","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","HCHG VENOGRAM HEPATIC","75889","N/A","N/A","N/A","N/A","N/A","6423.00","6423.00","N/A","N/A","N/A","6423.00","6423.00","N/A","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00"
"5","N/A","VEIN X-RAY LIVER W/HEMODYNAM","75889","N/A","N/A","N/A","N/A","N/A","6423.00","6423.00","N/A","N/A","N/A","6423.00","6423.00","N/A","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00","6423.00"
"5","N/A","HCHG HEPTC VENI WED/FREE WO PRESS","75891","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","VEIN X-RAY LIVER","75891","N/A","N/A","N/A","N/A","N/A","4356.00","4356.00","N/A","N/A","N/A","4356.00","4356.00","N/A","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00","4356.00"
"5","N/A","HCHG VENOUS SAMPLING VIA CATH","75893","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","VENOUS SAMPLING BY CATHETER","75893","N/A","N/A","N/A","N/A","N/A","6395.00","6395.00","N/A","N/A","N/A","6395.00","6395.00","N/A","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00","6395.00"
"5","N/A","HCHG EMBOLIZATION NEURO","75894","N/A","N/A","N/A","N/A","N/A","4008.00","4008.00","N/A","N/A","N/A","4008.00","4008.00","N/A","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00"
"5","N/A","HCHG PDA OCCLUSION/CLOSURE-RADIOLOGIC S&I","75894","N/A","N/A","N/A","N/A","N/A","4008.00","4008.00","N/A","N/A","N/A","4008.00","4008.00","N/A","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00"
"5","N/A","X-RAYS TRANSCATH THERAPY","75894","N/A","N/A","N/A","N/A","N/A","4008.00","4008.00","N/A","N/A","N/A","4008.00","4008.00","N/A","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00","4008.00"
"5","N/A","FOLLOW-UP ANGIOGRAPHY","75898","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","HCHG ANGIO THRU/VIA INDWELLING CATH","75898","N/A","N/A","N/A","N/A","N/A","3577.00","3577.00","N/A","N/A","N/A","3577.00","3577.00","N/A","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00","3577.00"
"5","N/A","HCHG MECH REMOVE PERICATH MATERIAL","75901","N/A","N/A","N/A","N/A","N/A","413.00","413.00","N/A","N/A","N/A","413.00","413.00","N/A","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00"
"5","N/A","REMOVE CVA DEVICE OBSTRUCT","75901","N/A","N/A","N/A","N/A","N/A","413.00","413.00","N/A","N/A","N/A","413.00","413.00","N/A","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00"
"5","N/A","HCHG MECH REMOVE INTRALUM MAT-LUMEN","75902","N/A","N/A","N/A","N/A","N/A","256.00","256.00","N/A","N/A","N/A","256.00","256.00","N/A","256.00","256.00","256.00","256.00","256.00","256.00","256.00","256.00","256.00","256.00"
"5","N/A","REMOVE CVA LUMEN OBSTRUCT","75902","N/A","N/A","N/A","N/A","N/A","256.00","256.00","N/A","N/A","N/A","256.00","256.00","N/A","256.00","256.00","256.00","256.00","256.00","256.00","256.00","256.00","256.00","256.00"
"5","N/A","HCHG RAD S&I:ENDOVASC REPAIR-THORACIC AORTA W LT SUBCLAV ORIGIN REPR","75956","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","XRAY ENDOVASC THOR AO REPR","75956","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","HCHG RAD S&I:ENDOVASC REPAIR-THORACIC AORTA","75957","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","XRAY ENDOVASC THOR AO REPR","75957","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","HCHG XRAY PLACE PROX EXT THOR AO","75958","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","XRAY PLACE PROX EXT THOR AO","75958","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","HCHG XRAY PLACE PROX DIST EXT THOR AO","75959","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","XRAY PLACE DIST EXT THOR AO","75959","N/A","N/A","N/A","N/A","N/A","942.00","942.00","N/A","N/A","N/A","942.00","942.00","N/A","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00","942.00"
"5","N/A","HCHG TRANSCATH BX","75970","N/A","N/A","N/A","N/A","N/A","1738.00","1738.00","N/A","N/A","N/A","1738.00","1738.00","N/A","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00"
"5","N/A","VASCULAR BIOPSY","75970","N/A","N/A","N/A","N/A","N/A","1738.00","1738.00","N/A","N/A","N/A","1738.00","1738.00","N/A","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00","1738.00"
"5","N/A","HCHG NEPHROSTOMY TUBE CHANGE","75984","N/A","N/A","N/A","N/A","N/A","1448.00","1448.00","N/A","N/A","N/A","1448.00","1448.00","N/A","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00"
"5","N/A","HCHG PERC TUBE/CATH CHANGE","75984","N/A","N/A","N/A","N/A","N/A","1448.00","1448.00","N/A","N/A","N/A","1448.00","1448.00","N/A","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00"
"5","N/A","XRAY CONTROL CATHETER CHANGE","75984","N/A","N/A","N/A","N/A","N/A","1448.00","1448.00","N/A","N/A","N/A","1448.00","1448.00","N/A","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00","1448.00"
"5","N/A","ABSCESS DRAINAGE UNDER X-RAY","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG ABSCESS DRAIN W TUBE PLACEM","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG CT DRAIN CHEST","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG CT DRAIN FACIAL","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG CT DRAIN NECK","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG CT DRAIN PELVIS","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG CT GUIDED PERC DRAINAGE","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","HCHG U/S GUID PERC DRAIN","75989","N/A","N/A","N/A","N/A","N/A","964.00","964.00","N/A","N/A","N/A","964.00","964.00","N/A","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00","964.00"
"5","N/A","FLUOROSCOPY <1 HR PHYS/QHP","76000","N/A","N/A","N/A","N/A","N/A","1134.00","1134.00","N/A","N/A","N/A","1134.00","1134.00","N/A","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00"
"5","N/A","HCHG CARDIAC FLUOROSCOPY UP TO 1 HR","76000","N/A","N/A","N/A","N/A","N/A","1134.00","1134.00","N/A","N/A","N/A","1134.00","1134.00","N/A","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00"
"5","N/A","HCHG CHEST FLUOROSCOPY UP TO 1 HR","76000","N/A","N/A","N/A","N/A","N/A","1134.00","1134.00","N/A","N/A","N/A","1134.00","1134.00","N/A","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00"
"5","N/A","HCHG FLUORO ASSIST/SURGERY 1/2 HR","76000","N/A","N/A","N/A","N/A","N/A","1134.00","1134.00","N/A","N/A","N/A","1134.00","1134.00","N/A","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00"
"5","N/A","HCHG FLUORO ROOM TIME < 1 HR","76000","N/A","N/A","N/A","N/A","N/A","1134.00","1134.00","N/A","N/A","N/A","1134.00","1134.00","N/A","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00"
"5","N/A","HCHG FLUORO UP TO 1 HR","76000","N/A","N/A","N/A","N/A","N/A","1134.00","1134.00","N/A","N/A","N/A","1134.00","1134.00","N/A","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00","1134.00"
"5","N/A","HCHG X-RAY EXAM CHILD NOSE TO RECTUM FB 1 VIEW","76010","N/A","N/A","N/A","N/A","N/A","460.00","460.00","N/A","N/A","N/A","460.00","460.00","N/A","460.00","460.00","460.00","460.00","460.00","460.00","460.00","460.00","460.00","460.00"
"5","N/A","X-RAY NOSE TO RECTUM","76010","N/A","N/A","N/A","N/A","N/A","460.00","460.00","N/A","N/A","N/A","460.00","460.00","N/A","460.00","460.00","460.00","460.00","460.00","460.00","460.00","460.00","460.00","460.00"
"5","N/A","HCHG ABSCESSOGRAM","76080","N/A","N/A","N/A","N/A","N/A","1353.00","1353.00","N/A","N/A","N/A","1353.00","1353.00","N/A","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00"
"5","N/A","HCHG FISTULOGRAM","76080","N/A","N/A","N/A","N/A","N/A","1353.00","1353.00","N/A","N/A","N/A","1353.00","1353.00","N/A","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00"
"5","N/A","HCHG FISTULOGRAM * PORT","76080","N/A","N/A","N/A","N/A","N/A","1353.00","1353.00","N/A","N/A","N/A","1353.00","1353.00","N/A","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00"
"5","N/A","X-RAY EXAM OF FISTULA","76080","N/A","N/A","N/A","N/A","N/A","1353.00","1353.00","N/A","N/A","N/A","1353.00","1353.00","N/A","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00","1353.00"
"5","N/A","HCHG EXAM SURG SPECIMEN","76098","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","HCHG FAXITRON X-RAY EXAM BREAST SPECIMEN","76098","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","HCHG FILM OF BREAST BX TISSUE","76098","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","HCHG FILM OF BREAST BX TISSUE (PATHOLOGY)","76098","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","HCHG TISSUE(SPECIMEN) XRAY","76098","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","X-RAY EXAM SURGICAL SPECIMEN","76098","N/A","N/A","N/A","N/A","N/A","912.00","912.00","N/A","N/A","N/A","912.00","912.00","N/A","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00","912.00"
"5","N/A","HCHG NEPHROTOMOGRAM W CONTR","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG NEPHROTOMOGRAM WO CONTR","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO CHEST HILUM","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO CHEST MEDIASTINUM","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO COMP OR ADDTNL","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO FACIAL","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO HIP","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO INDEPENDENT","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO KIDNEY","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO KNEE","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO LEG","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO ODONTOID","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO ORBIT","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO SI JOINTS","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO SPINE/CERVICAL","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO SPINE/LUMBAR","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO SPINE/THORACIC","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG TOMO WRIST","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","X-RAY EXAM OF BODY SECTION","76100","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","3D RENDER W/INTRP POSTPROCES","76376","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG 3D RENDER W/O POSTPROCESS INDEPENDENT WORKSTATION","76376","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","3D RENDER W/INTRP POSTPROCES","76377","N/A","N/A","N/A","N/A","N/A","353.00","353.00","N/A","N/A","N/A","353.00","353.00","N/A","353.00","353.00","353.00","353.00","353.00","353.00","353.00","353.00","353.00","353.00"
"5","N/A","HCHG 3D RENDERING W/POSTPROCESS INDEPENDENT WORKSTATION","76377","N/A","N/A","N/A","N/A","N/A","353.00","353.00","N/A","N/A","N/A","353.00","353.00","N/A","353.00","353.00","353.00","353.00","353.00","353.00","353.00","353.00","353.00","353.00"
"5","N/A","CAT SCAN FOLLOW-UP STUDY","76380","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG CT LIMITED OR FOLLOW-UP-ABDOMEN","76380","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG CT LIMITED OR FOLLOW-UP-CHEST","76380","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG CT LIMITED OR FOLLOW-UP-EXTREMITY","76380","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG CT LIMITED OR FOLLOW-UP-HEAD","76380","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG CT LIMITED OR FOLLOW-UP-NECK","76380","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG CT LIMITED OR FOLLOW-UP-PELVIS","76380","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG MR SPECTROSCOPY","76390","N/A","N/A","N/A","N/A","N/A","3087.00","3087.00","N/A","N/A","N/A","3087.00","3087.00","N/A","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00"
"5","N/A","MR SPECTROSCOPY","76390","N/A","N/A","N/A","N/A","N/A","3087.00","3087.00","N/A","N/A","N/A","3087.00","3087.00","N/A","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00","3087.00"
"5","N/A","FLUOROSCOPIC PROCEDURE","76496","N/A","N/A","N/A","N/A","N/A","449.00","449.00","N/A","N/A","N/A","449.00","449.00","N/A","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00"
"5","N/A","HCHG UNLISTED FLUOROSCOPIC PROCEDURE","76496","N/A","N/A","N/A","N/A","N/A","449.00","449.00","N/A","N/A","N/A","449.00","449.00","N/A","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00"
"5","N/A","HCHG UNLISTED MAGNETIC RESONANCE PROCEDURE","76498","N/A","N/A","N/A","N/A","N/A","157.00","157.00","N/A","N/A","N/A","157.00","157.00","N/A","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00"
"5","N/A","MRI PROCEDURE","76498","N/A","N/A","N/A","N/A","N/A","157.00","157.00","N/A","N/A","N/A","157.00","157.00","N/A","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00"
"5","N/A","ECHO EXAM OF HEAD","76506","N/A","N/A","N/A","N/A","N/A","634.00","634.00","N/A","N/A","N/A","634.00","634.00","N/A","634.00","634.00","634.00","634.00","634.00","634.00","634.00","634.00","634.00","634.00"
"5","N/A","HCHG ECHO EXAM NEONAT HEAD","76506","N/A","N/A","N/A","N/A","N/A","634.00","634.00","N/A","N/A","N/A","634.00","634.00","N/A","634.00","634.00","634.00","634.00","634.00","634.00","634.00","634.00","634.00","634.00"
"5","N/A","HCHG OPHTHALMIC US DIAGNOSTIC","76512","N/A","N/A","N/A","N/A","N/A","519.00","519.00","N/A","N/A","N/A","519.00","519.00","N/A","519.00","519.00","519.00","519.00","519.00","519.00","519.00","519.00","519.00","519.00"
"5","N/A","OPHTH US B W/NON-QUANT A","76512","N/A","N/A","N/A","N/A","N/A","519.00","519.00","N/A","N/A","N/A","519.00","519.00","N/A","519.00","519.00","519.00","519.00","519.00","519.00","519.00","519.00","519.00","519.00"
"5","N/A","HCHG U/S SOFT TISS HEAD/NECK/THYRD","76536","N/A","N/A","N/A","N/A","N/A","797.00","797.00","N/A","N/A","N/A","797.00","797.00","N/A","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00"
"5","N/A","HCHG U/S SOFT TISS NECK","76536","N/A","N/A","N/A","N/A","N/A","797.00","797.00","N/A","N/A","N/A","797.00","797.00","N/A","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00"
"5","N/A","US EXAM OF HEAD AND NECK","76536","N/A","N/A","N/A","N/A","N/A","797.00","797.00","N/A","N/A","N/A","797.00","797.00","N/A","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00"
"5","N/A","HCHG U/S CHEST","76604","N/A","N/A","N/A","N/A","N/A","797.00","797.00","N/A","N/A","N/A","797.00","797.00","N/A","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00"
"5","N/A","HCHG U/S CHEST INCL MEDIASTINUM W/IMAGE","76604","N/A","N/A","N/A","N/A","N/A","797.00","797.00","N/A","N/A","N/A","797.00","797.00","N/A","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00"
"5","N/A","US EXAM CHEST","76604","N/A","N/A","N/A","N/A","N/A","797.00","797.00","N/A","N/A","N/A","797.00","797.00","N/A","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00","797.00"
"5","N/A","HCHG US BREAST W/IMAGE COMP","76641","N/A","N/A","N/A","N/A","N/A","666.00","666.00","N/A","N/A","N/A","666.00","666.00","N/A","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00"
"5","N/A","ULTRASOUND BREAST COMPLETE","76641","N/A","N/A","N/A","N/A","N/A","666.00","666.00","N/A","N/A","N/A","666.00","666.00","N/A","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00"
"5","N/A","HCHG US BREAST W/IMAGE LTD","76642","N/A","N/A","N/A","N/A","N/A","666.00","666.00","N/A","N/A","N/A","666.00","666.00","N/A","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00"
"5","N/A","ULTRASOUND BREAST LIMITED","76642","N/A","N/A","N/A","N/A","N/A","666.00","666.00","N/A","N/A","N/A","666.00","666.00","N/A","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00","666.00"
"5","N/A","HCHG U/S ABD COMP","76700","N/A","N/A","N/A","N/A","N/A","855.00","855.00","N/A","N/A","N/A","855.00","855.00","N/A","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00"
"5","N/A","HCHG U/S ABD COMP PORT","76700","N/A","N/A","N/A","N/A","N/A","855.00","855.00","N/A","N/A","N/A","855.00","855.00","N/A","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00"
"5","N/A","US EXAM ABDOM COMPLETE","76700","N/A","N/A","N/A","N/A","N/A","855.00","855.00","N/A","N/A","N/A","855.00","855.00","N/A","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00","855.00"
"5","N/A","ECHO EXAM OF ABDOMEN","76705","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG U/S ABD B-SCAN W IMAG DOC LTD ABD","76705","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG U/S ABD B-SCAN W IMAG DOC LTD APPENDIX","76705","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG U/S ABD B-SCAN W IMAG DOC LTD LIVER","76705","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG U/S ABD B-SCAN W IMAG DOC LTD PANCREAS","76705","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG U/S ABD B-SCAN W IMAG DOC LTD SNGL ORGAN","76705","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG U/S ABD LTD","76705","N/A","N/A","N/A","N/A","N/A","761.00","761.00","N/A","N/A","N/A","761.00","761.00","N/A","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00","761.00"
"5","N/A","HCHG US ABD AORTA AAA SCREENING","76706","N/A","N/A","N/A","N/A","N/A","702.00","702.00","N/A","N/A","N/A","702.00","702.00","N/A","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00"
"5","N/A","US ABDL AORTA SCREEN AAA","76706","N/A","N/A","N/A","N/A","N/A","702.00","702.00","N/A","N/A","N/A","702.00","702.00","N/A","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00"
"5","N/A","HCHG U/S BLADDER","76770","N/A","N/A","N/A","N/A","N/A","953.00","953.00","N/A","N/A","N/A","953.00","953.00","N/A","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00"
"5","N/A","HCHG U/S RENAL,COMPLETE","76770","N/A","N/A","N/A","N/A","N/A","953.00","953.00","N/A","N/A","N/A","953.00","953.00","N/A","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00"
"5","N/A","HCHG U/S RETROP COMP","76770","N/A","N/A","N/A","N/A","N/A","953.00","953.00","N/A","N/A","N/A","953.00","953.00","N/A","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00"
"5","N/A","US EXAM ABDO BACK WALL COMP","76770","N/A","N/A","N/A","N/A","N/A","953.00","953.00","N/A","N/A","N/A","953.00","953.00","N/A","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00","953.00"
"5","N/A","HCHG U/S RETROP LTD","76775","N/A","N/A","N/A","N/A","N/A","702.00","702.00","N/A","N/A","N/A","702.00","702.00","N/A","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00"
"5","N/A","US EXAM ABDO BACK WALL LIM","76775","N/A","N/A","N/A","N/A","N/A","702.00","702.00","N/A","N/A","N/A","702.00","702.00","N/A","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00"
"5","N/A","HCHG US TRANSPLANT KIDNEY (INCL DOPPLER)","76776","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","US EXAM K TRANSPL W/DOPPLER","76776","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","HCHG U/S SPINE","76800","N/A","N/A","N/A","N/A","N/A","522.00","522.00","N/A","N/A","N/A","522.00","522.00","N/A","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00"
"5","N/A","US EXAM SPINAL CANAL","76800","N/A","N/A","N/A","N/A","N/A","522.00","522.00","N/A","N/A","N/A","522.00","522.00","N/A","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00"
"5","N/A","HCHG U/S OB<14 WK 1ST GEST","76801","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","OB US < 14 WKS SINGLE FETUS","76801","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG US OB<14WK ADDL GEST","76802","N/A","N/A","N/A","N/A","N/A","336.00","336.00","N/A","N/A","N/A","336.00","336.00","N/A","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00"
"5","N/A","OB US < 14 WKS ADDL FETUS","76802","N/A","N/A","N/A","N/A","N/A","336.00","336.00","N/A","N/A","N/A","336.00","336.00","N/A","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00"
"5","N/A","HCHG U/S OB >14WK 1 GEST PORT","76805","N/A","N/A","N/A","N/A","N/A","861.00","861.00","N/A","N/A","N/A","861.00","861.00","N/A","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00"
"5","N/A","HCHG U/S OB>14WK 1 GEST","76805","N/A","N/A","N/A","N/A","N/A","861.00","861.00","N/A","N/A","N/A","861.00","861.00","N/A","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00"
"5","N/A","OB US >= 14 WKS SNGL FETUS","76805","N/A","N/A","N/A","N/A","N/A","861.00","861.00","N/A","N/A","N/A","861.00","861.00","N/A","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00"
"5","N/A","HCHG U/S OB>14WK ADD GEST","76810","N/A","N/A","N/A","N/A","N/A","1075.00","1075.00","N/A","N/A","N/A","1075.00","1075.00","N/A","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00"
"5","N/A","OB US >= 14 WKS ADDL FETUS","76810","N/A","N/A","N/A","N/A","N/A","1075.00","1075.00","N/A","N/A","N/A","1075.00","1075.00","N/A","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00"
"5","N/A","HCHG U/S OB W DETAIL SINGLE","76811","N/A","N/A","N/A","N/A","N/A","877.00","877.00","N/A","N/A","N/A","877.00","877.00","N/A","877.00","877.00","877.00","877.00","877.00","877.00","877.00","877.00","877.00","877.00"
"5","N/A","OB US DETAILED SNGL FETUS","76811","N/A","N/A","N/A","N/A","N/A","877.00","877.00","N/A","N/A","N/A","877.00","877.00","N/A","877.00","877.00","877.00","877.00","877.00","877.00","877.00","877.00","877.00","877.00"
"5","N/A","HCHG U/S OB W DETAIL EA ADDL","76812","N/A","N/A","N/A","N/A","N/A","522.00","522.00","N/A","N/A","N/A","522.00","522.00","N/A","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00"
"5","N/A","OB US DETAILED ADDL FETUS","76812","N/A","N/A","N/A","N/A","N/A","522.00","522.00","N/A","N/A","N/A","522.00","522.00","N/A","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00"
"5","N/A","HCHG OB US NUCHAL MEAS, 1 GEST","76813","N/A","N/A","N/A","N/A","N/A","512.00","512.00","N/A","N/A","N/A","512.00","512.00","N/A","512.00","512.00","512.00","512.00","512.00","512.00","512.00","512.00","512.00","512.00"
"5","N/A","OB US NUCHAL MEAS 1 GEST","76813","N/A","N/A","N/A","N/A","N/A","512.00","512.00","N/A","N/A","N/A","512.00","512.00","N/A","512.00","512.00","512.00","512.00","512.00","512.00","512.00","512.00","512.00","512.00"
"5","N/A","HCHG OB US NUCHAL MEAS, EA ADDL","76814","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","OB US NUCHAL MEAS ADD-ON","76814","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","HCHG U/S OB AMNIO FLUID","76815","N/A","N/A","N/A","N/A","N/A","621.00","621.00","N/A","N/A","N/A","621.00","621.00","N/A","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00"
"5","N/A","HCHG U/S OB POSITION","76815","N/A","N/A","N/A","N/A","N/A","621.00","621.00","N/A","N/A","N/A","621.00","621.00","N/A","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00"
"5","N/A","HCHG U/S OBS LTD (FHB PLACENTA)","76815","N/A","N/A","N/A","N/A","N/A","621.00","621.00","N/A","N/A","N/A","621.00","621.00","N/A","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00"
"5","N/A","OB US LIMITED FETUS(S)","76815","N/A","N/A","N/A","N/A","N/A","621.00","621.00","N/A","N/A","N/A","621.00","621.00","N/A","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00","621.00"
"5","N/A","HCHG U/S OB F/U EA GEST","76816","N/A","N/A","N/A","N/A","N/A","955.00","955.00","N/A","N/A","N/A","955.00","955.00","N/A","955.00","955.00","955.00","955.00","955.00","955.00","955.00","955.00","955.00","955.00"
"5","N/A","OB US FOLLOW-UP PER FETUS","76816","N/A","N/A","N/A","N/A","N/A","955.00","955.00","N/A","N/A","N/A","955.00","955.00","N/A","955.00","955.00","955.00","955.00","955.00","955.00","955.00","955.00","955.00","955.00"
"5","N/A","HCHG U/S OB TRANSVAG","76817","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","HCHG U/S OBS TRANSVAGINAL","76817","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","TRANSVAGINAL US OBSTETRIC","76817","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","FETAL BIOPHYS PROFILE W/NST","76818","N/A","N/A","N/A","N/A","N/A","1034.00","1034.00","N/A","N/A","N/A","1034.00","1034.00","N/A","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00"
"5","N/A","HCHG FETAL BIOPHYS PROF W NST","76818","N/A","N/A","N/A","N/A","N/A","1034.00","1034.00","N/A","N/A","N/A","1034.00","1034.00","N/A","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00"
"5","N/A","FETAL BIOPHYS PROFIL W/O NST","76819","N/A","N/A","N/A","N/A","N/A","522.00","522.00","N/A","N/A","N/A","522.00","522.00","N/A","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00"
"5","N/A","HCHG FETAL BIOPHYS PROF WO NST","76819","N/A","N/A","N/A","N/A","N/A","522.00","522.00","N/A","N/A","N/A","522.00","522.00","N/A","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00","522.00"
"5","N/A","HCHG DOPPLER VELOCIMETRY FETL UMB AR","76820","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","UMBILICAL ARTERY ECHO","76820","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","HCHG DOPPLER FETAL MID CEREBRAL ART","76821","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","MIDDLE CEREBRAL ARTERY ECHO","76821","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","ECHO EXAM OF FETAL HEART","76825","N/A","N/A","N/A","N/A","N/A","1604.00","1604.00","N/A","N/A","N/A","1604.00","1604.00","N/A","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00"
"5","N/A","HCHG U/S FETAL ECHO","76825","N/A","N/A","N/A","N/A","N/A","1604.00","1604.00","N/A","N/A","N/A","1604.00","1604.00","N/A","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00","1604.00"
"5","N/A","ECHO EXAM OF FETAL HEART","76826","N/A","N/A","N/A","N/A","N/A","1064.00","1064.00","N/A","N/A","N/A","1064.00","1064.00","N/A","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00"
"5","N/A","HCHG U/S FETAL ECHO F/U","76826","N/A","N/A","N/A","N/A","N/A","1064.00","1064.00","N/A","N/A","N/A","1064.00","1064.00","N/A","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00"
"5","N/A","ECHO EXAM OF FETAL HEART","76827","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","HCHG U/S DOP FETAL ECHO COMP","76827","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","ECHO EXAM OF FETAL HEART","76828","N/A","N/A","N/A","N/A","N/A","412.00","412.00","N/A","N/A","N/A","412.00","412.00","N/A","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00"
"5","N/A","HCHG U/S DOP FETAL ECHO F/U","76828","N/A","N/A","N/A","N/A","N/A","412.00","412.00","N/A","N/A","N/A","412.00","412.00","N/A","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00"
"5","N/A","HCHG U/S NON OB TRANSVAG","76830","N/A","N/A","N/A","N/A","N/A","609.00","609.00","N/A","N/A","N/A","609.00","609.00","N/A","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00"
"5","N/A","TRANSVAGINAL US NON-OB","76830","N/A","N/A","N/A","N/A","N/A","609.00","609.00","N/A","N/A","N/A","609.00","609.00","N/A","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00"
"5","N/A","ECHO EXAM UTERUS","76831","N/A","N/A","N/A","N/A","N/A","1125.00","1125.00","N/A","N/A","N/A","1125.00","1125.00","N/A","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00"
"5","N/A","HCHG U/S HYSTERO","76831","N/A","N/A","N/A","N/A","N/A","1125.00","1125.00","N/A","N/A","N/A","1125.00","1125.00","N/A","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00","1125.00"
"5","N/A","HCHG U/S PELVIC SCAN CMPLT","76856","N/A","N/A","N/A","N/A","N/A","883.00","883.00","N/A","N/A","N/A","883.00","883.00","N/A","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00"
"5","N/A","HCHG U/S PELVIS COMP PORT","76856","N/A","N/A","N/A","N/A","N/A","883.00","883.00","N/A","N/A","N/A","883.00","883.00","N/A","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00"
"5","N/A","US EXAM PELVIC COMPLETE","76856","N/A","N/A","N/A","N/A","N/A","883.00","883.00","N/A","N/A","N/A","883.00","883.00","N/A","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00","883.00"
"5","N/A","HCHG U/S PELVIC NON-OB LTD","76857","N/A","N/A","N/A","N/A","N/A","702.00","702.00","N/A","N/A","N/A","702.00","702.00","N/A","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00"
"5","N/A","US EXAM PELVIC LIMITED","76857","N/A","N/A","N/A","N/A","N/A","702.00","702.00","N/A","N/A","N/A","702.00","702.00","N/A","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00","702.00"
"5","N/A","HCHG U/S SCROTUM","76870","N/A","N/A","N/A","N/A","N/A","541.00","541.00","N/A","N/A","N/A","541.00","541.00","N/A","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00"
"5","N/A","US EXAM SCROTUM","76870","N/A","N/A","N/A","N/A","N/A","541.00","541.00","N/A","N/A","N/A","541.00","541.00","N/A","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00","541.00"
"5","N/A","HCHG TRANSRECTAL U/S","76872","N/A","N/A","N/A","N/A","N/A","1416.00","1416.00","N/A","N/A","N/A","1416.00","1416.00","N/A","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00"
"5","N/A","US TRANSRECTAL","76872","N/A","N/A","N/A","N/A","N/A","1416.00","1416.00","N/A","N/A","N/A","1416.00","1416.00","N/A","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00","1416.00"
"5","N/A","ECHOGRAP TRANS R PROS STUDY","76873","N/A","N/A","N/A","N/A","N/A","1691.00","1691.00","N/A","N/A","N/A","1691.00","1691.00","N/A","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00"
"5","N/A","HCHG U/S TRANSRECTAL VOL STUDY","76873","N/A","N/A","N/A","N/A","N/A","1691.00","1691.00","N/A","N/A","N/A","1691.00","1691.00","N/A","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00","1691.00"
"5","N/A","HCHG US, EXTREMITY, NONVAS, RT W IMAGE DOC, COMPLETE","76881","N/A","N/A","N/A","N/A","N/A","745.00","745.00","N/A","N/A","N/A","745.00","745.00","N/A","745.00","745.00","745.00","745.00","745.00","745.00","745.00","745.00","745.00","745.00"
"5","N/A","US COMPL JOINT R-T W/IMG","76881","N/A","N/A","N/A","N/A","N/A","745.00","745.00","N/A","N/A","N/A","745.00","745.00","N/A","745.00","745.00","745.00","745.00","745.00","745.00","745.00","745.00","745.00","745.00"
"5","N/A","HCHG US, EXTREMITY, NONVAS, RT W IMAGE DOC, LIM","76882","N/A","N/A","N/A","N/A","N/A","485.00","485.00","N/A","N/A","N/A","485.00","485.00","N/A","485.00","485.00","485.00","485.00","485.00","485.00","485.00","485.00","485.00","485.00"
"5","N/A","US LMTD JT/NONVASC XTR STRUX","76882","N/A","N/A","N/A","N/A","N/A","485.00","485.00","N/A","N/A","N/A","485.00","485.00","N/A","485.00","485.00","485.00","485.00","485.00","485.00","485.00","485.00","485.00","485.00"
"5","N/A","ECHO GUIDE FOR ARTERY REPAIR","76936","N/A","N/A","N/A","N/A","N/A","729.00","729.00","N/A","N/A","N/A","729.00","729.00","N/A","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00"
"5","N/A","HCHG US GUIDED COMPRESSION REPAIR","76936","N/A","N/A","N/A","N/A","N/A","729.00","729.00","N/A","N/A","N/A","729.00","729.00","N/A","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00","729.00"
"5","N/A","HCHG U/S GUID VAD","76937","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","HCHG U/S GUID VASC ACSS SITE PERM","76937","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","US GUIDE VASCULAR ACCESS","76937","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","HCHG U/S GUID VISC TISSUE ABL","76940","N/A","N/A","N/A","N/A","N/A","424.00","424.00","N/A","N/A","N/A","424.00","424.00","N/A","424.00","424.00","424.00","424.00","424.00","424.00","424.00","424.00","424.00","424.00"
"5","N/A","US GUIDE TISSUE ABLATION","76940","N/A","N/A","N/A","N/A","N/A","424.00","424.00","N/A","N/A","N/A","424.00","424.00","N/A","424.00","424.00","424.00","424.00","424.00","424.00","424.00","424.00","424.00","424.00"
"5","N/A","ECHO GUIDE FOR BIOPSY","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S BREAST BX","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S FOR PROSTATE BX","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S GUID BX/ASP IP *","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S GUID EXAM, FOR NDL PLCMT","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S GUID NDL PLCMT IMG S&I","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S GUID NDL PLCMT S&I","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S GUID NDL PLCMT S&I NECK/THOR NP","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S GUID NDLE PLCMT BX RENAL","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S GUID NDLE PLCMT IMAG S&I THORACENTESIS","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S LIVER BX","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S MUSC BX","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S RENAL BX","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG U/S THYROID BX","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","HCHG US GUID NDL PLCMT IMG S&I","76942","N/A","N/A","N/A","N/A","N/A","1494.00","1494.00","N/A","N/A","N/A","1494.00","1494.00","N/A","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00","1494.00"
"5","N/A","ECHO GUIDE FOR AMNIOCENTESIS","76946","N/A","N/A","N/A","N/A","N/A","770.00","770.00","N/A","N/A","N/A","770.00","770.00","N/A","770.00","770.00","770.00","770.00","770.00","770.00","770.00","770.00","770.00","770.00"
"5","N/A","HCHG U/S GUID AMNIO","76946","N/A","N/A","N/A","N/A","N/A","770.00","770.00","N/A","N/A","N/A","770.00","770.00","N/A","770.00","770.00","770.00","770.00","770.00","770.00","770.00","770.00","770.00","770.00"
"5","N/A","ECHO GUIDANCE RADIOTHERAPY","76965","N/A","N/A","N/A","N/A","N/A","1645.00","1645.00","N/A","N/A","N/A","1645.00","1645.00","N/A","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00"
"5","N/A","HCHG U/S TRANSRECTAL BRACHY","76965","N/A","N/A","N/A","N/A","N/A","1645.00","1645.00","N/A","N/A","N/A","1645.00","1645.00","N/A","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00"
"5","N/A","ECHO EXAMINATION PROCEDURE","76999","N/A","N/A","N/A","N/A","N/A","298.00","298.00","N/A","N/A","N/A","298.00","298.00","N/A","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00"
"5","N/A","HCHG UNLISTED U/S PROCED","76999","N/A","N/A","N/A","N/A","N/A","298.00","298.00","N/A","N/A","N/A","298.00","298.00","N/A","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00"
"5","N/A","CT SCAN FOR NEEDLE BIOPSY","77012","N/A","N/A","N/A","N/A","N/A","2050.00","2050.00","N/A","N/A","N/A","2050.00","2050.00","N/A","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00"
"5","N/A","HCHG CT GUIDANCE NERVE BLOCK NON-RAD","77012","N/A","N/A","N/A","N/A","N/A","2050.00","2050.00","N/A","N/A","N/A","2050.00","2050.00","N/A","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00","2050.00"
"5","N/A","HCHG MR BREAST BIOPSY","77021","N/A","N/A","N/A","N/A","N/A","1422.00","1422.00","N/A","N/A","N/A","1422.00","1422.00","N/A","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00"
"5","N/A","MRI GUIDANCE NDL PLMT RS&I","77021","N/A","N/A","N/A","N/A","N/A","1422.00","1422.00","N/A","N/A","N/A","1422.00","1422.00","N/A","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00","1422.00"
"5","N/A","HCHG MRI BREAST C- UNILATERAL","77046","N/A","N/A","N/A","N/A","N/A","2315.00","2315.00","N/A","N/A","N/A","2315.00","2315.00","N/A","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00"
"5","N/A","MRI BREAST C- UNILATERAL","77046","N/A","N/A","N/A","N/A","N/A","2315.00","2315.00","N/A","N/A","N/A","2315.00","2315.00","N/A","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00","2315.00"
"5","N/A","HCHG MRI BREAST C- BILATERAL","77047","N/A","N/A","N/A","N/A","N/A","3269.00","3269.00","N/A","N/A","N/A","3269.00","3269.00","N/A","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00"
"5","N/A","MRI BREAST C- BILATERAL","77047","N/A","N/A","N/A","N/A","N/A","3269.00","3269.00","N/A","N/A","N/A","3269.00","3269.00","N/A","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00"
"5","N/A","HCHG MRI BREAST C-+ W/CAD UNI","77048","N/A","N/A","N/A","N/A","N/A","2801.00","2801.00","N/A","N/A","N/A","2801.00","2801.00","N/A","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00"
"5","N/A","MRI BREAST C-+ W/CAD UNI","77048","N/A","N/A","N/A","N/A","N/A","2801.00","2801.00","N/A","N/A","N/A","2801.00","2801.00","N/A","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00","2801.00"
"5","N/A","HCHG MRI BREAST C-+ W/CAD BI","77049","N/A","N/A","N/A","N/A","N/A","3269.00","3269.00","N/A","N/A","N/A","3269.00","3269.00","N/A","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00"
"5","N/A","MRI BREAST C-+ W/CAD BI","77049","N/A","N/A","N/A","N/A","N/A","3269.00","3269.00","N/A","N/A","N/A","3269.00","3269.00","N/A","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00","3269.00"
"5","N/A","HCHG GALACTOGRAM DUCTOGRAM MULTI","77054","N/A","N/A","N/A","N/A","N/A","923.00","923.00","N/A","N/A","N/A","923.00","923.00","N/A","923.00","923.00","923.00","923.00","923.00","923.00","923.00","923.00","923.00","923.00"
"5","N/A","X-RAY OF MAMMARY DUCTS","77054","N/A","N/A","N/A","N/A","N/A","923.00","923.00","N/A","N/A","N/A","923.00","923.00","N/A","923.00","923.00","923.00","923.00","923.00","923.00","923.00","923.00","923.00","923.00"
"5","N/A","BREAST TOMOSYNTHESIS BI","77063","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG SCR DIGI BRST TOMO BIL","77063","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","DX MAMMO INCL CAD UNI","77065","N/A","N/A","N/A","N/A","N/A","452.00","452.00","N/A","N/A","N/A","452.00","452.00","N/A","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00"
"5","N/A","HCHG MAMMO UNILAT POST BX","77065","N/A","N/A","N/A","N/A","N/A","452.00","452.00","N/A","N/A","N/A","452.00","452.00","N/A","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00"
"5","N/A","HCHG MAMMOGRAPHY DIAG INC CAD UNILAT","77065","N/A","N/A","N/A","N/A","N/A","452.00","452.00","N/A","N/A","N/A","452.00","452.00","N/A","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00","452.00"
"5","N/A","DX MAMMO INCL CAD BI","77066","N/A","N/A","N/A","N/A","N/A","643.00","643.00","N/A","N/A","N/A","643.00","643.00","N/A","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00"
"5","N/A","HCHG MAMMO BILAT POST BX","77066","N/A","N/A","N/A","N/A","N/A","643.00","643.00","N/A","N/A","N/A","643.00","643.00","N/A","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00"
"5","N/A","HCHG MAMMOGRAPHY DIAG INC CAD BILAT","77066","N/A","N/A","N/A","N/A","N/A","643.00","643.00","N/A","N/A","N/A","643.00","643.00","N/A","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00","643.00"
"5","N/A","HCHG MAMOGRAPHY SCREENING BILAT INC CAD","77067","N/A","N/A","N/A","N/A","N/A","381.00","381.00","N/A","N/A","N/A","381.00","381.00","N/A","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00"
"5","N/A","SCR MAMMO BI INCL CAD","77067","N/A","N/A","N/A","N/A","N/A","381.00","381.00","N/A","N/A","N/A","381.00","381.00","N/A","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00"
"5","N/A","HCHG X-RAY STRESS VIEW","77071","N/A","N/A","N/A","N/A","N/A","222.00","222.00","N/A","N/A","N/A","222.00","222.00","N/A","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00"
"5","N/A","X-RAY STRESS VIEW","77071","N/A","N/A","N/A","N/A","N/A","222.00","222.00","N/A","N/A","N/A","222.00","222.00","N/A","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00"
"5","N/A","HCHG CT SCANOGRAM","77073","N/A","N/A","N/A","N/A","N/A","1854.00","1854.00","N/A","N/A","N/A","1854.00","1854.00","N/A","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00"
"5","N/A","X-RAYS BONE LENGTH STUDIES","77073","N/A","N/A","N/A","N/A","N/A","1854.00","1854.00","N/A","N/A","N/A","1854.00","1854.00","N/A","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00","1854.00"
"5","N/A","HCHG X-RAY BONE SURVEY COMPLETE","77075","N/A","N/A","N/A","N/A","N/A","1128.00","1128.00","N/A","N/A","N/A","1128.00","1128.00","N/A","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00"
"5","N/A","X-RAYS BONE SURVEY COMPLETE","77075","N/A","N/A","N/A","N/A","N/A","1128.00","1128.00","N/A","N/A","N/A","1128.00","1128.00","N/A","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00","1128.00"
"5","N/A","HCHG MRI BONE MARROW","77084","N/A","N/A","N/A","N/A","N/A","3799.00","3799.00","N/A","N/A","N/A","3799.00","3799.00","N/A","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00"
"5","N/A","MAGNETIC IMAGE BONE MARROW","77084","N/A","N/A","N/A","N/A","N/A","3799.00","3799.00","N/A","N/A","N/A","3799.00","3799.00","N/A","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00","3799.00"
"5","N/A","DXA BONE DENSITY STUDY","77085","N/A","N/A","N/A","N/A","N/A","254.00","254.00","N/A","N/A","N/A","254.00","254.00","N/A","254.00","254.00","254.00","254.00","254.00","254.00","254.00","254.00","254.00","254.00"
"5","N/A","HCHG DXA BONE DENSITY VERT ASMT","77085","N/A","N/A","N/A","N/A","N/A","254.00","254.00","N/A","N/A","N/A","254.00","254.00","N/A","254.00","254.00","254.00","254.00","254.00","254.00","254.00","254.00","254.00","254.00"
"5","N/A","HCHG NEW START VERIFICATION SET SIMPLE","77280","N/A","N/A","N/A","N/A","N/A","1382.00","1382.00","N/A","N/A","N/A","1382.00","1382.00","N/A","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00"
"5","N/A","HCHG SIMULATION SIMP","77280","N/A","N/A","N/A","N/A","N/A","1382.00","1382.00","N/A","N/A","N/A","1382.00","1382.00","N/A","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00"
"5","N/A","HCHG SIMULATION SIMP-DOSI","77280","N/A","N/A","N/A","N/A","N/A","1382.00","1382.00","N/A","N/A","N/A","1382.00","1382.00","N/A","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00"
"5","N/A","SET RADIATION THERAPY FIELD","77280","N/A","N/A","N/A","N/A","N/A","1382.00","1382.00","N/A","N/A","N/A","1382.00","1382.00","N/A","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00","1382.00"
"5","N/A","HCHG SIMULATION INTR","77285","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG SIMULATION INTR-DOSI","77285","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","SET RADIATION THERAPY FIELD","77285","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG SIMULATION COMPLX","77290","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG SIMULATION COMPLX-DOSI","77290","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","SET RADIATION THERAPY FIELD","77290","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG RESP MOTION MGMT-PHYSICS","77293","N/A","N/A","N/A","N/A","N/A","6009.00","6009.00","N/A","N/A","N/A","6009.00","6009.00","N/A","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00"
"5","N/A","RESPIRATOR MOTION MGMT SIMUL","77293","N/A","N/A","N/A","N/A","N/A","6009.00","6009.00","N/A","N/A","N/A","6009.00","6009.00","N/A","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00","6009.00"
"5","N/A","3-D RADIOTHERAPY PLAN","77295","N/A","N/A","N/A","N/A","N/A","11492.00","11492.00","N/A","N/A","N/A","11492.00","11492.00","N/A","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00"
"5","N/A","HCHG 3-D RADIOTHERAPY PLAN","77295","N/A","N/A","N/A","N/A","N/A","11492.00","11492.00","N/A","N/A","N/A","11492.00","11492.00","N/A","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00","11492.00"
"5","N/A","HCHG BASIC DOSIMETRY CALC","77300","N/A","N/A","N/A","N/A","N/A","884.00","884.00","N/A","N/A","N/A","884.00","884.00","N/A","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00"
"5","N/A","HCHG DOSIMETRY CALCULATIONS","77300","N/A","N/A","N/A","N/A","N/A","884.00","884.00","N/A","N/A","N/A","884.00","884.00","N/A","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00"
"5","N/A","RADIATION THERAPY DOSE PLAN","77300","N/A","N/A","N/A","N/A","N/A","884.00","884.00","N/A","N/A","N/A","884.00","884.00","N/A","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00"
"5","N/A","HCHG IMRT PLAN","77301","N/A","N/A","N/A","N/A","N/A","8114.00","8114.00","N/A","N/A","N/A","8114.00","8114.00","N/A","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00"
"5","N/A","RADIOTHERAPY DOSE PLAN IMRT","77301","N/A","N/A","N/A","N/A","N/A","8114.00","8114.00","N/A","N/A","N/A","8114.00","8114.00","N/A","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00","8114.00"
"5","N/A","HCHG TELETHERAPY ISODONE PLAN SIMP","77306","N/A","N/A","N/A","N/A","N/A","988.00","988.00","N/A","N/A","N/A","988.00","988.00","N/A","988.00","988.00","988.00","988.00","988.00","988.00","988.00","988.00","988.00","988.00"
"5","N/A","TELETHX ISODOSE PLAN SIMPLE","77306","N/A","N/A","N/A","N/A","N/A","988.00","988.00","N/A","N/A","N/A","988.00","988.00","N/A","988.00","988.00","988.00","988.00","988.00","988.00","988.00","988.00","988.00","988.00"
"5","N/A","HCHG TELETHERAPY ISODONE PLAN CMPLX","77307","N/A","N/A","N/A","N/A","N/A","1062.00","1062.00","N/A","N/A","N/A","1062.00","1062.00","N/A","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00"
"5","N/A","TELETHX ISODOSE PLAN CPLX","77307","N/A","N/A","N/A","N/A","N/A","1062.00","1062.00","N/A","N/A","N/A","1062.00","1062.00","N/A","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00","1062.00"
"5","N/A","BRACHYTX ISODOSE PLAN SIMPLE","77316","N/A","N/A","N/A","N/A","N/A","2041.00","2041.00","N/A","N/A","N/A","2041.00","2041.00","N/A","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00"
"5","N/A","HCHG BRACHYTX ISODOSE PLAN SIMPLE W BASIC DOSIMETRY CALCULATIONS","77316","N/A","N/A","N/A","N/A","N/A","2041.00","2041.00","N/A","N/A","N/A","2041.00","2041.00","N/A","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00","2041.00"
"5","N/A","BRACHYTX ISODOSE INTERMED","77317","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG BRACHYTX ISODOSE INTERMED W BASIC DOSIMETRY CALCULATIONS","77317","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","BRACHYTX ISODOSE COMPLEX","77318","N/A","N/A","N/A","N/A","N/A","2701.00","2701.00","N/A","N/A","N/A","2701.00","2701.00","N/A","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00"
"5","N/A","HCHG BRACHYTX ISODOSE COMPLEX W BASIC DOSIMETRY CALCULATIONS","77318","N/A","N/A","N/A","N/A","N/A","2701.00","2701.00","N/A","N/A","N/A","2701.00","2701.00","N/A","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00","2701.00"
"5","N/A","HCHG TELETHERAPY PORT PLAN SPECIAL","77321","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","SPECIAL TELETX PORT PLAN","77321","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG SPECIAL DOSIMETRY","77331","N/A","N/A","N/A","N/A","N/A","884.00","884.00","N/A","N/A","N/A","884.00","884.00","N/A","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00"
"5","N/A","SPECIAL RADIATION DOSIMETRY","77331","N/A","N/A","N/A","N/A","N/A","884.00","884.00","N/A","N/A","N/A","884.00","884.00","N/A","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00","884.00"
"5","N/A","HCHG TREATMENT DEVICE SIMP","77332","N/A","N/A","N/A","N/A","N/A","889.00","889.00","N/A","N/A","N/A","889.00","889.00","N/A","889.00","889.00","889.00","889.00","889.00","889.00","889.00","889.00","889.00","889.00"
"5","N/A","RADIATION TREATMENT AID(S)","77332","N/A","N/A","N/A","N/A","N/A","889.00","889.00","N/A","N/A","N/A","889.00","889.00","N/A","889.00","889.00","889.00","889.00","889.00","889.00","889.00","889.00","889.00","889.00"
"5","N/A","HCHG TREATMENT DEVICES; INTERMEDIATE","77333","N/A","N/A","N/A","N/A","N/A","1460.00","1460.00","N/A","N/A","N/A","1460.00","1460.00","N/A","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00"
"5","N/A","RADIATION TREATMENT AID(S)","77333","N/A","N/A","N/A","N/A","N/A","1460.00","1460.00","N/A","N/A","N/A","1460.00","1460.00","N/A","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00","1460.00"
"5","N/A","HCHG TREATMENT DEVICE COMPLEX","77334","N/A","N/A","N/A","N/A","N/A","2774.00","2774.00","N/A","N/A","N/A","2774.00","2774.00","N/A","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00"
"5","N/A","HCHG TREATMENT DEVICE MIRROR","77334","N/A","N/A","N/A","N/A","N/A","2774.00","2774.00","N/A","N/A","N/A","2774.00","2774.00","N/A","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00"
"5","N/A","RADIATION TREATMENT AID(S)","77334","N/A","N/A","N/A","N/A","N/A","2774.00","2774.00","N/A","N/A","N/A","2774.00","2774.00","N/A","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00","2774.00"
"5","N/A","HCHG CONT MED PHYSIC PER WEEK OF THPY","77336","N/A","N/A","N/A","N/A","N/A","1298.00","1298.00","N/A","N/A","N/A","1298.00","1298.00","N/A","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00"
"5","N/A","RADIATION PHYSICS CONSULT","77336","N/A","N/A","N/A","N/A","N/A","1298.00","1298.00","N/A","N/A","N/A","1298.00","1298.00","N/A","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00","1298.00"
"5","N/A","DESIGN MLC DEVICE FOR IMRT","77338","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG MULTI- LEAF COLLIMATOR (MLC) DEVICES FOR IMRT, DESIGN AND CONSTRUCTION PER IMRT PLAN","77338","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG SPECIAL PHYSICS CONSUL","77370","N/A","N/A","N/A","N/A","N/A","1361.00","1361.00","N/A","N/A","N/A","1361.00","1361.00","N/A","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00"
"5","N/A","RADIATION PHYSICS CONSULT","77370","N/A","N/A","N/A","N/A","N/A","1361.00","1361.00","N/A","N/A","N/A","1361.00","1361.00","N/A","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00","1361.00"
"5","N/A","HCHG LINEAR BASED SRS TREATMENT, 1 SESSION","77372","N/A","N/A","N/A","N/A","N/A","48278.00","48278.00","N/A","N/A","N/A","48278.00","48278.00","N/A","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00"
"5","N/A","SRS LINEAR BASED","77372","N/A","N/A","N/A","N/A","N/A","48278.00","48278.00","N/A","N/A","N/A","48278.00","48278.00","N/A","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00","48278.00"
"5","N/A","HCHG IMRT DELIVERY SIMP","77385","N/A","N/A","N/A","N/A","N/A","3732.00","3732.00","N/A","N/A","N/A","3732.00","3732.00","N/A","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00"
"5","N/A","NTSTY MODUL RAD TX DLVR SMPL","77385","N/A","N/A","N/A","N/A","N/A","3732.00","3732.00","N/A","N/A","N/A","3732.00","3732.00","N/A","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00","3732.00"
"5","N/A","HCHG IMRT DELIVERY CMPLX","77386","N/A","N/A","N/A","N/A","N/A","3966.00","3966.00","N/A","N/A","N/A","3966.00","3966.00","N/A","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00"
"5","N/A","NTSTY MODUL RAD TX DLVR CPLX","77386","N/A","N/A","N/A","N/A","N/A","3966.00","3966.00","N/A","N/A","N/A","3966.00","3966.00","N/A","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00"
"5","N/A","GUIDANCE FOR RADJ TX DLVR","77387","N/A","N/A","N/A","N/A","N/A","1271.00","1271.00","N/A","N/A","N/A","1271.00","1271.00","N/A","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00"
"5","N/A","HCHG IMRT DELIVERY TRACKING","77387","N/A","N/A","N/A","N/A","N/A","1271.00","1271.00","N/A","N/A","N/A","1271.00","1271.00","N/A","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00","1271.00"
"5","N/A","EXTERNAL RADIATION DOSIMETRY","77399","N/A","N/A","N/A","N/A","N/A","795.00","795.00","N/A","N/A","N/A","795.00","795.00","N/A","795.00","795.00","795.00","795.00","795.00","795.00","795.00","795.00","795.00","795.00"
"5","N/A","HCHG UNLISTED PROCEDURE, MEDICAL RADIATION PHYSICS, DOSIMETRY & TREATMENT DEVICES","77399","N/A","N/A","N/A","N/A","N/A","795.00","795.00","N/A","N/A","N/A","795.00","795.00","N/A","795.00","795.00","795.00","795.00","795.00","795.00","795.00","795.00","795.00","795.00"
"5","N/A","HCHG RAD THER SMP >1","77402","N/A","N/A","N/A","N/A","N/A","1004.00","1004.00","N/A","N/A","N/A","1004.00","1004.00","N/A","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00"
"5","N/A","RADIATION TREATMENT DELIVERY","77402","N/A","N/A","N/A","N/A","N/A","1004.00","1004.00","N/A","N/A","N/A","1004.00","1004.00","N/A","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00","1004.00"
"5","N/A","HCHG RAD THER INTER >1","77407","N/A","N/A","N/A","N/A","N/A","1286.00","1286.00","N/A","N/A","N/A","1286.00","1286.00","N/A","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00"
"5","N/A","RADIATION TREATMENT DELIVERY","77407","N/A","N/A","N/A","N/A","N/A","1286.00","1286.00","N/A","N/A","N/A","1286.00","1286.00","N/A","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00","1286.00"
"5","N/A","HCHG RAD THER CMPLX >1","77412","N/A","N/A","N/A","N/A","N/A","1511.00","1511.00","N/A","N/A","N/A","1511.00","1511.00","N/A","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00"
"5","N/A","RADIATION TREATMENT DELIVERY","77412","N/A","N/A","N/A","N/A","N/A","1511.00","1511.00","N/A","N/A","N/A","1511.00","1511.00","N/A","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00"
"5","N/A","HCHG PORT FILM","77417","N/A","N/A","N/A","N/A","N/A","235.00","235.00","N/A","N/A","N/A","235.00","235.00","N/A","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00"
"5","N/A","RADIOLOGY PORT IMAGES(S)","77417","N/A","N/A","N/A","N/A","N/A","235.00","235.00","N/A","N/A","N/A","235.00","235.00","N/A","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00"
"5","N/A","HCHG SBRT MANAGEMENT PER COURSE INCL IMAGING","77435","N/A","N/A","N/A","N/A","N/A","2459.00","2459.00","N/A","N/A","N/A","2459.00","2459.00","N/A","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00"
"5","N/A","SBRT MANAGEMENT","77435","N/A","N/A","N/A","N/A","N/A","2459.00","2459.00","N/A","N/A","N/A","2459.00","2459.00","N/A","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00"
"5","N/A","HCHG SPECIAL TRTMT PROCED","77470","N/A","N/A","N/A","N/A","N/A","3966.00","3966.00","N/A","N/A","N/A","3966.00","3966.00","N/A","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00"
"5","N/A","SPECIAL RADIATION TREATMENT","77470","N/A","N/A","N/A","N/A","N/A","3966.00","3966.00","N/A","N/A","N/A","3966.00","3966.00","N/A","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00","3966.00"
"5","N/A","HCHG INFUSION OR INSTALLATION OF RADIOELEMENT SOLUTION (INCL 3-MON F/U CARE)","77750","N/A","N/A","N/A","N/A","N/A","1511.00","1511.00","N/A","N/A","N/A","1511.00","1511.00","N/A","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00"
"5","N/A","INFUSE RADIOACTIVE MATERIALS","77750","N/A","N/A","N/A","N/A","N/A","1511.00","1511.00","N/A","N/A","N/A","1511.00","1511.00","N/A","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00","1511.00"
"5","N/A","APPLY INTRCAV RADIAT SIMPLE","77761","N/A","N/A","N/A","N/A","N/A","2045.00","2045.00","N/A","N/A","N/A","2045.00","2045.00","N/A","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00"
"5","N/A","HCHG INTRACAV RS APPL; SIMPLE","77761","N/A","N/A","N/A","N/A","N/A","2045.00","2045.00","N/A","N/A","N/A","2045.00","2045.00","N/A","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00","2045.00"
"5","N/A","APPLY INTRCAV RADIAT INTERM","77762","N/A","N/A","N/A","N/A","N/A","3061.00","3061.00","N/A","N/A","N/A","3061.00","3061.00","N/A","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00"
"5","N/A","HCHG INTRACAVITARY INTER","77762","N/A","N/A","N/A","N/A","N/A","3061.00","3061.00","N/A","N/A","N/A","3061.00","3061.00","N/A","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00","3061.00"
"5","N/A","APPLY INTRCAV RADIAT COMPL","77763","N/A","N/A","N/A","N/A","N/A","4601.00","4601.00","N/A","N/A","N/A","4601.00","4601.00","N/A","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00"
"5","N/A","HCHG INTRACAV RS APPL; COMPLEX","77763","N/A","N/A","N/A","N/A","N/A","4601.00","4601.00","N/A","N/A","N/A","4601.00","4601.00","N/A","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00","4601.00"
"5","N/A","HCHG HDR RDNCL NTRSTL/ICAV BRCHTX 1 CHANNEL - DOSI","77770","N/A","N/A","N/A","N/A","N/A","4988.00","4988.00","N/A","N/A","N/A","4988.00","4988.00","N/A","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00"
"5","N/A","HDR RDNCL NTRSTL/ICAV BRCHTX","77770","N/A","N/A","N/A","N/A","N/A","4988.00","4988.00","N/A","N/A","N/A","4988.00","4988.00","N/A","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00","4988.00"
"5","N/A","HCHG HDR RDNCL NTRSTL/ICAV BRCHTX 2-12 CHANNELS - DOSI","77771","N/A","N/A","N/A","N/A","N/A","6064.00","6064.00","N/A","N/A","N/A","6064.00","6064.00","N/A","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00"
"5","N/A","HDR RDNCL NTRSTL/ICAV BRCHTX","77771","N/A","N/A","N/A","N/A","N/A","6064.00","6064.00","N/A","N/A","N/A","6064.00","6064.00","N/A","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00","6064.00"
"5","N/A","HCHG HDR RDNCL NTRSTL/ICAV BRCHTX >12 CHANNELS - DOSI","77772","N/A","N/A","N/A","N/A","N/A","7031.00","7031.00","N/A","N/A","N/A","7031.00","7031.00","N/A","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00"
"5","N/A","HDR RDNCL NTRSTL/ICAV BRCHTX","77772","N/A","N/A","N/A","N/A","N/A","7031.00","7031.00","N/A","N/A","N/A","7031.00","7031.00","N/A","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00","7031.00"
"5","N/A","APPLY INTERSTIT RADIAT COMPL","77778","N/A","N/A","N/A","N/A","N/A","7558.00","7558.00","N/A","N/A","N/A","7558.00","7558.00","N/A","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00"
"5","N/A","HCHG APPLY INTERSTITIAL COMPLX","77778","N/A","N/A","N/A","N/A","N/A","7558.00","7558.00","N/A","N/A","N/A","7558.00","7558.00","N/A","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00","7558.00"
"5","N/A","HCHG RADIOELEMENT MANAGEMENT","77790","N/A","N/A","N/A","N/A","N/A","1157.00","1157.00","N/A","N/A","N/A","1157.00","1157.00","N/A","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00"
"5","N/A","HCHG SUPERVISION, HANDLING, LOADING OF RADIATION SOURCE","77790","N/A","N/A","N/A","N/A","N/A","1157.00","1157.00","N/A","N/A","N/A","1157.00","1157.00","N/A","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00"
"5","N/A","RADIATION HANDLING","77790","N/A","N/A","N/A","N/A","N/A","1157.00","1157.00","N/A","N/A","N/A","1157.00","1157.00","N/A","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00","1157.00"
"5","N/A","HCHG THYROID SCAN","78013","N/A","N/A","N/A","N/A","N/A","498.00","498.00","N/A","N/A","N/A","498.00","498.00","N/A","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00"
"5","N/A","THYROID IMAGING W/BLOOD FLOW","78013","N/A","N/A","N/A","N/A","N/A","498.00","498.00","N/A","N/A","N/A","498.00","498.00","N/A","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00"
"5","N/A","HCHG THYROID CA METS IMAGE WB","78018","N/A","N/A","N/A","N/A","N/A","2167.00","2167.00","N/A","N/A","N/A","2167.00","2167.00","N/A","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00"
"5","N/A","THYROID MET IMAGING BODY","78018","N/A","N/A","N/A","N/A","N/A","2167.00","2167.00","N/A","N/A","N/A","2167.00","2167.00","N/A","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00","2167.00"
"5","N/A","HCHG PARATHYROID IMAGE","78070","N/A","N/A","N/A","N/A","N/A","1068.00","1068.00","N/A","N/A","N/A","1068.00","1068.00","N/A","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00"
"5","N/A","PARATHYROID PLANAR IMAGING","78070","N/A","N/A","N/A","N/A","N/A","1068.00","1068.00","N/A","N/A","N/A","1068.00","1068.00","N/A","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00","1068.00"
"5","N/A","HCHG PARATHYRD PLANAR W/WO SUBTRJ","78071","N/A","N/A","N/A","N/A","N/A","1206.00","1206.00","N/A","N/A","N/A","1206.00","1206.00","N/A","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00"
"5","N/A","PARATHYRD PLANAR W/WO SUBTRJ","78071","N/A","N/A","N/A","N/A","N/A","1206.00","1206.00","N/A","N/A","N/A","1206.00","1206.00","N/A","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00"
"5","N/A","HCHG PARATHYRD PLANAR W/SPECT&CT","78072","N/A","N/A","N/A","N/A","N/A","1206.00","1206.00","N/A","N/A","N/A","1206.00","1206.00","N/A","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00"
"5","N/A","PARATHYRD PLANAR W/SPECT&CT","78072","N/A","N/A","N/A","N/A","N/A","1206.00","1206.00","N/A","N/A","N/A","1206.00","1206.00","N/A","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00","1206.00"
"5","N/A","ADRENAL CORTEX & MEDULLA IMG","78075","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","HCHG ADRENAL IMAGING","78075","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","BONE MARROW IMAGING LTD","78102","N/A","N/A","N/A","N/A","N/A","1541.00","1541.00","N/A","N/A","N/A","1541.00","1541.00","N/A","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00"
"5","N/A","HCHG BONE MARROW LTD","78102","N/A","N/A","N/A","N/A","N/A","1541.00","1541.00","N/A","N/A","N/A","1541.00","1541.00","N/A","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00","1541.00"
"5","N/A","HCHG RED CELL MASS","78121","N/A","N/A","N/A","N/A","N/A","965.00","965.00","N/A","N/A","N/A","965.00","965.00","N/A","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00"
"5","N/A","RED CELL MASS MULTIPLE","78121","N/A","N/A","N/A","N/A","N/A","965.00","965.00","N/A","N/A","N/A","965.00","965.00","N/A","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00"
"5","N/A","BLOOD VOLUME","78122","N/A","N/A","N/A","N/A","N/A","1930.00","1930.00","N/A","N/A","N/A","1930.00","1930.00","N/A","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00"
"5","N/A","HCHG WHOLE BLOOD VOL","78122","N/A","N/A","N/A","N/A","N/A","1930.00","1930.00","N/A","N/A","N/A","1930.00","1930.00","N/A","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00","1930.00"
"5","N/A","HCHG RED CELL SURVIVAL","78130","N/A","N/A","N/A","N/A","N/A","965.00","965.00","N/A","N/A","N/A","965.00","965.00","N/A","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00"
"5","N/A","RED CELL SURVIVAL STUDY","78130","N/A","N/A","N/A","N/A","N/A","965.00","965.00","N/A","N/A","N/A","965.00","965.00","N/A","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00","965.00"
"5","N/A","HCHG RBC SEQUESTRATION","78140","N/A","N/A","N/A","N/A","N/A","1021.00","1021.00","N/A","N/A","N/A","1021.00","1021.00","N/A","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00"
"5","N/A","RED CELL SEQUESTRATION","78140","N/A","N/A","N/A","N/A","N/A","1021.00","1021.00","N/A","N/A","N/A","1021.00","1021.00","N/A","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00"
"5","N/A","HCHG LYMPH GLAND SCAN","78195","N/A","N/A","N/A","N/A","N/A","1586.00","1586.00","N/A","N/A","N/A","1586.00","1586.00","N/A","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00"
"5","N/A","LYMPH SYSTEM IMAGING","78195","N/A","N/A","N/A","N/A","N/A","1586.00","1586.00","N/A","N/A","N/A","1586.00","1586.00","N/A","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00","1586.00"
"5","N/A","HCHG LIVER IMAGE; STATIC ONLY","78201","N/A","N/A","N/A","N/A","N/A","1280.00","1280.00","N/A","N/A","N/A","1280.00","1280.00","N/A","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00"
"5","N/A","LIVER IMAGING","78201","N/A","N/A","N/A","N/A","N/A","1280.00","1280.00","N/A","N/A","N/A","1280.00","1280.00","N/A","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00","1280.00"
"5","N/A","HCHG LIVER IMAG W VASC FLOW","78202","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","LIVER IMAGING WITH FLOW","78202","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","HCHG LIVER/SPLEEN, STATIC ONLY","78215","N/A","N/A","N/A","N/A","N/A","973.00","973.00","N/A","N/A","N/A","973.00","973.00","N/A","973.00","973.00","973.00","973.00","973.00","973.00","973.00","973.00","973.00","973.00"
"5","N/A","LIVER AND SPLEEN IMAGING","78215","N/A","N/A","N/A","N/A","N/A","973.00","973.00","N/A","N/A","N/A","973.00","973.00","N/A","973.00","973.00","973.00","973.00","973.00","973.00","973.00","973.00","973.00","973.00"
"5","N/A","HCHG LIVER/SPLEEN/FLOW","78216","N/A","N/A","N/A","N/A","N/A","1231.00","1231.00","N/A","N/A","N/A","1231.00","1231.00","N/A","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00"
"5","N/A","LIVER & SPLEEN IMAGE/FLOW","78216","N/A","N/A","N/A","N/A","N/A","1231.00","1231.00","N/A","N/A","N/A","1231.00","1231.00","N/A","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00","1231.00"
"5","N/A","HCHG HEPATOBILIARY SYSTEM IMAGING, INCL GALLBLADDER WHEN PRESENT","78226","N/A","N/A","N/A","N/A","N/A","1081.00","1081.00","N/A","N/A","N/A","1081.00","1081.00","N/A","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00"
"5","N/A","HEPATOBILIARY SYSTEM IMAGING","78226","N/A","N/A","N/A","N/A","N/A","1081.00","1081.00","N/A","N/A","N/A","1081.00","1081.00","N/A","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00","1081.00"
"5","N/A","HCHG HEPATOBILIARY IMG INCL GALLBLADDER WHEN PRESENT W/RX INTERV INC QNT MEAS WHEN PERFORMED","78227","N/A","N/A","N/A","N/A","N/A","1730.00","1730.00","N/A","N/A","N/A","1730.00","1730.00","N/A","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00"
"5","N/A","HEPATOBIL SYST IMAGE W/DRUG","78227","N/A","N/A","N/A","N/A","N/A","1730.00","1730.00","N/A","N/A","N/A","1730.00","1730.00","N/A","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00","1730.00"
"5","N/A","HCHG SALIVARY GLAND","78230","N/A","N/A","N/A","N/A","N/A","722.00","722.00","N/A","N/A","N/A","722.00","722.00","N/A","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00"
"5","N/A","SALIVARY GLAND IMAGING","78230","N/A","N/A","N/A","N/A","N/A","722.00","722.00","N/A","N/A","N/A","722.00","722.00","N/A","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00"
"5","N/A","HCHG SALIVARY/FLOW","78231","N/A","N/A","N/A","N/A","N/A","1044.00","1044.00","N/A","N/A","N/A","1044.00","1044.00","N/A","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00"
"5","N/A","SERIAL SALIVARY IMAGING","78231","N/A","N/A","N/A","N/A","N/A","1044.00","1044.00","N/A","N/A","N/A","1044.00","1044.00","N/A","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00"
"5","N/A","HCHG SALIVARY W LEMON","78232","N/A","N/A","N/A","N/A","N/A","915.00","915.00","N/A","N/A","N/A","915.00","915.00","N/A","915.00","915.00","915.00","915.00","915.00","915.00","915.00","915.00","915.00","915.00"
"5","N/A","SALIVARY GLAND FUNCTION EXAM","78232","N/A","N/A","N/A","N/A","N/A","915.00","915.00","N/A","N/A","N/A","915.00","915.00","N/A","915.00","915.00","915.00","915.00","915.00","915.00","915.00","915.00","915.00","915.00"
"5","N/A","ESOPHAGEAL MOTILITY STUDY","78258","N/A","N/A","N/A","N/A","N/A","836.00","836.00","N/A","N/A","N/A","836.00","836.00","N/A","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00"
"5","N/A","HCHG ESOPHAGEAL MOTILITY","78258","N/A","N/A","N/A","N/A","N/A","836.00","836.00","N/A","N/A","N/A","836.00","836.00","N/A","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00","836.00"
"5","N/A","GASTRIC MUCOSA IMAGING","78261","N/A","N/A","N/A","N/A","N/A","722.00","722.00","N/A","N/A","N/A","722.00","722.00","N/A","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00"
"5","N/A","HCHG GASTRIC MUCOSA","78261","N/A","N/A","N/A","N/A","N/A","722.00","722.00","N/A","N/A","N/A","722.00","722.00","N/A","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00","722.00"
"5","N/A","GASTROESOPHAGEAL REFLUX EXAM","78262","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","HCHG GAST/ESOPH REFLUX","78262","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","GASTRIC EMPTYING IMAG STUDY","78264","N/A","N/A","N/A","N/A","N/A","2075.00","2075.00","N/A","N/A","N/A","2075.00","2075.00","N/A","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00"
"5","N/A","HCHG GASTRIC EMPTYING","78264","N/A","N/A","N/A","N/A","N/A","2075.00","2075.00","N/A","N/A","N/A","2075.00","2075.00","N/A","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00","2075.00"
"5","N/A","GASTRIC EMPTYING IMAG STUDY","78265","N/A","N/A","N/A","N/A","N/A","2490.00","2490.00","N/A","N/A","N/A","2490.00","2490.00","N/A","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00"
"5","N/A","HCHG GASTRIC EMPTYING IMAG STUDY","78265","N/A","N/A","N/A","N/A","N/A","2490.00","2490.00","N/A","N/A","N/A","2490.00","2490.00","N/A","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00","2490.00"
"5","N/A","GASTRIC EMPTYING IMAG STUDY","78266","N/A","N/A","N/A","N/A","N/A","2905.00","2905.00","N/A","N/A","N/A","2905.00","2905.00","N/A","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00"
"5","N/A","HCHG GASTRIC EMPTYING IMAG STUDY -MULT DAYS","78266","N/A","N/A","N/A","N/A","N/A","2905.00","2905.00","N/A","N/A","N/A","2905.00","2905.00","N/A","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00","2905.00"
"5","N/A","ACUTE GI BLOOD LOSS IMAGING","78278","N/A","N/A","N/A","N/A","N/A","2113.00","2113.00","N/A","N/A","N/A","2113.00","2113.00","N/A","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00"
"5","N/A","HCHG GI BLEED SCAN","78278","N/A","N/A","N/A","N/A","N/A","2113.00","2113.00","N/A","N/A","N/A","2113.00","2113.00","N/A","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00","2113.00"
"5","N/A","HCHG MECKEL'S","78290","N/A","N/A","N/A","N/A","N/A","2034.00","2034.00","N/A","N/A","N/A","2034.00","2034.00","N/A","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00"
"5","N/A","MECKELS DIVERT EXAM","78290","N/A","N/A","N/A","N/A","N/A","2034.00","2034.00","N/A","N/A","N/A","2034.00","2034.00","N/A","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00","2034.00"
"5","N/A","HCHG PERITONEAL SHUNT-LEVEEN","78291","N/A","N/A","N/A","N/A","N/A","900.00","900.00","N/A","N/A","N/A","900.00","900.00","N/A","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00"
"5","N/A","LEVEEN/SHUNT PATENCY EXAM","78291","N/A","N/A","N/A","N/A","N/A","900.00","900.00","N/A","N/A","N/A","900.00","900.00","N/A","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00"
"5","N/A","BONE IMAGING LIMITED AREA","78300","N/A","N/A","N/A","N/A","N/A","1296.00","1296.00","N/A","N/A","N/A","1296.00","1296.00","N/A","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00"
"5","N/A","HCHG BONE LTD","78300","N/A","N/A","N/A","N/A","N/A","1296.00","1296.00","N/A","N/A","N/A","1296.00","1296.00","N/A","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00","1296.00"
"5","N/A","BONE IMAGING MULTIPLE AREAS","78305","N/A","N/A","N/A","N/A","N/A","1491.00","1491.00","N/A","N/A","N/A","1491.00","1491.00","N/A","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00"
"5","N/A","HCHG BONE MULT","78305","N/A","N/A","N/A","N/A","N/A","1491.00","1491.00","N/A","N/A","N/A","1491.00","1491.00","N/A","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00","1491.00"
"5","N/A","BONE IMAGING WHOLE BODY","78306","N/A","N/A","N/A","N/A","N/A","1714.00","1714.00","N/A","N/A","N/A","1714.00","1714.00","N/A","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00"
"5","N/A","HCHG BONE WHOLE BODY","78306","N/A","N/A","N/A","N/A","N/A","1714.00","1714.00","N/A","N/A","N/A","1714.00","1714.00","N/A","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00","1714.00"
"5","N/A","BONE IMAGING 3 PHASE","78315","N/A","N/A","N/A","N/A","N/A","1755.00","1755.00","N/A","N/A","N/A","1755.00","1755.00","N/A","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00"
"5","N/A","HCHG BONE THREE PHASE","78315","N/A","N/A","N/A","N/A","N/A","1755.00","1755.00","N/A","N/A","N/A","1755.00","1755.00","N/A","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00","1755.00"
"5","N/A","CARDIAC SHUNT IMAGING","78428","N/A","N/A","N/A","N/A","N/A","918.00","918.00","N/A","N/A","N/A","918.00","918.00","N/A","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00"
"5","N/A","HCHG CARDIAC SHUNT","78428","N/A","N/A","N/A","N/A","N/A","918.00","918.00","N/A","N/A","N/A","918.00","918.00","N/A","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00"
"5","N/A","HCHG NONCARDIAC VASCULAR FLOW IMAGING","78445","N/A","N/A","N/A","N/A","N/A","1115.00","1115.00","N/A","N/A","N/A","1115.00","1115.00","N/A","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00"
"5","N/A","VASCULAR FLOW IMAGING","78445","N/A","N/A","N/A","N/A","N/A","1115.00","1115.00","N/A","N/A","N/A","1115.00","1115.00","N/A","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00","1115.00"
"5","N/A","HCHG MYOCARDIAL SPECT SINGLE STUDY","78451","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HT MUSCLE IMAGE SPECT SING","78451","N/A","N/A","N/A","N/A","N/A","2457.00","2457.00","N/A","N/A","N/A","2457.00","2457.00","N/A","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00","2457.00"
"5","N/A","HCHG MYOCARDIAL SPECT MULTIPLE STUDIES","78452","N/A","N/A","N/A","N/A","N/A","2846.00","2846.00","N/A","N/A","N/A","2846.00","2846.00","N/A","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00"
"5","N/A","HT MUSCLE IMAGE SPECT MULT","78452","N/A","N/A","N/A","N/A","N/A","2846.00","2846.00","N/A","N/A","N/A","2846.00","2846.00","N/A","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00","2846.00"
"5","N/A","HCHG THALL REST PLANAR","78453","N/A","N/A","N/A","N/A","N/A","1752.00","1752.00","N/A","N/A","N/A","1752.00","1752.00","N/A","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00"
"5","N/A","HT MUSCLE IMAGE PLANAR SING","78453","N/A","N/A","N/A","N/A","N/A","1752.00","1752.00","N/A","N/A","N/A","1752.00","1752.00","N/A","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00","1752.00"
"5","N/A","HCHG VENOGRAM UNILAT","78457","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","VENOUS THROMBOSIS IMAGING","78457","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","HCHG VENOGRAM BILAT","78458","N/A","N/A","N/A","N/A","N/A","1989.00","1989.00","N/A","N/A","N/A","1989.00","1989.00","N/A","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00"
"5","N/A","VEN THROMBOSIS IMAGES BILAT","78458","N/A","N/A","N/A","N/A","N/A","1989.00","1989.00","N/A","N/A","N/A","1989.00","1989.00","N/A","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00","1989.00"
"5","N/A","HCHG PET HRT METABOLIC EVAL","78459","N/A","N/A","N/A","N/A","N/A","3699.00","3699.00","N/A","N/A","N/A","3699.00","3699.00","N/A","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00"
"5","N/A","MYOCRD IMG PET SINGLE STUDY","78459","N/A","N/A","N/A","N/A","N/A","3699.00","3699.00","N/A","N/A","N/A","3699.00","3699.00","N/A","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00"
"5","N/A","HCHG MI W PYP SPECT","78469","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","HEART INFARCT IMAGE (3D)","78469","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","GATED HEART PLANAR SINGLE","78472","N/A","N/A","N/A","N/A","N/A","918.00","918.00","N/A","N/A","N/A","918.00","918.00","N/A","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00"
"5","N/A","HCHG GATED WALL EF/WM/EX SINGLE STUDY","78472","N/A","N/A","N/A","N/A","N/A","918.00","918.00","N/A","N/A","N/A","918.00","918.00","N/A","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00","918.00"
"5","N/A","GATED HEART MULTIPLE","78473","N/A","N/A","N/A","N/A","N/A","1377.00","1377.00","N/A","N/A","N/A","1377.00","1377.00","N/A","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00"
"5","N/A","HCHG GATED WALL EF/WM/EX MULTIPLE STUDIES","78473","N/A","N/A","N/A","N/A","N/A","1377.00","1377.00","N/A","N/A","N/A","1377.00","1377.00","N/A","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00","1377.00"
"5","N/A","HCHG PULMONARY VENT IMAGING","78579","N/A","N/A","N/A","N/A","N/A","1654.00","1654.00","N/A","N/A","N/A","1654.00","1654.00","N/A","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00"
"5","N/A","LUNG VENTILATION IMAGING","78579","N/A","N/A","N/A","N/A","N/A","1654.00","1654.00","N/A","N/A","N/A","1654.00","1654.00","N/A","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00","1654.00"
"5","N/A","HCHG LUNG PERFUSION","78580","N/A","N/A","N/A","N/A","N/A","1584.00","1584.00","N/A","N/A","N/A","1584.00","1584.00","N/A","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00"
"5","N/A","LUNG PERFUSION IMAGING","78580","N/A","N/A","N/A","N/A","N/A","1584.00","1584.00","N/A","N/A","N/A","1584.00","1584.00","N/A","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00","1584.00"
"5","N/A","HCHG PULMONARY VENT AND PERFUSION IMAGING","78582","N/A","N/A","N/A","N/A","N/A","1898.00","1898.00","N/A","N/A","N/A","1898.00","1898.00","N/A","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00"
"5","N/A","LUNG VENTILAT&PERFUS IMAGING","78582","N/A","N/A","N/A","N/A","N/A","1898.00","1898.00","N/A","N/A","N/A","1898.00","1898.00","N/A","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00","1898.00"
"5","N/A","HCHG QNT DIFF PULMONARY PERFUSION, INCL IMAGING WHEN PERFORMED","78597","N/A","N/A","N/A","N/A","N/A","1064.00","1064.00","N/A","N/A","N/A","1064.00","1064.00","N/A","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00"
"5","N/A","LUNG PERFUSION DIFFERENTIAL","78597","N/A","N/A","N/A","N/A","N/A","1064.00","1064.00","N/A","N/A","N/A","1064.00","1064.00","N/A","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00","1064.00"
"5","N/A","HCHG QNT DIFF PULMONARY PERFUSION AND VENT INCL IMAGING WHEN PERFORMED","78598","N/A","N/A","N/A","N/A","N/A","2366.00","2366.00","N/A","N/A","N/A","2366.00","2366.00","N/A","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00"
"5","N/A","LUNG PERF&VENTILAT DIFERENTL","78598","N/A","N/A","N/A","N/A","N/A","2366.00","2366.00","N/A","N/A","N/A","2366.00","2366.00","N/A","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00","2366.00"
"5","N/A","BRAIN IMAGE 4+ VIEWS","78605","N/A","N/A","N/A","N/A","N/A","1069.00","1069.00","N/A","N/A","N/A","1069.00","1069.00","N/A","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00"
"5","N/A","HCHG BRAIN SCAN, MIN 4 VIEWS","78605","N/A","N/A","N/A","N/A","N/A","1069.00","1069.00","N/A","N/A","N/A","1069.00","1069.00","N/A","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00","1069.00"
"5","N/A","BRAIN IMAGE W/FLOW 4 + VIEWS","78606","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","HCHG BRAIN W VASC FLOW, MIN 4 VIEWS","78606","N/A","N/A","N/A","N/A","N/A","1290.00","1290.00","N/A","N/A","N/A","1290.00","1290.00","N/A","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00","1290.00"
"5","N/A","BRAIN IMAGING (PET)","78608","N/A","N/A","N/A","N/A","N/A","3995.00","3995.00","N/A","N/A","N/A","3995.00","3995.00","N/A","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00"
"5","N/A","HCHG PET BRAIN METABOLIC EVAL","78608","N/A","N/A","N/A","N/A","N/A","3995.00","3995.00","N/A","N/A","N/A","3995.00","3995.00","N/A","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00"
"5","N/A","HCHG PET BRAIN METABOLIC EVAL (MOD KX)","78608","N/A","N/A","N/A","N/A","N/A","3995.00","3995.00","N/A","N/A","N/A","3995.00","3995.00","N/A","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00","3995.00"
"5","N/A","BRAIN IMAGING (PET)","78609","N/A","N/A","N/A","N/A","N/A","3699.00","3699.00","N/A","N/A","N/A","3699.00","3699.00","N/A","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00"
"5","N/A","HCHG PET BRAIN PERF EVAL","78609","N/A","N/A","N/A","N/A","N/A","3699.00","3699.00","N/A","N/A","N/A","3699.00","3699.00","N/A","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00","3699.00"
"5","N/A","BRAIN FLOW IMAGING ONLY","78610","N/A","N/A","N/A","N/A","N/A","1370.00","1370.00","N/A","N/A","N/A","1370.00","1370.00","N/A","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00"
"5","N/A","HCHG BRAIN IMAGING VASC FLOW","78610","N/A","N/A","N/A","N/A","N/A","1370.00","1370.00","N/A","N/A","N/A","1370.00","1370.00","N/A","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00","1370.00"
"5","N/A","CEREBROSPINAL FLUID SCAN","78630","N/A","N/A","N/A","N/A","N/A","3169.00","3169.00","N/A","N/A","N/A","3169.00","3169.00","N/A","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00"
"5","N/A","HCHG CISTERNOGRAM SPECT","78630","N/A","N/A","N/A","N/A","N/A","3169.00","3169.00","N/A","N/A","N/A","3169.00","3169.00","N/A","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00","3169.00"
"5","N/A","CSF SHUNT EVALUATION","78645","N/A","N/A","N/A","N/A","N/A","2565.00","2565.00","N/A","N/A","N/A","2565.00","2565.00","N/A","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00"
"5","N/A","HCHG CEREBRAL SHUNT PATENT","78645","N/A","N/A","N/A","N/A","N/A","2565.00","2565.00","N/A","N/A","N/A","2565.00","2565.00","N/A","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00","2565.00"
"5","N/A","CSF LEAKAGE IMAGING","78650","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","HCHG CSF LEAKAGE","78650","N/A","N/A","N/A","N/A","N/A","1702.00","1702.00","N/A","N/A","N/A","1702.00","1702.00","N/A","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00","1702.00"
"5","N/A","HCHG RENAL/FLOW","78701","N/A","N/A","N/A","N/A","N/A","1034.00","1034.00","N/A","N/A","N/A","1034.00","1034.00","N/A","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00"
"5","N/A","KIDNEY IMAGING WITH FLOW","78701","N/A","N/A","N/A","N/A","N/A","1034.00","1034.00","N/A","N/A","N/A","1034.00","1034.00","N/A","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00","1034.00"
"5","N/A","HCHG RENAL SCAN FLOW/FUNC","78707","N/A","N/A","N/A","N/A","N/A","3411.00","3411.00","N/A","N/A","N/A","3411.00","3411.00","N/A","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00"
"5","N/A","K FLOW/FUNCT IMAGE W/O DRUG","78707","N/A","N/A","N/A","N/A","N/A","3411.00","3411.00","N/A","N/A","N/A","3411.00","3411.00","N/A","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00","3411.00"
"5","N/A","HCHG RENAL SCAN FLOW/FUNC W PHARM","78708","N/A","N/A","N/A","N/A","N/A","2674.00","2674.00","N/A","N/A","N/A","2674.00","2674.00","N/A","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00"
"5","N/A","K FLOW/FUNCT IMAGE W/DRUG","78708","N/A","N/A","N/A","N/A","N/A","2674.00","2674.00","N/A","N/A","N/A","2674.00","2674.00","N/A","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00","2674.00"
"5","N/A","HCHG KIDNEY IMG MORPH W/VASC FLOW/FX MULT STDS W W/O RX","78709","N/A","N/A","N/A","N/A","N/A","2094.00","2094.00","N/A","N/A","N/A","2094.00","2094.00","N/A","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00"
"5","N/A","K FLOW/FUNCT IMAGE MULTIPLE","78709","N/A","N/A","N/A","N/A","N/A","2094.00","2094.00","N/A","N/A","N/A","2094.00","2094.00","N/A","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00","2094.00"
"5","N/A","HCHG BLADDER RESIDUAL","78730","N/A","N/A","N/A","N/A","N/A","897.00","897.00","N/A","N/A","N/A","897.00","897.00","N/A","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00"
"5","N/A","URINARY BLADDER RETENTION","78730","N/A","N/A","N/A","N/A","N/A","897.00","897.00","N/A","N/A","N/A","897.00","897.00","N/A","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00"
"5","N/A","HCHG URETERAL REFLUX","78740","N/A","N/A","N/A","N/A","N/A","900.00","900.00","N/A","N/A","N/A","900.00","900.00","N/A","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00"
"5","N/A","URETERAL REFLUX STUDY","78740","N/A","N/A","N/A","N/A","N/A","900.00","900.00","N/A","N/A","N/A","900.00","900.00","N/A","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00","900.00"
"5","N/A","HCHG TESTICULAR W FLOW","78761","N/A","N/A","N/A","N/A","N/A","1046.00","1046.00","N/A","N/A","N/A","1046.00","1046.00","N/A","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00"
"5","N/A","TESTICULAR IMAGING W/FLOW","78761","N/A","N/A","N/A","N/A","N/A","1046.00","1046.00","N/A","N/A","N/A","1046.00","1046.00","N/A","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00","1046.00"
"5","N/A","HCHG TUMOR SCAN LTD","78800","N/A","N/A","N/A","N/A","N/A","928.00","928.00","N/A","N/A","N/A","928.00","928.00","N/A","928.00","928.00","928.00","928.00","928.00","928.00","928.00","928.00","928.00","928.00"
"5","N/A","RP LOCLZJ TUM 1 AREA 1 D IMG","78800","N/A","N/A","N/A","N/A","N/A","928.00","928.00","N/A","N/A","N/A","928.00","928.00","N/A","928.00","928.00","928.00","928.00","928.00","928.00","928.00","928.00","928.00","928.00"
"5","N/A","HCHG TUMOR SCAN MULT","78801","N/A","N/A","N/A","N/A","N/A","1059.00","1059.00","N/A","N/A","N/A","1059.00","1059.00","N/A","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00"
"5","N/A","RP LOCLZJ TUM 2+AREA 1+D IMG","78801","N/A","N/A","N/A","N/A","N/A","1059.00","1059.00","N/A","N/A","N/A","1059.00","1059.00","N/A","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00","1059.00"
"5","N/A","HCHG TUMOR/INFLAMMATORY PLANAR/WB SINGLE DAY","78802","N/A","N/A","N/A","N/A","N/A","1905.00","1905.00","N/A","N/A","N/A","1905.00","1905.00","N/A","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00"
"5","N/A","RP LOCLZJ TUM WHBDY 1 D IMG","78802","N/A","N/A","N/A","N/A","N/A","1905.00","1905.00","N/A","N/A","N/A","1905.00","1905.00","N/A","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00","1905.00"
"5","N/A","HCHG SPECT SINGLE DAY/AREA","78803","N/A","N/A","N/A","N/A","N/A","1914.00","1914.00","N/A","N/A","N/A","1914.00","1914.00","N/A","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00"
"5","N/A","RP LOCLZJ TUM SPECT 1 AREA","78803","N/A","N/A","N/A","N/A","N/A","1914.00","1914.00","N/A","N/A","N/A","1914.00","1914.00","N/A","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00","1914.00"
"5","N/A","HCHG TUMOR/INFLAMMATORY PLANAR/WB MULTI DAY","78804","N/A","N/A","N/A","N/A","N/A","2557.00","2557.00","N/A","N/A","N/A","2557.00","2557.00","N/A","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00"
"5","N/A","RP LOCLZJ TUM WHBDY 2+D IMG","78804","N/A","N/A","N/A","N/A","N/A","2557.00","2557.00","N/A","N/A","N/A","2557.00","2557.00","N/A","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00","2557.00"
"5","N/A","HCHG PET LTD","78811","N/A","N/A","N/A","N/A","N/A","4042.00","4042.00","N/A","N/A","N/A","4042.00","4042.00","N/A","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00"
"5","N/A","HCHG PET LTD (MOD KX)","78811","N/A","N/A","N/A","N/A","N/A","4042.00","4042.00","N/A","N/A","N/A","4042.00","4042.00","N/A","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00"
"5","N/A","PET IMAGE LTD AREA","78811","N/A","N/A","N/A","N/A","N/A","4042.00","4042.00","N/A","N/A","N/A","4042.00","4042.00","N/A","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00","4042.00"
"5","N/A","HCHG PET SKULL BASE TO MIDTHIGH E-T","78812","N/A","N/A","N/A","N/A","N/A","4586.00","4586.00","N/A","N/A","N/A","4586.00","4586.00","N/A","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00"
"5","N/A","HCHG PET SKULL BASE TO MIDTHIGH E-T (MOD KX)","78812","N/A","N/A","N/A","N/A","N/A","4586.00","4586.00","N/A","N/A","N/A","4586.00","4586.00","N/A","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00"
"5","N/A","PET IMAGE SKULL-THIGH","78812","N/A","N/A","N/A","N/A","N/A","4586.00","4586.00","N/A","N/A","N/A","4586.00","4586.00","N/A","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00","4586.00"
"5","N/A","HCHG PET WHOLE BODY WB","78813","N/A","N/A","N/A","N/A","N/A","5274.00","5274.00","N/A","N/A","N/A","5274.00","5274.00","N/A","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00"
"5","N/A","HCHG PET WHOLE BODY WB (MOD KX)","78813","N/A","N/A","N/A","N/A","N/A","5274.00","5274.00","N/A","N/A","N/A","5274.00","5274.00","N/A","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00"
"5","N/A","PET IMAGE FULL BODY","78813","N/A","N/A","N/A","N/A","N/A","5274.00","5274.00","N/A","N/A","N/A","5274.00","5274.00","N/A","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00","5274.00"
"5","N/A","HCHG TUMOR IMAGE PET/CT LTD","78814","N/A","N/A","N/A","N/A","N/A","4892.00","4892.00","N/A","N/A","N/A","4892.00","4892.00","N/A","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00"
"5","N/A","HCHG TUMOR IMAGE PET/CT LTD (MOD KX)","78814","N/A","N/A","N/A","N/A","N/A","4892.00","4892.00","N/A","N/A","N/A","4892.00","4892.00","N/A","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00"
"5","N/A","PET IMAGE W/CT LMTD","78814","N/A","N/A","N/A","N/A","N/A","4892.00","4892.00","N/A","N/A","N/A","4892.00","4892.00","N/A","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00","4892.00"
"5","N/A","HCHG TUMOR IMAGE PET/CT SKULL-THIGH","78815","N/A","N/A","N/A","N/A","N/A","5606.00","5606.00","N/A","N/A","N/A","5606.00","5606.00","N/A","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00"
"5","N/A","PET IMAGE W/CT SKULL-THIGH","78815","N/A","N/A","N/A","N/A","N/A","5606.00","5606.00","N/A","N/A","N/A","5606.00","5606.00","N/A","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00","5606.00"
"5","N/A","HCHG TUMOR IMAGE PET/CT FULL BODY","78816","N/A","N/A","N/A","N/A","N/A","6446.00","6446.00","N/A","N/A","N/A","6446.00","6446.00","N/A","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00"
"5","N/A","PET IMAGE W/CT FULL BODY","78816","N/A","N/A","N/A","N/A","N/A","6446.00","6446.00","N/A","N/A","N/A","6446.00","6446.00","N/A","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00","6446.00"
"5","N/A","HCHG SPECT/CT SINGLE DAY/AREA","78830","N/A","N/A","N/A","N/A","N/A","4024.00","4024.00","N/A","N/A","N/A","4024.00","4024.00","N/A","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00"
"5","N/A","RP LOCLZJ TUM SPECT W/CT 1","78830","N/A","N/A","N/A","N/A","N/A","4024.00","4024.00","N/A","N/A","N/A","4024.00","4024.00","N/A","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00","4024.00"
"5","N/A","HCHG SPECT MULT DAY/AREA","78831","N/A","N/A","N/A","N/A","N/A","4565.00","4565.00","N/A","N/A","N/A","4565.00","4565.00","N/A","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00"
"5","N/A","RP LOCLZJ TUM SPECT 2 AREAS","78831","N/A","N/A","N/A","N/A","N/A","4565.00","4565.00","N/A","N/A","N/A","4565.00","4565.00","N/A","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00"
"5","N/A","HCHG SPECT/CT MULT DAY/AREA","78832","N/A","N/A","N/A","N/A","N/A","4565.00","4565.00","N/A","N/A","N/A","4565.00","4565.00","N/A","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00"
"5","N/A","RP LOCLZJ TUM SPECT W/CT 2","78832","N/A","N/A","N/A","N/A","N/A","4565.00","4565.00","N/A","N/A","N/A","4565.00","4565.00","N/A","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00","4565.00"
"5","N/A","HCHG QUANTIFICATION MEASUREMENT","78835","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","RP QUAN MEAS SINGLE AREA","78835","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG RADIOPHARM THERAPY, ORAL","79005","N/A","N/A","N/A","N/A","N/A","865.00","865.00","N/A","N/A","N/A","865.00","865.00","N/A","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00"
"5","N/A","NUCLEAR RX ORAL ADMIN","79005","N/A","N/A","N/A","N/A","N/A","865.00","865.00","N/A","N/A","N/A","865.00","865.00","N/A","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00"
"5","N/A","HCHG RP THERAPY IV ADMIN","79101","N/A","N/A","N/A","N/A","N/A","1071.00","1071.00","N/A","N/A","N/A","1071.00","1071.00","N/A","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00"
"5","N/A","NUCLEAR RX IV ADMIN","79101","N/A","N/A","N/A","N/A","N/A","1071.00","1071.00","N/A","N/A","N/A","1071.00","1071.00","N/A","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00","1071.00"
"5","N/A","HCHG P32 INTRACAVITARY","79200","N/A","N/A","N/A","N/A","N/A","2223.00","2223.00","N/A","N/A","N/A","2223.00","2223.00","N/A","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00"
"5","N/A","NUCLEAR RX INTRACAV ADMIN","79200","N/A","N/A","N/A","N/A","N/A","2223.00","2223.00","N/A","N/A","N/A","2223.00","2223.00","N/A","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00","2223.00"
"5","N/A","HCHG RADIOIMMUNOTHERAPY PROCED","79403","N/A","N/A","N/A","N/A","N/A","3098.00","3098.00","N/A","N/A","N/A","3098.00","3098.00","N/A","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00"
"5","N/A","HEMATOPOIETIC NUCLEAR TX","79403","N/A","N/A","N/A","N/A","N/A","3098.00","3098.00","N/A","N/A","N/A","3098.00","3098.00","N/A","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00","3098.00"
"5","N/A","HCHG P-32 RAD SYNOVECTOMY","79440","N/A","N/A","N/A","N/A","N/A","642.00","642.00","N/A","N/A","N/A","642.00","642.00","N/A","642.00","642.00","642.00","642.00","642.00","642.00","642.00","642.00","642.00","642.00"
"5","N/A","NUCLEAR RX INTRA-ARTICULAR","79440","N/A","N/A","N/A","N/A","N/A","642.00","642.00","N/A","N/A","N/A","642.00","642.00","N/A","642.00","642.00","642.00","642.00","642.00","642.00","642.00","642.00","642.00","642.00"
"5","N/A","HCHG RADIOPHARM THERAPY BY INTRA-ARTERIAL PARTICULATE ADMIN","79445","N/A","N/A","N/A","N/A","N/A","1108.00","1108.00","N/A","N/A","N/A","1108.00","1108.00","N/A","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00"
"5","N/A","NUCLEAR RX INTRA-ARTERIAL","79445","N/A","N/A","N/A","N/A","N/A","1108.00","1108.00","N/A","N/A","N/A","1108.00","1108.00","N/A","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00","1108.00"
"5","N/A","HCHG BASIC METABOLIC PROFILE","80048","N/A","N/A","N/A","N/A","N/A","122.00","122.00","N/A","N/A","N/A","122.00","122.00","N/A","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00"
"5","N/A","METABOLIC PANEL TOTAL CA","80048","N/A","N/A","N/A","N/A","N/A","122.00","122.00","N/A","N/A","N/A","122.00","122.00","N/A","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00"
"5","N/A","ELECTROLYTE PANEL","80051","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","HCHG ELECTROLYTE PANEL","80051","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","COMPREHEN METABOLIC PANEL","80053","N/A","N/A","N/A","N/A","N/A","138.00","138.00","N/A","N/A","N/A","138.00","138.00","N/A","138.00","138.00","138.00","138.00","138.00","138.00","138.00","138.00","138.00","138.00"
"5","N/A","HCHG COMPREHENSIVE METABOLIC PROF","80053","N/A","N/A","N/A","N/A","N/A","138.00","138.00","N/A","N/A","N/A","138.00","138.00","N/A","138.00","138.00","138.00","138.00","138.00","138.00","138.00","138.00","138.00","138.00"
"5","N/A","HCHG OBSTETRIC PANEL","80055","N/A","N/A","N/A","N/A","N/A","413.00","413.00","N/A","N/A","N/A","413.00","413.00","N/A","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00"
"5","N/A","OBSTETRIC PANEL","80055","N/A","N/A","N/A","N/A","N/A","413.00","413.00","N/A","N/A","N/A","413.00","413.00","N/A","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00","413.00"
"5","N/A","HCHG CARDIAC RISK/LIPID PROFILE","80061","N/A","N/A","N/A","N/A","N/A","166.00","166.00","N/A","N/A","N/A","166.00","166.00","N/A","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00"
"5","N/A","LIPID PANEL","80061","N/A","N/A","N/A","N/A","N/A","166.00","166.00","N/A","N/A","N/A","166.00","166.00","N/A","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00"
"5","N/A","HCHG RENAL PROFILE","80069","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","RENAL FUNCTION PANEL","80069","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","ACUTE HEPATITIS PANEL","80074","N/A","N/A","N/A","N/A","N/A","675.00","675.00","N/A","N/A","N/A","675.00","675.00","N/A","675.00","675.00","675.00","675.00","675.00","675.00","675.00","675.00","675.00","675.00"
"5","N/A","HCHG ACUTE HEPATITIS PANEL","80074","N/A","N/A","N/A","N/A","N/A","675.00","675.00","N/A","N/A","N/A","675.00","675.00","N/A","675.00","675.00","675.00","675.00","675.00","675.00","675.00","675.00","675.00","675.00"
"5","N/A","HCHG HEPATIC FUNCTION","80076","N/A","N/A","N/A","N/A","N/A","135.00","135.00","N/A","N/A","N/A","135.00","135.00","N/A","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00"
"5","N/A","HEPATIC FUNCTION PANEL","80076","N/A","N/A","N/A","N/A","N/A","135.00","135.00","N/A","N/A","N/A","135.00","135.00","N/A","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00"
"5","N/A","DRUG ASSAY ADALIMUMAB","80145","N/A","N/A","N/A","N/A","N/A","1612.00","1612.00","N/A","N/A","N/A","1612.00","1612.00","N/A","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00"
"5","N/A","HCHG ADALIMUMAB","80145","N/A","N/A","N/A","N/A","N/A","1612.00","1612.00","N/A","N/A","N/A","1612.00","1612.00","N/A","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00","1612.00"
"5","N/A","ASSAY OF AMIKACIN","80150","N/A","N/A","N/A","N/A","N/A","181.00","181.00","N/A","N/A","N/A","181.00","181.00","N/A","181.00","181.00","181.00","181.00","181.00","181.00","181.00","181.00","181.00","181.00"
"5","N/A","HCHG AMIKACIN LEVEL","80150","N/A","N/A","N/A","N/A","N/A","181.00","181.00","N/A","N/A","N/A","181.00","181.00","N/A","181.00","181.00","181.00","181.00","181.00","181.00","181.00","181.00","181.00","181.00"
"5","N/A","ASSAY CARBAMAZEPINE TOTAL","80156","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG CARBAMAZEPINE (TEGRETOL) TOTAL","80156","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","DRUG ASSAY CYCLOSPORINE","80158","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","HCHG CYCLOSPORINE","80158","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","ASSAY OF DIGOXIN TOTAL","80162","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG DIGOXIN","80162","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","ASSAY DIPROPYLACETIC ACD TOT","80164","N/A","N/A","N/A","N/A","N/A","222.00","222.00","N/A","N/A","N/A","222.00","222.00","N/A","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00"
"5","N/A","HCHG VALPROIC ACID","80164","N/A","N/A","N/A","N/A","N/A","222.00","222.00","N/A","N/A","N/A","222.00","222.00","N/A","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00","222.00"
"5","N/A","HCHG DRUG ASSAY FELBAMATE - 90","80167","N/A","N/A","N/A","N/A","N/A","443.00","443.00","N/A","N/A","N/A","443.00","443.00","N/A","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00"
"5","N/A","ASSAY OF ETHOSUXIMIDE","80168","N/A","N/A","N/A","N/A","N/A","100.00","100.00","N/A","N/A","N/A","100.00","100.00","N/A","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00"
"5","N/A","HCHG ETHOSUXIMIDE (ZARONTIN)","80168","N/A","N/A","N/A","N/A","N/A","100.00","100.00","N/A","N/A","N/A","100.00","100.00","N/A","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00"
"5","N/A","DRUG ASSAY EVEROLIMUS","80169","N/A","N/A","N/A","N/A","N/A","658.00","658.00","N/A","N/A","N/A","658.00","658.00","N/A","658.00","658.00","658.00","658.00","658.00","658.00","658.00","658.00","658.00","658.00"
"5","N/A","HCHG EVEROLIMUS, BLOOD","80169","N/A","N/A","N/A","N/A","N/A","658.00","658.00","N/A","N/A","N/A","658.00","658.00","N/A","658.00","658.00","658.00","658.00","658.00","658.00","658.00","658.00","658.00","658.00"
"5","N/A","ASSAY OF GENTAMICIN","80170","N/A","N/A","N/A","N/A","N/A","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","HCHG GENTAMICIN LEVEL RIA","80170","N/A","N/A","N/A","N/A","N/A","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","DRUG SCREEN QUANT GABAPENTIN","80171","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","HCHG GABAPENTIN","80171","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","ASSAY OF HALOPERIDOL","80173","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","HCHG HALOPERIDOL (HALDOL) 90","80173","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","DRUG SCREEN QUAN LAMOTRIGINE","80175","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG LAMOTRIGNINE","80175","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","ASSAY OF LIDOCAINE","80176","N/A","N/A","N/A","N/A","N/A","177.00","177.00","N/A","N/A","N/A","177.00","177.00","N/A","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00"
"5","N/A","HCHG LIDOCAINE","80176","N/A","N/A","N/A","N/A","N/A","177.00","177.00","N/A","N/A","N/A","177.00","177.00","N/A","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00"
"5","N/A","DRUG SCRN QUAN LEVETIRACETAM","80177","N/A","N/A","N/A","N/A","N/A","377.00","377.00","N/A","N/A","N/A","377.00","377.00","N/A","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00"
"5","N/A","HCHG LEVETIRACETAM QUANT","80177","N/A","N/A","N/A","N/A","N/A","377.00","377.00","N/A","N/A","N/A","377.00","377.00","N/A","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00","377.00"
"5","N/A","ASSAY OF LITHIUM","80178","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG LITHIUM","80178","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","DRUG SCRN QUAN MYCOPHENOLATE","80180","N/A","N/A","N/A","N/A","N/A","1045.00","1045.00","N/A","N/A","N/A","1045.00","1045.00","N/A","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00"
"5","N/A","HCHG MYCOPHENOLIC ACID","80180","N/A","N/A","N/A","N/A","N/A","1045.00","1045.00","N/A","N/A","N/A","1045.00","1045.00","N/A","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00","1045.00"
"5","N/A","DRUG SCRN QUANT OXCARBAZEPIN","80183","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG OXCARBAZEPINE AS METAOLITE","80183","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","ASSAY OF PHENOBARBITAL","80184","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","HCHG PHENOBARBITAL","80184","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","HCHG PHENOBARBITAL-90","80184","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","ASSAY OF PHENYTOIN TOTAL","80185","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","HCHG DILANTIN TOTAL","80185","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","ASSAY OF PHENYTOIN FREE","80186","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","HCHG DILANTIN FREE","80186","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","ASSAY OF PRIMIDONE","80188","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","HCHG PRIMIDONE","80188","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","ASSAY OF PROCAINAMIDE","80192","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","HCHG PROCAINAMIDE/NAPA","80192","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","ASSAY OF QUINIDINE","80194","N/A","N/A","N/A","N/A","N/A","97.00","97.00","N/A","N/A","N/A","97.00","97.00","N/A","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00"
"5","N/A","HCHG QUINIDINE","80194","N/A","N/A","N/A","N/A","N/A","97.00","97.00","N/A","N/A","N/A","97.00","97.00","N/A","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00"
"5","N/A","ASSAY OF SIROLIMUS","80195","N/A","N/A","N/A","N/A","N/A","490.00","490.00","N/A","N/A","N/A","490.00","490.00","N/A","490.00","490.00","490.00","490.00","490.00","490.00","490.00","490.00","490.00","490.00"
"5","N/A","HCHG SIROLIMUS","80195","N/A","N/A","N/A","N/A","N/A","490.00","490.00","N/A","N/A","N/A","490.00","490.00","N/A","490.00","490.00","490.00","490.00","490.00","490.00","490.00","490.00","490.00","490.00"
"5","N/A","ASSAY OF TACROLIMUS","80197","N/A","N/A","N/A","N/A","N/A","292.00","292.00","N/A","N/A","N/A","292.00","292.00","N/A","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00"
"5","N/A","HCHG TACROLIMUS","80197","N/A","N/A","N/A","N/A","N/A","292.00","292.00","N/A","N/A","N/A","292.00","292.00","N/A","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00"
"5","N/A","ASSAY OF THEOPHYLLINE","80198","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","HCHG THEOPHYLLINE","80198","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","ASSAY OF TOBRAMYCIN","80200","N/A","N/A","N/A","N/A","N/A","192.00","192.00","N/A","N/A","N/A","192.00","192.00","N/A","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00"
"5","N/A","HCHG TOBRAMYCIN LEVEL RIA","80200","N/A","N/A","N/A","N/A","N/A","192.00","192.00","N/A","N/A","N/A","192.00","192.00","N/A","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00","192.00"
"5","N/A","ASSAY OF TOPIRAMATE","80201","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG TOPIRAMATE","80201","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","ASSAY OF VANCOMYCIN","80202","N/A","N/A","N/A","N/A","N/A","215.00","215.00","N/A","N/A","N/A","215.00","215.00","N/A","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00"
"5","N/A","HCHG VANCOMYCIN LEVEL","80202","N/A","N/A","N/A","N/A","N/A","215.00","215.00","N/A","N/A","N/A","215.00","215.00","N/A","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00"
"5","N/A","DRUG ASSAY LACOSAMIDE","80235","N/A","N/A","N/A","N/A","N/A","866.00","866.00","N/A","N/A","N/A","866.00","866.00","N/A","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00"
"5","N/A","HCHG LACOSAMIDE","80235","N/A","N/A","N/A","N/A","N/A","866.00","866.00","N/A","N/A","N/A","866.00","866.00","N/A","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00","866.00"
"5","N/A","HCHG AMIODARONE","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG ANTIBIOTIC LEVEL (BIOASSAY)","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG DISOPYRAMIDE/NORPACE 90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG FELBAMATE (FELBATOL)","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG FLECAINIDE 90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG IBUPROFEN","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG ISONIAZID QUANTITATION","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG LACOSAMIDE","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG METHOTREXATE LEVEL","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG MEXILETINE-90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG PROPAFENONE","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG THERAPEUTIC DRUG QUANT, AMITRIPTYLINE - 90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG THERAPEUTIC DRUG QUANT, CLONAZEPAM - 90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG THERAPEUTIC DRUG QUANT, DIAZEPAM & METABOLITE - 90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG THERAPEUTIC DRUG QUANT, NORTRIPTYLINE - 90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","HCHG TRAZADONE/DESYREL 90","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","QUANTITATIVE ASSAY DRUG","80299","N/A","N/A","N/A","N/A","N/A","817.00","817.00","N/A","N/A","N/A","817.00","817.00","N/A","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00","817.00"
"5","N/A","DRUG TEST PRSMV CHEM ANLYZR","80307","N/A","N/A","N/A","N/A","N/A","644.00","644.00","N/A","N/A","N/A","644.00","644.00","N/A","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00"
"5","N/A","HCHG DRUG TEST(S) PRESUMPTIVE BY INSTRUMENT - 90","80307","N/A","N/A","N/A","N/A","N/A","644.00","644.00","N/A","N/A","N/A","644.00","644.00","N/A","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00"
"5","N/A","HCHG OPIATES, QUAL-UA","80307","N/A","N/A","N/A","N/A","N/A","644.00","644.00","N/A","N/A","N/A","644.00","644.00","N/A","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00","644.00"
"5","N/A","DRUG SCREEN QUANTALCOHOLS","80320","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG ALCOHOL (ETHANOL) ANY SPECIMEN EXPECT BREATH 90","80320","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","ALCOHOLS BIOMARKERS 1OR 2","80321","N/A","N/A","N/A","N/A","N/A","765.00","765.00","N/A","N/A","N/A","765.00","765.00","N/A","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00"
"5","N/A","HCHG ETHYL GLUCURONIDE, RANDOM URINE 90","80321","N/A","N/A","N/A","N/A","N/A","765.00","765.00","N/A","N/A","N/A","765.00","765.00","N/A","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00","765.00"
"5","N/A","ALKALOIDS NOS","80323","N/A","N/A","N/A","N/A","N/A","242.00","242.00","N/A","N/A","N/A","242.00","242.00","N/A","242.00","242.00","242.00","242.00","242.00","242.00","242.00","242.00","242.00","242.00"
"5","N/A","HCHG ALKALOIDS NICOTINE 90","80323","N/A","N/A","N/A","N/A","N/A","242.00","242.00","N/A","N/A","N/A","242.00","242.00","N/A","242.00","242.00","242.00","242.00","242.00","242.00","242.00","242.00","242.00","242.00"
"5","N/A","DRUG SCREEN AMPHETAMINES 1/2","80324","N/A","N/A","N/A","N/A","N/A","288.00","288.00","N/A","N/A","N/A","288.00","288.00","N/A","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00"
"5","N/A","HCHG AMPHETAMINES 1-2","80324","N/A","N/A","N/A","N/A","N/A","288.00","288.00","N/A","N/A","N/A","288.00","288.00","N/A","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00"
"5","N/A","HCHG AMPHETAMINES 1-2 DRUG CONFIRM 90","80324","N/A","N/A","N/A","N/A","N/A","288.00","288.00","N/A","N/A","N/A","288.00","288.00","N/A","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00","288.00"
"5","N/A","ANABOLIC STEROID 1 OR 2","80327","N/A","N/A","N/A","N/A","N/A","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","HCHG ANABOLIC STEROIDS 1-2 DIHYDROTESTOSTERONE 90","80327","N/A","N/A","N/A","N/A","N/A","568.00","568.00","N/A","N/A","N/A","568.00","568.00","N/A","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00","568.00"
"5","N/A","ANALGESICS NON-OPIOID 1 OR 2","80329","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","HCHG ANALGESICS NON-OPIOID 1-2 ACETAMINOPHEN","80329","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","HCHG ANALGESICS NON-OPIOID 1-2 SALICYLATE","80329","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","ANTIDEPRESSANTS CLASS 1 OR 2","80332","N/A","N/A","N/A","N/A","N/A","182.00","182.00","N/A","N/A","N/A","182.00","182.00","N/A","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00"
"5","N/A","HCHG ANTIDEPRESSANTS SERO CLASS 1/2 - 90","80332","N/A","N/A","N/A","N/A","N/A","182.00","182.00","N/A","N/A","N/A","182.00","182.00","N/A","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00"
"5","N/A","ANTIDEPRESSANT TRICYCLIC 1/2","80335","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","HCHG ANTIDEPRESSANT 1-2 AMITRIPTYLINE 90","80335","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","HCHG ANTIDEPRESSANT 1-2 DESIPRAMINE 90","80335","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","HCHG ANTIDEPRESSANT 1-2 NORTRIPTYLINE 90","80335","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","HCHG ANTIDEPRESSANTS TRICYCLIC 6 OR MORE - 90","80337","N/A","N/A","N/A","N/A","N/A","182.00","182.00","N/A","N/A","N/A","182.00","182.00","N/A","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00"
"5","N/A","TRICYCLIC & CYCLICALS 6/MORE","80337","N/A","N/A","N/A","N/A","N/A","182.00","182.00","N/A","N/A","N/A","182.00","182.00","N/A","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00"
"5","N/A","ANTIDEPRESSANT NOT SPECIFIED","80338","N/A","N/A","N/A","N/A","N/A","182.00","182.00","N/A","N/A","N/A","182.00","182.00","N/A","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00"
"5","N/A","HCHG ANTIDEPRESSANTS NOT OTHER SPEC - 90","80338","N/A","N/A","N/A","N/A","N/A","182.00","182.00","N/A","N/A","N/A","182.00","182.00","N/A","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00","182.00"
"5","N/A","ANTIEPILEPTICS NOS 1-3","80339","N/A","N/A","N/A","N/A","N/A","443.00","443.00","N/A","N/A","N/A","443.00","443.00","N/A","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00"
"5","N/A","HCHG ANTIEPILEPTICS NOS 1-3 - FELBAMATE - 90","80339","N/A","N/A","N/A","N/A","N/A","443.00","443.00","N/A","N/A","N/A","443.00","443.00","N/A","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00"
"5","N/A","ANTIPSYCHOTICS NOS 1-3","80342","N/A","N/A","N/A","N/A","N/A","238.00","238.00","N/A","N/A","N/A","238.00","238.00","N/A","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00"
"5","N/A","HCHG ANTIPSYCHOTICS 1-3 DRUG CONFIRM 90","80342","N/A","N/A","N/A","N/A","N/A","238.00","238.00","N/A","N/A","N/A","238.00","238.00","N/A","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00"
"5","N/A","HCHG ANTIPSYCHOTICS 1-3 PHENOTHIAZINE 90","80342","N/A","N/A","N/A","N/A","N/A","238.00","238.00","N/A","N/A","N/A","238.00","238.00","N/A","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00"
"5","N/A","DRUG SCREENING BARBITURATES","80345","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG BARBITURATES DRUG CONFIRM 90","80345","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","BENZODIAZEPINES1-12","80346","N/A","N/A","N/A","N/A","N/A","989.00","989.00","N/A","N/A","N/A","989.00","989.00","N/A","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00"
"5","N/A","HCHG BENZODIAZEPINES 1-12 DRUG CONFIRM 90","80346","N/A","N/A","N/A","N/A","N/A","989.00","989.00","N/A","N/A","N/A","989.00","989.00","N/A","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00"
"5","N/A","HCHG BENZODIAZEPINES 1-12 90","80346","N/A","N/A","N/A","N/A","N/A","989.00","989.00","N/A","N/A","N/A","989.00","989.00","N/A","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00","989.00"
"5","N/A","DRUG SCREENING BUPRENORPHINE","80348","N/A","N/A","N/A","N/A","N/A","236.00","236.00","N/A","N/A","N/A","236.00","236.00","N/A","236.00","236.00","236.00","236.00","236.00","236.00","236.00","236.00","236.00","236.00"
"5","N/A","HCHG DRUG SCREENING BUPRENORPHINE CONFIRMATION","80348","N/A","N/A","N/A","N/A","N/A","236.00","236.00","N/A","N/A","N/A","236.00","236.00","N/A","236.00","236.00","236.00","236.00","236.00","236.00","236.00","236.00","236.00","236.00"
"5","N/A","CANNABINOIDS NATURAL","80349","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG CANNABINOIDS DRUG CONFIRM 90","80349","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","DRUG SCREENING COCAINE","80353","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG COCAINE DRUG CONFIRM 90","80353","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","GABAPENTIN NON-BLOOD","80355","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","HCHG ANTIDEPRESSANT 1-2 IMIPRAMINE 90","80355","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","HCHG HEROIN METABOLITE DRUG CONFIRM","80356","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","HEROIN METABOLITE","80356","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","DRUG SCREENING METHADONE","80358","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG METHADONE DRUG CONFIRM 90","80358","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG MDMA, URINE CONFIRMATION","80359","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","METHYLENEDIOXYAMPHETAMINES","80359","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","HCHG OPIATES 1+ DRUG AND METABOLITES 90","80361","N/A","N/A","N/A","N/A","N/A","1021.00","1021.00","N/A","N/A","N/A","1021.00","1021.00","N/A","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00"
"5","N/A","HCHG OPIATES 1+ DRUG CONFIRM 90","80361","N/A","N/A","N/A","N/A","N/A","1021.00","1021.00","N/A","N/A","N/A","1021.00","1021.00","N/A","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00"
"5","N/A","OPIATES 1 OR MORE","80361","N/A","N/A","N/A","N/A","N/A","1021.00","1021.00","N/A","N/A","N/A","1021.00","1021.00","N/A","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00","1021.00"
"5","N/A","HCHG OPIOD & OPIATE ANALOG 5 OR MORE - 90","80364","N/A","N/A","N/A","N/A","N/A","850.00","850.00","N/A","N/A","N/A","850.00","850.00","N/A","850.00","850.00","850.00","850.00","850.00","850.00","850.00","850.00","850.00","850.00"
"5","N/A","OPIOID &OPIATE ANALOG 5/MORE","80364","N/A","N/A","N/A","N/A","N/A","850.00","850.00","N/A","N/A","N/A","850.00","850.00","N/A","850.00","850.00","850.00","850.00","850.00","850.00","850.00","850.00","850.00","850.00"
"5","N/A","DRUG SCREENING OXYCODONE","80365","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG OXYCODONE","80365","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","DRUG SCREENING PROPOXYPHENE","80367","N/A","N/A","N/A","N/A","N/A","466.00","466.00","N/A","N/A","N/A","466.00","466.00","N/A","466.00","466.00","466.00","466.00","466.00","466.00","466.00","466.00","466.00","466.00"
"5","N/A","HCHG PROPOXYPHENE DRUG CONFIRM","80367","N/A","N/A","N/A","N/A","N/A","466.00","466.00","N/A","N/A","N/A","466.00","466.00","N/A","466.00","466.00","466.00","466.00","466.00","466.00","466.00","466.00","466.00","466.00"
"5","N/A","DRUG/SUBSTANCE NOS 1-3","80375","N/A","N/A","N/A","N/A","N/A","1053.00","1053.00","N/A","N/A","N/A","1053.00","1053.00","N/A","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00"
"5","N/A","HCHG DRUG NOT SPECIFIED DRUG CONFIRM 90","80375","N/A","N/A","N/A","N/A","N/A","1053.00","1053.00","N/A","N/A","N/A","1053.00","1053.00","N/A","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00","1053.00"
"5","N/A","DRUG/SUBSTANCE NOS 7/MORE","80377","N/A","N/A","N/A","N/A","N/A","714.00","714.00","N/A","N/A","N/A","714.00","714.00","N/A","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00"
"5","N/A","HCHG SULFONYLUREA SCRN","80377","N/A","N/A","N/A","N/A","N/A","714.00","714.00","N/A","N/A","N/A","714.00","714.00","N/A","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00"
"5","N/A","HCHG PATH CONSULT WO HX REVIEW 90","80500","N/A","N/A","N/A","N/A","N/A","301.00","301.00","N/A","N/A","N/A","301.00","301.00","N/A","301.00","301.00","301.00","301.00","301.00","301.00","301.00","301.00","301.00","301.00"
"5","N/A","LAB PATHOLOGY CONSULTATION","80500","N/A","N/A","N/A","N/A","N/A","301.00","301.00","N/A","N/A","N/A","301.00","301.00","N/A","301.00","301.00","301.00","301.00","301.00","301.00","301.00","301.00","301.00","301.00"
"5","N/A","HCHG UA, AUTOMATED W/MICRO, REFLEX TO CULTURE","81001","N/A","N/A","N/A","N/A","N/A","49.00","49.00","N/A","N/A","N/A","49.00","49.00","N/A","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00"
"5","N/A","HCHG UA, AUTOMATED, W/ MICROSCOPY","81001","N/A","N/A","N/A","N/A","N/A","49.00","49.00","N/A","N/A","N/A","49.00","49.00","N/A","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00"
"5","N/A","URINALYSIS AUTO W/SCOPE","81001","N/A","N/A","N/A","N/A","N/A","49.00","49.00","N/A","N/A","N/A","49.00","49.00","N/A","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00"
"5","N/A","HCHG UA (DIPSTICK), NON-AUTOMATED, W/O MICROSCOPY","81002","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG UA NON-AUTOMATED NO MICRO","81002","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP","81002","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","URINALYSIS NONAUTO W/O SCOPE","81002","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG SPECIFIC GRAVITY, URINE","81003","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG UA (DIPSTICK), AUTOMATED, BACTERIURIA SCREEN; REFLEX TO C&S","81003","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG UA W/O MICRO, REFLEX MICROALB","81003","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG URINALYSIS, REFLEX MICROSCOPIC","81003","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","URINALYSIS AUTO W/O SCOPE","81003","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG SPECIFIC GRAVITY-URINE","81005","N/A","N/A","N/A","N/A","N/A","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","URINALYSIS","81005","N/A","N/A","N/A","N/A","N/A","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","HCHG URINALYSIS MICRO ONLY","81015","N/A","N/A","N/A","N/A","N/A","42.00","42.00","N/A","N/A","N/A","42.00","42.00","N/A","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00"
"5","N/A","MICROSCOPIC EXAM OF URINE","81015","N/A","N/A","N/A","N/A","N/A","42.00","42.00","N/A","N/A","N/A","42.00","42.00","N/A","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00","42.00"
"5","N/A","HCHG URINE PREGNANCY TEST, VISUAL COLOR COMP","81025","N/A","N/A","N/A","N/A","N/A","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","URINE PREGNANCY TEST","81025","N/A","N/A","N/A","N/A","N/A","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","HCHG VOL MEASURMENT FOR TIMED COLLECTION, EACH","81050","N/A","N/A","N/A","N/A","N/A","21.00","21.00","N/A","N/A","N/A","21.00","21.00","N/A","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00"
"5","N/A","URINALYSIS VOLUME MEASURE","81050","N/A","N/A","N/A","N/A","N/A","21.00","21.00","N/A","N/A","N/A","21.00","21.00","N/A","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00"
"5","N/A","HCHG IDH1 MUTATION","81120","N/A","N/A","N/A","N/A","N/A","994.00","994.00","N/A","N/A","N/A","994.00","994.00","N/A","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00"
"5","N/A","IDH1 COMMON VARIANTS","81120","N/A","N/A","N/A","N/A","N/A","994.00","994.00","N/A","N/A","N/A","994.00","994.00","N/A","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00"
"5","N/A","HCHG IDH2 MUTATION","81121","N/A","N/A","N/A","N/A","N/A","994.00","994.00","N/A","N/A","N/A","994.00","994.00","N/A","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00"
"5","N/A","IDH2 COMMON VARIANTS","81121","N/A","N/A","N/A","N/A","N/A","994.00","994.00","N/A","N/A","N/A","994.00","994.00","N/A","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00","994.00"
"5","N/A","ABL1 GENE","81170","N/A","N/A","N/A","N/A","N/A","2106.00","2106.00","N/A","N/A","N/A","2106.00","2106.00","N/A","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00"
"5","N/A","HCHG ABL (ABL PRONTO-ONCOGENE 1)","81170","N/A","N/A","N/A","N/A","N/A","2106.00","2106.00","N/A","N/A","N/A","2106.00","2106.00","N/A","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00"
"5","N/A","BCR/ABL1 GENE MAJOR BP","81206","N/A","N/A","N/A","N/A","N/A","1488.00","1488.00","N/A","N/A","N/A","1488.00","1488.00","N/A","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00"
"5","N/A","HCHG BCR/ABL GENE REARRANGEMENT","81206","N/A","N/A","N/A","N/A","N/A","1488.00","1488.00","N/A","N/A","N/A","1488.00","1488.00","N/A","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00","1488.00"
"5","N/A","BCR/ABL1 GENE MINOR BP","81207","N/A","N/A","N/A","N/A","N/A","1379.00","1379.00","N/A","N/A","N/A","1379.00","1379.00","N/A","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00"
"5","N/A","HCHG P190 BCR-ABL1","81207","N/A","N/A","N/A","N/A","N/A","1379.00","1379.00","N/A","N/A","N/A","1379.00","1379.00","N/A","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00","1379.00"
"5","N/A","BCR/ABL1 GENE OTHER BP","81208","N/A","N/A","N/A","N/A","N/A","275.00","275.00","N/A","N/A","N/A","275.00","275.00","N/A","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00"
"5","N/A","HCHG BCR/ABL1 GENE OTHER BP - 90","81208","N/A","N/A","N/A","N/A","N/A","275.00","275.00","N/A","N/A","N/A","275.00","275.00","N/A","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00"
"5","N/A","BRAF GENE","81210","N/A","N/A","N/A","N/A","N/A","1669.00","1669.00","N/A","N/A","N/A","1669.00","1669.00","N/A","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00"
"5","N/A","HCHG BRAF V600E MUTATATION DECTECTION - 90","81210","N/A","N/A","N/A","N/A","N/A","1669.00","1669.00","N/A","N/A","N/A","1669.00","1669.00","N/A","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00","1669.00"
"5","N/A","CEBPA GENE FULL SEQUENCE","81218","N/A","N/A","N/A","N/A","N/A","1121.00","1121.00","N/A","N/A","N/A","1121.00","1121.00","N/A","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00"
"5","N/A","HCHG CEBPA MUTATION ANALYSIS","81218","N/A","N/A","N/A","N/A","N/A","1121.00","1121.00","N/A","N/A","N/A","1121.00","1121.00","N/A","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00"
"5","N/A","HCHG CEBPA MUTATION ANALYSIS - 90","81218","N/A","N/A","N/A","N/A","N/A","1121.00","1121.00","N/A","N/A","N/A","1121.00","1121.00","N/A","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00","1121.00"
"5","N/A","CALR GENE COM VARIANTS","81219","N/A","N/A","N/A","N/A","N/A","428.00","428.00","N/A","N/A","N/A","428.00","428.00","N/A","428.00","428.00","428.00","428.00","428.00","428.00","428.00","428.00","428.00","428.00"
"5","N/A","HCHG CALRETICULIN (CALR) MUTATION ANALYSIS 90","81219","N/A","N/A","N/A","N/A","N/A","428.00","428.00","N/A","N/A","N/A","428.00","428.00","N/A","428.00","428.00","428.00","428.00","428.00","428.00","428.00","428.00","428.00","428.00"
"5","N/A","CFTR GENE COM VARIANTS","81220","N/A","N/A","N/A","N/A","N/A","8018.00","8018.00","N/A","N/A","N/A","8018.00","8018.00","N/A","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00"
"5","N/A","HCHG CYSTIC FIBROSIS, CARRIER SCREEN","81220","N/A","N/A","N/A","N/A","N/A","8018.00","8018.00","N/A","N/A","N/A","8018.00","8018.00","N/A","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00","8018.00"
"5","N/A","CYP2C19 GENE COM VARIANTS","81225","N/A","N/A","N/A","N/A","N/A","2940.00","2940.00","N/A","N/A","N/A","2940.00","2940.00","N/A","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00"
"5","N/A","HCHG CYP2C19 GENE COM VARIANTS MOD 90","81225","N/A","N/A","N/A","N/A","N/A","2940.00","2940.00","N/A","N/A","N/A","2940.00","2940.00","N/A","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00","2940.00"
"5","N/A","CYTOGEN M ARRAY COPY NO&SNP","81229","N/A","N/A","N/A","N/A","N/A","6693.00","6693.00","N/A","N/A","N/A","6693.00","6693.00","N/A","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00"
"5","N/A","HCHG CYTOGENOM CONST MICROARRAY COPY NUMBER&SNP VAR","81229","N/A","N/A","N/A","N/A","N/A","6693.00","6693.00","N/A","N/A","N/A","6693.00","6693.00","N/A","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00","6693.00"
"5","N/A","EGFR GENE COM VARIANTS","81235","N/A","N/A","N/A","N/A","N/A","1102.00","1102.00","N/A","N/A","N/A","1102.00","1102.00","N/A","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00"
"5","N/A","HCHG EGFR GENE ANALYSIS","81235","N/A","N/A","N/A","N/A","N/A","1102.00","1102.00","N/A","N/A","N/A","1102.00","1102.00","N/A","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00","1102.00"
"5","N/A","F2 GENE","81240","N/A","N/A","N/A","N/A","N/A","273.00","273.00","N/A","N/A","N/A","273.00","273.00","N/A","273.00","273.00","273.00","273.00","273.00","273.00","273.00","273.00","273.00","273.00"
"5","N/A","HCHG PROTHROMBIN G20210A MUTATION (FACTOR II)","81240","N/A","N/A","N/A","N/A","N/A","273.00","273.00","N/A","N/A","N/A","273.00","273.00","N/A","273.00","273.00","273.00","273.00","273.00","273.00","273.00","273.00","273.00","273.00"
"5","N/A","F5 GENE","81241","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG FACTOR V","81241","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","FMR1 GENE DETECTION","81243","N/A","N/A","N/A","N/A","N/A","1079.00","1079.00","N/A","N/A","N/A","1079.00","1079.00","N/A","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00"
"5","N/A","HCHG FMR1 GENE DETECTION ALLELES - 90","81243","N/A","N/A","N/A","N/A","N/A","1079.00","1079.00","N/A","N/A","N/A","1079.00","1079.00","N/A","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00","1079.00"
"5","N/A","FMR1 GENE CHARAC ALLELES","81244","N/A","N/A","N/A","N/A","N/A","699.00","699.00","N/A","N/A","N/A","699.00","699.00","N/A","699.00","699.00","699.00","699.00","699.00","699.00","699.00","699.00","699.00","699.00"
"5","N/A","HCHG FMR1 GENE CHARACTERIZATION ALLELES - 90","81244","N/A","N/A","N/A","N/A","N/A","699.00","699.00","N/A","N/A","N/A","699.00","699.00","N/A","699.00","699.00","699.00","699.00","699.00","699.00","699.00","699.00","699.00","699.00"
"5","N/A","FLT3 GENE","81245","N/A","N/A","N/A","N/A","N/A","630.00","630.00","N/A","N/A","N/A","630.00","630.00","N/A","630.00","630.00","630.00","630.00","630.00","630.00","630.00","630.00","630.00","630.00"
"5","N/A","HCHG FLT3 (ITD) MUTATION ANALYSIS - 90","81245","N/A","N/A","N/A","N/A","N/A","630.00","630.00","N/A","N/A","N/A","630.00","630.00","N/A","630.00","630.00","630.00","630.00","630.00","630.00","630.00","630.00","630.00","630.00"
"5","N/A","FLT3 GENE ANALYSIS","81246","N/A","N/A","N/A","N/A","N/A","316.00","316.00","N/A","N/A","N/A","316.00","316.00","N/A","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00"
"5","N/A","HCHG FLT3 (TKD) MUTATION ANALYSIS","81246","N/A","N/A","N/A","N/A","N/A","316.00","316.00","N/A","N/A","N/A","316.00","316.00","N/A","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00"
"5","N/A","HCHG FLT3 (TKD) MUTATION ANALYSIS - 90","81246","N/A","N/A","N/A","N/A","N/A","316.00","316.00","N/A","N/A","N/A","316.00","316.00","N/A","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00","316.00"
"5","N/A","HCHG HEMOCHROMATOSIS","81256","N/A","N/A","N/A","N/A","N/A","342.00","342.00","N/A","N/A","N/A","342.00","342.00","N/A","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00"
"5","N/A","HFE GENE","81256","N/A","N/A","N/A","N/A","N/A","342.00","342.00","N/A","N/A","N/A","342.00","342.00","N/A","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00"
"5","N/A","HBA1/HBA2 GENE","81257","N/A","N/A","N/A","N/A","N/A","3869.00","3869.00","N/A","N/A","N/A","3869.00","3869.00","N/A","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00"
"5","N/A","HCHG ALPHA THALASSEMIA","81257","N/A","N/A","N/A","N/A","N/A","3869.00","3869.00","N/A","N/A","N/A","3869.00","3869.00","N/A","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00"
"5","N/A","HCHG HBA1/HBA2 - 90","81257","N/A","N/A","N/A","N/A","N/A","3869.00","3869.00","N/A","N/A","N/A","3869.00","3869.00","N/A","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00","3869.00"
"5","N/A","HCHG B-CELL CLONAL (1)","81261","N/A","N/A","N/A","N/A","N/A","1388.00","1388.00","N/A","N/A","N/A","1388.00","1388.00","N/A","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00"
"5","N/A","HCHG MOLEC IGH HEAVY CHAIN - 90","81261","N/A","N/A","N/A","N/A","N/A","1388.00","1388.00","N/A","N/A","N/A","1388.00","1388.00","N/A","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00"
"5","N/A","IGH GENE REARRANGE AMP METH","81261","N/A","N/A","N/A","N/A","N/A","1388.00","1388.00","N/A","N/A","N/A","1388.00","1388.00","N/A","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00","1388.00"
"5","N/A","HCHG IGVH MUTATION","81263","N/A","N/A","N/A","N/A","N/A","1150.00","1150.00","N/A","N/A","N/A","1150.00","1150.00","N/A","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00"
"5","N/A","IGH VARI REGIONAL MUTATION","81263","N/A","N/A","N/A","N/A","N/A","1150.00","1150.00","N/A","N/A","N/A","1150.00","1150.00","N/A","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00"
"5","N/A","HCHG B-CELL CLONAL (2)","81264","N/A","N/A","N/A","N/A","N/A","1082.00","1082.00","N/A","N/A","N/A","1082.00","1082.00","N/A","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00"
"5","N/A","IGK REARRANGEABN CLONAL POP","81264","N/A","N/A","N/A","N/A","N/A","1082.00","1082.00","N/A","N/A","N/A","1082.00","1082.00","N/A","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00","1082.00"
"5","N/A","HCHG JAK2 GENE ANALYSIS - 90","81270","N/A","N/A","N/A","N/A","N/A","1358.00","1358.00","N/A","N/A","N/A","1358.00","1358.00","N/A","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00"
"5","N/A","HCHG JAK2V617F MUTATION ANALYSIS","81270","N/A","N/A","N/A","N/A","N/A","1358.00","1358.00","N/A","N/A","N/A","1358.00","1358.00","N/A","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00"
"5","N/A","JAK2 GENE","81270","N/A","N/A","N/A","N/A","N/A","1358.00","1358.00","N/A","N/A","N/A","1358.00","1358.00","N/A","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00","1358.00"
"5","N/A","HCHG C-KIT MUTATION ANALYSIS, CELL BASED - 90","81272","N/A","N/A","N/A","N/A","N/A","8066.00","8066.00","N/A","N/A","N/A","8066.00","8066.00","N/A","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00"
"5","N/A","HCHG KIT (C-KIT) MUTATION ANALYSIS - 90","81272","N/A","N/A","N/A","N/A","N/A","8066.00","8066.00","N/A","N/A","N/A","8066.00","8066.00","N/A","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00"
"5","N/A","HCHG KIT (V-KIT) HARDY-ZUCKERMAN, D186 VARIANT(S) (GIST0) - 90","81272","N/A","N/A","N/A","N/A","N/A","8066.00","8066.00","N/A","N/A","N/A","8066.00","8066.00","N/A","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00"
"5","N/A","HCHG KIT FOR GIST, AML, AND MELANOMA","81272","N/A","N/A","N/A","N/A","N/A","8066.00","8066.00","N/A","N/A","N/A","8066.00","8066.00","N/A","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00"
"5","N/A","KIT GENE TARGETED SEQ ANALYS","81272","N/A","N/A","N/A","N/A","N/A","8066.00","8066.00","N/A","N/A","N/A","8066.00","8066.00","N/A","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00","8066.00"
"5","N/A","HCHG KIT FOR MASTOCYTOSIS","81273","N/A","N/A","N/A","N/A","N/A","380.00","380.00","N/A","N/A","N/A","380.00","380.00","N/A","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00"
"5","N/A","HCHG KIT GENE ANALYSIS D816 VARIANT - 90","81273","N/A","N/A","N/A","N/A","N/A","380.00","380.00","N/A","N/A","N/A","380.00","380.00","N/A","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00"
"5","N/A","KIT GENE ANALYS D816 VARIANT","81273","N/A","N/A","N/A","N/A","N/A","380.00","380.00","N/A","N/A","N/A","380.00","380.00","N/A","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00","380.00"
"5","N/A","HCHG KRAS GENE ANALYSIS","81275","N/A","N/A","N/A","N/A","N/A","506.00","506.00","N/A","N/A","N/A","506.00","506.00","N/A","506.00","506.00","506.00","506.00","506.00","506.00","506.00","506.00","506.00","506.00"
"5","N/A","KRAS GENE VARIANTS EXON 2","81275","N/A","N/A","N/A","N/A","N/A","506.00","506.00","N/A","N/A","N/A","506.00","506.00","N/A","506.00","506.00","506.00","506.00","506.00","506.00","506.00","506.00","506.00","506.00"
"5","N/A","HCHG EXTENDED KRAS","81276","N/A","N/A","N/A","N/A","N/A","1962.00","1962.00","N/A","N/A","N/A","1962.00","1962.00","N/A","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00"
"5","N/A","KRAS GENE ADDL VARIANTS","81276","N/A","N/A","N/A","N/A","N/A","1962.00","1962.00","N/A","N/A","N/A","1962.00","1962.00","N/A","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00","1962.00"
"5","N/A","HCHG MGMT METHYLATION ANALYSIS - 90","81287","N/A","N/A","N/A","N/A","N/A","1029.00","1029.00","N/A","N/A","N/A","1029.00","1029.00","N/A","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00"
"5","N/A","MGMT GENE PRMTR MTHYLTN ALYS","81287","N/A","N/A","N/A","N/A","N/A","1029.00","1029.00","N/A","N/A","N/A","1029.00","1029.00","N/A","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00","1029.00"
"5","N/A","HCHG MLH1 HYPERMETHYLATION - 90","81288","N/A","N/A","N/A","N/A","N/A","861.00","861.00","N/A","N/A","N/A","861.00","861.00","N/A","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00"
"5","N/A","MLH1 GENE","81288","N/A","N/A","N/A","N/A","N/A","861.00","861.00","N/A","N/A","N/A","861.00","861.00","N/A","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00","861.00"
"5","N/A","HCHG MTHFR (GENE ANALYSIS COMM VARIANTS)","81291","N/A","N/A","N/A","N/A","N/A","897.00","897.00","N/A","N/A","N/A","897.00","897.00","N/A","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00"
"5","N/A","HCHG MTHFR (GENE ANALYSIS COMM VARIANTS) 90","81291","N/A","N/A","N/A","N/A","N/A","897.00","897.00","N/A","N/A","N/A","897.00","897.00","N/A","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00"
"5","N/A","MTHFR GENE","81291","N/A","N/A","N/A","N/A","N/A","897.00","897.00","N/A","N/A","N/A","897.00","897.00","N/A","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00","897.00"
"5","N/A","HCHG MSI FRAGMENT ANALYSIS 90","81301","N/A","N/A","N/A","N/A","N/A","423.00","423.00","N/A","N/A","N/A","423.00","423.00","N/A","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00"
"5","N/A","MICROSATELLITE INSTABILITY","81301","N/A","N/A","N/A","N/A","N/A","423.00","423.00","N/A","N/A","N/A","423.00","423.00","N/A","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00"
"5","N/A","HCHG MYD88 MUTATION ANALYSIS MOD 90","81305","N/A","N/A","N/A","N/A","N/A","445.00","445.00","N/A","N/A","N/A","445.00","445.00","N/A","445.00","445.00","445.00","445.00","445.00","445.00","445.00","445.00","445.00","445.00"
"5","N/A","MYD88 GENE P.LEU265PRO VRNT","81305","N/A","N/A","N/A","N/A","N/A","445.00","445.00","N/A","N/A","N/A","445.00","445.00","N/A","445.00","445.00","445.00","445.00","445.00","445.00","445.00","445.00","445.00","445.00"
"5","N/A","HCHG PIK3CA MUTATION ANALYSIS 90","81309","N/A","N/A","N/A","N/A","N/A","1132.00","1132.00","N/A","N/A","N/A","1132.00","1132.00","N/A","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00"
"5","N/A","PIK3CA GENE TRGT SEQ ALYS","81309","N/A","N/A","N/A","N/A","N/A","1132.00","1132.00","N/A","N/A","N/A","1132.00","1132.00","N/A","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00","1132.00"
"5","N/A","HCHG NPM1 MUTATION ANALYSIS","81310","N/A","N/A","N/A","N/A","N/A","909.00","909.00","N/A","N/A","N/A","909.00","909.00","N/A","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00"
"5","N/A","HCHG NPM1 MUTATION ANALYSIS - 90","81310","N/A","N/A","N/A","N/A","N/A","909.00","909.00","N/A","N/A","N/A","909.00","909.00","N/A","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00"
"5","N/A","HCHG NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS","81310","N/A","N/A","N/A","N/A","N/A","909.00","909.00","N/A","N/A","N/A","909.00","909.00","N/A","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00"
"5","N/A","NPM1 GENE","81310","N/A","N/A","N/A","N/A","N/A","909.00","909.00","N/A","N/A","N/A","909.00","909.00","N/A","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00","909.00"
"5","N/A","HCHG NRAS","81311","N/A","N/A","N/A","N/A","N/A","1087.00","1087.00","N/A","N/A","N/A","1087.00","1087.00","N/A","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00"
"5","N/A","HCHG NRAS MOD 90","81311","N/A","N/A","N/A","N/A","N/A","1087.00","1087.00","N/A","N/A","N/A","1087.00","1087.00","N/A","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00"
"5","N/A","NRAS GENE VARIANTS EXON 2&3","81311","N/A","N/A","N/A","N/A","N/A","1087.00","1087.00","N/A","N/A","N/A","1087.00","1087.00","N/A","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00"
"5","N/A","HCHG PCA3-PROSTATE CANCER BIOMARKER","81313","N/A","N/A","N/A","N/A","N/A","1323.00","1323.00","N/A","N/A","N/A","1323.00","1323.00","N/A","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00"
"5","N/A","PCA3/KLK3 ANTIGEN","81313","N/A","N/A","N/A","N/A","N/A","1323.00","1323.00","N/A","N/A","N/A","1323.00","1323.00","N/A","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00","1323.00"
"5","N/A","HCHG PDGFRA","81314","N/A","N/A","N/A","N/A","N/A","1001.00","1001.00","N/A","N/A","N/A","1001.00","1001.00","N/A","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00"
"5","N/A","PDGFRA GENE","81314","N/A","N/A","N/A","N/A","N/A","1001.00","1001.00","N/A","N/A","N/A","1001.00","1001.00","N/A","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00","1001.00"
"5","N/A","HCHG PML-RARA","81315","N/A","N/A","N/A","N/A","N/A","1037.00","1037.00","N/A","N/A","N/A","1037.00","1037.00","N/A","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00"
"5","N/A","HCHG PML-RARA 90","81315","N/A","N/A","N/A","N/A","N/A","1037.00","1037.00","N/A","N/A","N/A","1037.00","1037.00","N/A","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00"
"5","N/A","PML/RARALPHA COM BREAKPOINTS","81315","N/A","N/A","N/A","N/A","N/A","1037.00","1037.00","N/A","N/A","N/A","1037.00","1037.00","N/A","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00","1037.00"
"5","N/A","HCHG TPMT GENOTYPE","81335","N/A","N/A","N/A","N/A","N/A","1455.00","1455.00","N/A","N/A","N/A","1455.00","1455.00","N/A","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00"
"5","N/A","TPMT GENE COM VARIANTS","81335","N/A","N/A","N/A","N/A","N/A","1455.00","1455.00","N/A","N/A","N/A","1455.00","1455.00","N/A","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00","1455.00"
"5","N/A","HCHG T-CELL CLONAL (2)","81340","N/A","N/A","N/A","N/A","N/A","1275.00","1275.00","N/A","N/A","N/A","1275.00","1275.00","N/A","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00"
"5","N/A","TRB@ GENE REARRANGE AMPLIFY","81340","N/A","N/A","N/A","N/A","N/A","1275.00","1275.00","N/A","N/A","N/A","1275.00","1275.00","N/A","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00","1275.00"
"5","N/A","HCHG MOLEC TRB PCR GENE REARRANGEMENT - 90","81342","N/A","N/A","N/A","N/A","N/A","1340.00","1340.00","N/A","N/A","N/A","1340.00","1340.00","N/A","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00"
"5","N/A","HCHG T-CELL CLONAL (1)","81342","N/A","N/A","N/A","N/A","N/A","1340.00","1340.00","N/A","N/A","N/A","1340.00","1340.00","N/A","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00"
"5","N/A","TRG GENE REARRANGEMENT ANAL","81342","N/A","N/A","N/A","N/A","N/A","1340.00","1340.00","N/A","N/A","N/A","1340.00","1340.00","N/A","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00"
"5","N/A","HCHG TERT PROMOTER ANALYSIS MOD 90","81345","N/A","N/A","N/A","N/A","N/A","2106.00","2106.00","N/A","N/A","N/A","2106.00","2106.00","N/A","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00"
"5","N/A","TERT GENE TARGETED SEQ ALYS","81345","N/A","N/A","N/A","N/A","N/A","2106.00","2106.00","N/A","N/A","N/A","2106.00","2106.00","N/A","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00","2106.00"
"5","N/A","HCHG HLA TYPING, RECIPIENT (LIVER)","81370","N/A","N/A","N/A","N/A","N/A","4018.00","4018.00","N/A","N/A","N/A","4018.00","4018.00","N/A","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00"
"5","N/A","HCHG HLA-A,B,C,DR,DQ RENAL","81370","N/A","N/A","N/A","N/A","N/A","4018.00","4018.00","N/A","N/A","N/A","4018.00","4018.00","N/A","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00"
"5","N/A","HCHG HLA-A,B,C,DR,DQA,DQB,DP DECEASED","81370","N/A","N/A","N/A","N/A","N/A","4018.00","4018.00","N/A","N/A","N/A","4018.00","4018.00","N/A","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00"
"5","N/A","HLA I & II TYPING LR","81370","N/A","N/A","N/A","N/A","N/A","4018.00","4018.00","N/A","N/A","N/A","4018.00","4018.00","N/A","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00","4018.00"
"5","N/A","HCHG HLA CLASS I, ONE LOCUS","81373","N/A","N/A","N/A","N/A","N/A","1087.00","1087.00","N/A","N/A","N/A","1087.00","1087.00","N/A","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00"
"5","N/A","HLA I TYPING 1 LOCUS LR","81373","N/A","N/A","N/A","N/A","N/A","1087.00","1087.00","N/A","N/A","N/A","1087.00","1087.00","N/A","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00"
"5","N/A","HCHG HLA DR/DQ LOW RESOLUTION","81375","N/A","N/A","N/A","N/A","N/A","1129.00","1129.00","N/A","N/A","N/A","1129.00","1129.00","N/A","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00"
"5","N/A","HLA II TYPING AG EQUIV LR","81375","N/A","N/A","N/A","N/A","N/A","1129.00","1129.00","N/A","N/A","N/A","1129.00","1129.00","N/A","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00","1129.00"
"5","N/A","HCHG HLA-DQ, RENAL","81376","N/A","N/A","N/A","N/A","N/A","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","HLA II TYPING 1 LOCUS LR","81376","N/A","N/A","N/A","N/A","N/A","759.00","759.00","N/A","N/A","N/A","759.00","759.00","N/A","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00","759.00"
"5","N/A","HCHG HLA-B*5701 TYPING - 90","81381","N/A","N/A","N/A","N/A","N/A","1087.00","1087.00","N/A","N/A","N/A","1087.00","1087.00","N/A","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00"
"5","N/A","HLA I TYPING 1 ALLELE HR","81381","N/A","N/A","N/A","N/A","N/A","1087.00","1087.00","N/A","N/A","N/A","1087.00","1087.00","N/A","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00","1087.00"
"5","N/A","HCHG HLA CLASS II, ONE LOCUS","81382","N/A","N/A","N/A","N/A","N/A","944.00","944.00","N/A","N/A","N/A","944.00","944.00","N/A","944.00","944.00","944.00","944.00","944.00","944.00","944.00","944.00","944.00","944.00"
"5","N/A","HLA II TYPING 1 LOC HR","81382","N/A","N/A","N/A","N/A","N/A","944.00","944.00","N/A","N/A","N/A","944.00","944.00","N/A","944.00","944.00","944.00","944.00","944.00","944.00","944.00","944.00","944.00","944.00"
"5","N/A","HCHG HLA CLASS II, ONE ALLELE","81383","N/A","N/A","N/A","N/A","N/A","690.00","690.00","N/A","N/A","N/A","690.00","690.00","N/A","690.00","690.00","690.00","690.00","690.00","690.00","690.00","690.00","690.00","690.00"
"5","N/A","HLA II TYPING 1 ALLELE HR","81383","N/A","N/A","N/A","N/A","N/A","690.00","690.00","N/A","N/A","N/A","690.00","690.00","N/A","690.00","690.00","690.00","690.00","690.00","690.00","690.00","690.00","690.00","690.00"
"5","N/A","HCHG MOLECULAR PATH PROC, LEV2 - 90","81401","N/A","N/A","N/A","N/A","N/A","365.00","365.00","N/A","N/A","N/A","365.00","365.00","N/A","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00"
"5","N/A","MOPATH PROCEDURE LEVEL 2","81401","N/A","N/A","N/A","N/A","N/A","365.00","365.00","N/A","N/A","N/A","365.00","365.00","N/A","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00"
"5","N/A","HCHG MUTATION ANALYSIS 90","81402","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","MOPATH PROCEDURE LEVEL 3","81402","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","HCHG MOLECULAR PATH PROC, LEV4 - 90","81403","N/A","N/A","N/A","N/A","N/A","1340.00","1340.00","N/A","N/A","N/A","1340.00","1340.00","N/A","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00"
"5","N/A","HCHG MOLECULAR PATHOLOGY PROCEDURE LEVEL 4","81403","N/A","N/A","N/A","N/A","N/A","1340.00","1340.00","N/A","N/A","N/A","1340.00","1340.00","N/A","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00"
"5","N/A","MOPATH PROCEDURE LEVEL 4","81403","N/A","N/A","N/A","N/A","N/A","1340.00","1340.00","N/A","N/A","N/A","1340.00","1340.00","N/A","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00","1340.00"
"5","N/A","HCHG MOLECULAR PATHOLOGY PROCEDURE LEVEL 5","81404","N/A","N/A","N/A","N/A","N/A","455.00","455.00","N/A","N/A","N/A","455.00","455.00","N/A","455.00","455.00","455.00","455.00","455.00","455.00","455.00","455.00","455.00","455.00"
"5","N/A","MOPATH PROCEDURE LEVEL 5","81404","N/A","N/A","N/A","N/A","N/A","455.00","455.00","N/A","N/A","N/A","455.00","455.00","N/A","455.00","455.00","455.00","455.00","455.00","455.00","455.00","455.00","455.00","455.00"
"5","N/A","HCHG TP53 MUTATION ANALYSIS - 90","81405","N/A","N/A","N/A","N/A","N/A","763.00","763.00","N/A","N/A","N/A","763.00","763.00","N/A","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00"
"5","N/A","MOPATH PROCEDURE LEVEL 6","81405","N/A","N/A","N/A","N/A","N/A","763.00","763.00","N/A","N/A","N/A","763.00","763.00","N/A","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00","763.00"
"5","N/A","HCHG MOLECULAR PATHOLOGY LEVEL 8","81407","N/A","N/A","N/A","N/A","N/A","2848.00","2848.00","N/A","N/A","N/A","2848.00","2848.00","N/A","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00"
"5","N/A","MOPATH PROCEDURE LEVEL 8","81407","N/A","N/A","N/A","N/A","N/A","2848.00","2848.00","N/A","N/A","N/A","2848.00","2848.00","N/A","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00","2848.00"
"5","N/A","HCHG TARGETED GEMOMIC SEQ ANALYSIS","81445","N/A","N/A","N/A","N/A","N/A","3993.00","3993.00","N/A","N/A","N/A","3993.00","3993.00","N/A","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00"
"5","N/A","TARGETED GENOMIC SEQ ANALYS","81445","N/A","N/A","N/A","N/A","N/A","3993.00","3993.00","N/A","N/A","N/A","3993.00","3993.00","N/A","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00","3993.00"
"5","N/A","HCHG SEQUENCE ANALYSIS PANEL; HEME 5-50 GENES - 90","81450","N/A","N/A","N/A","N/A","N/A","5456.00","5456.00","N/A","N/A","N/A","5456.00","5456.00","N/A","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00"
"5","N/A","TARGETED GENOMIC SEQ ANALYS","81450","N/A","N/A","N/A","N/A","N/A","5456.00","5456.00","N/A","N/A","N/A","5456.00","5456.00","N/A","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00","5456.00"
"5","N/A","HCHG NEOTYPE DNMT3A MUTATION ANALYSIS","81479","N/A","N/A","N/A","N/A","N/A","4935.00","4935.00","N/A","N/A","N/A","4935.00","4935.00","N/A","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00"
"5","N/A","HCHG NGS COLON ONCOLOGY PANEL","81479","N/A","N/A","N/A","N/A","N/A","4935.00","4935.00","N/A","N/A","N/A","4935.00","4935.00","N/A","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00"
"5","N/A","UNLISTED MOLECULAR PATHOLOGY","81479","N/A","N/A","N/A","N/A","N/A","4935.00","4935.00","N/A","N/A","N/A","4935.00","4935.00","N/A","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00","4935.00"
"5","N/A","HCHG ONCOTYPE DX BREAST - 90","81519","N/A","N/A","N/A","N/A","N/A","18295.00","18295.00","N/A","N/A","N/A","18295.00","18295.00","N/A","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00"
"5","N/A","ONCOLOGY BREAST MRNA","81519","N/A","N/A","N/A","N/A","N/A","18295.00","18295.00","N/A","N/A","N/A","18295.00","18295.00","N/A","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00","18295.00"
"5","N/A","ACETONE ASSAY","82010","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG BETA-HYDROXYBUTYRATE","82010","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","ACETYLCHOLINESTERASE ASSAY","82013","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG ACETOCHOLINESTERASE AMNIO","82013","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG ACETYLCHOLINESTERASE PLASMA 90","82013","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG CHOLINESTERASE-RBC 90","82013","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","ACYLCARNITINES QUANT","82017","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","HCHG ACYLCARNITINE PROFILE, QUANT","82017","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","ASSAY OF ACTH","82024","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","HCHG ACTH LEVEL RIA 90","82024","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","ASSAY OF SERUM ALBUMIN","82040","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG ALBUMIN CSF X 90","82040","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG ALBUMIN SERUM/PLASMA/WHOLE BLOOD","82040","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG ALBUMIN BODY FLUID","82042","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","OTHER SOURCE ALBUMIN QUAN EA","82042","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG ALBUMIN 24 HR URINE","82043","N/A","N/A","N/A","N/A","N/A","92.00","92.00","N/A","N/A","N/A","92.00","92.00","N/A","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00"
"5","N/A","HCHG MICROALBUMIN URINE","82043","N/A","N/A","N/A","N/A","N/A","92.00","92.00","N/A","N/A","N/A","92.00","92.00","N/A","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00"
"5","N/A","UR ALBUMIN QUANTITATIVE","82043","N/A","N/A","N/A","N/A","N/A","92.00","92.00","N/A","N/A","N/A","92.00","92.00","N/A","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00"
"5","N/A","ASSAY OF BREATH ETHANOL","82075","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG ALCOHOL BREATH","82075","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG ALCOHOL BREATH AFTER HRS","82075","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","ASSAY OF ALDOLASE","82085","N/A","N/A","N/A","N/A","N/A","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","HCHG ALDOLASE 90","82085","N/A","N/A","N/A","N/A","N/A","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","ASSAY OF ALDOSTERONE","82088","N/A","N/A","N/A","N/A","N/A","500.00","500.00","N/A","N/A","N/A","500.00","500.00","N/A","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00"
"5","N/A","HCHG ALDOSTERONE 24 HR URINE","82088","N/A","N/A","N/A","N/A","N/A","500.00","500.00","N/A","N/A","N/A","500.00","500.00","N/A","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00"
"5","N/A","HCHG ALDOSTERONE-SERUM 90","82088","N/A","N/A","N/A","N/A","N/A","500.00","500.00","N/A","N/A","N/A","500.00","500.00","N/A","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00"
"5","N/A","ALPHA-1-ANTITRYPSIN TOTAL","82103","N/A","N/A","N/A","N/A","N/A","235.00","235.00","N/A","N/A","N/A","235.00","235.00","N/A","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00"
"5","N/A","HCHG ALPHA-1 ANTITRYPSIN TOTAL","82103","N/A","N/A","N/A","N/A","N/A","235.00","235.00","N/A","N/A","N/A","235.00","235.00","N/A","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00"
"5","N/A","ALPHA-1-ANTITRYPSIN PHENO","82104","N/A","N/A","N/A","N/A","N/A","331.00","331.00","N/A","N/A","N/A","331.00","331.00","N/A","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00"
"5","N/A","HCHG ALPHA-1-ANTITRYPSIN PHENOTYPE","82104","N/A","N/A","N/A","N/A","N/A","331.00","331.00","N/A","N/A","N/A","331.00","331.00","N/A","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00"
"5","N/A","ALPHA-FETOPROTEIN SERUM","82105","N/A","N/A","N/A","N/A","N/A","168.00","168.00","N/A","N/A","N/A","168.00","168.00","N/A","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00"
"5","N/A","HCHG AFP MATERNAL SERUM","82105","N/A","N/A","N/A","N/A","N/A","168.00","168.00","N/A","N/A","N/A","168.00","168.00","N/A","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00"
"5","N/A","HCHG AFP NON-MATERNAL","82105","N/A","N/A","N/A","N/A","N/A","168.00","168.00","N/A","N/A","N/A","168.00","168.00","N/A","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00"
"5","N/A","ALPHA-FETOPROTEIN AMNIOTIC","82106","N/A","N/A","N/A","N/A","N/A","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","HCHG AFP, AMINIOTIC FLUID FLX TO ACHE","82106","N/A","N/A","N/A","N/A","N/A","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","ASSAY OF ALUMINUM","82108","N/A","N/A","N/A","N/A","N/A","207.00","207.00","N/A","N/A","N/A","207.00","207.00","N/A","207.00","207.00","207.00","207.00","207.00","207.00","207.00","207.00","207.00","207.00"
"5","N/A","HCHG ALUMINUM-SERUM 90","82108","N/A","N/A","N/A","N/A","N/A","207.00","207.00","N/A","N/A","N/A","207.00","207.00","N/A","207.00","207.00","207.00","207.00","207.00","207.00","207.00","207.00","207.00","207.00"
"5","N/A","AMINO ACIDS MULT QUAL","82128","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","HCHG AMINO ACIDS QUAL URINE 90","82128","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","AMINO ACIDS SINGLE QUANT","82131","N/A","N/A","N/A","N/A","N/A","200.00","200.00","N/A","N/A","N/A","200.00","200.00","N/A","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00"
"5","N/A","HCHG CYSTINE 24-HR URINE","82131","N/A","N/A","N/A","N/A","N/A","200.00","200.00","N/A","N/A","N/A","200.00","200.00","N/A","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00"
"5","N/A","HCHG CYSTINE QUANT URINE","82131","N/A","N/A","N/A","N/A","N/A","200.00","200.00","N/A","N/A","N/A","200.00","200.00","N/A","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00"
"5","N/A","ASSAY AMINOLEVULINIC ACID","82135","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG AMINOLEVULINIC ACID (ALA)","82135","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","AMINO ACIDS QUAN 6 OR MORE","82139","N/A","N/A","N/A","N/A","N/A","2290.00","2290.00","N/A","N/A","N/A","2290.00","2290.00","N/A","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00"
"5","N/A","HCHG AMINO ACID ANALYSIS, LC/MX/PLASMA","82139","N/A","N/A","N/A","N/A","N/A","2290.00","2290.00","N/A","N/A","N/A","2290.00","2290.00","N/A","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00"
"5","N/A","HCHG AMINO ACID QUANT UR 6/+","82139","N/A","N/A","N/A","N/A","N/A","2290.00","2290.00","N/A","N/A","N/A","2290.00","2290.00","N/A","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00"
"5","N/A","HCHG AMINO ACIDS QUANT PLASMA 6/+","82139","N/A","N/A","N/A","N/A","N/A","2290.00","2290.00","N/A","N/A","N/A","2290.00","2290.00","N/A","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00","2290.00"
"5","N/A","ASSAY OF AMMONIA","82140","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","HCHG AMMONIA","82140","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","ASSAY OF AMYLASE","82150","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG AMYLASE","82150","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG AMYLASE BODY FLD","82150","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG AMYLASE,PANCREATIC - 90","82150","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","ASSAY OF ANDROSTENEDIONE","82157","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","HCHG ANDROSTENEDIONE 90","82157","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","ANGIOTENSIN I ENZYME TEST","82164","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG ANGIOTENSIN CONVERTING ENZ 90","82164","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","ASSAY OF APOLIPOPROTEIN","82172","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG APOLIPOPROTEIN A1 90","82172","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG APOLIPOPROTEIN B 90","82172","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","ASSAY OF ARSENIC","82175","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","HCHG ARSENIC BLOOD","82175","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","HCHG ARSENIC BLOOD 90","82175","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","HCHG ARSENIC URINE 90","82175","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","ASSAY OF ASCORBIC ACID","82180","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","HCHG VITAMIN C 90","82180","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","ASSAY OF BETA-2 PROTEIN","82232","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","HCHG BETA-2 MICROGLOBULIN","82232","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","BILIRUBIN TOTAL","82247","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG BILIRUBIN TOT","82247","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG BILIRUBIN-BODY FLD TOTAL","82247","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","BILIRUBIN DIRECT","82248","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG BILIRUBIN DIR","82248","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","ASSAY OF BIOTINIDASE","82261","N/A","N/A","N/A","N/A","N/A","59.00","59.00","N/A","N/A","N/A","59.00","59.00","N/A","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00"
"5","N/A","HCHG BIOTINIDASE URINE QUANT","82261","N/A","N/A","N/A","N/A","N/A","59.00","59.00","N/A","N/A","N/A","59.00","59.00","N/A","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00"
"5","N/A","HCHG OCCULT BLOOD FECES","82270","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","HCHG OCCULT BLOOD FECES SCREEN","82270","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","OCCULT BLOOD FECES","82270","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","HCHG OCCULT BLOOD AND PH, GASTRIC","82271","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","HCHG OCCULT BLOOD GASTRIC - 90","82271","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","OCCULT BLOOD OTHER SOURCES","82271","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","ASSAY TEST FOR BLOOD FECAL","82274","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","OCCULT BLOOD,STOOL","82274","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","ASSAY OF CADMIUM","82300","N/A","N/A","N/A","N/A","N/A","158.00","158.00","N/A","N/A","N/A","158.00","158.00","N/A","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00"
"5","N/A","HCHG CADMIUM 90","82300","N/A","N/A","N/A","N/A","N/A","158.00","158.00","N/A","N/A","N/A","158.00","158.00","N/A","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00"
"5","N/A","HCHG CADMIUM BLOOD 90","82300","N/A","N/A","N/A","N/A","N/A","158.00","158.00","N/A","N/A","N/A","158.00","158.00","N/A","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00"
"5","N/A","HCHG VITAMIN D, 25- HYDROXY (D2 &D3)","82306","N/A","N/A","N/A","N/A","N/A","375.00","375.00","N/A","N/A","N/A","375.00","375.00","N/A","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00"
"5","N/A","HCHG VITAMIN D, 25-HYDROXY, TOTAL","82306","N/A","N/A","N/A","N/A","N/A","375.00","375.00","N/A","N/A","N/A","375.00","375.00","N/A","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00"
"5","N/A","VITAMIN D 25 HYDROXY","82306","N/A","N/A","N/A","N/A","N/A","375.00","375.00","N/A","N/A","N/A","375.00","375.00","N/A","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00","375.00"
"5","N/A","ASSAY OF CALCITONIN","82308","N/A","N/A","N/A","N/A","N/A","342.00","342.00","N/A","N/A","N/A","342.00","342.00","N/A","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00"
"5","N/A","HCHG CALCITONIN 90","82308","N/A","N/A","N/A","N/A","N/A","342.00","342.00","N/A","N/A","N/A","342.00","342.00","N/A","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00","342.00"
"5","N/A","ASSAY OF CALCIUM","82310","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG CALCIUM TOTAL","82310","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","ASSAY OF CALCIUM","82330","N/A","N/A","N/A","N/A","N/A","127.00","127.00","N/A","N/A","N/A","127.00","127.00","N/A","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00"
"5","N/A","HCHG CALCIUM IONIZED","82330","N/A","N/A","N/A","N/A","N/A","127.00","127.00","N/A","N/A","N/A","127.00","127.00","N/A","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00"
"5","N/A","HCHG CALCIUM IONIZED I-STAT","82330","N/A","N/A","N/A","N/A","N/A","127.00","127.00","N/A","N/A","N/A","127.00","127.00","N/A","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00","127.00"
"5","N/A","ASSAY OF CALCIUM IN URINE","82340","N/A","N/A","N/A","N/A","N/A","59.00","59.00","N/A","N/A","N/A","59.00","59.00","N/A","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00"
"5","N/A","HCHG CALCIUM QNT-URINE","82340","N/A","N/A","N/A","N/A","N/A","59.00","59.00","N/A","N/A","N/A","59.00","59.00","N/A","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00"
"5","N/A","CALCULUS ASSAY QUANT","82360","N/A","N/A","N/A","N/A","N/A","284.00","284.00","N/A","N/A","N/A","284.00","284.00","N/A","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00"
"5","N/A","HCHG CALCULI QUANT ANALYS CHEM 90","82360","N/A","N/A","N/A","N/A","N/A","284.00","284.00","N/A","N/A","N/A","284.00","284.00","N/A","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00"
"5","N/A","CALCULUS SPECTROSCOPY","82365","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","HCHG CALCULUS SPECTROSCOPY","82365","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","HCHG STONE CALCULI ANALYS 90 INFRARED","82365","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","HCHG CRYST CALCULI ANALYS BY XRAY DIFFRACTION","82370","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","X-RAY ASSAY CALCULUS","82370","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","ASSAY C-D TRANSFER MEASURE","82373","N/A","N/A","N/A","N/A","N/A","124.00","124.00","N/A","N/A","N/A","124.00","124.00","N/A","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00"
"5","N/A","HCHG CARBOHYDRATE DEFICIENT TRANSFERRIN","82373","N/A","N/A","N/A","N/A","N/A","124.00","124.00","N/A","N/A","N/A","124.00","124.00","N/A","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00"
"5","N/A","ASSAY BLOOD CARBON DIOXIDE","82374","N/A","N/A","N/A","N/A","N/A","57.00","57.00","N/A","N/A","N/A","57.00","57.00","N/A","57.00","57.00","57.00","57.00","57.00","57.00","57.00","57.00","57.00","57.00"
"5","N/A","HCHG CO2","82374","N/A","N/A","N/A","N/A","N/A","57.00","57.00","N/A","N/A","N/A","57.00","57.00","N/A","57.00","57.00","57.00","57.00","57.00","57.00","57.00","57.00","57.00","57.00"
"5","N/A","ASSAY CARBOXYHB QUANT","82375","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG CARBOXYHEMOGLOBIN QUANT","82375","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","CARCINOEMBRYONIC ANTIGEN","82378","N/A","N/A","N/A","N/A","N/A","243.00","243.00","N/A","N/A","N/A","243.00","243.00","N/A","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00"
"5","N/A","HCHG CARCINOEMBRYONIC AG, BODY FLUID","82378","N/A","N/A","N/A","N/A","N/A","243.00","243.00","N/A","N/A","N/A","243.00","243.00","N/A","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00"
"5","N/A","HCHG CEA LEVEL RIA","82378","N/A","N/A","N/A","N/A","N/A","243.00","243.00","N/A","N/A","N/A","243.00","243.00","N/A","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00"
"5","N/A","ASSAY OF CARNITINE","82379","N/A","N/A","N/A","N/A","N/A","475.00","475.00","N/A","N/A","N/A","475.00","475.00","N/A","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00"
"5","N/A","HCHG CARNITINE FREE & TOTAL QUANT","82379","N/A","N/A","N/A","N/A","N/A","475.00","475.00","N/A","N/A","N/A","475.00","475.00","N/A","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00"
"5","N/A","ASSAY OF CAROTENE","82380","N/A","N/A","N/A","N/A","N/A","76.00","76.00","N/A","N/A","N/A","76.00","76.00","N/A","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00"
"5","N/A","HCHG CAROTENE 90","82380","N/A","N/A","N/A","N/A","N/A","76.00","76.00","N/A","N/A","N/A","76.00","76.00","N/A","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00"
"5","N/A","ASSAY THREE CATECHOLAMINES","82384","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG CATECHOLAMINE-PLASMA FRACTIONATED","82384","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG CATECHOLAMINES 24 HR URINE FRACTIONATED","82384","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG CATECHOLAMINES RANDOM URINE FRACTIONATED","82384","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","ASSAY OF CERULOPLASMIN","82390","N/A","N/A","N/A","N/A","N/A","147.00","147.00","N/A","N/A","N/A","147.00","147.00","N/A","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00"
"5","N/A","HCHG CERULOPLASMIN","82390","N/A","N/A","N/A","N/A","N/A","147.00","147.00","N/A","N/A","N/A","147.00","147.00","N/A","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00","147.00"
"5","N/A","CHEMILUMINESCENT ASSAY","82397","N/A","N/A","N/A","N/A","N/A","461.00","461.00","N/A","N/A","N/A","461.00","461.00","N/A","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00"
"5","N/A","HCHG CHEMILUMINESCENT ASSAY - 90","82397","N/A","N/A","N/A","N/A","N/A","461.00","461.00","N/A","N/A","N/A","461.00","461.00","N/A","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00"
"5","N/A","HCHG LEPTIN","82397","N/A","N/A","N/A","N/A","N/A","461.00","461.00","N/A","N/A","N/A","461.00","461.00","N/A","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00"
"5","N/A","ASSAY OF BLOOD CHLORIDE","82435","N/A","N/A","N/A","N/A","N/A","67.00","67.00","N/A","N/A","N/A","67.00","67.00","N/A","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00"
"5","N/A","HCHG CHLORIDE BLOOD","82435","N/A","N/A","N/A","N/A","N/A","67.00","67.00","N/A","N/A","N/A","67.00","67.00","N/A","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00"
"5","N/A","HCHG CHLORIDE I-STAT","82435","N/A","N/A","N/A","N/A","N/A","67.00","67.00","N/A","N/A","N/A","67.00","67.00","N/A","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00"
"5","N/A","ASSAY OF URINE CHLORIDE","82436","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG CHLORIDE 24 HR URINE","82436","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG CHLORIDE-URINE","82436","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OTHER FLUID CHLORIDES","82438","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG CHLORIDE FECES","82438","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG CHLORIDE/CSF-BODY FLD","82438","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG CHLORDANE AND METABOLITES","82441","N/A","N/A","N/A","N/A","N/A","327.00","327.00","N/A","N/A","N/A","327.00","327.00","N/A","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00"
"5","N/A","HCHG PCB PANEL","82441","N/A","N/A","N/A","N/A","N/A","327.00","327.00","N/A","N/A","N/A","327.00","327.00","N/A","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00"
"5","N/A","TEST FOR CHLOROHYDROCARBONS","82441","N/A","N/A","N/A","N/A","N/A","327.00","327.00","N/A","N/A","N/A","327.00","327.00","N/A","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00","327.00"
"5","N/A","ASSAY BLD/SERUM CHOLESTEROL","82465","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","HCHG CHOLESTEROL TOTAL","82465","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","HCHG CHOLESTEROL TOTAL 90","82465","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","HCHG SPECTOPHOTOMETRY CHOLESTEROL BODY FLUID","82465","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","ASSAY SERUM CHOLINESTERASE","82480","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG CHOLINESTERASE SERUM 90","82480","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","ASSAY OF CHROMIUM","82495","N/A","N/A","N/A","N/A","N/A","243.00","243.00","N/A","N/A","N/A","243.00","243.00","N/A","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00"
"5","N/A","HCHG CHROMIUM","82495","N/A","N/A","N/A","N/A","N/A","243.00","243.00","N/A","N/A","N/A","243.00","243.00","N/A","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00"
"5","N/A","ASSAY OF CITRATE","82507","N/A","N/A","N/A","N/A","N/A","359.00","359.00","N/A","N/A","N/A","359.00","359.00","N/A","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00"
"5","N/A","HCHG CITRATE 24 HR URINE","82507","N/A","N/A","N/A","N/A","N/A","359.00","359.00","N/A","N/A","N/A","359.00","359.00","N/A","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00"
"5","N/A","HCHG CITRATE SERUM","82507","N/A","N/A","N/A","N/A","N/A","359.00","359.00","N/A","N/A","N/A","359.00","359.00","N/A","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00"
"5","N/A","HCHG CITRIC ACID, RANDOM URINE","82507","N/A","N/A","N/A","N/A","N/A","359.00","359.00","N/A","N/A","N/A","359.00","359.00","N/A","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00","359.00"
"5","N/A","COLLAGEN CROSSLINKS","82523","N/A","N/A","N/A","N/A","N/A","616.00","616.00","N/A","N/A","N/A","616.00","616.00","N/A","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00"
"5","N/A","HCHG COLLAGEN CROSS-LINK NT-TX 24HR","82523","N/A","N/A","N/A","N/A","N/A","616.00","616.00","N/A","N/A","N/A","616.00","616.00","N/A","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00"
"5","N/A","HCHG COLLAGEN CROSS-LINK NTX URINE","82523","N/A","N/A","N/A","N/A","N/A","616.00","616.00","N/A","N/A","N/A","616.00","616.00","N/A","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00"
"5","N/A","HCHG N-TELOPEPTIDE SERUM","82523","N/A","N/A","N/A","N/A","N/A","616.00","616.00","N/A","N/A","N/A","616.00","616.00","N/A","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00","616.00"
"5","N/A","ASSAY OF COPPER","82525","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG COPPER TISSUE 90","82525","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG COPPER-SERUM 90","82525","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG COPPER-URINE 90","82525","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","ASSAY OF CORTICOSTERONE","82528","N/A","N/A","N/A","N/A","N/A","174.00","174.00","N/A","N/A","N/A","174.00","174.00","N/A","174.00","174.00","174.00","174.00","174.00","174.00","174.00","174.00","174.00","174.00"
"5","N/A","HCHG CORTICOSTERONE","82528","N/A","N/A","N/A","N/A","N/A","174.00","174.00","N/A","N/A","N/A","174.00","174.00","N/A","174.00","174.00","174.00","174.00","174.00","174.00","174.00","174.00","174.00","174.00"
"5","N/A","CORTISOL FREE","82530","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","HCHG CORISTOL SALIVA - 90","82530","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","HCHG CORISTOL FREE SERUM","82530","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","HCHG CORTISOL FREE 24 HR URINE","82530","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","HCHG CORTISOL SERUM/PLASMA RIA","82533","N/A","N/A","N/A","N/A","N/A","223.00","223.00","N/A","N/A","N/A","223.00","223.00","N/A","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00"
"5","N/A","TOTAL CORTISOL","82533","N/A","N/A","N/A","N/A","N/A","223.00","223.00","N/A","N/A","N/A","223.00","223.00","N/A","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00","223.00"
"5","N/A","ASSAY OF CREATINE","82540","N/A","N/A","N/A","N/A","N/A","115.00","115.00","N/A","N/A","N/A","115.00","115.00","N/A","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00"
"5","N/A","HCHG CREATINE SERUM","82540","N/A","N/A","N/A","N/A","N/A","115.00","115.00","N/A","N/A","N/A","115.00","115.00","N/A","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00"
"5","N/A","COL CHROMOTOGRAPHY QUAL/QUAN","82542","N/A","N/A","N/A","N/A","N/A","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","HCHG 18-HYDROCORTICOSTERONE","82542","N/A","N/A","N/A","N/A","N/A","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","HCHG COL CHROMOTOGRAPHY QUAL/QUAN","82542","N/A","N/A","N/A","N/A","N/A","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","HCHG MASS SPECTROMETRY","82542","N/A","N/A","N/A","N/A","N/A","627.00","627.00","N/A","N/A","N/A","627.00","627.00","N/A","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00","627.00"
"5","N/A","ASSAY OF CK (CPK)","82550","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG CPK TOTAL","82550","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG CPK TOTAL - 90","82550","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","ASSAY OF CPK IN BLOOD","82552","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","HCHG CPK ISOENZYMES - 90","82552","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","CREATINE MB FRACTION","82553","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG CK MB 90","82553","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG CKMB REFLEX CK","82553","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","ASSAY OF CREATININE","82565","N/A","N/A","N/A","N/A","N/A","45.00","45.00","N/A","N/A","N/A","45.00","45.00","N/A","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00"
"5","N/A","HCHG CREATININE BLOOD","82565","N/A","N/A","N/A","N/A","N/A","45.00","45.00","N/A","N/A","N/A","45.00","45.00","N/A","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00"
"5","N/A","HCHG CREATININE I-STAT","82565","N/A","N/A","N/A","N/A","N/A","45.00","45.00","N/A","N/A","N/A","45.00","45.00","N/A","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00"
"5","N/A","ASSAY OF URINE CREATININE","82570","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","HCHG CREATININE BODY FLUID","82570","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","HCHG CREATININE OTHER SOURCE","82570","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","HCHG CREATININE URINE","82570","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","CREATININE CLEARANCE TEST","82575","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG CREATINE CLEARANCE","82575","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","ASSAY OF CRYOFIBRINOGEN","82585","N/A","N/A","N/A","N/A","N/A","115.00","115.00","N/A","N/A","N/A","115.00","115.00","N/A","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00"
"5","N/A","HCHG CRYOFIBRINOGEN","82585","N/A","N/A","N/A","N/A","N/A","115.00","115.00","N/A","N/A","N/A","115.00","115.00","N/A","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00"
"5","N/A","ASSAY OF CRYOGLOBULIN","82595","N/A","N/A","N/A","N/A","N/A","136.00","136.00","N/A","N/A","N/A","136.00","136.00","N/A","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00"
"5","N/A","HCHG CRYOGLOBULIN QL","82595","N/A","N/A","N/A","N/A","N/A","136.00","136.00","N/A","N/A","N/A","136.00","136.00","N/A","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00"
"5","N/A","HCHG CRYOGLOBULIN QUAL REFLEX","82595","N/A","N/A","N/A","N/A","N/A","136.00","136.00","N/A","N/A","N/A","136.00","136.00","N/A","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00"
"5","N/A","ASSAY OF CYANIDE","82600","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG CYANIDE QNT-BLOOD 90","82600","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG VITAMIN B-12","82607","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","VITAMIN B-12","82607","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","CYSTATIN C","82610","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","HCHG CYSTATIN C","82610","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","HCHG CYSTATIN C WITH GFR, EST","82610","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","HCHG CYSTINE SCRN URINE 90","82615","N/A","N/A","N/A","N/A","N/A","84.00","84.00","N/A","N/A","N/A","84.00","84.00","N/A","84.00","84.00","84.00","84.00","84.00","84.00","84.00","84.00","84.00","84.00"
"5","N/A","TEST FOR URINE CYSTINES","82615","N/A","N/A","N/A","N/A","N/A","84.00","84.00","N/A","N/A","N/A","84.00","84.00","N/A","84.00","84.00","84.00","84.00","84.00","84.00","84.00","84.00","84.00","84.00"
"5","N/A","DEHYDROEPIANDROSTERONE","82626","N/A","N/A","N/A","N/A","N/A","453.00","453.00","N/A","N/A","N/A","453.00","453.00","N/A","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00"
"5","N/A","HCHG DHEA 90","82626","N/A","N/A","N/A","N/A","N/A","453.00","453.00","N/A","N/A","N/A","453.00","453.00","N/A","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00","453.00"
"5","N/A","DEHYDROEPIANDROSTERONE","82627","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HCHG DHEA-SULFATE SERUM","82627","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","DEOXYCORTISOL","82634","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","HCHG 11-DEOXYCORTISOL","82634","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","DIHYDROTESTOSTERONE","82642","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","HCHG DIHYDROTESTOSTERONE","82642","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","HCHG VITAMIN D (1 25 DIHYDROXY) 90","82652","N/A","N/A","N/A","N/A","N/A","496.00","496.00","N/A","N/A","N/A","496.00","496.00","N/A","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00"
"5","N/A","VIT D 1 25-DIHYDROXY","82652","N/A","N/A","N/A","N/A","N/A","496.00","496.00","N/A","N/A","N/A","496.00","496.00","N/A","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00"
"5","N/A","ENZYME CELL ACTIVITY","82657","N/A","N/A","N/A","N/A","N/A","738.00","738.00","N/A","N/A","N/A","738.00","738.00","N/A","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00"
"5","N/A","HCHG CHRONIC GRANULOMATOUS DISEASE","82657","N/A","N/A","N/A","N/A","N/A","738.00","738.00","N/A","N/A","N/A","738.00","738.00","N/A","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00"
"5","N/A","HCHG ENZYME ACTIVITY BC; NOT RA - 90","82657","N/A","N/A","N/A","N/A","N/A","738.00","738.00","N/A","N/A","N/A","738.00","738.00","N/A","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00"
"5","N/A","HCHG THIOPURINE METHYLTRANSFEREASE RBCE-90","82657","N/A","N/A","N/A","N/A","N/A","738.00","738.00","N/A","N/A","N/A","738.00","738.00","N/A","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00","738.00"
"5","N/A","ELECTROPHORETIC TEST","82664","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG AMYLASE ISOENZYMES 90","82664","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG IEF CONFIRMS - 90","82664","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","ASSAY OF ERYTHROPOIETIN","82668","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG ERYTHROPOIETIN 90","82668","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","ASSAY OF ESTRADIOL","82670","N/A","N/A","N/A","N/A","N/A","343.00","343.00","N/A","N/A","N/A","343.00","343.00","N/A","343.00","343.00","343.00","343.00","343.00","343.00","343.00","343.00","343.00","343.00"
"5","N/A","HCHG ESTRADIOL SERUM","82670","N/A","N/A","N/A","N/A","N/A","343.00","343.00","N/A","N/A","N/A","343.00","343.00","N/A","343.00","343.00","343.00","343.00","343.00","343.00","343.00","343.00","343.00","343.00"
"5","N/A","ASSAY OF ESTROGEN","82672","N/A","N/A","N/A","N/A","N/A","268.00","268.00","N/A","N/A","N/A","268.00","268.00","N/A","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00"
"5","N/A","HCHG ESTROGEN-SERUM TOTAL 90","82672","N/A","N/A","N/A","N/A","N/A","268.00","268.00","N/A","N/A","N/A","268.00","268.00","N/A","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00"
"5","N/A","ASSAY OF ESTRIOL","82677","N/A","N/A","N/A","N/A","N/A","271.00","271.00","N/A","N/A","N/A","271.00","271.00","N/A","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00"
"5","N/A","HCHG ESTRIOL SERUM UNCONJ","82677","N/A","N/A","N/A","N/A","N/A","271.00","271.00","N/A","N/A","N/A","271.00","271.00","N/A","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00"
"5","N/A","ASSAY OF ESTRONE","82679","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","HCHG ESTRONE SERUM 90","82679","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","ASSAY OF ETHYLENE GLYCOL","82693","N/A","N/A","N/A","N/A","N/A","238.00","238.00","N/A","N/A","N/A","238.00","238.00","N/A","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00"
"5","N/A","HCHG ETHYLENE GLYCOL","82693","N/A","N/A","N/A","N/A","N/A","238.00","238.00","N/A","N/A","N/A","238.00","238.00","N/A","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00"
"5","N/A","FATS/LIPIDS FECES QUAL","82705","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG FECAL FAT, QUALITATIVE","82705","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","FATS/LIPIDS FECES QUANT","82710","N/A","N/A","N/A","N/A","N/A","542.00","542.00","N/A","N/A","N/A","542.00","542.00","N/A","542.00","542.00","542.00","542.00","542.00","542.00","542.00","542.00","542.00","542.00"
"5","N/A","HCHG FAT FECAL QNT 90","82710","N/A","N/A","N/A","N/A","N/A","542.00","542.00","N/A","N/A","N/A","542.00","542.00","N/A","542.00","542.00","542.00","542.00","542.00","542.00","542.00","542.00","542.00","542.00"
"5","N/A","HCHG FATTY ACIDS VERY LONG CHAIN","82726","N/A","N/A","N/A","N/A","N/A","664.00","664.00","N/A","N/A","N/A","664.00","664.00","N/A","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00"
"5","N/A","LONG CHAIN FATTY ACIDS","82726","N/A","N/A","N/A","N/A","N/A","664.00","664.00","N/A","N/A","N/A","664.00","664.00","N/A","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00","664.00"
"5","N/A","ASSAY OF FERRITIN","82728","N/A","N/A","N/A","N/A","N/A","158.00","158.00","N/A","N/A","N/A","158.00","158.00","N/A","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00"
"5","N/A","HCHG FERRITIN LEVEL RIA","82728","N/A","N/A","N/A","N/A","N/A","158.00","158.00","N/A","N/A","N/A","158.00","158.00","N/A","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00","158.00"
"5","N/A","ASSAY OF FETAL FIBRONECTIN","82731","N/A","N/A","N/A","N/A","N/A","656.00","656.00","N/A","N/A","N/A","656.00","656.00","N/A","656.00","656.00","656.00","656.00","656.00","656.00","656.00","656.00","656.00","656.00"
"5","N/A","HCHG FETAL FIBRONECTIN","82731","N/A","N/A","N/A","N/A","N/A","656.00","656.00","N/A","N/A","N/A","656.00","656.00","N/A","656.00","656.00","656.00","656.00","656.00","656.00","656.00","656.00","656.00","656.00"
"5","N/A","ASSAY OF FLUORIDE","82735","N/A","N/A","N/A","N/A","N/A","283.00","283.00","N/A","N/A","N/A","283.00","283.00","N/A","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00"
"5","N/A","HCHG FLUORIDE SERUM","82735","N/A","N/A","N/A","N/A","N/A","283.00","283.00","N/A","N/A","N/A","283.00","283.00","N/A","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00"
"5","N/A","ASSAY OF FOLIC ACID SERUM","82746","N/A","N/A","N/A","N/A","N/A","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","HCHG FOLIC ACID-SERUM","82746","N/A","N/A","N/A","N/A","N/A","194.00","194.00","N/A","N/A","N/A","194.00","194.00","N/A","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00","194.00"
"5","N/A","ASSAY OF FOLIC ACID RBC","82747","N/A","N/A","N/A","N/A","N/A","268.00","268.00","N/A","N/A","N/A","268.00","268.00","N/A","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00"
"5","N/A","HCHG FOLATE RBC","82747","N/A","N/A","N/A","N/A","N/A","268.00","268.00","N/A","N/A","N/A","268.00","268.00","N/A","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00","268.00"
"5","N/A","ASSAY OF GALACTOSE","82760","N/A","N/A","N/A","N/A","N/A","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","HCHG GALACTOSE","82760","N/A","N/A","N/A","N/A","N/A","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","ASSAY GALACTOSE TRANSFERASE","82775","N/A","N/A","N/A","N/A","N/A","86.00","86.00","N/A","N/A","N/A","86.00","86.00","N/A","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00"
"5","N/A","HCHG GAL-1-P URIDYLTRANSFERASE, RBC","82775","N/A","N/A","N/A","N/A","N/A","86.00","86.00","N/A","N/A","N/A","86.00","86.00","N/A","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00"
"5","N/A","HCHG GALT","82775","N/A","N/A","N/A","N/A","N/A","86.00","86.00","N/A","N/A","N/A","86.00","86.00","N/A","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00","86.00"
"5","N/A","ASSAY IGA/IGD/IGG/IGM EACH","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IGA SALIVARY 90","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IGG CSF X 90","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IGG SERUM X 90","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IGG-CSF 90","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IMMUNOGLOBULIN A","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IMMUNOGLOBULIN D","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IMMUNOGLOBULIN G","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG IMMUNOGLOBULIN M","82784","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","ASSAY OF IGE","82785","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","HCHG IMMUNOGLOBULIN E","82785","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","HCHG IMMUNOGLOBULIN SUBCLASS","82787","N/A","N/A","N/A","N/A","N/A","136.00","136.00","N/A","N/A","N/A","136.00","136.00","N/A","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00"
"5","N/A","IGG 1 2 3 OR 4 EACH","82787","N/A","N/A","N/A","N/A","N/A","136.00","136.00","N/A","N/A","N/A","136.00","136.00","N/A","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00","136.00"
"5","N/A","BLOOD PH","82800","N/A","N/A","N/A","N/A","N/A","45.00","45.00","N/A","N/A","N/A","45.00","45.00","N/A","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00"
"5","N/A","HCHG PH I-STAT","82800","N/A","N/A","N/A","N/A","N/A","45.00","45.00","N/A","N/A","N/A","45.00","45.00","N/A","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00","45.00"
"5","N/A","BLOOD GASES ANY COMBINATION","82803","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG BLOOD GASES I-STAT","82803","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG I-STAT PANEL G3 (GASES)","82803","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","HCHG ISTAT ABG","82803","N/A","N/A","N/A","N/A","N/A","294.00","294.00","N/A","N/A","N/A","294.00","294.00","N/A","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00","294.00"
"5","N/A","BLOOD GASES W/O2 SATURATION","82805","N/A","N/A","N/A","N/A","N/A","126.00","126.00","N/A","N/A","N/A","126.00","126.00","N/A","126.00","126.00","126.00","126.00","126.00","126.00","126.00","126.00","126.00","126.00"
"5","N/A","HCHG O2 SATURATION MEASURE (V OR A)","82805","N/A","N/A","N/A","N/A","N/A","126.00","126.00","N/A","N/A","N/A","126.00","126.00","N/A","126.00","126.00","126.00","126.00","126.00","126.00","126.00","126.00","126.00","126.00"
"5","N/A","ASSAY OF GASTRIN","82941","N/A","N/A","N/A","N/A","N/A","178.00","178.00","N/A","N/A","N/A","178.00","178.00","N/A","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00"
"5","N/A","HCHG GASTRIN 90","82941","N/A","N/A","N/A","N/A","N/A","178.00","178.00","N/A","N/A","N/A","178.00","178.00","N/A","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00","178.00"
"5","N/A","ASSAY OF GLUCAGON","82943","N/A","N/A","N/A","N/A","N/A","163.00","163.00","N/A","N/A","N/A","163.00","163.00","N/A","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00"
"5","N/A","HCHG GLUCAGON","82943","N/A","N/A","N/A","N/A","N/A","163.00","163.00","N/A","N/A","N/A","163.00","163.00","N/A","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00"
"5","N/A","GLUCOSE OTHER FLUID","82945","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG GLUCOSE CSF","82945","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG GLUCOSE-BODY FLD","82945","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","ASSAY GLUCOSE BLOOD QUANT","82947","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG GLUCOSE I-STAT","82947","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG GLUCOSE QUANTITATIVE BLOOD","82947","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG GLUCOSE, I-STAT","82947","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG REDUCING SUBSTANCES FECES 90","82947","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","GLUCOSE TEST","82950","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG GLUCOSE 1 HR POST GLUCOLA","82950","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG GLUCOSE 1 HR POST-PRAND","82950","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG GLUCOSE 2 HR POST GLUCOLA","82950","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG GLUCOSE 2HR PP ONLY","82950","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG GLUCOSE TOLERANCE 2 HR","82950","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","GLUCOSE TOLERANCE TEST (GTT)","82951","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","HCHG 2 HR GLUCOSE TOLERANCE, PREG 3 SPEC","82951","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","HCHG GLUC TOLERANCE 3 SPECIMENS","82951","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","HCHG GLUCOSE TOL 3 HR PREG","82951","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","HCHG GLUCOSE TOLERANCE 3 HR","82951","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","GTT-ADDED SAMPLES","82952","N/A","N/A","N/A","N/A","N/A","35.00","35.00","N/A","N/A","N/A","35.00","35.00","N/A","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00"
"5","N/A","HCHG GLUC TOLERANCE ADDL SPEC","82952","N/A","N/A","N/A","N/A","N/A","35.00","35.00","N/A","N/A","N/A","35.00","35.00","N/A","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00"
"5","N/A","ASSAY OF G6PD ENZYME","82955","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","HCHG G6PD 90","82955","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","GLUCOSE BLOOD TEST","82962","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","HCHG GLUCOSE BLOOD TEST","82962","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","HCHG GLUCOSE PRECISION G","82962","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","ASSAY OF GGT","82977","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG GAMMA GT","82977","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","ASSAY OF GLYCATED PROTEIN","82985","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","HCHG FRUCTOSAMINE 90","82985","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","ASSAY OF GONADOTROPIN (FSH)","83001","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG FSH LEVEL","83001","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","ASSAY OF GONADOTROPIN (LH)","83002","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG LUTEINIZING HORMONE","83002","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","ASSAY GROWTH HORMONE (HGH)","83003","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","HCHG GROWTH HORMONE 90","83003","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","ASSAY OF HAPTOGLOBIN QUANT","83010","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG HAPTOGLOBIN","83010","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","H PYLORI (C-13) BREATH","83013","N/A","N/A","N/A","N/A","N/A","440.00","440.00","N/A","N/A","N/A","440.00","440.00","N/A","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00"
"5","N/A","HCHG H PYLORI BREATH TEST","83013","N/A","N/A","N/A","N/A","N/A","440.00","440.00","N/A","N/A","N/A","440.00","440.00","N/A","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00"
"5","N/A","H PYLORI DRUG ADMIN","83014","N/A","N/A","N/A","N/A","N/A","440.00","440.00","N/A","N/A","N/A","440.00","440.00","N/A","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00"
"5","N/A","HCHG H PYLORI BREATH DRUG ADMIN","83014","N/A","N/A","N/A","N/A","N/A","440.00","440.00","N/A","N/A","N/A","440.00","440.00","N/A","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00","440.00"
"5","N/A","HCHG ANTIMONY URINE SCREEN","83015","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG BISMUTH URINE","83015","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HEAVY METAL QUAL ANY ANAL","83015","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG BISMUTH, RANDOM URINE","83018","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","HEAVY METAL QUANT EACH NES","83018","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","HCHG HEMOGLOBIN ELP","83020","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","HEMOGLOBIN ELECTROPHORESIS","83020","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","HCHG HEMOGLOBINOPATHY SCRN","83021","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","HEMOGLOBIN CHROMOTOGRAPHY","83021","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","FETAL HEMOGLOBIN ASSAY QUAL","83033","N/A","N/A","N/A","N/A","N/A","60.00","60.00","N/A","N/A","N/A","60.00","60.00","N/A","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00"
"5","N/A","HCHG APT TEST","83033","N/A","N/A","N/A","N/A","N/A","60.00","60.00","N/A","N/A","N/A","60.00","60.00","N/A","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00"
"5","N/A","GLYCOSYLATED HEMOGLOBIN TEST","83036","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG HEMOGLOBIN A1C HPLC","83036","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG HEMOGLOBIN GLYCOSYLATED","83036","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","BLOOD METHEMOGLOBIN ASSAY","83050","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","HCHG METHEMOGLOBIN","83050","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","ASSAY OF PLASMA HEMOGLOBIN","83051","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG HGB PLASMA FREE 90","83051","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG UNSTABLE HEMOGLOBIN, BLOOD - 90","83068","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HEMOGLOBIN STABILITY SCREEN","83068","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","ASSAY OF HEMOSIDERIN QUAL","83070","N/A","N/A","N/A","N/A","N/A","44.00","44.00","N/A","N/A","N/A","44.00","44.00","N/A","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00"
"5","N/A","HCHG HEMOSIDERIN-URINE 90","83070","N/A","N/A","N/A","N/A","N/A","44.00","44.00","N/A","N/A","N/A","44.00","44.00","N/A","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00"
"5","N/A","ASSAY OF HISTAMINE","83088","N/A","N/A","N/A","N/A","N/A","365.00","365.00","N/A","N/A","N/A","365.00","365.00","N/A","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00"
"5","N/A","HCHG HISTAMINE 24 HR URINE","83088","N/A","N/A","N/A","N/A","N/A","365.00","365.00","N/A","N/A","N/A","365.00","365.00","N/A","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00"
"5","N/A","HCHG HISTAMINE, PLASMA","83088","N/A","N/A","N/A","N/A","N/A","365.00","365.00","N/A","N/A","N/A","365.00","365.00","N/A","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00","365.00"
"5","N/A","ASSAY OF HOMOCYSTINE","83090","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","HCHG HOMOCYSTEINE TOT","83090","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","ASSAY OF HOMOVANILLIC ACID","83150","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","HCHG HOMOVANILLIC ACID 24 HR URINE","83150","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","ASSAY OF CORTICOSTEROIDS 17","83491","N/A","N/A","N/A","N/A","N/A","135.00","135.00","N/A","N/A","N/A","135.00","135.00","N/A","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00"
"5","N/A","HCHG 17-HYDROXYCORTICOSTEROIDS 24","83491","N/A","N/A","N/A","N/A","N/A","135.00","135.00","N/A","N/A","N/A","135.00","135.00","N/A","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00"
"5","N/A","ASSAY OF 5-HIAA","83497","N/A","N/A","N/A","N/A","N/A","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","HCHG 5-HIAA 24 HR URINE","83497","N/A","N/A","N/A","N/A","N/A","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","ASSAY OF PROGESTERONE 17-D","83498","N/A","N/A","N/A","N/A","N/A","287.00","287.00","N/A","N/A","N/A","287.00","287.00","N/A","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00"
"5","N/A","HCHG CAH","83498","N/A","N/A","N/A","N/A","N/A","287.00","287.00","N/A","N/A","N/A","287.00","287.00","N/A","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00"
"5","N/A","HCHG HYDROXYPROGESTERONE 17 90","83498","N/A","N/A","N/A","N/A","N/A","287.00","287.00","N/A","N/A","N/A","287.00","287.00","N/A","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00"
"5","N/A","ASSAY TOTAL HYDROXYPROLINE","83505","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG HYDROXYPROLINE TOT 90","83505","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG ACTIN (SMOOTH MUSCLE)AB, IGG","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG ANTI-RIBOSOMAL P AB 90","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG GLIADIN DEAMIDATED AB, IGA","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG GLIADIN DEAMIDATED AB, IGG","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG MITOCHONDRIAL ANTIBODY","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG PARIETAL CELL AB","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG RETICULIN IGG AB, IFA 90","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG TISSUE TRANSGLUTAMINASE AB IGA","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","IMMUNOASSAY NONANTIBODY","83516","N/A","N/A","N/A","N/A","N/A","296.00","296.00","N/A","N/A","N/A","296.00","296.00","N/A","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00","296.00"
"5","N/A","HCHG ACETYLCHOLINE RECEP AB BLOCK","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG ACETYLCHOLINE RECEP AB MOD","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG ACETYLCHOLINE RECEPTOR AB 90","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG GLUTAMIC ACID DECARBOXYLASE AB","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG IGF BINDING PROTEIN-3","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG PANCREATIC POLYPEPTIDE - 90","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG PROCOLLAGEN TYPE I INTACT NTP","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG PTH-RELATED PROTEIN","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG TBII","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG TRYPSIN SERUM","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG TSH RECEPTOR ANTIBODY","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","RIA NONANTIBODY","83519","N/A","N/A","N/A","N/A","N/A","583.00","583.00","N/A","N/A","N/A","583.00","583.00","N/A","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00","583.00"
"5","N/A","HCHG ADAMTS-13 ANTIBODY","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG ANTI MULLERIAN HORMONE","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG ANTI-GLIADIN AB IGG","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG ANTI-GLOM BASEMT MEM AB 90","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG C-CITRULLINATED PEPTIDE 90","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG DIAGNOSTIC IMMUNO TESTING EXTRACTABLE NUCLEAR AB","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG FETAL LUNG MATURITY","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG FIBROBLAST GROWTH FACTOR 23 - 90","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG GD1B AB 90","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG GM1 AB 90","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG IMMUNOASSAY ANALYTE","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG MAG AB DUAL ELISA","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG MAG ANTIBODY","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG SOLUBLE LIVER AG IGG","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG SULFATIDE ELISA IGM TITER","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","HCHG TRYPTASE","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","IMMUNOASSAY QUANT NOS NONAB","83520","N/A","N/A","N/A","N/A","N/A","1166.00","1166.00","N/A","N/A","N/A","1166.00","1166.00","N/A","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00","1166.00"
"5","N/A","ASSAY OF INSULIN","83525","N/A","N/A","N/A","N/A","N/A","116.00","116.00","N/A","N/A","N/A","116.00","116.00","N/A","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00"
"5","N/A","HCHG INSULIN TOTAL 90","83525","N/A","N/A","N/A","N/A","N/A","116.00","116.00","N/A","N/A","N/A","116.00","116.00","N/A","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00"
"5","N/A","ASSAY OF IRON","83540","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG IRON LIVER TISSUE 90","83540","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG IRON TOT","83540","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG IRON BINDING","83550","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","IRON BINDING TEST","83550","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","ASSAY 17- KETOSTEROIDS","83586","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","HCHG 17-KETOSTEROIDS 24 HR URINE","83586","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","ASSAY OF LACTIC ACID","83605","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG ISTAT- LACTATE","83605","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG LACTIC ACID","83605","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG LACTIC ACID BODY FLUID","83605","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG LDH","83615","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","HCHG LDH BODY FLUID","83615","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","HCHG LDH CSF","83615","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","LACTATE (LD) (LDH) ENZYME","83615","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","HCHG LACTOFERRIN FECAL (QUAL) - 90","83630","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","LACTOFERRIN FECAL (QUAL)","83630","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","ASSAY OF LEAD","83655","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","HCHG LEAD BLOOD","83655","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","HCHG LEAD URINE 90","83655","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","HCHG LAMELLAR BODY COUNT","83664","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","LAMELLAR BDY FETAL LUNG","83664","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","ASSAY OF LAP ENZYME","83670","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","HCHG LEUCINE AMINOPEPTIDASE","83670","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","ASSAY OF LIPASE","83690","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG LIPASE","83690","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG LIPASE BODY FLUID","83690","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","ASSAY OF LIPOPROTEIN(A)","83695","N/A","N/A","N/A","N/A","N/A","186.00","186.00","N/A","N/A","N/A","186.00","186.00","N/A","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00"
"5","N/A","HCHG LIPOPROTEIN A","83695","N/A","N/A","N/A","N/A","N/A","186.00","186.00","N/A","N/A","N/A","186.00","186.00","N/A","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00"
"5","N/A","ASSAY LIPOPROTEIN PLA2","83698","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","HCHG LP-PLA2 ACTIVITY - 90","83698","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","HCHG LIPOPROTEIN ELP X 90","83700","N/A","N/A","N/A","N/A","N/A","76.00","76.00","N/A","N/A","N/A","76.00","76.00","N/A","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00"
"5","N/A","LIPOPRO BLD ELECTROPHORETIC","83700","N/A","N/A","N/A","N/A","N/A","76.00","76.00","N/A","N/A","N/A","76.00","76.00","N/A","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00"
"5","N/A","HCHG HDL CHOLESTEROL SUBCLASSES - 90","83701","N/A","N/A","N/A","N/A","N/A","227.00","227.00","N/A","N/A","N/A","227.00","227.00","N/A","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00"
"5","N/A","LIPOPROTEIN BLD HR FRACTION","83701","N/A","N/A","N/A","N/A","N/A","227.00","227.00","N/A","N/A","N/A","227.00","227.00","N/A","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00"
"5","N/A","HCHG CARDIO IQ LIPO FRACTIONATION","83704","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","LIPOPROTEIN BLD QUAN PART","83704","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","ASSAY OF LIPOPROTEIN","83718","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","HCHG HDL - CHOLESTEROL","83718","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","HCHG HDL CHOLESTEROL","83718","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","ASSAY OF BLOOD LIPOPROTEIN","83721","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","HCHG CHOLESTEROL DIR LDL","83721","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","ASSAY OF MAGNESIUM","83735","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG MAGNESIUM","83735","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG MAGNESIUM FECES","83735","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG MAGNESIUM RBC","83735","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG MAGNESIUM URINE X","83735","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","ASSAY OF MANGANESE","83785","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG MANGANESE BLOOD","83785","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG FLUOXETINE AND NORFLUOXETINE QNT","83789","N/A","N/A","N/A","N/A","N/A","640.00","640.00","N/A","N/A","N/A","640.00","640.00","N/A","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00"
"5","N/A","HCHG HB VARIANT BY MASS SPEC, B - 90","83789","N/A","N/A","N/A","N/A","N/A","640.00","640.00","N/A","N/A","N/A","640.00","640.00","N/A","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00"
"5","N/A","HCHG METHYLMALANIC ACID URINE QUANT","83789","N/A","N/A","N/A","N/A","N/A","640.00","640.00","N/A","N/A","N/A","640.00","640.00","N/A","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00"
"5","N/A","HCHG METHYLMALONIC ACID SERUM QUANT","83789","N/A","N/A","N/A","N/A","N/A","640.00","640.00","N/A","N/A","N/A","640.00","640.00","N/A","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00"
"5","N/A","HCHG PAIN MGMT, SYNTH STIMULANTS, QUANT, UA","83789","N/A","N/A","N/A","N/A","N/A","640.00","640.00","N/A","N/A","N/A","640.00","640.00","N/A","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00"
"5","N/A","HCHG SILVER, RANDOM URINE","83789","N/A","N/A","N/A","N/A","N/A","640.00","640.00","N/A","N/A","N/A","640.00","640.00","N/A","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00"
"5","N/A","MASS SPECTROMETRY QUAL/QUAN","83789","N/A","N/A","N/A","N/A","N/A","640.00","640.00","N/A","N/A","N/A","640.00","640.00","N/A","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00","640.00"
"5","N/A","ASSAY OF MERCURY","83825","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","HCHG MERCURY BLOOD","83825","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","HCHG MERCURY BLOOD 90","83825","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","HCHG MERCURY URINE","83825","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","HCHG MERCURY, HAIR","83825","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","ASSAY OF METANEPHRINES","83835","N/A","N/A","N/A","N/A","N/A","548.00","548.00","N/A","N/A","N/A","548.00","548.00","N/A","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00"
"5","N/A","HCHG METANEPHRINE 24 HR URINE","83835","N/A","N/A","N/A","N/A","N/A","548.00","548.00","N/A","N/A","N/A","548.00","548.00","N/A","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00"
"5","N/A","HCHG METANEPHRINE PLASMA","83835","N/A","N/A","N/A","N/A","N/A","548.00","548.00","N/A","N/A","N/A","548.00","548.00","N/A","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00"
"5","N/A","HCHG METANEPHRINE RANDOM UR 90","83835","N/A","N/A","N/A","N/A","N/A","548.00","548.00","N/A","N/A","N/A","548.00","548.00","N/A","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00","548.00"
"5","N/A","ASSAY OF CSF PROTEIN","83873","N/A","N/A","N/A","N/A","N/A","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","HCHG MYELIN BASIC PROTEIN","83873","N/A","N/A","N/A","N/A","N/A","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","ASSAY OF MYOGLOBIN","83874","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","HCHG MYOGLOBIN","83874","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","HCHG MYOGLOBIN-URINE 90","83874","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","ASSAY OF NATRIURETIC PEPTIDE","83880","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","HCHG BRAIN NATRIURETIC PEPTIDE","83880","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","HCHG NT PROBNP","83880","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","ASSAY NEPHELOMETRY NOT SPEC","83883","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","HCHG C1 ESTERASE INHIBITOR QUANT","83883","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","HCHG KAPPA LT CHAIN QUANT SERUM","83883","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","HCHG KAPPA LT CHAIN QUANT U","83883","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","HCHG LAMBDA LT CHAINS QUANT SERUM","83883","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","HCHG LAMBDA LT CHAINS QUANT U","83883","N/A","N/A","N/A","N/A","N/A","348.00","348.00","N/A","N/A","N/A","348.00","348.00","N/A","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00","348.00"
"5","N/A","ASSAY OF NICKEL","83885","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","HCHG NICKEL","83885","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","ASSAY OF NUCLEOTIDASE","83915","N/A","N/A","N/A","N/A","N/A","105.00","105.00","N/A","N/A","N/A","105.00","105.00","N/A","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00"
"5","N/A","HCHG ASSAY OF NUCLEOTIDASE - 90","83915","N/A","N/A","N/A","N/A","N/A","105.00","105.00","N/A","N/A","N/A","105.00","105.00","N/A","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00"
"5","N/A","HCHG OLIGOCLONAL BANDS","83916","N/A","N/A","N/A","N/A","N/A","283.00","283.00","N/A","N/A","N/A","283.00","283.00","N/A","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00"
"5","N/A","OLIGOCLONAL BANDS","83916","N/A","N/A","N/A","N/A","N/A","283.00","283.00","N/A","N/A","N/A","283.00","283.00","N/A","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00"
"5","N/A","HCHG ORGANIC ACIDS, URINE","83918","N/A","N/A","N/A","N/A","N/A","853.00","853.00","N/A","N/A","N/A","853.00","853.00","N/A","853.00","853.00","853.00","853.00","853.00","853.00","853.00","853.00","853.00","853.00"
"5","N/A","ORGANIC ACIDS TOTAL QUANT","83918","N/A","N/A","N/A","N/A","N/A","853.00","853.00","N/A","N/A","N/A","853.00","853.00","N/A","853.00","853.00","853.00","853.00","853.00","853.00","853.00","853.00","853.00","853.00"
"5","N/A","ASSAY OF BLOOD OSMOLALITY","83930","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","HCHG OSMOLALITY-SERUM","83930","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","ASSAY OF URINE OSMOLALITY","83935","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","HCHG OSMOLALITY-URINE","83935","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","ASSAY OF OSTEOCALCIN","83937","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG OSTEOCALCIN HUMAN","83937","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","ASSAY OF OXALATE","83945","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG OXALATE 24 HR URINE","83945","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG OXALATE QNT-URINE","83945","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG VITAMIN D, 25-HYDROXY, TOTAL","83950","N/A","N/A","N/A","N/A","N/A","238.00","238.00","N/A","N/A","N/A","238.00","238.00","N/A","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00"
"5","N/A","ONCOPROTEIN HER-2/NEU","83950","N/A","N/A","N/A","N/A","N/A","238.00","238.00","N/A","N/A","N/A","238.00","238.00","N/A","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00","238.00"
"5","N/A","ASSAY OF PARATHORMONE","83970","N/A","N/A","N/A","N/A","N/A","591.00","591.00","N/A","N/A","N/A","591.00","591.00","N/A","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00"
"5","N/A","HCHG PTH INTACT","83970","N/A","N/A","N/A","N/A","N/A","591.00","591.00","N/A","N/A","N/A","591.00","591.00","N/A","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00"
"5","N/A","HCHG PTH, INTACT (IRMA)","83970","N/A","N/A","N/A","N/A","N/A","591.00","591.00","N/A","N/A","N/A","591.00","591.00","N/A","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00","591.00"
"5","N/A","ASSAY PH BODY FLUID NOS","83986","N/A","N/A","N/A","N/A","N/A","54.00","54.00","N/A","N/A","N/A","54.00","54.00","N/A","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00"
"5","N/A","HCHG PH FECES 90","83986","N/A","N/A","N/A","N/A","N/A","54.00","54.00","N/A","N/A","N/A","54.00","54.00","N/A","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00"
"5","N/A","HCHG PH-BODY FLD","83986","N/A","N/A","N/A","N/A","N/A","54.00","54.00","N/A","N/A","N/A","54.00","54.00","N/A","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00"
"5","N/A","ASSAY FOR PHENCYCLIDINE","83992","N/A","N/A","N/A","N/A","N/A","431.00","431.00","N/A","N/A","N/A","431.00","431.00","N/A","431.00","431.00","431.00","431.00","431.00","431.00","431.00","431.00","431.00","431.00"
"5","N/A","HCHG PCP DRUG CONFIRM 90","83992","N/A","N/A","N/A","N/A","N/A","431.00","431.00","N/A","N/A","N/A","431.00","431.00","N/A","431.00","431.00","431.00","431.00","431.00","431.00","431.00","431.00","431.00","431.00"
"5","N/A","ASSAY FOR CALPROTECTIN FECAL","83993","N/A","N/A","N/A","N/A","N/A","693.00","693.00","N/A","N/A","N/A","693.00","693.00","N/A","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00"
"5","N/A","HCHG CALPROTECTIN, STOOL-90","83993","N/A","N/A","N/A","N/A","N/A","693.00","693.00","N/A","N/A","N/A","693.00","693.00","N/A","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00","693.00"
"5","N/A","ASSAY OF BLOOD PKU","84030","N/A","N/A","N/A","N/A","N/A","21.00","21.00","N/A","N/A","N/A","21.00","21.00","N/A","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00"
"5","N/A","HCHG PHENYLALANINE (PKU) BLOOD","84030","N/A","N/A","N/A","N/A","N/A","21.00","21.00","N/A","N/A","N/A","21.00","21.00","N/A","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00","21.00"
"5","N/A","ASSAY ACID PHOSPHATASE","84060","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG ACID PHTASE TOT 90","84060","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","ASSAY PROSTATE PHOSPHATASE","84066","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","HCHG PROSTATIC ACID PHOSPHATASE","84066","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","ASSAY ALKALINE PHOSPHATASE","84075","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG ALK PHTASE","84075","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG ALKALINE PHOS BONE SP","84075","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","ASSAY ALKALINE PHOSPHATASES","84080","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","HCHG ALKALINE PHOS ISOENZYMES 90","84080","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","ASSAY PHOSPHATIDYLGLYCEROL","84081","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","HCHG AMNIOSTAT/PG","84081","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","ASSAY OF PHOSPHORUS","84100","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG PHOSPHORUS","84100","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OF URINE PHOSPHORUS","84105","N/A","N/A","N/A","N/A","N/A","49.00","49.00","N/A","N/A","N/A","49.00","49.00","N/A","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00"
"5","N/A","HCHG PHOSPHORUS URINE","84105","N/A","N/A","N/A","N/A","N/A","49.00","49.00","N/A","N/A","N/A","49.00","49.00","N/A","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00","49.00"
"5","N/A","HCHG PORPHOBILINOGEN, URINE QUAL","84106","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","TEST FOR PORPHOBILINOGEN","84106","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","ASSAY OF PORPHOBILINOGEN","84110","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","HCHG PORPHOBILINOGEN QNT URINE 90","84110","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","EVAL AMNIOTIC FLUID PROTEIN","84112","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","HCHG EVALUATION AMNIOTIC FLUID PROTEIN","84112","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","HCHG PORPHYRINS QL URINE 90","84119","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","TEST URINE FOR PORPHYRINS","84119","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","ASSAY OF URINE PORPHYRINS","84120","N/A","N/A","N/A","N/A","N/A","228.00","228.00","N/A","N/A","N/A","228.00","228.00","N/A","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00"
"5","N/A","HCHG PORPHYRINS QNT UR 90","84120","N/A","N/A","N/A","N/A","N/A","228.00","228.00","N/A","N/A","N/A","228.00","228.00","N/A","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00"
"5","N/A","ASSAY OF SERUM POTASSIUM","84132","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG POTASSIUM BODY FLUID","84132","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG POTASSIUM I-STAT","84132","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG POTASSIUM SERUM/PLASMA/WHOLE BLOOD","84132","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG POTASSIUM, CSF","84132","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OF URINE POTASSIUM","84133","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG POTASSIUM-URINE","84133","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","ASSAY OF PREALBUMIN","84134","N/A","N/A","N/A","N/A","N/A","115.00","115.00","N/A","N/A","N/A","115.00","115.00","N/A","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00"
"5","N/A","HCHG PREALBUMIN","84134","N/A","N/A","N/A","N/A","N/A","115.00","115.00","N/A","N/A","N/A","115.00","115.00","N/A","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00","115.00"
"5","N/A","ASSAY OF PREGNENOLONE","84140","N/A","N/A","N/A","N/A","N/A","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","HCHG PREGNENOLONE","84140","N/A","N/A","N/A","N/A","N/A","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","ASSAY OF 17-HYDROXYPREGNENO","84143","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG 17 HYDROXYPREGNENOLONE","84143","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","ASSAY OF PROGESTERONE","84144","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","HCHG PROGESTERONE","84144","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","HCHG PROCALCITONIN","84145","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","PROCALCITONIN (PCT)","84145","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","ASSAY OF PROLACTIN","84146","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","HCHG PROLACTIN","84146","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","ASSAY OF PSA COMPLEXED","84152","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG PROSTATIC SPECIFIC AG SCRN TOTAL","84152","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","ASSAY OF PSA TOTAL","84153","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG PROSTATIC SPECIFIC AG TOTAL","84153","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","ASSAY OF PSA FREE","84154","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","HCHG PROSTATIC SPECIFIC AG FREE","84154","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","ASSAY OF PROTEIN SERUM","84155","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG PROTEIN TOT","84155","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG PROTEIN TOT BODY FLUID","84155","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG PROTEIN-CSF","84155","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OF PROTEIN URINE","84156","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG TOT PROTEIN URINE","84156","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG PREG ASSOC PLASMA PROTEIN A","84163","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","PAPPA SERUM","84163","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","HCHG PROTEIN ELP SERUM","84165","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG PROTEIN ELP URINE","84165","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","PROTEIN E-PHORESIS SERUM","84165","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG MAG AB S/RFLX TO MAG-SGPG & MAG","84181","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","HCHG PROTEIN FRACTIONATION AB WESTERN BLOT 90","84181","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","HCHG YO ANTIBODY WESTERN BLOT, SERUM","84181","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","WESTERN BLOT TEST","84181","N/A","N/A","N/A","N/A","N/A","641.00","641.00","N/A","N/A","N/A","641.00","641.00","N/A","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00","641.00"
"5","N/A","HCHG WESTERN BLOT IMMUNOPROBE EA - 90","84182","N/A","N/A","N/A","N/A","N/A","1159.00","1159.00","N/A","N/A","N/A","1159.00","1159.00","N/A","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00"
"5","N/A","PROTEIN WESTERN BLOT TEST","84182","N/A","N/A","N/A","N/A","N/A","1159.00","1159.00","N/A","N/A","N/A","1159.00","1159.00","N/A","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00","1159.00"
"5","N/A","ASSAY RBC PROTOPORPHYRIN","84202","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","HCHG ZINC PROTOPORPHYRIN","84202","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","ASSAY OF PROINSULIN","84206","N/A","N/A","N/A","N/A","N/A","419.00","419.00","N/A","N/A","N/A","419.00","419.00","N/A","419.00","419.00","419.00","419.00","419.00","419.00","419.00","419.00","419.00","419.00"
"5","N/A","HCHG PROINSULIN","84206","N/A","N/A","N/A","N/A","N/A","419.00","419.00","N/A","N/A","N/A","419.00","419.00","N/A","419.00","419.00","419.00","419.00","419.00","419.00","419.00","419.00","419.00","419.00"
"5","N/A","ASSAY OF VITAMIN B-6","84207","N/A","N/A","N/A","N/A","N/A","463.00","463.00","N/A","N/A","N/A","463.00","463.00","N/A","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00"
"5","N/A","HCHG VITAMIN B6","84207","N/A","N/A","N/A","N/A","N/A","463.00","463.00","N/A","N/A","N/A","463.00","463.00","N/A","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00"
"5","N/A","ASSAY OF PYRUVATE","84210","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","HCHG PYRUVIC ACID","84210","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","ASSAY OF PYRUVATE KINASE","84220","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG PYRUVATE KINASE","84220","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","ASSAY NONENDOCRINE RECEPTOR","84238","N/A","N/A","N/A","N/A","N/A","463.00","463.00","N/A","N/A","N/A","463.00","463.00","N/A","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00"
"5","N/A","HCHG SOLUBLE TRANSFERRIN RECEPTOR","84238","N/A","N/A","N/A","N/A","N/A","463.00","463.00","N/A","N/A","N/A","463.00","463.00","N/A","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00","463.00"
"5","N/A","ASSAY OF RENIN","84244","N/A","N/A","N/A","N/A","N/A","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","HCHG RENIN ACTIVITY PLASMA","84244","N/A","N/A","N/A","N/A","N/A","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","HCHG RENIN DIR","84244","N/A","N/A","N/A","N/A","N/A","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","ASSAY OF VITAMIN B-2","84252","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","HCHG VITAMIN B2","84252","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","ASSAY OF SELENIUM","84255","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG SELENIUM, SERUM - 90","84255","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG SELENIUM, URINE","84255","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","ASSAY OF SEROTONIN","84260","N/A","N/A","N/A","N/A","N/A","397.00","397.00","N/A","N/A","N/A","397.00","397.00","N/A","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00"
"5","N/A","HCHG SEROTONIN BLOOD 90","84260","N/A","N/A","N/A","N/A","N/A","397.00","397.00","N/A","N/A","N/A","397.00","397.00","N/A","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00"
"5","N/A","HCHG SEROTONIN SERUM","84260","N/A","N/A","N/A","N/A","N/A","397.00","397.00","N/A","N/A","N/A","397.00","397.00","N/A","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00","397.00"
"5","N/A","ASSAY OF SEX HORMONE GLOBUL","84270","N/A","N/A","N/A","N/A","N/A","200.00","200.00","N/A","N/A","N/A","200.00","200.00","N/A","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00"
"5","N/A","HCHG SEX HORMONE BINDING GLOBULIN","84270","N/A","N/A","N/A","N/A","N/A","200.00","200.00","N/A","N/A","N/A","200.00","200.00","N/A","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00"
"5","N/A","ASSAY OF SERUM SODIUM","84295","N/A","N/A","N/A","N/A","N/A","59.00","59.00","N/A","N/A","N/A","59.00","59.00","N/A","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00"
"5","N/A","HCHG SODIUM I-STAT","84295","N/A","N/A","N/A","N/A","N/A","59.00","59.00","N/A","N/A","N/A","59.00","59.00","N/A","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00"
"5","N/A","HCHG SODIUM SERUM/PLASMA/WHOLE BLOOD","84295","N/A","N/A","N/A","N/A","N/A","59.00","59.00","N/A","N/A","N/A","59.00","59.00","N/A","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00","59.00"
"5","N/A","ASSAY OF URINE SODIUM","84300","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG SODIUM-URINE","84300","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OF SWEAT SODIUM","84302","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG SODIUM BODY FLUID","84302","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG SODIUM FECES","84302","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG SODIUM, CSF","84302","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","ASSAY OF SOMATOMEDIN","84305","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG IGF-1 (SOMATOMEDIN)","84305","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","ASSAY OF SOMATOSTATIN","84307","N/A","N/A","N/A","N/A","N/A","251.00","251.00","N/A","N/A","N/A","251.00","251.00","N/A","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00"
"5","N/A","HCHG SOMATOSTATIN","84307","N/A","N/A","N/A","N/A","N/A","251.00","251.00","N/A","N/A","N/A","251.00","251.00","N/A","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00","251.00"
"5","N/A","HCHG ADENOSINE DEAMINASE, PERICARDIAL - 90","84311","N/A","N/A","N/A","N/A","N/A","920.00","920.00","N/A","N/A","N/A","920.00","920.00","N/A","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00"
"5","N/A","HCHG ADENOSINE DEAMINASE, PERITONEAL - 90","84311","N/A","N/A","N/A","N/A","N/A","920.00","920.00","N/A","N/A","N/A","920.00","920.00","N/A","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00"
"5","N/A","HCHG ADENOSINE DEAMINASE, PLEURAL FLUID","84311","N/A","N/A","N/A","N/A","N/A","920.00","920.00","N/A","N/A","N/A","920.00","920.00","N/A","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00"
"5","N/A","HCHG SPECTOPHOTOMETRY MELANIN URINE 90","84311","N/A","N/A","N/A","N/A","N/A","920.00","920.00","N/A","N/A","N/A","920.00","920.00","N/A","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00"
"5","N/A","HCHG SPECTOPHOTOMETRY PORPHYRIN SERUM","84311","N/A","N/A","N/A","N/A","N/A","920.00","920.00","N/A","N/A","N/A","920.00","920.00","N/A","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00"
"5","N/A","HCHG SPECTROPHOTOMETRY ANALYTE NES (FOCUS) 90","84311","N/A","N/A","N/A","N/A","N/A","920.00","920.00","N/A","N/A","N/A","920.00","920.00","N/A","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00"
"5","N/A","SPECTROPHOTOMETRY","84311","N/A","N/A","N/A","N/A","N/A","920.00","920.00","N/A","N/A","N/A","920.00","920.00","N/A","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00","920.00"
"5","N/A","HCHG SUGARS, URINE QUAL","84376","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","SUGARS SINGLE QUAL","84376","N/A","N/A","N/A","N/A","N/A","41.00","41.00","N/A","N/A","N/A","41.00","41.00","N/A","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00","41.00"
"5","N/A","HCHG OLIGOSACCHARIDES URINE","84377","N/A","N/A","N/A","N/A","N/A","446.00","446.00","N/A","N/A","N/A","446.00","446.00","N/A","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00"
"5","N/A","SUGARS MULTIPLE QUAL","84377","N/A","N/A","N/A","N/A","N/A","446.00","446.00","N/A","N/A","N/A","446.00","446.00","N/A","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00"
"5","N/A","HCHG GALACTOSE-1 PHOSPHATE, RBC","84378","N/A","N/A","N/A","N/A","N/A","382.00","382.00","N/A","N/A","N/A","382.00","382.00","N/A","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00"
"5","N/A","SUGARS SINGLE QUANT","84378","N/A","N/A","N/A","N/A","N/A","382.00","382.00","N/A","N/A","N/A","382.00","382.00","N/A","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00"
"5","N/A","ASSAY OF URINE SULFATE","84392","N/A","N/A","N/A","N/A","N/A","501.00","501.00","N/A","N/A","N/A","501.00","501.00","N/A","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00"
"5","N/A","HCHG SULFATE URINE","84392","N/A","N/A","N/A","N/A","N/A","501.00","501.00","N/A","N/A","N/A","501.00","501.00","N/A","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00"
"5","N/A","HCHG SULFATE, 24 HR. URINE","84392","N/A","N/A","N/A","N/A","N/A","501.00","501.00","N/A","N/A","N/A","501.00","501.00","N/A","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00","501.00"
"5","N/A","ASSAY OF FREE TESTOSTERONE","84402","N/A","N/A","N/A","N/A","N/A","336.00","336.00","N/A","N/A","N/A","336.00","336.00","N/A","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00"
"5","N/A","HCHG TESTOSTERONE FREE 90","84402","N/A","N/A","N/A","N/A","N/A","336.00","336.00","N/A","N/A","N/A","336.00","336.00","N/A","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00","336.00"
"5","N/A","ASSAY OF TOTAL TESTOSTERONE","84403","N/A","N/A","N/A","N/A","N/A","354.00","354.00","N/A","N/A","N/A","354.00","354.00","N/A","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00"
"5","N/A","HCHG TESTOSTERONE SERUM TOTAL","84403","N/A","N/A","N/A","N/A","N/A","354.00","354.00","N/A","N/A","N/A","354.00","354.00","N/A","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00"
"5","N/A","ASSAY OF VITAMIN B-1","84425","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","HCHG VITAMIN B1","84425","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","ASSAY OF THIOCYANATE","84430","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG THIOCYANATE 90","84430","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","ASSAY OF THYROGLOBULIN","84432","N/A","N/A","N/A","N/A","N/A","319.00","319.00","N/A","N/A","N/A","319.00","319.00","N/A","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00"
"5","N/A","HCHG THYROGLOBULIN","84432","N/A","N/A","N/A","N/A","N/A","319.00","319.00","N/A","N/A","N/A","319.00","319.00","N/A","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00"
"5","N/A","ASSAY OF TOTAL THYROXINE","84436","N/A","N/A","N/A","N/A","N/A","94.00","94.00","N/A","N/A","N/A","94.00","94.00","N/A","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00"
"5","N/A","HCHG T4 TOTAL","84436","N/A","N/A","N/A","N/A","N/A","94.00","94.00","N/A","N/A","N/A","94.00","94.00","N/A","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00","94.00"
"5","N/A","ASSAY OF NEONATAL THYROXINE","84437","N/A","N/A","N/A","N/A","N/A","22.00","22.00","N/A","N/A","N/A","22.00","22.00","N/A","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00"
"5","N/A","HCHG T4 NEONATAL","84437","N/A","N/A","N/A","N/A","N/A","22.00","22.00","N/A","N/A","N/A","22.00","22.00","N/A","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00"
"5","N/A","ASSAY OF FREE THYROXINE","84439","N/A","N/A","N/A","N/A","N/A","219.00","219.00","N/A","N/A","N/A","219.00","219.00","N/A","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00"
"5","N/A","HCHG T4 FREE BY DIR DIALYSIS 90","84439","N/A","N/A","N/A","N/A","N/A","219.00","219.00","N/A","N/A","N/A","219.00","219.00","N/A","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00"
"5","N/A","HCHG THYROXINE FREE T4","84439","N/A","N/A","N/A","N/A","N/A","219.00","219.00","N/A","N/A","N/A","219.00","219.00","N/A","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00"
"5","N/A","ASSAY OF THYROID ACTIVITY","84442","N/A","N/A","N/A","N/A","N/A","226.00","226.00","N/A","N/A","N/A","226.00","226.00","N/A","226.00","226.00","226.00","226.00","226.00","226.00","226.00","226.00","226.00","226.00"
"5","N/A","HCHG THYROXINE BINDING GLOBULIN 90","84442","N/A","N/A","N/A","N/A","N/A","226.00","226.00","N/A","N/A","N/A","226.00","226.00","N/A","226.00","226.00","226.00","226.00","226.00","226.00","226.00","226.00","226.00","226.00"
"5","N/A","ASSAY THYROID STIM HORMONE","84443","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","HCHG TSH","84443","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","ASSAY OF TSI GLOBULIN","84445","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG THYROID STIMULATING IG 90","84445","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","ASSAY OF VITAMIN E","84446","N/A","N/A","N/A","N/A","N/A","184.00","184.00","N/A","N/A","N/A","184.00","184.00","N/A","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00"
"5","N/A","HCHG VITAMIN E 90","84446","N/A","N/A","N/A","N/A","N/A","184.00","184.00","N/A","N/A","N/A","184.00","184.00","N/A","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00"
"5","N/A","HCHG SGOT","84450","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","TRANSFERASE (AST) (SGOT)","84450","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","ALANINE AMINO (ALT) (SGPT)","84460","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG SGPT","84460","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OF TRANSFERRIN","84466","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","HCHG TRANSFERRIN","84466","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","ASSAY OF TRIGLYCERIDES","84478","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG TRIGLYCERIDES","84478","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG TRIGLYCERIDES 90","84478","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG TRIGLYCERIDES BODY FLUID","84478","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OF THYROID (T3 OR T4)","84479","N/A","N/A","N/A","N/A","N/A","67.00","67.00","N/A","N/A","N/A","67.00","67.00","N/A","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00"
"5","N/A","HCHG T3 UPTAKE","84479","N/A","N/A","N/A","N/A","N/A","67.00","67.00","N/A","N/A","N/A","67.00","67.00","N/A","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00","67.00"
"5","N/A","ASSAY TRIIODOTHYRONINE (T3)","84480","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HCHG T3 TOT","84480","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","FREE ASSAY (FT-3)","84481","N/A","N/A","N/A","N/A","N/A","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","HCHG T3 FREE","84481","N/A","N/A","N/A","N/A","N/A","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","HCHG REVERSE T-3 90","84482","N/A","N/A","N/A","N/A","N/A","535.00","535.00","N/A","N/A","N/A","535.00","535.00","N/A","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00"
"5","N/A","T3 REVERSE","84482","N/A","N/A","N/A","N/A","N/A","535.00","535.00","N/A","N/A","N/A","535.00","535.00","N/A","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00","535.00"
"5","N/A","ASSAY OF TROPONIN QUANT","84484","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HCHG TROPONIN I I-STAT","84484","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HCHG TROPONIN I POC","84484","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HCHG TROPONIN T","84484","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","ASSAY OF UREA NITROGEN","84520","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG BUN I-STAT","84520","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","HCHG UREA NITROGEN","84520","N/A","N/A","N/A","N/A","N/A","68.00","68.00","N/A","N/A","N/A","68.00","68.00","N/A","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00","68.00"
"5","N/A","ASSAY OF URINE/UREA-N","84540","N/A","N/A","N/A","N/A","N/A","60.00","60.00","N/A","N/A","N/A","60.00","60.00","N/A","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00"
"5","N/A","HCHG UREA NITROGEN-URINE","84540","N/A","N/A","N/A","N/A","N/A","60.00","60.00","N/A","N/A","N/A","60.00","60.00","N/A","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00","60.00"
"5","N/A","ASSAY OF BLOOD/URIC ACID","84550","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG URIC ACID BLOOD","84550","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","ASSAY OF URINE/URIC ACID","84560","N/A","N/A","N/A","N/A","N/A","83.00","83.00","N/A","N/A","N/A","83.00","83.00","N/A","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00"
"5","N/A","HCHG URIC ACID BODY FLUID","84560","N/A","N/A","N/A","N/A","N/A","83.00","83.00","N/A","N/A","N/A","83.00","83.00","N/A","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00"
"5","N/A","HCHG URIC ACID URINE","84560","N/A","N/A","N/A","N/A","N/A","83.00","83.00","N/A","N/A","N/A","83.00","83.00","N/A","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00"
"5","N/A","ASSAY OF URINE VMA","84585","N/A","N/A","N/A","N/A","N/A","261.00","261.00","N/A","N/A","N/A","261.00","261.00","N/A","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00"
"5","N/A","HCHG VMA 24 HR URINE","84585","N/A","N/A","N/A","N/A","N/A","261.00","261.00","N/A","N/A","N/A","261.00","261.00","N/A","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00"
"5","N/A","HCHG VMA RANDOM UR 90","84585","N/A","N/A","N/A","N/A","N/A","261.00","261.00","N/A","N/A","N/A","261.00","261.00","N/A","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00"
"5","N/A","ASSAY OF VIP","84586","N/A","N/A","N/A","N/A","N/A","443.00","443.00","N/A","N/A","N/A","443.00","443.00","N/A","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00"
"5","N/A","HCHG VASOACTIVE INTESTINAL POLYPEPT","84586","N/A","N/A","N/A","N/A","N/A","443.00","443.00","N/A","N/A","N/A","443.00","443.00","N/A","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00"
"5","N/A","ASSAY OF VASOPRESSIN","84588","N/A","N/A","N/A","N/A","N/A","423.00","423.00","N/A","N/A","N/A","423.00","423.00","N/A","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00"
"5","N/A","HCHG ARGININE VASOPRESSIN","84588","N/A","N/A","N/A","N/A","N/A","423.00","423.00","N/A","N/A","N/A","423.00","423.00","N/A","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00","423.00"
"5","N/A","ASSAY OF VITAMIN A","84590","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","HCHG VITAMIN A 90","84590","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","ASSAY OF VITAMIN K","84597","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG VITAMIN K PLASMA","84597","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","ASSAY OF VOLATILES","84600","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG PHENOL URINE","84600","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG XYLOSE, BLOOD, 1-HOUR POST","84620","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","XYLOSE TOLERANCE TEST","84620","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","ASSAY OF ZINC","84630","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","HCHG ZINC PLASMA 90","84630","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","ASSAY OF C-PEPTIDE","84681","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","HCHG C-PEPTIDE 90","84681","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","CHORIONIC GONADOTROPIN TEST","84702","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","HCHG GONADOTROPIN, CHORIONIC (HCG); QUANT, SERUM","84702","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","HCHG HCG QUANT TUMOR","84702","N/A","N/A","N/A","N/A","N/A","198.00","198.00","N/A","N/A","N/A","198.00","198.00","N/A","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00","198.00"
"5","N/A","CHORIONIC GONADOTROPIN ASSAY","84703","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG GONADOTROPIN, CHORIONIC (HCG); QUAL, SERUM","84703","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG GONADOTROPIN, CHORIONIC (HCG); QUAL, SERUM & REFLEX TO QUANT","84703","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","CLINICAL CHEMISTRY TEST","84999","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG MOLECULAR DIAGNOSTIC INTERPRETATION & REP - 90","84999","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG OSMOLALITY FECES","84999","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG POTASSIUM FECES","84999","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","BLEEDING TIME TEST","85002","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","HCHG BLEEDING TIME","85002","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","AUTOMATED DIFF WBC COUNT","85004","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG WBC & DIFF","85004","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","BL SMEAR W/DIFF WBC COUNT","85007","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","HCHG EOSIN COUNT","85007","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","BL SMEAR W/O DIFF WBC COUNT","85008","N/A","N/A","N/A","N/A","N/A","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A","HCHG RBC MORPHOLOGY","85008","N/A","N/A","N/A","N/A","N/A","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A","HCHG BONE MARROW HARVEST-PANEL II","85009","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","HCHG PERIPH STEM CELL PANEL II","85009","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","MANUAL DIFF WBC COUNT B-COAT","85009","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","HCHG SPUN HEMATOCRIT: NUC MED DEPT","85013","N/A","N/A","N/A","N/A","N/A","55.00","55.00","N/A","N/A","N/A","55.00","55.00","N/A","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00"
"5","N/A","SPUN MICROHEMATOCRIT","85013","N/A","N/A","N/A","N/A","N/A","55.00","55.00","N/A","N/A","N/A","55.00","55.00","N/A","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00"
"5","N/A","HCHG HEMATOCRIT","85014","N/A","N/A","N/A","N/A","N/A","47.00","47.00","N/A","N/A","N/A","47.00","47.00","N/A","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00"
"5","N/A","HCHG HEMATOCRIT I-STAT","85014","N/A","N/A","N/A","N/A","N/A","47.00","47.00","N/A","N/A","N/A","47.00","47.00","N/A","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00"
"5","N/A","HEMATOCRIT","85014","N/A","N/A","N/A","N/A","N/A","47.00","47.00","N/A","N/A","N/A","47.00","47.00","N/A","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00","47.00"
"5","N/A","HCHG HEMOGLOBIN","85018","N/A","N/A","N/A","N/A","N/A","30.00","30.00","N/A","N/A","N/A","30.00","30.00","N/A","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00"
"5","N/A","HEMOGLOBIN","85018","N/A","N/A","N/A","N/A","N/A","30.00","30.00","N/A","N/A","N/A","30.00","30.00","N/A","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00","30.00"
"5","N/A","COMPLETE CBC W/AUTO DIFF WBC","85025","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","HCHG CBC W DIFF","85025","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","COMPLETE CBC AUTOMATED","85027","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","HCHG CBC WO DIFF","85027","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","HCHG HEMOGRAM W/ PLATELETS","85027","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","AUTOMATED RBC COUNT","85041","N/A","N/A","N/A","N/A","N/A","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","HCHG RBC COUNT AUTOMATED","85041","N/A","N/A","N/A","N/A","N/A","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","HCHG RETIC COUNT","85044","N/A","N/A","N/A","N/A","N/A","58.00","58.00","N/A","N/A","N/A","58.00","58.00","N/A","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00"
"5","N/A","MANUAL RETICULOCYTE COUNT","85044","N/A","N/A","N/A","N/A","N/A","58.00","58.00","N/A","N/A","N/A","58.00","58.00","N/A","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00","58.00"
"5","N/A","HCHG RETICULOCYTE WITH RET-HE","85046","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","RETICYTE/HGB CONCENTRATE","85046","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","AUTOMATED LEUKOCYTE COUNT","85048","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","HCHG PSC/BONE MARROW HARVEST WBC","85048","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","HCHG WHITE BLOOD COUNT AUTOMATED","85048","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","AUTOMATED PLATELET COUNT","85049","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG BLOOD COUNT, PLATELET, AUTOMATED","85049","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG PLATELET COUNT AUTOMATED","85049","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","CHROMOGENIC SUBSTRATE ASSAY","85130","N/A","N/A","N/A","N/A","N/A","865.00","865.00","N/A","N/A","N/A","865.00","865.00","N/A","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00"
"5","N/A","HCHG FUNGITELL (1-3)-B-D-GLUCAN","85130","N/A","N/A","N/A","N/A","N/A","865.00","865.00","N/A","N/A","N/A","865.00","865.00","N/A","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00","865.00"
"5","N/A","CLOT FACTOR II PROTHROM SPEC","85210","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG FACTOR II ACTIVITY CLOTTING","85210","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","BLOOC CLOT FACTOR V TEST","85220","N/A","N/A","N/A","N/A","N/A","261.00","261.00","N/A","N/A","N/A","261.00","261.00","N/A","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00"
"5","N/A","HCHG FACTOR V ACTIVITY CLOTTING","85220","N/A","N/A","N/A","N/A","N/A","261.00","261.00","N/A","N/A","N/A","261.00","261.00","N/A","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00","261.00"
"5","N/A","CLOT FACTOR VII PROCONVERTIN","85230","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","HCHG FACTOR VII ACTIVITY CLOTTING","85230","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","CLOT FACTOR VIII AHG 1 STAGE","85240","N/A","N/A","N/A","N/A","N/A","550.00","550.00","N/A","N/A","N/A","550.00","550.00","N/A","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00"
"5","N/A","HCHG FACTOR VIII ACTIVITY","85240","N/A","N/A","N/A","N/A","N/A","550.00","550.00","N/A","N/A","N/A","550.00","550.00","N/A","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00"
"5","N/A","CLOT FACTOR VIII VW RISTOCTN","85245","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG FACTOR VIII RISTOCET COFACT 90","85245","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","CLOT FACTOR VIII VW ANTIGEN","85246","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG FACTOR VIII VON WILL AG 90","85246","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG VON WILLEBRAND FACTOR AG","85246","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","CLOT FACTOR VIII MULTIMETRIC","85247","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG FACTOR VIII MULTIMETRIC 90","85247","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","CLOT FACTOR IX PTC/CHRSTMAS","85250","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","HCHG FACTOR IX ACTIVITY","85250","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","CLOT FACTOR X STUART-POWER","85260","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","HCHG FACTOR X ACTIVITY CLOTTING","85260","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","CLOT FACTOR XI PTA","85270","N/A","N/A","N/A","N/A","N/A","417.00","417.00","N/A","N/A","N/A","417.00","417.00","N/A","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00"
"5","N/A","HCHG FACTOR XI ACTIVITY CLOTTING","85270","N/A","N/A","N/A","N/A","N/A","417.00","417.00","N/A","N/A","N/A","417.00","417.00","N/A","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00"
"5","N/A","CLOT FACTOR XII HAGEMAN","85280","N/A","N/A","N/A","N/A","N/A","417.00","417.00","N/A","N/A","N/A","417.00","417.00","N/A","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00"
"5","N/A","HCHG FACTOR XII ACTIVITY CLOTTING","85280","N/A","N/A","N/A","N/A","N/A","417.00","417.00","N/A","N/A","N/A","417.00","417.00","N/A","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00"
"5","N/A","CLOT FACTOR XIII FIBRIN STAB","85290","N/A","N/A","N/A","N/A","N/A","255.00","255.00","N/A","N/A","N/A","255.00","255.00","N/A","255.00","255.00","255.00","255.00","255.00","255.00","255.00","255.00","255.00","255.00"
"5","N/A","HCHG FACTOR XIII FUNCTIONAL","85290","N/A","N/A","N/A","N/A","N/A","255.00","255.00","N/A","N/A","N/A","255.00","255.00","N/A","255.00","255.00","255.00","255.00","255.00","255.00","255.00","255.00","255.00","255.00"
"5","N/A","ANTITHROMBIN III ACTIVITY","85300","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","HCHG ANTI-THROMBIN III","85300","N/A","N/A","N/A","N/A","N/A","313.00","313.00","N/A","N/A","N/A","313.00","313.00","N/A","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00","313.00"
"5","N/A","CLOT INHIBIT PROT C ANTIGEN","85302","N/A","N/A","N/A","N/A","N/A","185.00","185.00","N/A","N/A","N/A","185.00","185.00","N/A","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00"
"5","N/A","HCHG PROTEIN C ANTIGEN","85302","N/A","N/A","N/A","N/A","N/A","185.00","185.00","N/A","N/A","N/A","185.00","185.00","N/A","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00"
"5","N/A","CLOT INHIBIT PROT C ACTIVITY","85303","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","HCHG PROTEIN C ACTIVITY","85303","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","CLOT INHIBIT PROT S TOTAL","85305","N/A","N/A","N/A","N/A","N/A","382.00","382.00","N/A","N/A","N/A","382.00","382.00","N/A","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00"
"5","N/A","HCHG PROTEIN S TOTAL","85305","N/A","N/A","N/A","N/A","N/A","382.00","382.00","N/A","N/A","N/A","382.00","382.00","N/A","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00","382.00"
"5","N/A","CLOT INHIBIT PROT S FREE","85306","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","HCHG PROTEIN S ACTIVITY","85306","N/A","N/A","N/A","N/A","N/A","230.00","230.00","N/A","N/A","N/A","230.00","230.00","N/A","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00","230.00"
"5","N/A","ASSAY ACTIVATED PROTEIN C","85307","N/A","N/A","N/A","N/A","N/A","286.00","286.00","N/A","N/A","N/A","286.00","286.00","N/A","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00"
"5","N/A","HCHG PROTEIN C RESISTANCE ACTIVATED","85307","N/A","N/A","N/A","N/A","N/A","286.00","286.00","N/A","N/A","N/A","286.00","286.00","N/A","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00"
"5","N/A","FACTOR INHIBITOR TEST","85335","N/A","N/A","N/A","N/A","N/A","1075.00","1075.00","N/A","N/A","N/A","1075.00","1075.00","N/A","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00"
"5","N/A","HCHG ADAMTS-13 INHIBITOR","85335","N/A","N/A","N/A","N/A","N/A","1075.00","1075.00","N/A","N/A","N/A","1075.00","1075.00","N/A","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00"
"5","N/A","HCHG FACTOR IX INHIBITOR","85335","N/A","N/A","N/A","N/A","N/A","1075.00","1075.00","N/A","N/A","N/A","1075.00","1075.00","N/A","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00"
"5","N/A","HCHG FACTOR VIII INHIBITOR","85335","N/A","N/A","N/A","N/A","N/A","1075.00","1075.00","N/A","N/A","N/A","1075.00","1075.00","N/A","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00","1075.00"
"5","N/A","COAGULATION TIME ACTIVATED","85347","N/A","N/A","N/A","N/A","N/A","140.00","140.00","N/A","N/A","N/A","140.00","140.00","N/A","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00"
"5","N/A","HCHG COAGULATION TIME ACTIVATED","85347","N/A","N/A","N/A","N/A","N/A","140.00","140.00","N/A","N/A","N/A","140.00","140.00","N/A","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00"
"5","N/A","FIBRIN DEGRADATION QUANT","85379","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG D-DIMER QUANT","85379","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","FIBRINOGEN ACTIVITY","85384","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG FIBRINOGEN ACTIVITY","85384","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","CLOTTING ASSAY WHOLE BLOOD","85396","N/A","N/A","N/A","N/A","N/A","354.00","354.00","N/A","N/A","N/A","354.00","354.00","N/A","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00"
"5","N/A","HCHG COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY","85396","N/A","N/A","N/A","N/A","N/A","354.00","354.00","N/A","N/A","N/A","354.00","354.00","N/A","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00","354.00"
"5","N/A","CLOTTING FUNCT ACTIVITY","85397","N/A","N/A","N/A","N/A","N/A","946.00","946.00","N/A","N/A","N/A","946.00","946.00","N/A","946.00","946.00","946.00","946.00","946.00","946.00","946.00","946.00","946.00","946.00"
"5","N/A","HCHG ADAMTS-13 ACTIVITY RFLX INHIBITOR","85397","N/A","N/A","N/A","N/A","N/A","946.00","946.00","N/A","N/A","N/A","946.00","946.00","N/A","946.00","946.00","946.00","946.00","946.00","946.00","946.00","946.00","946.00","946.00"
"5","N/A","HCHG KLEIHAUER-BETKE (FETADEX) 90","85460","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","HEMOGLOBIN FETAL","85460","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","HCHG HEPARIN ASSAY LMWH","85520","N/A","N/A","N/A","N/A","N/A","219.00","219.00","N/A","N/A","N/A","219.00","219.00","N/A","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00"
"5","N/A","HCHG HEPARIN ASSAY UNFRACTIONATED","85520","N/A","N/A","N/A","N/A","N/A","219.00","219.00","N/A","N/A","N/A","219.00","219.00","N/A","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00"
"5","N/A","HEPARIN ASSAY","85520","N/A","N/A","N/A","N/A","N/A","219.00","219.00","N/A","N/A","N/A","219.00","219.00","N/A","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00","219.00"
"5","N/A","HCHG HEPARIN NEUTRALIZATION","85525","N/A","N/A","N/A","N/A","N/A","116.00","116.00","N/A","N/A","N/A","116.00","116.00","N/A","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00"
"5","N/A","HEPARIN NEUTRALIZATION","85525","N/A","N/A","N/A","N/A","N/A","116.00","116.00","N/A","N/A","N/A","116.00","116.00","N/A","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00","116.00"
"5","N/A","HCHG LYSOZYME SERUM","85549","N/A","N/A","N/A","N/A","N/A","128.00","128.00","N/A","N/A","N/A","128.00","128.00","N/A","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00"
"5","N/A","MURAMIDASE","85549","N/A","N/A","N/A","N/A","N/A","128.00","128.00","N/A","N/A","N/A","128.00","128.00","N/A","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00"
"5","N/A","HCHG OSMOTIC FRAGILITY, RBC","85555","N/A","N/A","N/A","N/A","N/A","373.00","373.00","N/A","N/A","N/A","373.00","373.00","N/A","373.00","373.00","373.00","373.00","373.00","373.00","373.00","373.00","373.00","373.00"
"5","N/A","RBC OSMOTIC FRAGILITY","85555","N/A","N/A","N/A","N/A","N/A","373.00","373.00","N/A","N/A","N/A","373.00","373.00","N/A","373.00","373.00","373.00","373.00","373.00","373.00","373.00","373.00","373.00","373.00"
"5","N/A","BLOOD PLATELET AGGREGATION","85576","N/A","N/A","N/A","N/A","N/A","1926.00","1926.00","N/A","N/A","N/A","1926.00","1926.00","N/A","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00"
"5","N/A","HCHG P2Y12 INHIBITION","85576","N/A","N/A","N/A","N/A","N/A","1926.00","1926.00","N/A","N/A","N/A","1926.00","1926.00","N/A","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00"
"5","N/A","HCHG PLATELET AGGREGATION (IN VITRO), EACH AGENT","85576","N/A","N/A","N/A","N/A","N/A","1926.00","1926.00","N/A","N/A","N/A","1926.00","1926.00","N/A","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00"
"5","N/A","HCHG PLATELET FUNCTION ASPIRIN","85576","N/A","N/A","N/A","N/A","N/A","1926.00","1926.00","N/A","N/A","N/A","1926.00","1926.00","N/A","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00"
"5","N/A","HCHG PLATELET FUNCTION ASSAY, PFS-100","85576","N/A","N/A","N/A","N/A","N/A","1926.00","1926.00","N/A","N/A","N/A","1926.00","1926.00","N/A","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00"
"5","N/A","HCHG PLATELET VERIFYNOW, PRU","85576","N/A","N/A","N/A","N/A","N/A","1926.00","1926.00","N/A","N/A","N/A","1926.00","1926.00","N/A","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00","1926.00"
"5","N/A","HCHG DRVV CONFIRM","85597","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG LA NEUT 1:1 MIX","85597","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG LA PHOSPHOLIPID NEUT CONFIRM","85597","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","PHOSPHOLIPID PLTLT NEUTRALIZ","85597","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG HEXAGONAL PHOSPHOLIPID NEUTRAL - 90","85598","N/A","N/A","N/A","N/A","N/A","2462.00","2462.00","N/A","N/A","N/A","2462.00","2462.00","N/A","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00"
"5","N/A","HEXAGNAL PHOSPH PLTLT NEUTRL","85598","N/A","N/A","N/A","N/A","N/A","2462.00","2462.00","N/A","N/A","N/A","2462.00","2462.00","N/A","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00","2462.00"
"5","N/A","HCHG INCUBATED PT","85610","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG PROTHROMBIN TIME","85610","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG PROTHROMBIN TIME (PT)","85610","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG PT (INHIBITOR SCRN)","85610","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","PROTHROMBIN TIME","85610","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG PT MIX/INCUB PT MIX","85611","N/A","N/A","N/A","N/A","N/A","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","HCHG PT MIX/INCUB PT MIX 1:1","85611","N/A","N/A","N/A","N/A","N/A","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","PROTHROMBIN TEST","85611","N/A","N/A","N/A","N/A","N/A","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","HCHG DRVV MIX","85613","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","HCHG LA DRVVT 1:1 MIX","85613","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","HCHG LUPUS ANTICOAGULANT DRVVT","85613","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","RUSSELL VIPER VENOM DILUTED","85613","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","HCHG SED RATE","85651","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","RBC SED RATE NONAUTOMATED","85651","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG SEDIMENTATION RATE AUTO","85652","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","RBC SED RATE AUTOMATED","85652","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG SICKLE CELL SCRN 90","85660","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","RBC SICKLE CELL TEST","85660","N/A","N/A","N/A","N/A","N/A","51.00","51.00","N/A","N/A","N/A","51.00","51.00","N/A","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00","51.00"
"5","N/A","HCHG THROMB COAG TIME","85670","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","THROMBIN TIME PLASMA","85670","N/A","N/A","N/A","N/A","N/A","103.00","103.00","N/A","N/A","N/A","103.00","103.00","N/A","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00","103.00"
"5","N/A","HCHG INCUBATED PTT","85730","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG PART THRMPLSTN PTT","85730","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG PTT (INHIBITOR SCRN)","85730","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","THROMBOPLASTIN TIME PARTIAL","85730","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG PTT MIX/INCUB PTT MIX","85732","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","HCHG PTT MIX/INCUB PTT MIX 1:1","85732","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","THROMBOPLASTIN TIME PARTIAL","85732","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","BLOOD VISCOSITY EXAMINATION","85810","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","HCHG VISCOSITY-SERUM 90","85810","N/A","N/A","N/A","N/A","N/A","129.00","129.00","N/A","N/A","N/A","129.00","129.00","N/A","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00","129.00"
"5","N/A","AGGLUTININS FEBRILE ANTIGEN","86000","N/A","N/A","N/A","N/A","N/A","29.00","29.00","N/A","N/A","N/A","29.00","29.00","N/A","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00"
"5","N/A","HCHG WIDAL (SALMONELLA) AGGLUTININ","86000","N/A","N/A","N/A","N/A","N/A","29.00","29.00","N/A","N/A","N/A","29.00","29.00","N/A","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00"
"5","N/A","ALLG SPEC IGE CRUDE XTRC EA","86003","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","HCHG ALLERGEN","86003","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","HCHG RAST 1 ALLERGEN","86003","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","ALLG SPEC IGE MULTIALLG SCR","86005","N/A","N/A","N/A","N/A","N/A","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","HCHG ALLERGEN (MIX), 1","86005","N/A","N/A","N/A","N/A","N/A","132.00","132.00","N/A","N/A","N/A","132.00","132.00","N/A","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00","132.00"
"5","N/A","ALLG SPEC IGE RECOMB EA","86008","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG ALLERGEN SPECIFIC IGE RECOMB OR PURIFIED","86008","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG ANCA SCREEN, REFLEX TO TITER","86021","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG ANCA TITER AND PATTERN, IFA","86021","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG ATYPICAL P-ANCA TITER","86021","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG C-ANCA","86021","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG P-ANCA","86021","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","WBC ANTIBODY IDENTIFICATION","86021","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG HEPARIN INDUCED AB","86022","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","HCHG PLATELET AB","86022","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","HCHG SEROTONIN RELEASE ASSAY, LMWH","86022","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","HCHG SEROTONIN RELEASE ASSAY, UFH","86022","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","PLATELET ANTIBODIES","86022","N/A","N/A","N/A","N/A","N/A","732.00","732.00","N/A","N/A","N/A","732.00","732.00","N/A","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00","732.00"
"5","N/A","HCHG PLATELET ASSOC IGG AB","86023","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG PLATELET ASSOC IGM AB","86023","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","IMMUNOGLOBULIN ASSAY","86023","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","ANTINUCLEAR ANTIBODIES","86038","N/A","N/A","N/A","N/A","N/A","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","HCHG ANA-BODY FLD","86038","N/A","N/A","N/A","N/A","N/A","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","HCHG ANTI-NUCLEAR AB","86038","N/A","N/A","N/A","N/A","N/A","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","ANTISTREPTOLYSIN O TITER","86060","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG ANTISTREP O TITER","86060","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","ANTISTREPTOLYSIN O SCREEN","86063","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG STREPTOZYME SCRN","86063","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG TRANSFUSION REACTION WORKUP","86078","N/A","N/A","N/A","N/A","N/A","367.00","367.00","N/A","N/A","N/A","367.00","367.00","N/A","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00"
"5","N/A","PHYS BLOOD BANK SERV REACTJ","86078","N/A","N/A","N/A","N/A","N/A","367.00","367.00","N/A","N/A","N/A","367.00","367.00","N/A","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00"
"5","N/A","C-REACTIVE PROTEIN","86140","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG C-REACTIVE PROTEIN (CRP)","86140","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG CARDIO CRP","86140","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","BETA-2 GLYCOPROTEIN ANTIBODY","86146","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","HCHG BETA-2 GLYCOPROTEIN 1 AB EA","86146","N/A","N/A","N/A","N/A","N/A","277.00","277.00","N/A","N/A","N/A","277.00","277.00","N/A","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00","277.00"
"5","N/A","CARDIOLIPIN ANTIBODY EA IG","86147","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG CARDIOLIPIN IGA AB","86147","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG CARDIOLIPIN IGG AB","86147","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG CARDIOLIPIN IGM AB","86147","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","ANTI-PHOSPHOLIPID ANTIBODY","86148","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG PHOSPHATYLSERINE IGG AB","86148","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","CELL ENUMERATION & ID","86152","N/A","N/A","N/A","N/A","N/A","922.00","922.00","N/A","N/A","N/A","922.00","922.00","N/A","922.00","922.00","922.00","922.00","922.00","922.00","922.00","922.00","922.00","922.00"
"5","N/A","HCHG CELL ENUMERATION IMMUN SELECTION - 90","86152","N/A","N/A","N/A","N/A","N/A","922.00","922.00","N/A","N/A","N/A","922.00","922.00","N/A","922.00","922.00","922.00","922.00","922.00","922.00","922.00","922.00","922.00","922.00"
"5","N/A","CELL ENUMERATION PHYS INTERP","86153","N/A","N/A","N/A","N/A","N/A","996.00","996.00","N/A","N/A","N/A","996.00","996.00","N/A","996.00","996.00","996.00","996.00","996.00","996.00","996.00","996.00","996.00","996.00"
"5","N/A","HCHG INTERP & RPT CELL ENUMERATION - 90","86153","N/A","N/A","N/A","N/A","N/A","996.00","996.00","N/A","N/A","N/A","996.00","996.00","N/A","996.00","996.00","996.00","996.00","996.00","996.00","996.00","996.00","996.00","996.00"
"5","N/A","COLD AGGLUTININ SCREEN","86156","N/A","N/A","N/A","N/A","N/A","117.00","117.00","N/A","N/A","N/A","117.00","117.00","N/A","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00"
"5","N/A","HCHG COLD AGGLUTININS","86156","N/A","N/A","N/A","N/A","N/A","117.00","117.00","N/A","N/A","N/A","117.00","117.00","N/A","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00"
"5","N/A","COMPLEMENT ANTIGEN","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG C1 ESTERASE INHIBITOR, PROTEIN","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C2","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C3","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C4","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C5","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C6","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C7","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C8","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","HCHG COMPLEMENT C9 90","86160","N/A","N/A","N/A","N/A","N/A","310.00","310.00","N/A","N/A","N/A","310.00","310.00","N/A","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00","310.00"
"5","N/A","COMPLEMENT/FUNCTION ACTIVITY","86161","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","HCHG C1 ESTERASE INHIBITOR ACTIV 90","86161","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","COMPLEMENT TOTAL (CH50)","86162","N/A","N/A","N/A","N/A","N/A","303.00","303.00","N/A","N/A","N/A","303.00","303.00","N/A","303.00","303.00","303.00","303.00","303.00","303.00","303.00","303.00","303.00","303.00"
"5","N/A","HCHG CH-50 COMPLEMENT TOT 90","86162","N/A","N/A","N/A","N/A","N/A","303.00","303.00","N/A","N/A","N/A","303.00","303.00","N/A","303.00","303.00","303.00","303.00","303.00","303.00","303.00","303.00","303.00","303.00"
"5","N/A","COMPLEMENT FIXATION EACH","86171","N/A","N/A","N/A","N/A","N/A","195.00","195.00","N/A","N/A","N/A","195.00","195.00","N/A","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00"
"5","N/A","HCHG PARAINFLUENZA SEROTYPE 1","86171","N/A","N/A","N/A","N/A","N/A","195.00","195.00","N/A","N/A","N/A","195.00","195.00","N/A","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00"
"5","N/A","HCHG PARAINFLUENZA SEROTYPE 2 90","86171","N/A","N/A","N/A","N/A","N/A","195.00","195.00","N/A","N/A","N/A","195.00","195.00","N/A","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00"
"5","N/A","HCHG PARAINFLUENZA SEROTYPE 3 90","86171","N/A","N/A","N/A","N/A","N/A","195.00","195.00","N/A","N/A","N/A","195.00","195.00","N/A","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00"
"5","N/A","HCHG RSV AB 90","86171","N/A","N/A","N/A","N/A","N/A","195.00","195.00","N/A","N/A","N/A","195.00","195.00","N/A","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00"
"5","N/A","DEOXYRIBONUCLEASE ANTIBODY","86215","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","HCHG DNASE B AB","86215","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","DNA ANTIBODY NATIVE","86225","N/A","N/A","N/A","N/A","N/A","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","HCHG ANTI-DNA DBLE STRAND","86225","N/A","N/A","N/A","N/A","N/A","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","DNA ANTIBODY SINGLE STRAND","86226","N/A","N/A","N/A","N/A","N/A","287.00","287.00","N/A","N/A","N/A","287.00","287.00","N/A","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00"
"5","N/A","HCHG SSDNA IGG ANTIBODY","86226","N/A","N/A","N/A","N/A","N/A","287.00","287.00","N/A","N/A","N/A","287.00","287.00","N/A","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00","287.00"
"5","N/A","HCHG ANTI -SSB","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG ANTI SSA","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG ANTI-ENA AB","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG ANTI-TIF-1Y(P155) AB","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG JO-1 AB","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG PM-1 AB","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG SCLERODERMA AB SCL-70 90","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG SJOGREN'S AB SSA 90","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","HCHG SJOGREN'S AB SSB 90","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","NUCLEAR ANTIGEN ANTIBODY","86235","N/A","N/A","N/A","N/A","N/A","495.00","495.00","N/A","N/A","N/A","495.00","495.00","N/A","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00","495.00"
"5","N/A","FLUORESCENT ANTIBODY SCREEN","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG ADRENAL AB","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG ANNA IFA","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG ANTI-CENTROMERE AB 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG ANTI-HISTONE AB 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG ANTI-NEURONAL NUCLEAR AB (CSF)","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG ANTI-STRIAT MUSC AB 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG DPPX AB IFA, S - 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG ENDOMYSIAL AB IGA, RFLX TO TITER","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG FLUORS NONINF AGENT AB REF LAB 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG FLUORS NONINF AGENT AB - 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG LIVER-KIDNEY MICROSOMAL AB","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG MGLUR1 AB IFA, S - 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG NEURONAL AB (HU) 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG NMO/AQP4-IGG FACS REFLEX TO TITER - 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG PURKINJE CELL AB (YO) 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG RETICULIN IGA SCREEN, RFLX TO TITER","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG RETICULIN IGG SCREEN, RFLX TO TITER","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","HCHG TRANSGLUTAMINASE IGA AB, ELISA 90","86255","N/A","N/A","N/A","N/A","N/A","613.00","613.00","N/A","N/A","N/A","613.00","613.00","N/A","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00","613.00"
"5","N/A","FLUORESCENT ANTIBODY TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG ADRENAL TITER AND PATTERN","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG BASEMENT MEMBRANCE ZONE AB TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG ENDOMYSIAL AB, IGA TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG FLUORESCENT YO AB, TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG FLUORS NONINF AB TITER - 90","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG INTERCELLULAR SUBSTANCE AB TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG ISLET CELL AB SCRN RFLX TO TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG RETICULIN IGA TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG RETICULIN IGG TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG STRIATED MUSCLE AB TITER","86256","N/A","N/A","N/A","N/A","N/A","813.00","813.00","N/A","N/A","N/A","813.00","813.00","N/A","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00","813.00"
"5","N/A","HCHG CA 15-3 90","86300","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","HCHG CA 27.29 BIOMIRA 90","86300","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","IMMUNOASSAY TUMOR CA 15-3","86300","N/A","N/A","N/A","N/A","N/A","295.00","295.00","N/A","N/A","N/A","295.00","295.00","N/A","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00","295.00"
"5","N/A","HCHG CA 19-9 90","86301","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","IMMUNOASSAY TUMOR CA 19-9","86301","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","HCHG CA 125","86304","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","IMMUNOASSAY TUMOR CA 125","86304","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","HCHG HUMAN EPIDIMYMIS PROTEIN 4 - 90","86305","N/A","N/A","N/A","N/A","N/A","848.00","848.00","N/A","N/A","N/A","848.00","848.00","N/A","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00"
"5","N/A","HUMAN EPIDIDYMIS PROTEIN 4","86305","N/A","N/A","N/A","N/A","N/A","848.00","848.00","N/A","N/A","N/A","848.00","848.00","N/A","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00","848.00"
"5","N/A","HCHG MONO SCRN SPECIFIC","86308","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HETEROPHILE ANTIBODY SCREEN","86308","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG CHROMOGRANIN A","86316","N/A","N/A","N/A","N/A","N/A","443.00","443.00","N/A","N/A","N/A","443.00","443.00","N/A","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00"
"5","N/A","IMMUNOASSAY TUMOR OTHER","86316","N/A","N/A","N/A","N/A","N/A","443.00","443.00","N/A","N/A","N/A","443.00","443.00","N/A","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00","443.00"
"5","N/A","HCHG PNEUMOCCAL IGG SEROTYPE","86317","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG STRONGYLOIDES AB 90","86317","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","IMMUNOASSAY INFECTIOUS AGENT","86317","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG IFE URINE","86325","N/A","N/A","N/A","N/A","N/A","302.00","302.00","N/A","N/A","N/A","302.00","302.00","N/A","302.00","302.00","302.00","302.00","302.00","302.00","302.00","302.00","302.00","302.00"
"5","N/A","OTHER IMMUNOELECTROPHORESIS","86325","N/A","N/A","N/A","N/A","N/A","302.00","302.00","N/A","N/A","N/A","302.00","302.00","N/A","302.00","302.00","302.00","302.00","302.00","302.00","302.00","302.00","302.00","302.00"
"5","N/A","HCHG TEICHOIC ACID AB 90","86329","N/A","N/A","N/A","N/A","N/A","155.00","155.00","N/A","N/A","N/A","155.00","155.00","N/A","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00"
"5","N/A","IMMUNODIFFUSION NES","86329","N/A","N/A","N/A","N/A","N/A","155.00","155.00","N/A","N/A","N/A","155.00","155.00","N/A","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00"
"5","N/A","HCHG IMMUNODIFFUSION,GEL,QUAL,AB/AG","86331","N/A","N/A","N/A","N/A","N/A","92.00","92.00","N/A","N/A","N/A","92.00","92.00","N/A","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00"
"5","N/A","IMMUNODIFFUSION OUCHTERLONY","86331","N/A","N/A","N/A","N/A","N/A","92.00","92.00","N/A","N/A","N/A","92.00","92.00","N/A","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00"
"5","N/A","HCHG IMMUNE COMPLX C1Q BIND 90","86332","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","IMMUNE COMPLEX ASSAY","86332","N/A","N/A","N/A","N/A","N/A","293.00","293.00","N/A","N/A","N/A","293.00","293.00","N/A","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00","293.00"
"5","N/A","HCHG IFE","86334","N/A","N/A","N/A","N/A","N/A","304.00","304.00","N/A","N/A","N/A","304.00","304.00","N/A","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00"
"5","N/A","HCHG IMMUNOFIXATION ELP-SERUM","86334","N/A","N/A","N/A","N/A","N/A","304.00","304.00","N/A","N/A","N/A","304.00","304.00","N/A","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00"
"5","N/A","IMMUNOFIX E-PHORESIS SERUM","86334","N/A","N/A","N/A","N/A","N/A","304.00","304.00","N/A","N/A","N/A","304.00","304.00","N/A","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00","304.00"
"5","N/A","HCHG INHIBIN A","86336","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","INHIBIN A","86336","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","HCHG INSULIN AUTOANTIBODY","86337","N/A","N/A","N/A","N/A","N/A","411.00","411.00","N/A","N/A","N/A","411.00","411.00","N/A","411.00","411.00","411.00","411.00","411.00","411.00","411.00","411.00","411.00","411.00"
"5","N/A","INSULIN ANTIBODIES","86337","N/A","N/A","N/A","N/A","N/A","411.00","411.00","N/A","N/A","N/A","411.00","411.00","N/A","411.00","411.00","411.00","411.00","411.00","411.00","411.00","411.00","411.00","411.00"
"5","N/A","HCHG INTRINSIC FACTR BLOCKING AB 90","86340","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","INTRINSIC FACTOR ANTIBODY","86340","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG GLUTAMIC ACID DECARBOXYLASE AB - 90","86341","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","HCHG ISLET CELL AB - 90","86341","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","HCHG ISLET CELL AB SCRN RFX TO TITER","86341","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","ISLET CELL ANTIBODY","86341","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","HCHG HISTAMINE RELEASE - 90","86343","N/A","N/A","N/A","N/A","N/A","494.00","494.00","N/A","N/A","N/A","494.00","494.00","N/A","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00"
"5","N/A","LEUKOCYTE HISTAMINE RELEASE","86343","N/A","N/A","N/A","N/A","N/A","494.00","494.00","N/A","N/A","N/A","494.00","494.00","N/A","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00"
"5","N/A","CELL FUNCTION ASSAY W/STIM","86352","N/A","N/A","N/A","N/A","N/A","1979.00","1979.00","N/A","N/A","N/A","1979.00","1979.00","N/A","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00"
"5","N/A","HCHG CELLULAR FUNCTION ASSAY","86352","N/A","N/A","N/A","N/A","N/A","1979.00","1979.00","N/A","N/A","N/A","1979.00","1979.00","N/A","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00","1979.00"
"5","N/A","B CELLS TOTAL COUNT","86355","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG B CELLS TOTAL","86355","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG TOT B CELLS","86355","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG CD20 QUANT","86356","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","MONONUCLEAR CELL ANTIGEN","86356","N/A","N/A","N/A","N/A","N/A","564.00","564.00","N/A","N/A","N/A","564.00","564.00","N/A","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00","564.00"
"5","N/A","HCHG NATURAL KILLER CELLS","86357","N/A","N/A","N/A","N/A","N/A","292.00","292.00","N/A","N/A","N/A","292.00","292.00","N/A","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00"
"5","N/A","NK CELLS TOTAL COUNT","86357","N/A","N/A","N/A","N/A","N/A","292.00","292.00","N/A","N/A","N/A","292.00","292.00","N/A","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00"
"5","N/A","HCHG T CELLS TOTAL COUNT","86359","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","T CELLS TOTAL COUNT","86359","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","HCHG T CELL ABS CD4/CD8 COUNT","86360","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","T CELL ABSOLUTE COUNT/RATIO","86360","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG ABSOLUTE CD4","86361","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","T CELL ABSOLUTE COUNT","86361","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","HCHG ANTI-TPO MICROSOMAL","86376","N/A","N/A","N/A","N/A","N/A","185.00","185.00","N/A","N/A","N/A","185.00","185.00","N/A","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00"
"5","N/A","MICROSOMAL ANTIBODY EACH","86376","N/A","N/A","N/A","N/A","N/A","185.00","185.00","N/A","N/A","N/A","185.00","185.00","N/A","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00"
"5","N/A","HCHG GNEUTRALIZATION TEST, VIRAL","86382","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","NEUTRALIZATION TEST VIRAL","86382","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","HCHG NUCLEAR MATRIX PROTEINS","86386","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","NUCLEAR MATRIX PROTEIN 22","86386","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","HCHG CRYPTOCOCCUS ANTIGEN, CSF","86403","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG MRSA RAPID TEST","86403","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","PARTICLE AGGLUT ANTBDY SCRN","86403","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG PARTICLE AGGLUTINATION, TITER, EA AB","86406","N/A","N/A","N/A","N/A","N/A","34.00","34.00","N/A","N/A","N/A","34.00","34.00","N/A","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00"
"5","N/A","PARTICLE AGGLUT ANTBDY TITR","86406","N/A","N/A","N/A","N/A","N/A","34.00","34.00","N/A","N/A","N/A","34.00","34.00","N/A","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00","34.00"
"5","N/A","HCHG RA FACTOR-BODY FLD QUANT","86431","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG RHEUMATOID FACTOR QUANT","86431","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","RHEUMATOID FACTOR QUANT","86431","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG QUANTIFERON-TB GOLD","86480","N/A","N/A","N/A","N/A","N/A","787.00","787.00","N/A","N/A","N/A","787.00","787.00","N/A","787.00","787.00","787.00","787.00","787.00","787.00","787.00","787.00","787.00","787.00"
"5","N/A","TB TEST CELL IMMUN MEASURE","86480","N/A","N/A","N/A","N/A","N/A","787.00","787.00","N/A","N/A","N/A","787.00","787.00","N/A","787.00","787.00","787.00","787.00","787.00","787.00","787.00","787.00","787.00","787.00"
"5","N/A","HCHG SYPHILIS TEST NON-TREP RPR, REFLEX TO TITER, QUAL","86592","N/A","N/A","N/A","N/A","N/A","53.00","53.00","N/A","N/A","N/A","53.00","53.00","N/A","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00"
"5","N/A","HCHG VDRL-CSF","86592","N/A","N/A","N/A","N/A","N/A","53.00","53.00","N/A","N/A","N/A","53.00","53.00","N/A","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00"
"5","N/A","SYPHILIS TEST NON-TREP QUAL","86592","N/A","N/A","N/A","N/A","N/A","53.00","53.00","N/A","N/A","N/A","53.00","53.00","N/A","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00"
"5","N/A","HCHG SYPHILIS TEST NON-TREP RPR TITER, QUANT","86593","N/A","N/A","N/A","N/A","N/A","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","SYPHILIS TEST NON-TREP QUANT","86593","N/A","N/A","N/A","N/A","N/A","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","ADENOVIRUS ANTIBODY","86603","N/A","N/A","N/A","N/A","N/A","186.00","186.00","N/A","N/A","N/A","186.00","186.00","N/A","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00"
"5","N/A","HCHG ADENOVIRUS AB 90","86603","N/A","N/A","N/A","N/A","N/A","186.00","186.00","N/A","N/A","N/A","186.00","186.00","N/A","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00"
"5","N/A","ASPERGILLUS ANTIBODY","86606","N/A","N/A","N/A","N/A","N/A","146.00","146.00","N/A","N/A","N/A","146.00","146.00","N/A","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00"
"5","N/A","HCHG ASPERGILLUS AB 90","86606","N/A","N/A","N/A","N/A","N/A","146.00","146.00","N/A","N/A","N/A","146.00","146.00","N/A","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00","146.00"
"5","N/A","BACTERIUM ANTIBODY","86609","N/A","N/A","N/A","N/A","N/A","258.00","258.00","N/A","N/A","N/A","258.00","258.00","N/A","258.00","258.00","258.00","258.00","258.00","258.00","258.00","258.00","258.00","258.00"
"5","N/A","HCHG PNEUMOCOCCAL IGG VACC RESP 90","86609","N/A","N/A","N/A","N/A","N/A","258.00","258.00","N/A","N/A","N/A","258.00","258.00","N/A","258.00","258.00","258.00","258.00","258.00","258.00","258.00","258.00","258.00","258.00"
"5","N/A","BARTONELLA ANTIBODY","86611","N/A","N/A","N/A","N/A","N/A","152.00","152.00","N/A","N/A","N/A","152.00","152.00","N/A","152.00","152.00","152.00","152.00","152.00","152.00","152.00","152.00","152.00","152.00"
"5","N/A","HCHG BARTONELLA ANTIBODY","86611","N/A","N/A","N/A","N/A","N/A","152.00","152.00","N/A","N/A","N/A","152.00","152.00","N/A","152.00","152.00","152.00","152.00","152.00","152.00","152.00","152.00","152.00","152.00"
"5","N/A","BORDETELLA ANTIBODY","86615","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG BORDETELLA PERTUSSIS AB 90","86615","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG LYME DISEASE ABS IMMUNOBLOT","86617","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","LYME DISEASE ANTIBODY","86617","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","HCHG LYME DISEASE ABS, REFLX TO BLOT","86618","N/A","N/A","N/A","N/A","N/A","292.00","292.00","N/A","N/A","N/A","292.00","292.00","N/A","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00"
"5","N/A","LYME DISEASE ANTIBODY","86618","N/A","N/A","N/A","N/A","N/A","292.00","292.00","N/A","N/A","N/A","292.00","292.00","N/A","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00","292.00"
"5","N/A","BRUCELLA ANTIBODY","86622","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","HCHG BRUCELLA ABORTUS","86622","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","CANDIDA ANTIBODY","86628","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","HCHG CANDIDA AB ID","86628","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","CHLAMYDIA ANTIBODY","86631","N/A","N/A","N/A","N/A","N/A","55.00","55.00","N/A","N/A","N/A","55.00","55.00","N/A","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00"
"5","N/A","HCHG CHLAMYDIA AB IGG 90","86631","N/A","N/A","N/A","N/A","N/A","55.00","55.00","N/A","N/A","N/A","55.00","55.00","N/A","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00"
"5","N/A","HCHG CHLAMYDIA DIFF PANEL 90","86631","N/A","N/A","N/A","N/A","N/A","55.00","55.00","N/A","N/A","N/A","55.00","55.00","N/A","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00","55.00"
"5","N/A","CHLAMYDIA IGM ANTIBODY","86632","N/A","N/A","N/A","N/A","N/A","249.00","249.00","N/A","N/A","N/A","249.00","249.00","N/A","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00"
"5","N/A","HCHG CHLAMYDIA AB IGM 90","86632","N/A","N/A","N/A","N/A","N/A","249.00","249.00","N/A","N/A","N/A","249.00","249.00","N/A","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00"
"5","N/A","COCCIDIOIDES ANTIBODY","86635","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","HCHG COCCIDIOIDES AB 90","86635","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","HCHG AB COXIELLA BRUNETII EA","86638","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG AB COXIELLA BRUNETTI EA","86638","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG Q FEVER IGG PHASE I TITER","86638","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG Q FEVER IGG PHASE II TITER","86638","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG Q FEVER IGM PHASE I TITER","86638","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG Q FEVER IGM PHASE II TITER","86638","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","Q FEVER ANTIBODY","86638","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","CRYPTOCOCCUS ANTIBODY","86641","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","HCHG CRYPTOCOCCUS AB SERUM","86641","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","CMV ANTIBODY","86644","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG CMV AB SCRN 1 UNIT 90","86644","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG CMV AB, TOTAL, DONOR","86644","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG CMV IGG","86644","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG CYTOMEGALOVIRUS IGG","86644","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","CMV ANTIBODY IGM","86645","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG CMV AB IGM","86645","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","DIPHTHERIA ANTIBODY","86648","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","HCHG DIPHTHERIA ANTITOXOID","86648","N/A","N/A","N/A","N/A","N/A","211.00","211.00","N/A","N/A","N/A","211.00","211.00","N/A","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00","211.00"
"5","N/A","ENTEROVIRUS ANTIBODY","86658","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG COXSACKIE A AB 7 90","86658","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG COXSACKIE B (1-6) AB 90","86658","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG ECHO VIRUS 11 AB 90","86658","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG ECHO VIRUS 16 AB 90","86658","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG ECHO VIRUS 4 AB 90","86658","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG ECHO VIRUS 9 AB 90","86658","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","EPSTEIN-BARR ANTIBODY","86663","N/A","N/A","N/A","N/A","N/A","161.00","161.00","N/A","N/A","N/A","161.00","161.00","N/A","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00"
"5","N/A","HCHG EBV AB EARLY AG IGG","86663","N/A","N/A","N/A","N/A","N/A","161.00","161.00","N/A","N/A","N/A","161.00","161.00","N/A","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00"
"5","N/A","HCHG EBV AB TO EARLY AG IGG","86663","N/A","N/A","N/A","N/A","N/A","161.00","161.00","N/A","N/A","N/A","161.00","161.00","N/A","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00","161.00"
"5","N/A","EPSTEIN-BARR NUCLEAR ANTIGEN","86664","N/A","N/A","N/A","N/A","N/A","202.00","202.00","N/A","N/A","N/A","202.00","202.00","N/A","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00"
"5","N/A","HCHG E-B VIRUS AB NUC AG 90","86664","N/A","N/A","N/A","N/A","N/A","202.00","202.00","N/A","N/A","N/A","202.00","202.00","N/A","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00"
"5","N/A","EPSTEIN-BARR CAPSID VCA","86665","N/A","N/A","N/A","N/A","N/A","202.00","202.00","N/A","N/A","N/A","202.00","202.00","N/A","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00"
"5","N/A","HCHG E-B VIRUS AB IGG 90","86665","N/A","N/A","N/A","N/A","N/A","202.00","202.00","N/A","N/A","N/A","202.00","202.00","N/A","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00"
"5","N/A","HCHG E-B VIRUS AB IGM 90","86665","N/A","N/A","N/A","N/A","N/A","202.00","202.00","N/A","N/A","N/A","202.00","202.00","N/A","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00"
"5","N/A","FUNGUS NES ANTIBODY","86671","N/A","N/A","N/A","N/A","N/A","228.00","228.00","N/A","N/A","N/A","228.00","228.00","N/A","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00"
"5","N/A","HCHG FUNGAL AB ADDL","86671","N/A","N/A","N/A","N/A","N/A","228.00","228.00","N/A","N/A","N/A","228.00","228.00","N/A","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00"
"5","N/A","HCHG FUNGAL AB INITIAL","86671","N/A","N/A","N/A","N/A","N/A","228.00","228.00","N/A","N/A","N/A","228.00","228.00","N/A","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00","228.00"
"5","N/A","GIARDIA LAMBLIA ANTIBODY","86674","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG GIARDIA AB","86674","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG H. PYLORI ANTIBODY, IGA","86677","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HCHG HELICOBACTER PYLORI IGG AB 90","86677","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HCHG HELIOCOBACTER PYLORI AB IGG","86677","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HELICOBACTER PYLORI ANTIBODY","86677","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HCHG ECHNINOCOCCUS IGG, WB","86682","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG FILALRIOSIS AB 90","86682","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG SCHISTOSOMIASIS AB 90","86682","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG TOXOCARA CANIS AB 90","86682","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HELMINTH ANTIBODY","86682","N/A","N/A","N/A","N/A","N/A","371.00","371.00","N/A","N/A","N/A","371.00","371.00","N/A","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00","371.00"
"5","N/A","HCHG HIV-1 AB WEST BLOT 90","86689","N/A","N/A","N/A","N/A","N/A","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","HCHG HTLV 1 + 2 AB WEST BLOT 90","86689","N/A","N/A","N/A","N/A","N/A","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","HCHG HTLVI/II, CONFIRM ASSAY","86689","N/A","N/A","N/A","N/A","N/A","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","HTLV/HIV CONFIRMJ ANTIBODY","86689","N/A","N/A","N/A","N/A","N/A","297.00","297.00","N/A","N/A","N/A","297.00","297.00","N/A","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00","297.00"
"5","N/A","HCHG HEP D VIRUS AB","86692","N/A","N/A","N/A","N/A","N/A","243.00","243.00","N/A","N/A","N/A","243.00","243.00","N/A","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00"
"5","N/A","HEPATITIS DELTA AGENT ANTBDY","86692","N/A","N/A","N/A","N/A","N/A","243.00","243.00","N/A","N/A","N/A","243.00","243.00","N/A","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00","243.00"
"5","N/A","HCHG HSV IGM 90","86694","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","HERPES SIMPLEX NES ANTBDY","86694","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","HCHG HERPES SIMPLEX TYPE 1 AB, IGG","86695","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG HERPES SIMPLEX TYPE I IGG AB","86695","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG HSV TYPE 1 AB IGM","86695","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HERPES SIMPLEX TYPE 1 TEST","86695","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG HERPES SIMPLEX TYPE 2 AB, IGG","86696","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HCHG HERPES SIMPLEX TYPE II IGG AB","86696","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HCHG HSV AB TYPE II IGM","86696","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HERPES SIMPLEX TYPE 2 TEST","86696","N/A","N/A","N/A","N/A","N/A","289.00","289.00","N/A","N/A","N/A","289.00","289.00","N/A","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00","289.00"
"5","N/A","HCHG HISTOPLASMA AB EA AB","86698","N/A","N/A","N/A","N/A","N/A","550.00","550.00","N/A","N/A","N/A","550.00","550.00","N/A","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00"
"5","N/A","HISTOPLASMA ANTIBODY","86698","N/A","N/A","N/A","N/A","N/A","550.00","550.00","N/A","N/A","N/A","550.00","550.00","N/A","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00","550.00"
"5","N/A","HCHG HIV 1/2 AB BY ELISA","86701","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG HIV 1/2 AB PRENATAL","86701","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG HIV 1/2 AB REFLEX WESTERN BLOT","86701","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG HIV-1 ANTIBODY","86701","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HIV-1ANTIBODY","86701","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG HIV-2 ANTIBODY","86702","N/A","N/A","N/A","N/A","N/A","410.00","410.00","N/A","N/A","N/A","410.00","410.00","N/A","410.00","410.00","410.00","410.00","410.00","410.00","410.00","410.00","410.00","410.00"
"5","N/A","HIV-2 ANTIBODY","86702","N/A","N/A","N/A","N/A","N/A","410.00","410.00","N/A","N/A","N/A","410.00","410.00","N/A","410.00","410.00","410.00","410.00","410.00","410.00","410.00","410.00","410.00","410.00"
"5","N/A","HCHG HIV 1/2 AB RAPID, REFLEX","86703","N/A","N/A","N/A","N/A","N/A","91.00","91.00","N/A","N/A","N/A","91.00","91.00","N/A","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00"
"5","N/A","HCHG HIV 1/2 AB RAPID, REFLEX EIA/WB","86703","N/A","N/A","N/A","N/A","N/A","91.00","91.00","N/A","N/A","N/A","91.00","91.00","N/A","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00"
"5","N/A","HIV-1/HIV-2 1 RESULT ANTBDY","86703","N/A","N/A","N/A","N/A","N/A","91.00","91.00","N/A","N/A","N/A","91.00","91.00","N/A","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00","91.00"
"5","N/A","HCHG HEP B CORE AB TOT","86704","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","HEP B CORE ANTIBODY TOTAL","86704","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","HCHG HEP BC AB IGM","86705","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HEP B CORE ANTIBODY IGM","86705","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG HEP B AB QUANT SURFACE","86706","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG HEP B SURF AB","86706","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HEP B SURFACE ANTIBODY","86706","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG HEP BE AB","86707","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HEPATITIS BE ANTIBODY","86707","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG HEP A AB TOT","86708","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HEPATITIS A ANTIBODY","86708","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG HEP A AB IGM","86709","N/A","N/A","N/A","N/A","N/A","166.00","166.00","N/A","N/A","N/A","166.00","166.00","N/A","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00"
"5","N/A","HEPATITIS A IGM ANTIBODY","86709","N/A","N/A","N/A","N/A","N/A","166.00","166.00","N/A","N/A","N/A","166.00","166.00","N/A","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00","166.00"
"5","N/A","HCHG INFLUENZA A AB 90","86710","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG INFLUENZA B AB 90","86710","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","INFLUENZA VIRUS ANTIBODY","86710","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG LEGIONELLA AB 90","86713","N/A","N/A","N/A","N/A","N/A","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","LEGIONELLA ANTIBODY","86713","N/A","N/A","N/A","N/A","N/A","216.00","216.00","N/A","N/A","N/A","216.00","216.00","N/A","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00","216.00"
"5","N/A","HCHG LEPTOSPIRA AB 90","86720","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","LEPTOSPIRA ANTIBODY","86720","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG MUMPS AB IGG 90","86735","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG MUMPS AB IGM 90","86735","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","MUMPS ANTIBODY","86735","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG MYCOPLASMA PNEU AB IGM 90","86738","N/A","N/A","N/A","N/A","N/A","191.00","191.00","N/A","N/A","N/A","191.00","191.00","N/A","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00"
"5","N/A","HCHG MYCOPLASMA PNEU IGG AB 90","86738","N/A","N/A","N/A","N/A","N/A","191.00","191.00","N/A","N/A","N/A","191.00","191.00","N/A","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00"
"5","N/A","MYCOPLASMA ANTIBODY","86738","N/A","N/A","N/A","N/A","N/A","191.00","191.00","N/A","N/A","N/A","191.00","191.00","N/A","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00","191.00"
"5","N/A","HCHG PARVOVIRUS B-19 IGG AB","86747","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","HCHG PARVOVIRUS B-19 IGM AB","86747","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","PARVOVIRUS ANTIBODY","86747","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","HCHG AMOEBIC AB 90","86753","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","PROTOZOA ANTIBODY NOS","86753","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","HCHG AB INFLUENZA VIR RICKETTSIA EA","86757","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG RICKETTSIA (RMSF) IGG TITER","86757","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG RICKETTSIA (RMSF) IGM TITER","86757","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG RICKETTSIA (TYPHUS FEVER) IGG TITER","86757","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG RICKETTSIA (TYPHUS FEVER) IGM TITER","86757","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","RICKETTSIA ANTIBODY","86757","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG RUBELLA AB IGG","86762","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","HCHG RUBELLA AB IGM 90","86762","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","RUBELLA ANTIBODY","86762","N/A","N/A","N/A","N/A","N/A","110.00","110.00","N/A","N/A","N/A","110.00","110.00","N/A","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00","110.00"
"5","N/A","HCHG RUBEOLA AB IGG","86765","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG RUBEOLA AB IGM 90","86765","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","RUBEOLA ANTIBODY","86765","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG SALMONELLA ANTIBODY","86768","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","SALMONELLA ANTIBODY","86768","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","HCHG SARS-COV-2 COVID 19 ANTIBODY","86769","N/A","N/A","N/A","N/A","N/A","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","HCHG SARS-COV-2 TOTAL AB, QUALITATIVE - 90","86769","N/A","N/A","N/A","N/A","N/A","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","HCHG TETANUS ANTITOXOID","86774","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","TETANUS ANTIBODY","86774","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","HCHG TOXOPLASMA AB IGG","86777","N/A","N/A","N/A","N/A","N/A","205.00","205.00","N/A","N/A","N/A","205.00","205.00","N/A","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00"
"5","N/A","TOXOPLASMA ANTIBODY","86777","N/A","N/A","N/A","N/A","N/A","205.00","205.00","N/A","N/A","N/A","205.00","205.00","N/A","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00"
"5","N/A","HCHG TOXOPLASMA IGM AB","86778","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","TOXOPLASMA ANTIBODY IGM","86778","N/A","N/A","N/A","N/A","N/A","206.00","206.00","N/A","N/A","N/A","206.00","206.00","N/A","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00","206.00"
"5","N/A","HCHG FTA ABSORPTION 90","86780","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","HCHG TREPONEMA PALLIDUM AB CSF","86780","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","TREPONEMA PALLIDUM","86780","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","HCHG VARICELLA-ZOSTER AB IGG","86787","N/A","N/A","N/A","N/A","N/A","186.00","186.00","N/A","N/A","N/A","186.00","186.00","N/A","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00"
"5","N/A","HCHG VARICELLA-ZOSTER AB IGM 90","86787","N/A","N/A","N/A","N/A","N/A","186.00","186.00","N/A","N/A","N/A","186.00","186.00","N/A","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00"
"5","N/A","VARICELLA-ZOSTER ANTIBODY","86787","N/A","N/A","N/A","N/A","N/A","186.00","186.00","N/A","N/A","N/A","186.00","186.00","N/A","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00","186.00"
"5","N/A","HCHG DENGUE FEVER AB 90","86790","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG DENGUE FEVER AB IGM ELISA 90","86790","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG HEP E VIRUS IGG","86790","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG HEP E VIRUS IGM","86790","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG HERPES VIRUS 6 PANEL 90","86790","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG HTLV I/II AB, RFLX TO CONFIRM ASSAY","86790","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","VIRUS ANTIBODY NOS","86790","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG YERSINIA ENTEROCOLITICA TITER","86793","N/A","N/A","N/A","N/A","N/A","205.00","205.00","N/A","N/A","N/A","205.00","205.00","N/A","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00"
"5","N/A","YERSINIA ANTIBODY","86793","N/A","N/A","N/A","N/A","N/A","205.00","205.00","N/A","N/A","N/A","205.00","205.00","N/A","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00","205.00"
"5","N/A","HCHG ANTI-THYROGLOBULIN","86800","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","THYROGLOBULIN ANTIBODY","86800","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","HCHG HEP C AB","86803","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","HEPATITIS C AB TEST","86803","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","HCHG CROSSMATCH LIVING DONOR, RENAL","86805","N/A","N/A","N/A","N/A","N/A","1757.00","1757.00","N/A","N/A","N/A","1757.00","1757.00","N/A","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00"
"5","N/A","HCHG FINAL LYMPHOCYTE XM, DONOR (LIVER)","86805","N/A","N/A","N/A","N/A","N/A","1757.00","1757.00","N/A","N/A","N/A","1757.00","1757.00","N/A","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00"
"5","N/A","HCHG FINAL LYMPHOCYTE XM-MOD 90","86805","N/A","N/A","N/A","N/A","N/A","1757.00","1757.00","N/A","N/A","N/A","1757.00","1757.00","N/A","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00"
"5","N/A","LYMPHOCYTOTOXICITY ASSAY","86805","N/A","N/A","N/A","N/A","N/A","1757.00","1757.00","N/A","N/A","N/A","1757.00","1757.00","N/A","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00","1757.00"
"5","N/A","CYTOTOXIC ANTIBODY SCREENING","86807","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG HLA AB ID, CLASS I & II","86807","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG HLA AB SCREEN, CLASS I & II MOD 90","86807","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG HLA SINGLE ANTIGEN AB ID, CLASS II MOD 90","86807","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG HLA-B27","86812","N/A","N/A","N/A","N/A","N/A","346.00","346.00","N/A","N/A","N/A","346.00","346.00","N/A","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00"
"5","N/A","HLA TYPING A B OR C","86812","N/A","N/A","N/A","N/A","N/A","346.00","346.00","N/A","N/A","N/A","346.00","346.00","N/A","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00","346.00"
"5","N/A","HCHG HLA TYPING, ABC, MULT AG","86813","N/A","N/A","N/A","N/A","N/A","697.00","697.00","N/A","N/A","N/A","697.00","697.00","N/A","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00"
"5","N/A","HLA TYPING A B OR C","86813","N/A","N/A","N/A","N/A","N/A","697.00","697.00","N/A","N/A","N/A","697.00","697.00","N/A","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00"
"5","N/A","HCHG CLASS I & II AB SCREEN (TRALI)","86828","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HLA CLASS I&II ANTIBODY QUAL","86828","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG CLASS I AB SCRN (PLT REFRACT)","86829","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","HLA CLASS I/II ANTIBODY QUAL","86829","N/A","N/A","N/A","N/A","N/A","315.00","315.00","N/A","N/A","N/A","315.00","315.00","N/A","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00","315.00"
"5","N/A","HCHG PRA & HLA AB ID CLASS I","86830","N/A","N/A","N/A","N/A","N/A","508.00","508.00","N/A","N/A","N/A","508.00","508.00","N/A","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00"
"5","N/A","HLA CLASS I PHENOTYPE QUAL","86830","N/A","N/A","N/A","N/A","N/A","508.00","508.00","N/A","N/A","N/A","508.00","508.00","N/A","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00","508.00"
"5","N/A","HCHG PRA & HLA AB ID CLASS II","86831","N/A","N/A","N/A","N/A","N/A","488.00","488.00","N/A","N/A","N/A","488.00","488.00","N/A","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00"
"5","N/A","HLA CLASS II PHENOTYPE QUAL","86831","N/A","N/A","N/A","N/A","N/A","488.00","488.00","N/A","N/A","N/A","488.00","488.00","N/A","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00","488.00"
"5","N/A","HCHG DONOR SPECIFIC AB ID CLASS I","86832","N/A","N/A","N/A","N/A","N/A","2995.00","2995.00","N/A","N/A","N/A","2995.00","2995.00","N/A","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00"
"5","N/A","HCHG HLA CLASS I SINGLE AG AB ID - 90","86832","N/A","N/A","N/A","N/A","N/A","2995.00","2995.00","N/A","N/A","N/A","2995.00","2995.00","N/A","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00"
"5","N/A","HLA CLASS I HIGH DEFIN QUAL","86832","N/A","N/A","N/A","N/A","N/A","2995.00","2995.00","N/A","N/A","N/A","2995.00","2995.00","N/A","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00","2995.00"
"5","N/A","HCHG DONOR SPECIFIC AB ID CLASS II","86833","N/A","N/A","N/A","N/A","N/A","2217.00","2217.00","N/A","N/A","N/A","2217.00","2217.00","N/A","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00"
"5","N/A","HCHG SINGLE AG AB ID, CLASS II","86833","N/A","N/A","N/A","N/A","N/A","2217.00","2217.00","N/A","N/A","N/A","2217.00","2217.00","N/A","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00"
"5","N/A","HLA CLASS II HIGH DEFIN QUAL","86833","N/A","N/A","N/A","N/A","N/A","2217.00","2217.00","N/A","N/A","N/A","2217.00","2217.00","N/A","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00","2217.00"
"5","N/A","HCHG ANTIBODY SCRN","86850","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","RBC ANTIBODY SCREEN","86850","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","HCHG AB ID ELUTION","86860","N/A","N/A","N/A","N/A","N/A","383.00","383.00","N/A","N/A","N/A","383.00","383.00","N/A","383.00","383.00","383.00","383.00","383.00","383.00","383.00","383.00","383.00","383.00"
"5","N/A","RBC ANTIBODY ELUTION","86860","N/A","N/A","N/A","N/A","N/A","383.00","383.00","N/A","N/A","N/A","383.00","383.00","N/A","383.00","383.00","383.00","383.00","383.00","383.00","383.00","383.00","383.00","383.00"
"5","N/A","HCHG AB ID ADDL 1 PANEL","86870","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG AB ID ADDL PANEL I","86870","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG AB ID ADDL PANEL II","86870","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG AB ID ADDL PANEL III","86870","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG AB ID SPECIAL 90","86870","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","HCHG AB IDENTIFICATION","86870","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","RBC ANTIBODY IDENTIFICATION","86870","N/A","N/A","N/A","N/A","N/A","589.00","589.00","N/A","N/A","N/A","589.00","589.00","N/A","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00","589.00"
"5","N/A","COOMBS TEST DIRECT","86880","N/A","N/A","N/A","N/A","N/A","112.00","112.00","N/A","N/A","N/A","112.00","112.00","N/A","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00"
"5","N/A","HCHG AHG TEST (C3) DIRECT","86880","N/A","N/A","N/A","N/A","N/A","112.00","112.00","N/A","N/A","N/A","112.00","112.00","N/A","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00"
"5","N/A","HCHG AHG TEST (IGG) DIRECT","86880","N/A","N/A","N/A","N/A","N/A","112.00","112.00","N/A","N/A","N/A","112.00","112.00","N/A","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00"
"5","N/A","HCHG ANTI GLOB TEST DIR COOMBS","86880","N/A","N/A","N/A","N/A","N/A","112.00","112.00","N/A","N/A","N/A","112.00","112.00","N/A","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00"
"5","N/A","COOMBS TEST INDIRECT QUAL","86885","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","HCHG INDIRECT COOMBS","86885","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","COOMBS TEST INDIRECT TITER","86886","N/A","N/A","N/A","N/A","N/A","324.00","324.00","N/A","N/A","N/A","324.00","324.00","N/A","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00"
"5","N/A","HCHG ANTI-HUM GLOB TITER INDIRECT","86886","N/A","N/A","N/A","N/A","N/A","324.00","324.00","N/A","N/A","N/A","324.00","324.00","N/A","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00","324.00"
"5","N/A","BLOOD TYPING SEROLOGIC ABO","86900","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","HCHG BLOOD TYPING ABO","86900","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","BLOOD TYPING SEROLOGIC RH(D)","86901","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG BLOOD TYPING RH","86901","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG RH FACTOR","86901","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","BLOOD TYPE ANTIGEN DONOR EA","86902","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","HCHG AG TEST DONOR BLD USING RGT SERUM, EA AG TEST","86902","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","HCHG BLD TYP AG TEST DONOR BLD (BBH) EA AG TEST","86902","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","BLOOD TYPING PATIENT SERUM","86904","N/A","N/A","N/A","N/A","N/A","61.00","61.00","N/A","N/A","N/A","61.00","61.00","N/A","61.00","61.00","61.00","61.00","61.00","61.00","61.00","61.00","61.00","61.00"
"5","N/A","HCHG AG SCRN-SERUM EA UNIT","86904","N/A","N/A","N/A","N/A","N/A","61.00","61.00","N/A","N/A","N/A","61.00","61.00","N/A","61.00","61.00","61.00","61.00","61.00","61.00","61.00","61.00","61.00","61.00"
"5","N/A","BLOOD TYPING RBC ANTIGENS","86905","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","HCHG A1 SUBGROUP, LIVING DONORS","86905","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","HCHG RBC ANTIGEN 1 AG","86905","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","BLD TYPING SEROLOGIC RH PHNT","86906","N/A","N/A","N/A","N/A","N/A","97.00","97.00","N/A","N/A","N/A","97.00","97.00","N/A","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00"
"5","N/A","HCHG RH PHENOTYPE COMP","86906","N/A","N/A","N/A","N/A","N/A","97.00","97.00","N/A","N/A","N/A","97.00","97.00","N/A","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00","97.00"
"5","N/A","COMPATIBILITY TEST SPIN","86920","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG COMPAT TEST PACKED CELLS 1 ADDL","86920","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG COMPATABILITY, IMMED SPIN TQ","86920","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG COMPATIB TEST 1 UNIT","86920","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG COMPATIB TEST ADDL UNIT","86920","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","COMPATIBILITY TEST INCUBATE","86921","N/A","N/A","N/A","N/A","N/A","244.00","244.00","N/A","N/A","N/A","244.00","244.00","N/A","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00"
"5","N/A","HCHG COMPATIB BLD INC 1 UNIT","86921","N/A","N/A","N/A","N/A","N/A","244.00","244.00","N/A","N/A","N/A","244.00","244.00","N/A","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00"
"5","N/A","COMPATIBILITY TEST ANTIGLOB","86922","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG COMPATIB AHG 1 UNIT","86922","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","COMPATIBILITY TEST ELECTRIC","86923","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG COMPATABILITY, ELECTRONIC","86923","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG FFP 1 UNIT THAW","86927","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG FFP/CRYOPPT THAWING 1 UNIT","86927","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","PLASMA FRESH FROZEN","86927","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG CRYOPPT POOLING","86965","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","POOLING BLOOD PLATELETS","86965","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","HCHG AB ID ENZYME","86971","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","RBC PRETX INCUBATJ W/ENZYMES","86971","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","HCHG AB ID INHIBITION","86977","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","RBC SERUM PRETX INCUBJ/INHIB","86977","N/A","N/A","N/A","N/A","N/A","326.00","326.00","N/A","N/A","N/A","326.00","326.00","N/A","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00","326.00"
"5","N/A","HCHG AB ID ABSORPTION","86978","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","RBC PRETREATMENT SERUM","86978","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG PACK CELL/SPLIT PREP","86985","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","SPLIT BLOOD OR PRODUCTS","86985","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","HCHG CONCENTRATION","87015","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG CULT AFB","87015","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG MALARIA SMEAR","87015","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","SPECIMEN INFECT AGNT CONCNTJ","87015","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","BLOOD CULTURE FOR BACTERIA","87040","N/A","N/A","N/A","N/A","N/A","227.00","227.00","N/A","N/A","N/A","227.00","227.00","N/A","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00"
"5","N/A","HCHG BONE MARROW CULT","87040","N/A","N/A","N/A","N/A","N/A","227.00","227.00","N/A","N/A","N/A","227.00","227.00","N/A","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00"
"5","N/A","HCHG CULT BLOOD","87040","N/A","N/A","N/A","N/A","N/A","227.00","227.00","N/A","N/A","N/A","227.00","227.00","N/A","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00","227.00"
"5","N/A","FECES CULTURE AEROBIC BACT","87045","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG CULT STOOL","87045","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG ADDL PATHOGENS","87046","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","HCHG E.COLI 0157 STOOL CULT","87046","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","HCHG STOOL CULTURE FOR AEROMONAS SPECIES","87046","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","HCHG VIBRIO STOOL CULT","87046","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","HCHG YERSINIA STOOL CULT","87046","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","STOOL CULTR AEROBIC BACT EA","87046","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","CULTURE OTHR SPECIMN AEROBIC","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG CULT BACTERIAL MISC","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG CULT BODY FLUID","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG CULT CSF","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG CULT MISC","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG CULT SPUTUM","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG CULT THROAT","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG CULTURE TISSUE AEROBIC","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","HCHG STERILE SITE","87070","N/A","N/A","N/A","N/A","N/A","162.00","162.00","N/A","N/A","N/A","162.00","162.00","N/A","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00","162.00"
"5","N/A","CULTURE AEROBIC QUANT OTHER","87071","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","HCHG CATH TIP CULT","87071","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","HCHG CULT ENVIRONMENTAL","87071","N/A","N/A","N/A","N/A","N/A","210.00","210.00","N/A","N/A","N/A","210.00","210.00","N/A","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00","210.00"
"5","N/A","CULTURE BACTERIA ANAEROBIC","87073","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","HCHG CULT ANAEROBIC ISOL","87073","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","CULTURE ANAEROBE IDENT EACH","87076","N/A","N/A","N/A","N/A","N/A","124.00","124.00","N/A","N/A","N/A","124.00","124.00","N/A","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00"
"5","N/A","HCHG IDENT ANAEROBIC ISOL 1","87076","N/A","N/A","N/A","N/A","N/A","124.00","124.00","N/A","N/A","N/A","124.00","124.00","N/A","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00"
"5","N/A","CULTURE AEROBIC IDENTIFY","87077","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG AEROBIC BACTERIAL ID","87077","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG IDENT AEROBIC ISOL 1","87077","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","CULTURE SCREEN ONLY","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG ACANTHAMOEBA/NAEGLERIA CULTURE","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG CULT BETA STREP","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG CULT GC","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG CULTURE PRESUMPTIVE VAGINOSIS","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG HELICOBACTER PYLORI SCRN","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG LEGIONELLA CULT 90","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG MRSA CULT SCRN","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG VRE CULT SCRN","87081","N/A","N/A","N/A","N/A","N/A","370.00","370.00","N/A","N/A","N/A","370.00","370.00","N/A","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00","370.00"
"5","N/A","HCHG CULT URINE","87086","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","HCHG PROSTATITIS CULTURE","87086","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","URINE CULTURE/COLONY COUNT","87086","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","HCHG ORGANISM ID UR1","87088","N/A","N/A","N/A","N/A","N/A","96.00","96.00","N/A","N/A","N/A","96.00","96.00","N/A","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00"
"5","N/A","URINE BACTERIA CULTURE","87088","N/A","N/A","N/A","N/A","N/A","96.00","96.00","N/A","N/A","N/A","96.00","96.00","N/A","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00"
"5","N/A","HCHG FUNGUS CULTURE, HAIR/NAIL/SKIN","87101","N/A","N/A","N/A","N/A","N/A","124.00","124.00","N/A","N/A","N/A","124.00","124.00","N/A","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00"
"5","N/A","SKIN FUNGI CULTURE","87101","N/A","N/A","N/A","N/A","N/A","124.00","124.00","N/A","N/A","N/A","124.00","124.00","N/A","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00","124.00"
"5","N/A","FUNGUS ISOLATION CULTURE","87102","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","HCHG CULT FUNGI ISOLATION","87102","N/A","N/A","N/A","N/A","N/A","187.00","187.00","N/A","N/A","N/A","187.00","187.00","N/A","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00","187.00"
"5","N/A","BLOOD FUNGUS CULTURE","87103","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","HCHG CULT FUNGI BLOOD","87103","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","FUNGI IDENTIFICATION YEAST","87106","N/A","N/A","N/A","N/A","N/A","757.00","757.00","N/A","N/A","N/A","757.00","757.00","N/A","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00"
"5","N/A","HCHG ID Y EAST ISOLATE","87106","N/A","N/A","N/A","N/A","N/A","757.00","757.00","N/A","N/A","N/A","757.00","757.00","N/A","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00"
"5","N/A","HCHG ID YEAST ISOLATE","87106","N/A","N/A","N/A","N/A","N/A","757.00","757.00","N/A","N/A","N/A","757.00","757.00","N/A","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00"
"5","N/A","HCHG IDENT FUNGUS ISOLATES 1","87106","N/A","N/A","N/A","N/A","N/A","757.00","757.00","N/A","N/A","N/A","757.00","757.00","N/A","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00"
"5","N/A","HCHG MOLD IDENTIFICATION","87106","N/A","N/A","N/A","N/A","N/A","757.00","757.00","N/A","N/A","N/A","757.00","757.00","N/A","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00"
"5","N/A","HCHG YEAST IDENTIFICATION","87106","N/A","N/A","N/A","N/A","N/A","757.00","757.00","N/A","N/A","N/A","757.00","757.00","N/A","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00","757.00"
"5","N/A","HCHG CULT MYCO/UREAPLASMA-GENITAL","87109","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","HCHG CULT MYCOPLASMA PNEUMONIAE","87109","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","MYCOPLASMA","87109","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","CHLAMYDIA CULTURE","87110","N/A","N/A","N/A","N/A","N/A","328.00","328.00","N/A","N/A","N/A","328.00","328.00","N/A","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00"
"5","N/A","HCHG CULT CHLAMYDIA","87110","N/A","N/A","N/A","N/A","N/A","328.00","328.00","N/A","N/A","N/A","328.00","328.00","N/A","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00","328.00"
"5","N/A","HCHG ISOLATION ACID FAST","87116","N/A","N/A","N/A","N/A","N/A","185.00","185.00","N/A","N/A","N/A","185.00","185.00","N/A","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00"
"5","N/A","MYCOBACTERIA CULTURE","87116","N/A","N/A","N/A","N/A","N/A","185.00","185.00","N/A","N/A","N/A","185.00","185.00","N/A","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00","185.00"
"5","N/A","HCHG ACID FAST BACILLI ID 2","87118","N/A","N/A","N/A","N/A","N/A","1229.00","1229.00","N/A","N/A","N/A","1229.00","1229.00","N/A","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00"
"5","N/A","HCHG ACID FAST BACILLI ID 3","87118","N/A","N/A","N/A","N/A","N/A","1229.00","1229.00","N/A","N/A","N/A","1229.00","1229.00","N/A","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00"
"5","N/A","HCHG ACID FAST BACILLI ID BY MALDI","87118","N/A","N/A","N/A","N/A","N/A","1229.00","1229.00","N/A","N/A","N/A","1229.00","1229.00","N/A","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00"
"5","N/A","HCHG AFB MALDI ID - 90","87118","N/A","N/A","N/A","N/A","N/A","1229.00","1229.00","N/A","N/A","N/A","1229.00","1229.00","N/A","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00"
"5","N/A","HCHG ID AFB DNA & CON 90","87118","N/A","N/A","N/A","N/A","N/A","1229.00","1229.00","N/A","N/A","N/A","1229.00","1229.00","N/A","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00"
"5","N/A","MYCOBACTERIC IDENTIFICATION","87118","N/A","N/A","N/A","N/A","N/A","1229.00","1229.00","N/A","N/A","N/A","1229.00","1229.00","N/A","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00","1229.00"
"5","N/A","CULTURE TYPE IMMUNOFLUORESC","87140","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG IMMUNOFLUORESCENT TYPING","87140","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","CULTURE TYPE IMMUNOLOGIC","87147","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","HCHG CULTURE, TYPING;IMMUNOLOGIC METHOD","87147","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","DNA/RNA AMPLIFIED PROBE","87150","N/A","N/A","N/A","N/A","N/A","184.00","184.00","N/A","N/A","N/A","184.00","184.00","N/A","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00"
"5","N/A","HCHG DNA/RNA AMPLIFIED PROBE - 90","87150","N/A","N/A","N/A","N/A","N/A","184.00","184.00","N/A","N/A","N/A","184.00","184.00","N/A","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00","184.00"
"5","N/A","DNA/RNA SEQUENCING","87153","N/A","N/A","N/A","N/A","N/A","1836.00","1836.00","N/A","N/A","N/A","1836.00","1836.00","N/A","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00"
"5","N/A","HCHG ID FROM ISOLATE USING 16S RRNA SEQ","87153","N/A","N/A","N/A","N/A","N/A","1836.00","1836.00","N/A","N/A","N/A","1836.00","1836.00","N/A","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00"
"5","N/A","HCHG ID FROM NUCLEIC ACID-16S RRNA SEQ","87153","N/A","N/A","N/A","N/A","N/A","1836.00","1836.00","N/A","N/A","N/A","1836.00","1836.00","N/A","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00"
"5","N/A","HCHG WORM ID","87169","N/A","N/A","N/A","N/A","N/A","96.00","96.00","N/A","N/A","N/A","96.00","96.00","N/A","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00"
"5","N/A","MACROSCOPIC EXAM PARASITE","87169","N/A","N/A","N/A","N/A","N/A","96.00","96.00","N/A","N/A","N/A","96.00","96.00","N/A","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00","96.00"
"5","N/A","HCHG PINWORM EXAM","87172","N/A","N/A","N/A","N/A","N/A","35.00","35.00","N/A","N/A","N/A","35.00","35.00","N/A","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00"
"5","N/A","PINWORM EXAM","87172","N/A","N/A","N/A","N/A","N/A","35.00","35.00","N/A","N/A","N/A","35.00","35.00","N/A","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00","35.00"
"5","N/A","HCHG HOMOGENIZATION TISSUE F/CULTURE - 90","87176","N/A","N/A","N/A","N/A","N/A","439.00","439.00","N/A","N/A","N/A","439.00","439.00","N/A","439.00","439.00","439.00","439.00","439.00","439.00","439.00","439.00","439.00","439.00"
"5","N/A","TISSUE HOMOGENIZATION CULTR","87176","N/A","N/A","N/A","N/A","N/A","439.00","439.00","N/A","N/A","N/A","439.00","439.00","N/A","439.00","439.00","439.00","439.00","439.00","439.00","439.00","439.00","439.00","439.00"
"5","N/A","HCHG OVA & PARASITES CONC & ID","87177","N/A","N/A","N/A","N/A","N/A","105.00","105.00","N/A","N/A","N/A","105.00","105.00","N/A","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00"
"5","N/A","OVA AND PARASITES SMEARS","87177","N/A","N/A","N/A","N/A","N/A","105.00","105.00","N/A","N/A","N/A","105.00","105.00","N/A","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00","105.00"
"5","N/A","HCHG MIC (E-TEST)","87181","N/A","N/A","N/A","N/A","N/A","121.00","121.00","N/A","N/A","N/A","121.00","121.00","N/A","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00"
"5","N/A","MICROBE SUSCEPTIBLE DIFFUSE","87181","N/A","N/A","N/A","N/A","N/A","121.00","121.00","N/A","N/A","N/A","121.00","121.00","N/A","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00"
"5","N/A","HCHG ACINETOBACTER ISO, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG B. CEPACIA/S. MALTO, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG BETA STREP ISO, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG D-TEST FOR CLINDAMYCIN","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG ENTERIC SENSI ISO, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG GRAM NEG ROD SUSCEPTIBILITY","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG GRAM POSITIVE SUSCEPTIBILITY","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG NON-ENTERIC ISO, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG P. AERUGINOSA ISO, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG SENSITIVITIES ADDL","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG SENSITIVITIES HAEMOPHIL","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG STAPH ISOLATE, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG STREP PNEUMONIAE SUSCEPTIBILITY","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG STREP VIRIDANS GRP, MIC, DISK METHOD PER PLATE","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","MICROBE SUSCEPTIBLE DISK","87184","N/A","N/A","N/A","N/A","N/A","245.00","245.00","N/A","N/A","N/A","245.00","245.00","N/A","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00","245.00"
"5","N/A","HCHG ACINETOBACTER SENSITIVITY, ISOLATE EA","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG AFB RAPID GROWER MIC","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG ANTIFUNGAL SUSCEPTIBILITY, YEAST","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG B. CEPACIA/S. MALTOPHILIA SENSI EA PER PLATE","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG BETA STREP SENSI ISO EA PER PLATE","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG ENTEROCOCCUS SENSI, ORG","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG GRAM NEG ENTERIC SENSITIVITY, ISOLATE EA","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG GRAM NEG NONFERM SENS","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG M.AVIUM COMPLEX MIC PANEL","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG NOCARDIA/STREPT SUSC MIC PANEL","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG NON-ENTERIC SENSITIVITY ISO EA PER PLATE","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG PSEUDOMONAS AERUGINOSA SENSITIVITY, ISOLATE EA","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG SENSITIVITY FUNGI EA","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG STAPH SENSITIVITY, ISOLATE EA","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG STREP PNEUMONIAE SENSI ISO EA PER PLATE","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG STREP PNEUMONIAE, SENS, ORG","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG STREP VIRIDANS GROUP SENSI EA PER PLATE","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG SUSCEPTIBILITY, YEAST, COMPREHENSIVE","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","MICROBE SUSCEPTIBLE MIC","87186","N/A","N/A","N/A","N/A","N/A","1018.00","1018.00","N/A","N/A","N/A","1018.00","1018.00","N/A","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00","1018.00"
"5","N/A","HCHG SUSCEPT STUDIES, MACROBROTH DIL","87188","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","MICROBE SUSCEPT MACROBROTH","87188","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","HCHG ACID FAST BACILLI MIC PANEL 1","87190","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG MIC MYCOBACTERIAL 90","87190","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG SENS MTBC PRIM EA 90","87190","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG TUBERCLE BACILLI EA DRUG","87190","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG TUBERCLE BACILLUS EA DRUG","87190","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","MICROBE SUSCEPT MYCOBACTERI","87190","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","BACTERICIDAL LEVEL SERUM","87197","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","HCHG SERUM BACT LEVEL","87197","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","HCHG EOSIN OTHER SOURCE","87205","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG GRAM STAIN SMEAR","87205","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG SMEAR FUNGUS","87205","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG SPUTUM GRAM STAIN","87205","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG WBC-STOOL","87205","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","SMEAR GRAM STAIN","87205","N/A","N/A","N/A","N/A","N/A","123.00","123.00","N/A","N/A","N/A","123.00","123.00","N/A","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00","123.00"
"5","N/A","HCHG FUNGUS STAIN BY CALCOFLUOR WHITE","87206","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG SMEAR ACID FAST","87206","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG SMEAR SPECIAL FOR CRYPTO","87206","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","SMEAR FLUORESCENT/ACID STAI","87206","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG MICROSPORIDIA","87207","N/A","N/A","N/A","N/A","N/A","156.00","156.00","N/A","N/A","N/A","156.00","156.00","N/A","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00"
"5","N/A","HCHG THIN SMEAR","87207","N/A","N/A","N/A","N/A","N/A","156.00","156.00","N/A","N/A","N/A","156.00","156.00","N/A","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00"
"5","N/A","SMEAR SPECIAL STAIN","87207","N/A","N/A","N/A","N/A","N/A","156.00","156.00","N/A","N/A","N/A","156.00","156.00","N/A","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00"
"5","N/A","HCHG SPCL STN STOOL","87209","N/A","N/A","N/A","N/A","N/A","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","SMEAR COMPLEX STAIN","87209","N/A","N/A","N/A","N/A","N/A","224.00","224.00","N/A","N/A","N/A","224.00","224.00","N/A","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00","224.00"
"5","N/A","HCHG HANGING DROP","87210","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","SMEAR WET MOUNT SALINE/INK","87210","N/A","N/A","N/A","N/A","N/A","63.00","63.00","N/A","N/A","N/A","63.00","63.00","N/A","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00","63.00"
"5","N/A","HCHG RESPIR VIRUS CULT RAPID/REFLEX","87252","N/A","N/A","N/A","N/A","N/A","494.00","494.00","N/A","N/A","N/A","494.00","494.00","N/A","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00"
"5","N/A","HCHG TISSUE CULT","87252","N/A","N/A","N/A","N/A","N/A","494.00","494.00","N/A","N/A","N/A","494.00","494.00","N/A","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00"
"5","N/A","HCHG VIRUS ISOLAT TISS CULT","87252","N/A","N/A","N/A","N/A","N/A","494.00","494.00","N/A","N/A","N/A","494.00","494.00","N/A","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00"
"5","N/A","VIRUS INOCULATION TISSUE","87252","N/A","N/A","N/A","N/A","N/A","494.00","494.00","N/A","N/A","N/A","494.00","494.00","N/A","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00","494.00"
"5","N/A","HCHG TISSUE CULT ADDL","87253","N/A","N/A","N/A","N/A","N/A","388.00","388.00","N/A","N/A","N/A","388.00","388.00","N/A","388.00","388.00","388.00","388.00","388.00","388.00","388.00","388.00","388.00","388.00"
"5","N/A","VIRUS INOCULATE TISSUE ADDL","87253","N/A","N/A","N/A","N/A","N/A","388.00","388.00","N/A","N/A","N/A","388.00","388.00","N/A","388.00","388.00","388.00","388.00","388.00","388.00","388.00","388.00","388.00","388.00"
"5","N/A","HCHG CMV CONVENTIONAL CULTURE-URINE","87254","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","HCHG CMV VIRAL CULTURE, RAPID, BLOOD","87254","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","HCHG RESPIR VIRUS RAPID CULT","87254","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","HCHG VIRUS ID IMMUNOFL","87254","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","HCHG VIRUS ISOLAT CENTRIF EA VIRUS","87254","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","VIRUS INOCULATION SHELL VIA","87254","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","GENET VIRUS ISOLATE HSV","87255","N/A","N/A","N/A","N/A","N/A","498.00","498.00","N/A","N/A","N/A","498.00","498.00","N/A","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00"
"5","N/A","HCHG VIRUS ISOLAT W ID NONIMMUNOLOG","87255","N/A","N/A","N/A","N/A","N/A","498.00","498.00","N/A","N/A","N/A","498.00","498.00","N/A","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00","498.00"
"5","N/A","GIARDIA AG IF","87269","N/A","N/A","N/A","N/A","N/A","215.00","215.00","N/A","N/A","N/A","215.00","215.00","N/A","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00"
"5","N/A","HCHG GIARDIA LAMBLIA AG TEST DFA","87269","N/A","N/A","N/A","N/A","N/A","215.00","215.00","N/A","N/A","N/A","215.00","215.00","N/A","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00","215.00"
"5","N/A","CRYPTOSPORIDIUM AG IF","87272","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","HCHG CRYPTOSPORIDIUM DETECTION BY IF","87272","N/A","N/A","N/A","N/A","N/A","170.00","170.00","N/A","N/A","N/A","170.00","170.00","N/A","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00","170.00"
"5","N/A","HCHG LEGIONELLA DFA","87278","N/A","N/A","N/A","N/A","N/A","299.00","299.00","N/A","N/A","N/A","299.00","299.00","N/A","299.00","299.00","299.00","299.00","299.00","299.00","299.00","299.00","299.00","299.00"
"5","N/A","LEGION PNEUMOPHILIA AG IF","87278","N/A","N/A","N/A","N/A","N/A","299.00","299.00","N/A","N/A","N/A","299.00","299.00","N/A","299.00","299.00","299.00","299.00","299.00","299.00","299.00","299.00","299.00","299.00"
"5","N/A","HCHG PNEUMOCYSTIS CARINII, FM","87281","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","PNEUMOCYSTIS CARINII AG IF","87281","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","HCHG VARICELLA ZOSTER AG DFA 90","87290","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","VARICELLA ZOSTER AG IF","87290","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","ASPERGILLUS AG IA","87305","N/A","N/A","N/A","N/A","N/A","669.00","669.00","N/A","N/A","N/A","669.00","669.00","N/A","669.00","669.00","669.00","669.00","669.00","669.00","669.00","669.00","669.00","669.00"
"5","N/A","HCHG ASPERGILLUS AG EIA 90","87305","N/A","N/A","N/A","N/A","N/A","669.00","669.00","N/A","N/A","N/A","669.00","669.00","N/A","669.00","669.00","669.00","669.00","669.00","669.00","669.00","669.00","669.00","669.00"
"5","N/A","CLOSTRIDIUM AG IA","87324","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","HCHG CLOSTRIDIUM DIFFICILE TOXIN EIA","87324","N/A","N/A","N/A","N/A","N/A","179.00","179.00","N/A","N/A","N/A","179.00","179.00","N/A","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00","179.00"
"5","N/A","HCHG H PYLORI AG EIA STOOL","87338","N/A","N/A","N/A","N/A","N/A","575.00","575.00","N/A","N/A","N/A","575.00","575.00","N/A","575.00","575.00","575.00","575.00","575.00","575.00","575.00","575.00","575.00","575.00"
"5","N/A","HPYLORI STOOL IA","87338","N/A","N/A","N/A","N/A","N/A","575.00","575.00","N/A","N/A","N/A","575.00","575.00","N/A","575.00","575.00","575.00","575.00","575.00","575.00","575.00","575.00","575.00","575.00"
"5","N/A","HCHG HEP B SURF AG","87340","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG HEP B SURF AG CONF","87340","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HEPATITIS B SURFACE AG IA","87340","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG HEP BE AG","87350","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","HEPATITIS BE AG IA","87350","N/A","N/A","N/A","N/A","N/A","153.00","153.00","N/A","N/A","N/A","153.00","153.00","N/A","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00","153.00"
"5","N/A","HCHG HISTOPLASMA GALACTOMANNAN AG, URINE - 90","87385","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","HISTOPLASMA CAPSUL AG IA","87385","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","HCHG HIV-1 AG W/ HIV-1 & HIV-2 AB WITH REFLEX","87389","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HIV-1 AG W/HIV-1 & HIV-2 AB","87389","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG HIV AG (P-24) 90","87390","N/A","N/A","N/A","N/A","N/A","362.00","362.00","N/A","N/A","N/A","362.00","362.00","N/A","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00"
"5","N/A","HIV-1 AG IA","87390","N/A","N/A","N/A","N/A","N/A","362.00","362.00","N/A","N/A","N/A","362.00","362.00","N/A","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00","362.00"
"5","N/A","HCHG RSV AG EIA","87420","N/A","N/A","N/A","N/A","N/A","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","RESP SYNCYTIAL AG IA","87420","N/A","N/A","N/A","N/A","N/A","78.00","78.00","N/A","N/A","N/A","78.00","78.00","N/A","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00","78.00"
"5","N/A","HCHG ROTAVIRUS AG EIA","87425","N/A","N/A","N/A","N/A","N/A","177.00","177.00","N/A","N/A","N/A","177.00","177.00","N/A","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00"
"5","N/A","ROTAVIRUS AG IA","87425","N/A","N/A","N/A","N/A","N/A","177.00","177.00","N/A","N/A","N/A","177.00","177.00","N/A","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00","177.00"
"5","N/A","HCHG SHIGA-LIKE TOXIN","87427","N/A","N/A","N/A","N/A","N/A","29.00","29.00","N/A","N/A","N/A","29.00","29.00","N/A","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00"
"5","N/A","SHIGA-LIKE TOXIN AG IA","87427","N/A","N/A","N/A","N/A","N/A","29.00","29.00","N/A","N/A","N/A","29.00","29.00","N/A","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00","29.00"
"5","N/A","AG DETECT NOS IA MULT","87449","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","HCHG CANDIDA ANTIGEN LATEX","87449","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","HCHG LEGIONELLA AG URINE EIA","87449","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","HCHG TOXIN REFLEX NAAT","87449","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","CANDIDA DNA DIR PROBE","87480","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG CANDIDA SPECIES, DIRECT PROBE","87480","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","CANDIDA DNA AMP PROBE","87481","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG CANDIDA SP, AMP PROBE","87481","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","CHYLMD PNEUM DNA AMP PROBE","87486","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","HCHG CLAMYDIA P AMPLIF DNA PROBE - 90","87486","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","CHYLMD TRACH DNA AMP PROBE","87491","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG CHLAMYDIA PCR","87491","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG CHLAMYDIA TRACHOMATIS PCR","87491","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG MOLEC INFECT AGENT DETECTION BY NUC ACID CHLAMYDIA","87491","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","C DIFF AMPLIFIED PROBE","87493","N/A","N/A","N/A","N/A","N/A","552.00","552.00","N/A","N/A","N/A","552.00","552.00","N/A","552.00","552.00","552.00","552.00","552.00","552.00","552.00","552.00","552.00","552.00"
"5","N/A","HCHG C. DIFFICILE NUCLEIC ACID AMPLIFY","87493","N/A","N/A","N/A","N/A","N/A","552.00","552.00","N/A","N/A","N/A","552.00","552.00","N/A","552.00","552.00","552.00","552.00","552.00","552.00","552.00","552.00","552.00","552.00"
"5","N/A","CYTOMEG DNA AMP PROBE","87496","N/A","N/A","N/A","N/A","N/A","995.00","995.00","N/A","N/A","N/A","995.00","995.00","N/A","995.00","995.00","995.00","995.00","995.00","995.00","995.00","995.00","995.00","995.00"
"5","N/A","HCHG CYTOMEGALOVIRUS DNA QUAL PCR","87496","N/A","N/A","N/A","N/A","N/A","995.00","995.00","N/A","N/A","N/A","995.00","995.00","N/A","995.00","995.00","995.00","995.00","995.00","995.00","995.00","995.00","995.00","995.00"
"5","N/A","CYTOMEG DNA QUANT","87497","N/A","N/A","N/A","N/A","N/A","2006.00","2006.00","N/A","N/A","N/A","2006.00","2006.00","N/A","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00"
"5","N/A","HCHG CYTOMEGALOVIRUS DNA QUANT PCR","87497","N/A","N/A","N/A","N/A","N/A","2006.00","2006.00","N/A","N/A","N/A","2006.00","2006.00","N/A","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00"
"5","N/A","ENTEROVIRUS PROBE&REVRS TRNS","87498","N/A","N/A","N/A","N/A","N/A","624.00","624.00","N/A","N/A","N/A","624.00","624.00","N/A","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00"
"5","N/A","HCHG ENTEROVIRUS DETECT AMP PROBE - 90","87498","N/A","N/A","N/A","N/A","N/A","624.00","624.00","N/A","N/A","N/A","624.00","624.00","N/A","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00"
"5","N/A","HCHG INFLUENZA DNA AMP PROBE","87502","N/A","N/A","N/A","N/A","N/A","789.00","789.00","N/A","N/A","N/A","789.00","789.00","N/A","789.00","789.00","789.00","789.00","789.00","789.00","789.00","789.00","789.00","789.00"
"5","N/A","INFLUENZA DNA AMP PROBE","87502","N/A","N/A","N/A","N/A","N/A","789.00","789.00","N/A","N/A","N/A","789.00","789.00","N/A","789.00","789.00","789.00","789.00","789.00","789.00","789.00","789.00","789.00","789.00"
"5","N/A","HCHG INFLUENZA DNA AMP PROBE ADD'L","87503","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","INFLUENZA DNA AMP PROB ADDL","87503","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG STOOL GI PATHOGEN PANEL, PCR","87507","N/A","N/A","N/A","N/A","N/A","3955.00","3955.00","N/A","N/A","N/A","3955.00","3955.00","N/A","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00"
"5","N/A","IADNA-DNA/RNA PROBE TQ 12-25","87507","N/A","N/A","N/A","N/A","N/A","3955.00","3955.00","N/A","N/A","N/A","3955.00","3955.00","N/A","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00","3955.00"
"5","N/A","GARDNER VAG DNA DIR PROBE","87510","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG GARNERELLA VAG, DIRECT PROBE","87510","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","GARDNER VAG DNA AMP PROBE","87511","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG GARDNERELLA VAG, AMP PROBE","87511","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG HEP B DNA PCR QUAL","87516","N/A","N/A","N/A","N/A","N/A","517.00","517.00","N/A","N/A","N/A","517.00","517.00","N/A","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00"
"5","N/A","HEPATITIS B DNA AMP PROBE","87516","N/A","N/A","N/A","N/A","N/A","517.00","517.00","N/A","N/A","N/A","517.00","517.00","N/A","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00"
"5","N/A","HCHG HEP B DNA QUANT 90","87517","N/A","N/A","N/A","N/A","N/A","679.00","679.00","N/A","N/A","N/A","679.00","679.00","N/A","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00"
"5","N/A","HEPATITIS B DNA QUANT","87517","N/A","N/A","N/A","N/A","N/A","679.00","679.00","N/A","N/A","N/A","679.00","679.00","N/A","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00","679.00"
"5","N/A","HCHG HCV RT-PCR QUAL","87521","N/A","N/A","N/A","N/A","N/A","518.00","518.00","N/A","N/A","N/A","518.00","518.00","N/A","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00"
"5","N/A","HEPATITIS C PROBE&RVRS TRNSC","87521","N/A","N/A","N/A","N/A","N/A","518.00","518.00","N/A","N/A","N/A","518.00","518.00","N/A","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00"
"5","N/A","HCHG HCV-RNA QUANT TAQMAN 90","87522","N/A","N/A","N/A","N/A","N/A","743.00","743.00","N/A","N/A","N/A","743.00","743.00","N/A","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00"
"5","N/A","HEPATITIS C REVRS TRNSCRPJ","87522","N/A","N/A","N/A","N/A","N/A","743.00","743.00","N/A","N/A","N/A","743.00","743.00","N/A","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00","743.00"
"5","N/A","HCHG HSV PCR QUAL, TISS/CELLS","87529","N/A","N/A","N/A","N/A","N/A","852.00","852.00","N/A","N/A","N/A","852.00","852.00","N/A","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00"
"5","N/A","HCHG HSV, AMP PROBE","87529","N/A","N/A","N/A","N/A","N/A","852.00","852.00","N/A","N/A","N/A","852.00","852.00","N/A","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00"
"5","N/A","HSV DNA AMP PROBE","87529","N/A","N/A","N/A","N/A","N/A","852.00","852.00","N/A","N/A","N/A","852.00","852.00","N/A","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00","852.00"
"5","N/A","HCHG HERPES VIRUS -6 AMP PROBE - 90","87532","N/A","N/A","N/A","N/A","N/A","624.00","624.00","N/A","N/A","N/A","624.00","624.00","N/A","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00"
"5","N/A","HHV-6 DNA AMP PROBE","87532","N/A","N/A","N/A","N/A","N/A","624.00","624.00","N/A","N/A","N/A","624.00","624.00","N/A","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00","624.00"
"5","N/A","HCHG HIV-1 QUAL DNA PCR","87535","N/A","N/A","N/A","N/A","N/A","1177.00","1177.00","N/A","N/A","N/A","1177.00","1177.00","N/A","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00"
"5","N/A","HIV-1 PROBE&REVERSE TRNSCRPJ","87535","N/A","N/A","N/A","N/A","N/A","1177.00","1177.00","N/A","N/A","N/A","1177.00","1177.00","N/A","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00","1177.00"
"5","N/A","HCHG HIV-1 RNA QUANT BY PCR 90","87536","N/A","N/A","N/A","N/A","N/A","1294.00","1294.00","N/A","N/A","N/A","1294.00","1294.00","N/A","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00"
"5","N/A","HIV-1 QUANT&REVRSE TRNSCRPJ","87536","N/A","N/A","N/A","N/A","N/A","1294.00","1294.00","N/A","N/A","N/A","1294.00","1294.00","N/A","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00","1294.00"
"5","N/A","HCHG LEGIONELLA AMPLIF DNA PROBE - 90","87541","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","LEGION PNEUMO DNA AMP PROB","87541","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","HCHG NO TB MYCOBACTERIA BY PCR - 90","87551","N/A","N/A","N/A","N/A","N/A","1797.00","1797.00","N/A","N/A","N/A","1797.00","1797.00","N/A","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00"
"5","N/A","MYCOBACTERIA DNA AMP PROBE","87551","N/A","N/A","N/A","N/A","N/A","1797.00","1797.00","N/A","N/A","N/A","1797.00","1797.00","N/A","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00","1797.00"
"5","N/A","HCHG MYCOBACTERIUM TB COMP DNA PROB","87555","N/A","N/A","N/A","N/A","N/A","403.00","403.00","N/A","N/A","N/A","403.00","403.00","N/A","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00"
"5","N/A","M.TUBERCULO DNA DIR PROBE","87555","N/A","N/A","N/A","N/A","N/A","403.00","403.00","N/A","N/A","N/A","403.00","403.00","N/A","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00"
"5","N/A","HCHG M. TUBERCULOSIS DNA","87556","N/A","N/A","N/A","N/A","N/A","1022.00","1022.00","N/A","N/A","N/A","1022.00","1022.00","N/A","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00"
"5","N/A","HCHG TB COMPLEX DNA PCR 90","87556","N/A","N/A","N/A","N/A","N/A","1022.00","1022.00","N/A","N/A","N/A","1022.00","1022.00","N/A","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00"
"5","N/A","M.TUBERCULO DNA AMP PROBE","87556","N/A","N/A","N/A","N/A","N/A","1022.00","1022.00","N/A","N/A","N/A","1022.00","1022.00","N/A","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00","1022.00"
"5","N/A","HCHG M. AVIUM PROBE DNA PROBE","87560","N/A","N/A","N/A","N/A","N/A","403.00","403.00","N/A","N/A","N/A","403.00","403.00","N/A","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00"
"5","N/A","M.AVIUM-INTRA DNA DIR PROB","87560","N/A","N/A","N/A","N/A","N/A","403.00","403.00","N/A","N/A","N/A","403.00","403.00","N/A","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00","403.00"
"5","N/A","HCHG MAVIUM 90","87561","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","M.AVIUM-INTRA DNA AMP PROB","87561","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","HCHG MYCOPLASMA PNEUMONIAE, PCR, QUAL - 90","87581","N/A","N/A","N/A","N/A","N/A","670.00","670.00","N/A","N/A","N/A","670.00","670.00","N/A","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00"
"5","N/A","HCHG MYCROPLASMA AMPLIF DNA PROBE - 90","87581","N/A","N/A","N/A","N/A","N/A","670.00","670.00","N/A","N/A","N/A","670.00","670.00","N/A","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00"
"5","N/A","M.PNEUMON DNA AMP PROBE","87581","N/A","N/A","N/A","N/A","N/A","670.00","670.00","N/A","N/A","N/A","670.00","670.00","N/A","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00"
"5","N/A","HCHG GC PCR","87591","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG MOLEC INFECT AGENT DETECTION BY NUC ACID GONORRHEA","87591","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG NEISSERIA GONORRHOEAE AMP PROBE","87591","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","N.GONORRHOEAE DNA AMP PROB","87591","N/A","N/A","N/A","N/A","N/A","391.00","391.00","N/A","N/A","N/A","391.00","391.00","N/A","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00","391.00"
"5","N/A","HCHG HPV DNA (HIGH RISK)","87624","N/A","N/A","N/A","N/A","N/A","600.00","600.00","N/A","N/A","N/A","600.00","600.00","N/A","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00"
"5","N/A","HCHG HPV HIGH RISK PCR 16/18 GENOTYPE - 90","87624","N/A","N/A","N/A","N/A","N/A","600.00","600.00","N/A","N/A","N/A","600.00","600.00","N/A","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00"
"5","N/A","HCHG HPV HIGH RISK TYPES","87624","N/A","N/A","N/A","N/A","N/A","600.00","600.00","N/A","N/A","N/A","600.00","600.00","N/A","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00"
"5","N/A","HPV HIGH-RISK TYPES","87624","N/A","N/A","N/A","N/A","N/A","600.00","600.00","N/A","N/A","N/A","600.00","600.00","N/A","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00","600.00"
"5","N/A","HCHG HPV TYPES 16 AND 18 ONLY","87625","N/A","N/A","N/A","N/A","N/A","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","HPV TYPES 16 & 18 ONLY","87625","N/A","N/A","N/A","N/A","N/A","285.00","285.00","N/A","N/A","N/A","285.00","285.00","N/A","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00","285.00"
"5","N/A","HCHG RESP VIRUS 6-11 TARGETS - 90","87632","N/A","N/A","N/A","N/A","N/A","545.00","545.00","N/A","N/A","N/A","545.00","545.00","N/A","545.00","545.00","545.00","545.00","545.00","545.00","545.00","545.00","545.00","545.00"
"5","N/A","RESP VIRUS 6-11 TARGETS","87632","N/A","N/A","N/A","N/A","N/A","545.00","545.00","N/A","N/A","N/A","545.00","545.00","N/A","545.00","545.00","545.00","545.00","545.00","545.00","545.00","545.00","545.00","545.00"
"5","N/A","HCHG RESPIRATORY PANEL BY FILMARRAY - 90","87633","N/A","N/A","N/A","N/A","N/A","5700.00","5700.00","N/A","N/A","N/A","5700.00","5700.00","N/A","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00"
"5","N/A","RESP VIRUS 12-25 TARGETS","87633","N/A","N/A","N/A","N/A","N/A","5700.00","5700.00","N/A","N/A","N/A","5700.00","5700.00","N/A","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00","5700.00"
"5","N/A","HCHG SARS-COV-2 COVID 19 AMP PRB - HIGH THROUGHPUT TECH - 90","87635","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","SARS-COV-2 COVID-19 AMP PRB","87635","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","HCHG S. AUREUS BY NUCLEIC ACID AMP","87640","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","STAPH A DNA AMP PROBE","87640","N/A","N/A","N/A","N/A","N/A","225.00","225.00","N/A","N/A","N/A","225.00","225.00","N/A","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00","225.00"
"5","N/A","HCHG IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ","87641","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","MR-STAPH DNA AMP PROBE","87641","N/A","N/A","N/A","N/A","N/A","231.00","231.00","N/A","N/A","N/A","231.00","231.00","N/A","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00","231.00"
"5","N/A","HCHG GROUP A STREPTOCOCCUS DNA PROBE","87650","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","STREP A DNA DIR PROBE","87650","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","HCHG STREPTOCOCCUS GRP A, AMP PROBE - 90","87651","N/A","N/A","N/A","N/A","N/A","539.00","539.00","N/A","N/A","N/A","539.00","539.00","N/A","539.00","539.00","539.00","539.00","539.00","539.00","539.00","539.00","539.00","539.00"
"5","N/A","STREP A DNA AMP PROBE","87651","N/A","N/A","N/A","N/A","N/A","539.00","539.00","N/A","N/A","N/A","539.00","539.00","N/A","539.00","539.00","539.00","539.00","539.00","539.00","539.00","539.00","539.00","539.00"
"5","N/A","HCHG GBS SCREEN, QUAL PCR W/REFLEX SENSI","87653","N/A","N/A","N/A","N/A","N/A","491.00","491.00","N/A","N/A","N/A","491.00","491.00","N/A","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00"
"5","N/A","HCHG RAPID MOLECULAR PRENATAL GBS SCREEN","87653","N/A","N/A","N/A","N/A","N/A","491.00","491.00","N/A","N/A","N/A","491.00","491.00","N/A","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00"
"5","N/A","STREP B DNA AMP PROBE","87653","N/A","N/A","N/A","N/A","N/A","491.00","491.00","N/A","N/A","N/A","491.00","491.00","N/A","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00","491.00"
"5","N/A","HCHG TRICHOMONAS VAG, DIRECT PROBE","87660","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","TRICHOMONAS VAGIN DIR PROBE","87660","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG TRICHOMONAS VAG, AMP PROBE","87661","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","TRICHOMONAS VAGINALIS AMPLIF","87661","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","DETECT AGENT NOS DNA AMP","87798","N/A","N/A","N/A","N/A","N/A","921.00","921.00","N/A","N/A","N/A","921.00","921.00","N/A","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00"
"5","N/A","HCHG DETECTION INFECTIOUS AGENT AMP PROBE","87798","N/A","N/A","N/A","N/A","N/A","921.00","921.00","N/A","N/A","N/A","921.00","921.00","N/A","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00"
"5","N/A","HCHG PNEUMOSYSTIS JIROVECII, QUAL PCR","87798","N/A","N/A","N/A","N/A","N/A","921.00","921.00","N/A","N/A","N/A","921.00","921.00","N/A","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00"
"5","N/A","HCHG RSV, RNA, REAL-TIME PCR","87798","N/A","N/A","N/A","N/A","N/A","921.00","921.00","N/A","N/A","N/A","921.00","921.00","N/A","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00"
"5","N/A","HCHG TOXOPLASMA GONDDI BY PCR - 90","87798","N/A","N/A","N/A","N/A","N/A","921.00","921.00","N/A","N/A","N/A","921.00","921.00","N/A","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00"
"5","N/A","HCHG VIRUS DETECT BY NUC ACID, QUAL, PCR","87798","N/A","N/A","N/A","N/A","N/A","921.00","921.00","N/A","N/A","N/A","921.00","921.00","N/A","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00","921.00"
"5","N/A","DETECT AGENT NOS DNA QUANT","87799","N/A","N/A","N/A","N/A","N/A","1153.00","1153.00","N/A","N/A","N/A","1153.00","1153.00","N/A","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00"
"5","N/A","HCHG NA QUAN NOS AGENT","87799","N/A","N/A","N/A","N/A","N/A","1153.00","1153.00","N/A","N/A","N/A","1153.00","1153.00","N/A","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00","1153.00"
"5","N/A","DETECT AGNT MULT DNA AMPLI","87801","N/A","N/A","N/A","N/A","N/A","905.00","905.00","N/A","N/A","N/A","905.00","905.00","N/A","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00"
"5","N/A","HCHG BORDETELLA DNA QUAL, REAL-TIME PCR","87801","N/A","N/A","N/A","N/A","N/A","905.00","905.00","N/A","N/A","N/A","905.00","905.00","N/A","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00"
"5","N/A","HCHG BROAD RANGE BACTERIA P","87801","N/A","N/A","N/A","N/A","N/A","905.00","905.00","N/A","N/A","N/A","905.00","905.00","N/A","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00","905.00"
"5","N/A","HCHG INFLUENZA AG","87804","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","INFLUENZA ASSAY W/OPTIC","87804","N/A","N/A","N/A","N/A","N/A","107.00","107.00","N/A","N/A","N/A","107.00","107.00","N/A","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00","107.00"
"5","N/A","HCHG DIRECT GRP-A STREP, REFLEX CULTURE","87880","N/A","N/A","N/A","N/A","N/A","232.00","232.00","N/A","N/A","N/A","232.00","232.00","N/A","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00"
"5","N/A","HCHG RAPID DIR GRP-A STREP SCREEN","87880","N/A","N/A","N/A","N/A","N/A","232.00","232.00","N/A","N/A","N/A","232.00","232.00","N/A","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00"
"5","N/A","STREP A ASSAY W/OPTIC","87880","N/A","N/A","N/A","N/A","N/A","232.00","232.00","N/A","N/A","N/A","232.00","232.00","N/A","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00","232.00"
"5","N/A","AGENT NOS ASSAY W/OPTIC","87899","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","HCHG S. PNEUMONIAE AG DETECT","87899","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","HCHG INF AGENT DRUG SUSCEPT - 90","87900","N/A","N/A","N/A","N/A","N/A","3912.00","3912.00","N/A","N/A","N/A","3912.00","3912.00","N/A","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00"
"5","N/A","PHENOTYPE INFECT AGENT DRUG","87900","N/A","N/A","N/A","N/A","N/A","3912.00","3912.00","N/A","N/A","N/A","3912.00","3912.00","N/A","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00"
"5","N/A","GENOTYPE DNA HIV REVERSE T","87901","N/A","N/A","N/A","N/A","N/A","1248.00","1248.00","N/A","N/A","N/A","1248.00","1248.00","N/A","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00"
"5","N/A","HCHG HIV DRUG RESISTANCE GENOTYPING","87901","N/A","N/A","N/A","N/A","N/A","1248.00","1248.00","N/A","N/A","N/A","1248.00","1248.00","N/A","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00","1248.00"
"5","N/A","GENOTYPE DNA/RNA HEP C","87902","N/A","N/A","N/A","N/A","N/A","4383.00","4383.00","N/A","N/A","N/A","4383.00","4383.00","N/A","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00"
"5","N/A","HCHG HCV GENOTYPING","87902","N/A","N/A","N/A","N/A","N/A","4383.00","4383.00","N/A","N/A","N/A","4383.00","4383.00","N/A","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00"
"5","N/A","HCHG HEP C VIRAL RNA GEN 3","87902","N/A","N/A","N/A","N/A","N/A","4383.00","4383.00","N/A","N/A","N/A","4383.00","4383.00","N/A","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00","4383.00"
"5","N/A","HCHG INF AGENT BY NUC ACID 1-10 DRUGS - 90","87903","N/A","N/A","N/A","N/A","N/A","6812.00","6812.00","N/A","N/A","N/A","6812.00","6812.00","N/A","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00"
"5","N/A","PHENOTYPE DNA HIV W/CULTURE","87903","N/A","N/A","N/A","N/A","N/A","6812.00","6812.00","N/A","N/A","N/A","6812.00","6812.00","N/A","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00","6812.00"
"5","N/A","HCHG INF AGENT BY NUC ACID EA ADDITIONAL - 90","87904","N/A","N/A","N/A","N/A","N/A","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","PHENOTYPE DNA HIV W/CLT ADD","87904","N/A","N/A","N/A","N/A","N/A","363.00","363.00","N/A","N/A","N/A","363.00","363.00","N/A","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00","363.00"
"5","N/A","GENOTYPE DNA/RNA HIV","87906","N/A","N/A","N/A","N/A","N/A","1633.00","1633.00","N/A","N/A","N/A","1633.00","1633.00","N/A","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00"
"5","N/A","HCHG INFECT AGENT GENOTYP HIV-1, OTHER - 90","87906","N/A","N/A","N/A","N/A","N/A","1633.00","1633.00","N/A","N/A","N/A","1633.00","1633.00","N/A","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00","1633.00"
"5","N/A","GENOTYPE DNA HEPATITIS B","87912","N/A","N/A","N/A","N/A","N/A","2646.00","2646.00","N/A","N/A","N/A","2646.00","2646.00","N/A","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00"
"5","N/A","HCHG HEPATITIS B VIRUS GENOTYPE","87912","N/A","N/A","N/A","N/A","N/A","2646.00","2646.00","N/A","N/A","N/A","2646.00","2646.00","N/A","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00","2646.00"
"5","N/A","HCHG LIMULUS AMEBOCYTE LYSATE ASSAY","87999","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG PANFUNGAL ID BY SEQUENCING","87999","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG RIFAMPICIN RESISTANCE","87999","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","MICROBIOLOGY PROCEDURE","87999","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","CYTOPATH FL NONGYN SMEARS","88104","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","HCHG CYTOPATH MEDICAL","88104","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","CYTOPATH CONCENTRATE TECH","88108","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG CYTOPATH MEDICAL CONCENTRATION","88108","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","CYTOPATH CELL ENHANCE TECH","88112","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","HCHG CYTOPATH LIQUID BASE & INTERP","88112","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","CYTP URNE 3-5 PROBES EA SPEC","88120","N/A","N/A","N/A","N/A","N/A","1008.00","1008.00","N/A","N/A","N/A","1008.00","1008.00","N/A","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00"
"5","N/A","HCHG CYTOPATHOLOGY, EA SPECIMEN, MANUAL","88120","N/A","N/A","N/A","N/A","N/A","1008.00","1008.00","N/A","N/A","N/A","1008.00","1008.00","N/A","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00","1008.00"
"5","N/A","CYTP URINE 3-5 PROBES CMPTR","88121","N/A","N/A","N/A","N/A","N/A","846.00","846.00","N/A","N/A","N/A","846.00","846.00","N/A","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00"
"5","N/A","HCHG CYTOPATHOLOGY, EA SPECIMEN, USING COMPUTER ASST TECH","88121","N/A","N/A","N/A","N/A","N/A","846.00","846.00","N/A","N/A","N/A","846.00","846.00","N/A","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00","846.00"
"5","N/A","HCHG SEX CHROMATIN/BARR BODIES","88130","N/A","N/A","N/A","N/A","N/A","140.00","140.00","N/A","N/A","N/A","140.00","140.00","N/A","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00"
"5","N/A","SEX CHROMATIN IDENTIFICATION","88130","N/A","N/A","N/A","N/A","N/A","140.00","140.00","N/A","N/A","N/A","140.00","140.00","N/A","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00"
"5","N/A","CYTOPATH C/V INTERPRET","88141","N/A","N/A","N/A","N/A","N/A","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","HCHG CYTOPATH REVIEW","88141","N/A","N/A","N/A","N/A","N/A","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","CYTOPATH C/V THIN LAYER","88142","N/A","N/A","N/A","N/A","N/A","188.00","188.00","N/A","N/A","N/A","188.00","188.00","N/A","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00"
"5","N/A","HCHG THIN LAYER PREP W MANUAL SCREENING","88142","N/A","N/A","N/A","N/A","N/A","188.00","188.00","N/A","N/A","N/A","188.00","188.00","N/A","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00"
"5","N/A","CYTOPATH C/V THIN LAYER REDO","88143","N/A","N/A","N/A","N/A","N/A","144.00","144.00","N/A","N/A","N/A","144.00","144.00","N/A","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00"
"5","N/A","HCHG CYTOPATHOLOGY MANUAL SCRN","88143","N/A","N/A","N/A","N/A","N/A","144.00","144.00","N/A","N/A","N/A","144.00","144.00","N/A","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00","144.00"
"5","N/A","CYTOPATH C/V AUTOMATED","88147","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG PAP SMEAR NEOPATH ONLY","88147","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","CYTOPATH C/V AUTO RESCREEN","88148","N/A","N/A","N/A","N/A","N/A","244.00","244.00","N/A","N/A","N/A","244.00","244.00","N/A","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00"
"5","N/A","HCHG PAP NEOPATH SCRN & MAN RESCRN","88148","N/A","N/A","N/A","N/A","N/A","244.00","244.00","N/A","N/A","N/A","244.00","244.00","N/A","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00","244.00"
"5","N/A","CYTOPATH SMEAR OTHER SOURCE","88161","N/A","N/A","N/A","N/A","N/A","319.00","319.00","N/A","N/A","N/A","319.00","319.00","N/A","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00"
"5","N/A","HCHG TISSUE IMPRINT/TOUCH","88161","N/A","N/A","N/A","N/A","N/A","319.00","319.00","N/A","N/A","N/A","319.00","319.00","N/A","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00"
"5","N/A","CYTOPATH SMEAR OTHER SOURCE","88162","N/A","N/A","N/A","N/A","N/A","168.00","168.00","N/A","N/A","N/A","168.00","168.00","N/A","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00"
"5","N/A","HCHG CYTOPATH SCR & INT MULT STN","88162","N/A","N/A","N/A","N/A","N/A","168.00","168.00","N/A","N/A","N/A","168.00","168.00","N/A","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00","168.00"
"5","N/A","CYTOPATH TBS C/V MANUAL","88164","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG GYN PAP SMEAR MANUAL RESCREEN","88164","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","CYTOPATH TBS C/V REDO","88165","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","HCHG CYTOPATH, GYN SMR,MAN SCRN & RESCRN","88165","N/A","N/A","N/A","N/A","N/A","220.00","220.00","N/A","N/A","N/A","220.00","220.00","N/A","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00","220.00"
"5","N/A","CYTP DX EVAL FNA 1ST EA SITE","88172","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","HCHG CYTOLOGY ADEQUACY/SMR EXAM","88172","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","CYTOPATH EVAL FNA REPORT","88173","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","HCHG FINE NDL ASP SM-BX EX","88173","N/A","N/A","N/A","N/A","N/A","355.00","355.00","N/A","N/A","N/A","355.00","355.00","N/A","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00","355.00"
"5","N/A","CYTOPATH C/V AUTO IN FLUID","88174","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","HCHG PAP IN FLUID (NEOPATH ONLY)","88174","N/A","N/A","N/A","N/A","N/A","118.00","118.00","N/A","N/A","N/A","118.00","118.00","N/A","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00","118.00"
"5","N/A","CYTOPATH C/V AUTO FLUID REDO","88175","N/A","N/A","N/A","N/A","N/A","311.00","311.00","N/A","N/A","N/A","311.00","311.00","N/A","311.00","311.00","311.00","311.00","311.00","311.00","311.00","311.00","311.00","311.00"
"5","N/A","HCHG PAP IN FLD(NEOPATH/MAN RESCRN)","88175","N/A","N/A","N/A","N/A","N/A","311.00","311.00","N/A","N/A","N/A","311.00","311.00","N/A","311.00","311.00","311.00","311.00","311.00","311.00","311.00","311.00","311.00","311.00"
"5","N/A","CYTP FNA EVAL EA ADDL","88177","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG CYTOPATHOLOGY, EVAL OF FNA","88177","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","FLOWCYTOMETRY/ TC 1 MARKER","88184","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG FLOW CYTOMETRY TC 1ST MARKER","88184","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG FLOW CYTOMETRY TC 1ST MKER 90","88184","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG HGB F, RED CELL DISTRIBUTION - 90","88184","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG LYMPHOCYTE, SPECIFIC CELL MARKER","88184","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","FLOWCYTOMETRY/TC ADD-ON","88185","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","HCHG FLOW CYTOMETRY TC ADD MKER 90","88185","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","HCHG FLOW CYTOMETRY TC ADD MRKS","88185","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","FLOWCYTOMETRY/READ 2-8","88187","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG FLOW CYTOM,INTERPRET,2-8 MRKR","88187","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","FLOWCYTOMETRY/READ 16 & >","88189","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","HCHG FLOW CYTOMETRY PC READ 90","88189","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","HCHG CULT TISS BLD X 90","88230","N/A","N/A","N/A","N/A","N/A","682.00","682.00","N/A","N/A","N/A","682.00","682.00","N/A","682.00","682.00","682.00","682.00","682.00","682.00","682.00","682.00","682.00","682.00"
"5","N/A","TISSUE CULTURE LYMPHOCYTE","88230","N/A","N/A","N/A","N/A","N/A","682.00","682.00","N/A","N/A","N/A","682.00","682.00","N/A","682.00","682.00","682.00","682.00","682.00","682.00","682.00","682.00","682.00","682.00"
"5","N/A","HCHG CULT TISSUE OTHER 90","88233","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","TISSUE CULTURE SKIN/BIOPSY","88233","N/A","N/A","N/A","N/A","N/A","835.00","835.00","N/A","N/A","N/A","835.00","835.00","N/A","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00","835.00"
"5","N/A","HCHG CULT TISS AMN FLD 90","88235","N/A","N/A","N/A","N/A","N/A","691.00","691.00","N/A","N/A","N/A","691.00","691.00","N/A","691.00","691.00","691.00","691.00","691.00","691.00","691.00","691.00","691.00","691.00"
"5","N/A","TISSUE CULTURE PLACENTA","88235","N/A","N/A","N/A","N/A","N/A","691.00","691.00","N/A","N/A","N/A","691.00","691.00","N/A","691.00","691.00","691.00","691.00","691.00","691.00","691.00","691.00","691.00","691.00"
"5","N/A","HCHG BM CULT FRESH","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","HCHG BM CULT FROZEN","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","HCHG BM CULT REINFUSED PROD","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","HCHG PBSC CULT FRESH","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","HCHG PBSC CULT POOLED FROZEN","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","HCHG TISSUE CULT NEOPLAS BM/BD 90","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","HCHG TISSUE CULT NEOPLASM BM/BLD","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","TISSUE CULTURE BONE MARROW","88237","N/A","N/A","N/A","N/A","N/A","882.00","882.00","N/A","N/A","N/A","882.00","882.00","N/A","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00","882.00"
"5","N/A","HCHG CHROMOSOME ANLYS OTH TISS 90","88239","N/A","N/A","N/A","N/A","N/A","1790.00","1790.00","N/A","N/A","N/A","1790.00","1790.00","N/A","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00"
"5","N/A","HCHG CHROMOSOME ANLYS POC 90","88239","N/A","N/A","N/A","N/A","N/A","1790.00","1790.00","N/A","N/A","N/A","1790.00","1790.00","N/A","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00"
"5","N/A","HCHG TISS CULT NEOP BN MAR TMR","88239","N/A","N/A","N/A","N/A","N/A","1790.00","1790.00","N/A","N/A","N/A","1790.00","1790.00","N/A","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00"
"5","N/A","HCHG TISSUE CULT NEOPLAS TUMOR","88239","N/A","N/A","N/A","N/A","N/A","1790.00","1790.00","N/A","N/A","N/A","1790.00","1790.00","N/A","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00"
"5","N/A","TISSUE CULTURE TUMOR","88239","N/A","N/A","N/A","N/A","N/A","1790.00","1790.00","N/A","N/A","N/A","1790.00","1790.00","N/A","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00","1790.00"
"5","N/A","CHROMOSOME ANALYSIS 5","88261","N/A","N/A","N/A","N/A","N/A","752.00","752.00","N/A","N/A","N/A","752.00","752.00","N/A","752.00","752.00","752.00","752.00","752.00","752.00","752.00","752.00","752.00","752.00"
"5","N/A","HCHG CHROMOSOME ANALYS 5 CELL","88261","N/A","N/A","N/A","N/A","N/A","752.00","752.00","N/A","N/A","N/A","752.00","752.00","N/A","752.00","752.00","752.00","752.00","752.00","752.00","752.00","752.00","752.00","752.00"
"5","N/A","CHROMOSOME ANALYSIS 15-20","88262","N/A","N/A","N/A","N/A","N/A","1351.00","1351.00","N/A","N/A","N/A","1351.00","1351.00","N/A","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00"
"5","N/A","HCHG CHROM COUNT 15-20/2","88262","N/A","N/A","N/A","N/A","N/A","1351.00","1351.00","N/A","N/A","N/A","1351.00","1351.00","N/A","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00"
"5","N/A","HCHG CHROMOSOME ANALYS BLD X 90","88262","N/A","N/A","N/A","N/A","N/A","1351.00","1351.00","N/A","N/A","N/A","1351.00","1351.00","N/A","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00","1351.00"
"5","N/A","CHROMOSOME ANALYSIS 20-25","88264","N/A","N/A","N/A","N/A","N/A","530.00","530.00","N/A","N/A","N/A","530.00","530.00","N/A","530.00","530.00","530.00","530.00","530.00","530.00","530.00","530.00","530.00","530.00"
"5","N/A","HCHG CHROM ANALY 20-25 CELLS","88264","N/A","N/A","N/A","N/A","N/A","530.00","530.00","N/A","N/A","N/A","530.00","530.00","N/A","530.00","530.00","530.00","530.00","530.00","530.00","530.00","530.00","530.00","530.00"
"5","N/A","CHROMOSOME ANALYS PLACENTA","88267","N/A","N/A","N/A","N/A","N/A","764.00","764.00","N/A","N/A","N/A","764.00","764.00","N/A","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00"
"5","N/A","HCHG CHROMOSOME ANALYSIS, AMNIOTIC FL COUNT 15 CELLS","88267","N/A","N/A","N/A","N/A","N/A","764.00","764.00","N/A","N/A","N/A","764.00","764.00","N/A","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00"
"5","N/A","CHROMOSOME ANALYS AMNIOTIC","88269","N/A","N/A","N/A","N/A","N/A","764.00","764.00","N/A","N/A","N/A","764.00","764.00","N/A","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00"
"5","N/A","HCHG CHROMOSOME ANALYS AMN FLD 90","88269","N/A","N/A","N/A","N/A","N/A","764.00","764.00","N/A","N/A","N/A","764.00","764.00","N/A","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00"
"5","N/A","CYTOGENETICS DNA PROBE","88271","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","HCHG CYTOGENETICS DNA PROBE","88271","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","HCHG MOLECULAR CYTOGEN, DNA PROBE EA","88271","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","HCHG MOLECULAR CYTOGENETICS, DNA PROBE 90","88271","N/A","N/A","N/A","N/A","N/A","364.00","364.00","N/A","N/A","N/A","364.00","364.00","N/A","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00","364.00"
"5","N/A","CYTOGENETICS 25-99","88274","N/A","N/A","N/A","N/A","N/A","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","HCHG MOLECULAR CYTOGENETICS IN INTERPHASE ISH 25-99 CLL","88274","N/A","N/A","N/A","N/A","N/A","40.00","40.00","N/A","N/A","N/A","40.00","40.00","N/A","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00","40.00"
"5","N/A","CYTOGENETICS 100-300","88275","N/A","N/A","N/A","N/A","N/A","527.00","527.00","N/A","N/A","N/A","527.00","527.00","N/A","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00"
"5","N/A","HCHG INTERPHASE INSITU HYBRID, ANALYZE 90","88275","N/A","N/A","N/A","N/A","N/A","527.00","527.00","N/A","N/A","N/A","527.00","527.00","N/A","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00"
"5","N/A","HCHG MOLECULAR CYTOGEN,INTERPHASE INSITU 100-300 CELLS","88275","N/A","N/A","N/A","N/A","N/A","527.00","527.00","N/A","N/A","N/A","527.00","527.00","N/A","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00","527.00"
"5","N/A","CHROMOSOME KARYOTYPE STUDY","88280","N/A","N/A","N/A","N/A","N/A","140.00","140.00","N/A","N/A","N/A","140.00","140.00","N/A","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00"
"5","N/A","HCHG CHROM ANALY ADD KARYO EA","88280","N/A","N/A","N/A","N/A","N/A","140.00","140.00","N/A","N/A","N/A","140.00","140.00","N/A","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00"
"5","N/A","HCHG KARYOTYPES ADDL 90","88280","N/A","N/A","N/A","N/A","N/A","140.00","140.00","N/A","N/A","N/A","140.00","140.00","N/A","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00","140.00"
"5","N/A","CHROMOSOME COUNT ADDITIONAL","88285","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","HCHG CELL COUNTS CHROMOSOME ADL 90","88285","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","HCHG CHROMOSOME ANALYSIS, ADDITIONAL CELLS COUNTED, EACH STUDY","88285","N/A","N/A","N/A","N/A","N/A","82.00","82.00","N/A","N/A","N/A","82.00","82.00","N/A","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00","82.00"
"5","N/A","CHROMOSOME STUDY ADDITIONAL","88289","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","HCHG CHROMOSOME ANALYSIS ADDL HIGH RESOLUTION","88289","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","CYTO/MOLECULAR REPORT","88291","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","HCHG CYTOGENETICS AND MOLECULAR CYTOGENETICS INTERPRETATION - 90","88291","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","HCHG TISS GROSS EXAM ONLY LVLI","88300","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","SURGICAL PATH GROSS","88300","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG TISS GROS/MICRO ID REC LVLII","88302","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","TISSUE EXAM BY PATHOLOGIST","88302","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","HCHG TISS EXAM SM UNCOMP LVL III","88304","N/A","N/A","N/A","N/A","N/A","456.00","456.00","N/A","N/A","N/A","456.00","456.00","N/A","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00"
"5","N/A","TISSUE EXAM BY PATHOLOGIST","88304","N/A","N/A","N/A","N/A","N/A","456.00","456.00","N/A","N/A","N/A","456.00","456.00","N/A","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00"
"5","N/A","HCHG LEVEL IV GROSS MICRO EXAM","88305","N/A","N/A","N/A","N/A","N/A","451.00","451.00","N/A","N/A","N/A","451.00","451.00","N/A","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00"
"5","N/A","HCHG LEVEL IV GROSS MICRO EXAM 90","88305","N/A","N/A","N/A","N/A","N/A","451.00","451.00","N/A","N/A","N/A","451.00","451.00","N/A","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00"
"5","N/A","HCHG PROSTATE NEEDLE BIOPSY LEVEL IV EXAM","88305","N/A","N/A","N/A","N/A","N/A","451.00","451.00","N/A","N/A","N/A","451.00","451.00","N/A","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00"
"5","N/A","TISSUE EXAM BY PATHOLOGIST","88305","N/A","N/A","N/A","N/A","N/A","451.00","451.00","N/A","N/A","N/A","451.00","451.00","N/A","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00","451.00"
"5","N/A","HCHG LEVEL V GROSS-MICRO COMPLEX-LARGE MULTI 90","88307","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","HCHG TISS EXAM CX/LG MULT LVL V","88307","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","TISSUE EXAM BY PATHOLOGIST","88307","N/A","N/A","N/A","N/A","N/A","553.00","553.00","N/A","N/A","N/A","553.00","553.00","N/A","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00","553.00"
"5","N/A","HCHG TISS EXAM RAD SPEC/CMPRH LVL VI","88309","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","TISSUE EXAM BY PATHOLOGIST","88309","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","DECALCIFY TISSUE","88311","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","HCHG DECALCIFICATION PROCED","88311","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","HCHG SPCL STN GROUP I","88312","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","HCHG SPCL STN NON STOOL","88312","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","SPECIAL STAINS GROUP 1","88312","N/A","N/A","N/A","N/A","N/A","239.00","239.00","N/A","N/A","N/A","239.00","239.00","N/A","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00","239.00"
"5","N/A","HCHG RENAL BX-LIGHT MICROSCOPY","88313","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG SPCL STN DRA 90","88313","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG SPCL STN GROUP II ALL OTHER","88313","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG SPCL STN GRP II ALLOTHER QMC90","88313","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","SPECIAL STAINS GROUP 2","88313","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG SPCL STN HISTOCHM W FRZ QMC90","88314","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","HISTOCHEMICAL STAINS ADD-ON","88314","N/A","N/A","N/A","N/A","N/A","257.00","257.00","N/A","N/A","N/A","257.00","257.00","N/A","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00","257.00"
"5","N/A","ENZYME HISTOCHEMISTRY","88319","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","HCHG DETERM HISTOCHEM ID ENZ EA","88319","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","HCHG SPCL STN HISTOCYTO CHEM QMC 90","88319","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","HCHG REFERENCE CONSULT","88321","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","HCHG REFERENCE CONSULT 90","88321","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","MICROSLIDE CONSULTATION","88321","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","HCHG REFERENCE CONSULT & REPORT","88323","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG REFERENCE CONSULT & REPORT 90","88323","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","MICROSLIDE CONSULTATION","88323","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","COMPREHENSIVE REVIEW OF DATA","88325","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","HCHG CONSULT COMP QMC ONLY","88325","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","HCHG CONSULT COMP QMC ONLY 90","88325","N/A","N/A","N/A","N/A","N/A","378.00","378.00","N/A","N/A","N/A","378.00","378.00","N/A","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00","378.00"
"5","N/A","HCHG FROZEN SECTION","88331","N/A","N/A","N/A","N/A","N/A","487.00","487.00","N/A","N/A","N/A","487.00","487.00","N/A","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00"
"5","N/A","PATH CONSULT INTRAOP 1 BLOC","88331","N/A","N/A","N/A","N/A","N/A","487.00","487.00","N/A","N/A","N/A","487.00","487.00","N/A","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00","487.00"
"5","N/A","HCHG 1 ADDL FROZEN SECT","88332","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","PATH CONSULT INTRAOP ADDL","88332","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","HCHG CYTOLOGIC EXAM INIT SITE","88333","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","INTRAOP CYTO PATH CONSULT 1","88333","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","HCHG CYTOLOGIC EXAM EA ADDL SITE","88334","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","INTRAOP CYTO PATH CONSULT 2","88334","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG IMMUNO EA ADDL SNGL","88341","N/A","N/A","N/A","N/A","N/A","298.00","298.00","N/A","N/A","N/A","298.00","298.00","N/A","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00"
"5","N/A","HCHG IMMUNO EA ADDL SNGL 90","88341","N/A","N/A","N/A","N/A","N/A","298.00","298.00","N/A","N/A","N/A","298.00","298.00","N/A","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00"
"5","N/A","IMMUNOHISTO ANTB ADDL SLIDE","88341","N/A","N/A","N/A","N/A","N/A","298.00","298.00","N/A","N/A","N/A","298.00","298.00","N/A","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00","298.00"
"5","N/A","HCHG IHC EA AB PER BLOCK 1ST AB PER SLIDE","88342","N/A","N/A","N/A","N/A","N/A","1200.00","1200.00","N/A","N/A","N/A","1200.00","1200.00","N/A","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00"
"5","N/A","HCHG IHC EA AB PER BLOCK 1ST AB PER SLIDE MOD 90","88342","N/A","N/A","N/A","N/A","N/A","1200.00","1200.00","N/A","N/A","N/A","1200.00","1200.00","N/A","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00"
"5","N/A","IMMUNOHISTO ANTB 1ST STAIN","88342","N/A","N/A","N/A","N/A","N/A","1200.00","1200.00","N/A","N/A","N/A","1200.00","1200.00","N/A","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00"
"5","N/A","HCHG IMMUNO EA MULTIPLEX","88344","N/A","N/A","N/A","N/A","N/A","497.00","497.00","N/A","N/A","N/A","497.00","497.00","N/A","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00"
"5","N/A","HCHG IMMUNO EA MULTIPLEX MOD 90","88344","N/A","N/A","N/A","N/A","N/A","497.00","497.00","N/A","N/A","N/A","497.00","497.00","N/A","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00"
"5","N/A","IMMUNOHISTO ANTIBODY SLIDE","88344","N/A","N/A","N/A","N/A","N/A","497.00","497.00","N/A","N/A","N/A","497.00","497.00","N/A","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00","497.00"
"5","N/A","HCHG IMMUNOFLUORESCENCE INITIAL AB","88346","N/A","N/A","N/A","N/A","N/A","532.00","532.00","N/A","N/A","N/A","532.00","532.00","N/A","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00"
"5","N/A","HCHG IMMUNOFLUORESCENCE INITIAL AB - 90","88346","N/A","N/A","N/A","N/A","N/A","532.00","532.00","N/A","N/A","N/A","532.00","532.00","N/A","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00"
"5","N/A","IMMUNOFLUOR ANTB 1ST STAIN","88346","N/A","N/A","N/A","N/A","N/A","532.00","532.00","N/A","N/A","N/A","532.00","532.00","N/A","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00"
"5","N/A","ELECTRON MICROSCOPY","88348","N/A","N/A","N/A","N/A","N/A","1673.00","1673.00","N/A","N/A","N/A","1673.00","1673.00","N/A","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00"
"5","N/A","HCHG ELECTRN MICRSCPY 90","88348","N/A","N/A","N/A","N/A","N/A","1673.00","1673.00","N/A","N/A","N/A","1673.00","1673.00","N/A","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00","1673.00"
"5","N/A","HCHG IMMUNOFLUORESCENCE EACH ADDL - 90","88350","N/A","N/A","N/A","N/A","N/A","319.00","319.00","N/A","N/A","N/A","319.00","319.00","N/A","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00"
"5","N/A","HCHG IMMUNOFLUORESCENCE EACH ADDL AB","88350","N/A","N/A","N/A","N/A","N/A","319.00","319.00","N/A","N/A","N/A","319.00","319.00","N/A","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00"
"5","N/A","IMMUNOFLUOR ANTB ADDL STAIN","88350","N/A","N/A","N/A","N/A","N/A","319.00","319.00","N/A","N/A","N/A","319.00","319.00","N/A","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00","319.00"
"5","N/A","ANALYSIS TUMOR","88358","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG MORPHOMETRIC ANALYS TUMOR","88358","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG MORPHOMETRY TUMOR 90","88358","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG IHC MORPH MANUAL 90","88360","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG IHC MORPHOMETRY MANUAL","88360","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","TUMOR IMMUNOHISTOCHEM/MANUAL","88360","N/A","N/A","N/A","N/A","N/A","502.00","502.00","N/A","N/A","N/A","502.00","502.00","N/A","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00","502.00"
"5","N/A","HCHG IHC MORPHOMETRY","88361","N/A","N/A","N/A","N/A","N/A","808.00","808.00","N/A","N/A","N/A","808.00","808.00","N/A","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00"
"5","N/A","HCHG IHC MORPHOMETRY COMP 90","88361","N/A","N/A","N/A","N/A","N/A","808.00","808.00","N/A","N/A","N/A","808.00","808.00","N/A","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00"
"5","N/A","TUMOR IMMUNOHISTOCHEM/COMPUT","88361","N/A","N/A","N/A","N/A","N/A","808.00","808.00","N/A","N/A","N/A","808.00","808.00","N/A","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00"
"5","N/A","HCHG NEURO TEASE PREP QMC ONLY 90","88362","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","NERVE TEASING PREPARATIONS","88362","N/A","N/A","N/A","N/A","N/A","804.00","804.00","N/A","N/A","N/A","804.00","804.00","N/A","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00","804.00"
"5","N/A","HCHG INSITU HYBRID EA ADDL SNGL","88364","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","HCHG INSITU HYBRID EA ADDL SNGL 90","88364","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","INSITU HYBRIDIZATION (FISH)","88364","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","HCHG IN SITU HYBRIDIZATION","88365","N/A","N/A","N/A","N/A","N/A","420.00","420.00","N/A","N/A","N/A","420.00","420.00","N/A","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00"
"5","N/A","HCHG IN SITU HYBRIDIZATION 90","88365","N/A","N/A","N/A","N/A","N/A","420.00","420.00","N/A","N/A","N/A","420.00","420.00","N/A","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00"
"5","N/A","INSITU HYBRIDIZATION (FISH)","88365","N/A","N/A","N/A","N/A","N/A","420.00","420.00","N/A","N/A","N/A","420.00","420.00","N/A","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00","420.00"
"5","N/A","HCHG INSITU HYBRID EA MULTIPLEX","88366","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","INSITU HYBRIDIZATION (FISH)","88366","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG ISITU MORPH COMP","88367","N/A","N/A","N/A","N/A","N/A","631.00","631.00","N/A","N/A","N/A","631.00","631.00","N/A","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00"
"5","N/A","HCHG ISITU MORPH COMP 90","88367","N/A","N/A","N/A","N/A","N/A","631.00","631.00","N/A","N/A","N/A","631.00","631.00","N/A","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00"
"5","N/A","INSITU HYBRIDIZATION AUTO","88367","N/A","N/A","N/A","N/A","N/A","631.00","631.00","N/A","N/A","N/A","631.00","631.00","N/A","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00","631.00"
"5","N/A","HCHG ISITU MORPH MANUAL","88368","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG ISITU MORPH MANUAL 90","88368","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","INSITU HYBRIDIZATION MANUAL","88368","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG MORPH INSITU HYBRID MANUAL EA ADDL SNGL","88369","N/A","N/A","N/A","N/A","N/A","1386.00","1386.00","N/A","N/A","N/A","1386.00","1386.00","N/A","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00"
"5","N/A","HCHG MORPHOMETRIC ANALYSIS (FISH) MANUAL, SINGLE PROBE - 90","88369","N/A","N/A","N/A","N/A","N/A","1386.00","1386.00","N/A","N/A","N/A","1386.00","1386.00","N/A","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00"
"5","N/A","M/PHMTRC ALYSISHQUANT/SEMIQ","88369","N/A","N/A","N/A","N/A","N/A","1386.00","1386.00","N/A","N/A","N/A","1386.00","1386.00","N/A","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00","1386.00"
"5","N/A","HCHG MORPH INSITU HYBRID AIDED EA ADDL SNGL","88373","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","M/PHMTRC ALYS ISHQUANT/SEMIQ","88373","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","HCHG HEME ISH MORPH MULTIPLEX","88374","N/A","N/A","N/A","N/A","N/A","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","HCHG HER2 ISH MORPH MULTIPLEX","88374","N/A","N/A","N/A","N/A","N/A","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","HCHG MORPH INSITU HYBRID ADDED EA MULTIPLEX 90","88374","N/A","N/A","N/A","N/A","N/A","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","HCHG MORPH INSITU HYBRID ADDED EA MULTIPLEX","88374","N/A","N/A","N/A","N/A","N/A","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","M/PHMTRC ALYS ISHQUANT/SEMIQ","88374","N/A","N/A","N/A","N/A","N/A","1188.00","1188.00","N/A","N/A","N/A","1188.00","1188.00","N/A","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00","1188.00"
"5","N/A","HCHG MORPH INSITU HYBRID MANUAL EA MULTIPLEX","88377","N/A","N/A","N/A","N/A","N/A","1200.00","1200.00","N/A","N/A","N/A","1200.00","1200.00","N/A","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00"
"5","N/A","HCHG MORPH INSITU HYBRID MANUAL EA MULTIPLEX 90","88377","N/A","N/A","N/A","N/A","N/A","1200.00","1200.00","N/A","N/A","N/A","1200.00","1200.00","N/A","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00"
"5","N/A","M/PHMTRC ALYS ISHQUANT/SEMIQ","88377","N/A","N/A","N/A","N/A","N/A","1200.00","1200.00","N/A","N/A","N/A","1200.00","1200.00","N/A","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00","1200.00"
"5","N/A","HCHG MICRODISSECTION;LASER CAPTURE","88380","N/A","N/A","N/A","N/A","N/A","2589.00","2589.00","N/A","N/A","N/A","2589.00","2589.00","N/A","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00"
"5","N/A","MICRODISSECTION LASER","88380","N/A","N/A","N/A","N/A","N/A","2589.00","2589.00","N/A","N/A","N/A","2589.00","2589.00","N/A","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00","2589.00"
"5","N/A","HCHG MICRODISSECTION, MANUAL","88381","N/A","N/A","N/A","N/A","N/A","694.00","694.00","N/A","N/A","N/A","694.00","694.00","N/A","694.00","694.00","694.00","694.00","694.00","694.00","694.00","694.00","694.00","694.00"
"5","N/A","MICRODISSECTION MANUAL","88381","N/A","N/A","N/A","N/A","N/A","694.00","694.00","N/A","N/A","N/A","694.00","694.00","N/A","694.00","694.00","694.00","694.00","694.00","694.00","694.00","694.00","694.00","694.00"
"5","N/A","BODY FLUID CELL COUNT","89051","N/A","N/A","N/A","N/A","N/A","72.00","72.00","N/A","N/A","N/A","72.00","72.00","N/A","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00"
"5","N/A","HCHG CELL COUNT-BODY FLD","89051","N/A","N/A","N/A","N/A","N/A","72.00","72.00","N/A","N/A","N/A","72.00","72.00","N/A","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00"
"5","N/A","HCHG CELL COUNT-CSF","89051","N/A","N/A","N/A","N/A","N/A","72.00","72.00","N/A","N/A","N/A","72.00","72.00","N/A","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00","72.00"
"5","N/A","EXAM SYNOVIAL FLUID CRYSTALS","89060","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG CRYSTAL EXAM-BODY FLD","89060","N/A","N/A","N/A","N/A","N/A","62.00","62.00","N/A","N/A","N/A","62.00","62.00","N/A","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00","62.00"
"5","N/A","HCHG EOSIN NASAL OR SPUTUM","89190","N/A","N/A","N/A","N/A","N/A","53.00","53.00","N/A","N/A","N/A","53.00","53.00","N/A","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00"
"5","N/A","HCHG NASAL SMEAR FOR EOSINOPHILS","89190","N/A","N/A","N/A","N/A","N/A","53.00","53.00","N/A","N/A","N/A","53.00","53.00","N/A","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00"
"5","N/A","NASAL SMEAR FOR EOSINOPHILS","89190","N/A","N/A","N/A","N/A","N/A","53.00","53.00","N/A","N/A","N/A","53.00","53.00","N/A","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00","53.00"
"5","N/A","HCHG MISC REFERENCE TEST 90","89240","N/A","N/A","N/A","N/A","N/A","1256.00","1256.00","N/A","N/A","N/A","1256.00","1256.00","N/A","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00"
"5","N/A","PATHOLOGY LAB PROCEDURE","89240","N/A","N/A","N/A","N/A","N/A","1256.00","1256.00","N/A","N/A","N/A","1256.00","1256.00","N/A","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00","1256.00"
"5","N/A","HCHG SEMEN QUAL (POST VASECTOMY)","89321","N/A","N/A","N/A","N/A","N/A","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","SEMEN ANAL SPERM DETECTION","89321","N/A","N/A","N/A","N/A","N/A","33.00","33.00","N/A","N/A","N/A","33.00","33.00","N/A","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00","33.00"
"5","N/A","HCHG ANTISPERM AB 90","89325","N/A","N/A","N/A","N/A","N/A","500.00","500.00","N/A","N/A","N/A","500.00","500.00","N/A","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00"
"5","N/A","SPERM ANTIBODY TEST","89325","N/A","N/A","N/A","N/A","N/A","500.00","500.00","N/A","N/A","N/A","500.00","500.00","N/A","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00"
"5","N/A","HCHG HBIG","90371","N/A","N/A","N/A","N/A","N/A","3226.00","3226.00","N/A","N/A","N/A","3226.00","3226.00","N/A","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00"
"5","N/A","HCHG HEP B VACCINE","90371","N/A","N/A","N/A","N/A","N/A","3226.00","3226.00","N/A","N/A","N/A","3226.00","3226.00","N/A","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00"
"5","N/A","HEP B IG IM","90371","N/A","N/A","N/A","N/A","N/A","3226.00","3226.00","N/A","N/A","N/A","3226.00","3226.00","N/A","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00","3226.00"
"5","N/A","HCHG IMMUNIZATION ADMINISTRATION, ONE VACCINE","90471","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","HCHG VACCINE ADMINSTRATION","90471","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","IMMUNIZATION ADMIN","90471","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","HCHG IMMUNIZATION ADMIN EA ADDL","90472","N/A","N/A","N/A","N/A","N/A","83.00","83.00","N/A","N/A","N/A","83.00","83.00","N/A","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00"
"5","N/A","IMMUNIZATION ADMIN EACH ADD","90472","N/A","N/A","N/A","N/A","N/A","83.00","83.00","N/A","N/A","N/A","83.00","83.00","N/A","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00","83.00"
"5","N/A","DTAP-IPV VACCINE 4-6 YRS IM","90696","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG DTAP-IPV VACC 4-6 YR IM","90696","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG MMR VACCINE-TRAVELER","90707","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","MMR VACCINE SC","90707","N/A","N/A","N/A","N/A","N/A","87.00","87.00","N/A","N/A","N/A","87.00","87.00","N/A","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00","87.00"
"5","N/A","HCHG VARIVAX VACCINE-TRAVELER","90716","N/A","N/A","N/A","N/A","N/A","100.00","100.00","N/A","N/A","N/A","100.00","100.00","N/A","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00"
"5","N/A","VAR VACCINE LIVE SUBQ","90716","N/A","N/A","N/A","N/A","N/A","100.00","100.00","N/A","N/A","N/A","100.00","100.00","N/A","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00","100.00"
"5","N/A","HCHG MENINIGOCOCCAL VACCINE","90733","N/A","N/A","N/A","N/A","N/A","193.00","193.00","N/A","N/A","N/A","193.00","193.00","N/A","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00"
"5","N/A","MPSV4 VACCINE SUBQ","90733","N/A","N/A","N/A","N/A","N/A","193.00","193.00","N/A","N/A","N/A","193.00","193.00","N/A","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00","193.00"
"5","N/A","HCHG HEP B VACCINE-TRAVELER","90746","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HEPB VACCINE 3 DOSE ADULT IM","90746","N/A","N/A","N/A","N/A","N/A","154.00","154.00","N/A","N/A","N/A","154.00","154.00","N/A","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00","154.00"
"5","N/A","HCHG PSYTX COMPLEX INTERACTIVE","90785","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYTX COMPLEX INTERACTIVE","90785","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYCH DIAGNOSTIC EVALUATION","90791","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYCH DIAGNOSTIC EVALUATION","90791","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYCH DIAG EVAL W/MED SRVCS","90792","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYCH DIAG EVAL W/MED SRVCS","90792","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX PATIENT 30 MINUTES","90832","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG PSYTX PATIENT 30 MINUTES IOP","90832","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","PSYTX W PT 30 MINUTES","90832","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG PSYTX PATIENT W/E&M SVCS 30 MIN","90833","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","PSYTX W PT W E/M 30 MIN","90833","N/A","N/A","N/A","N/A","N/A","281.00","281.00","N/A","N/A","N/A","281.00","281.00","N/A","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00","281.00"
"5","N/A","HCHG PSYTX PATIENT 45 MINUTES","90834","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX PATIENT 45 MINUTES STATE","90834","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX PT&/FAMILY 45 MINUTES","90834","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYTX W PT 45 MINUTES","90834","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX PATIENT W/E&M SVCS 45 MIN","90836","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYTX W PT W E/M 45 MIN","90836","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX PATIENT 60 MINUTES","90837","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX PT&/FAMILY 60 MINUTES","90837","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYTX W PT 60 MINUTES","90837","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX PATIENT W/E&M SVCS 60 MIN","90838","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYTX W PT W E/M 60 MIN","90838","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX CRISIS INITIAL 60 MIN","90839","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","PSYTX CRISIS INITIAL 60 MIN","90839","N/A","N/A","N/A","N/A","N/A","374.00","374.00","N/A","N/A","N/A","374.00","374.00","N/A","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00","374.00"
"5","N/A","HCHG PSYTX CRISIS EA ADDL 30 MIN","90840","N/A","N/A","N/A","N/A","N/A","188.00","188.00","N/A","N/A","N/A","188.00","188.00","N/A","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00"
"5","N/A","PSYTX CRISIS EA ADDL 30 MIN","90840","N/A","N/A","N/A","N/A","N/A","188.00","188.00","N/A","N/A","N/A","188.00","188.00","N/A","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00","188.00"
"5","N/A","FAMILY PSYTX W/O PT 50 MIN","90846","N/A","N/A","N/A","N/A","N/A","401.00","401.00","N/A","N/A","N/A","401.00","401.00","N/A","401.00","401.00","401.00","401.00","401.00","401.00","401.00","401.00","401.00","401.00"
"5","N/A","HCHG FAMILY PSYTX W/O PT PRESENT 50 MINS","90846","N/A","N/A","N/A","N/A","N/A","401.00","401.00","N/A","N/A","N/A","401.00","401.00","N/A","401.00","401.00","401.00","401.00","401.00","401.00","401.00","401.00","401.00","401.00"
"5","N/A","FAMILY PSYTX W/PT 50 MIN","90847","N/A","N/A","N/A","N/A","N/A","284.00","284.00","N/A","N/A","N/A","284.00","284.00","N/A","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00"
"5","N/A","HCHG FAMILY PSYTX W PT PRESENT 50 MINS","90847","N/A","N/A","N/A","N/A","N/A","284.00","284.00","N/A","N/A","N/A","284.00","284.00","N/A","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00"
"5","N/A","HCHG FAMILY THERAPY 50 MINS STATE","90847","N/A","N/A","N/A","N/A","N/A","284.00","284.00","N/A","N/A","N/A","284.00","284.00","N/A","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00"
"5","N/A","GROUP PSYCHOTHERAPY","90853","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG GROUP THERAPY","90853","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG GROUP THERAPY REC & ED","90853","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","ELECTROCONVULSIVE THERAPY","90870","N/A","N/A","N/A","N/A","N/A","1230.00","1230.00","N/A","N/A","N/A","1230.00","1230.00","N/A","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00"
"5","N/A","HCHG ECT","90870","N/A","N/A","N/A","N/A","N/A","1230.00","1230.00","N/A","N/A","N/A","1230.00","1230.00","N/A","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00","1230.00"
"5","N/A","BIOFEEDBACK TRAIN ANY METH","90901","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG OT BIOFEEDBACK TRAINING ANY MODALITY","90901","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG PT BIOFEEDBACK TRAINING ANY MODALITY","90901","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","BFB TRAINING 1ST 15 MIN","90912","N/A","N/A","N/A","N/A","N/A","221.00","221.00","N/A","N/A","N/A","221.00","221.00","N/A","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00"
"5","N/A","HCHG OT BIOFEEDBACK - PERINEAL INITIAL 15 MINUTES","90912","N/A","N/A","N/A","N/A","N/A","221.00","221.00","N/A","N/A","N/A","221.00","221.00","N/A","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00"
"5","N/A","HCHG PT BIOFEEDBACK PERINEAL INITIAL 15 MIN","90912","N/A","N/A","N/A","N/A","N/A","221.00","221.00","N/A","N/A","N/A","221.00","221.00","N/A","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00","221.00"
"5","N/A","BFB TRAINING EA ADDL 15 MIN","90913","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","HCHG OT BIOFEEDBACK - PERINEAL EACH ADDITIONAL 15 MINUTES","90913","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","HCHG PT BIOFEEDBACK PERINEAL EACH ADDITIONAL 15 MIN","90913","N/A","N/A","N/A","N/A","N/A","88.00","88.00","N/A","N/A","N/A","88.00","88.00","N/A","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00","88.00"
"5","N/A","HCHG HEMODIAL OP NON-ESRD","90935","N/A","N/A","N/A","N/A","N/A","2070.00","2070.00","N/A","N/A","N/A","2070.00","2070.00","N/A","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00"
"5","N/A","HCHG HEMODIAL REG","90935","N/A","N/A","N/A","N/A","N/A","2070.00","2070.00","N/A","N/A","N/A","2070.00","2070.00","N/A","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00"
"5","N/A","HCHG HEMODIAL. 1:1","90935","N/A","N/A","N/A","N/A","N/A","2070.00","2070.00","N/A","N/A","N/A","2070.00","2070.00","N/A","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00"
"5","N/A","HEMODIALYSIS ONE EVALUATION","90935","N/A","N/A","N/A","N/A","N/A","2070.00","2070.00","N/A","N/A","N/A","2070.00","2070.00","N/A","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00","2070.00"
"5","N/A","DIALYSIS ONE EVALUATION","90945","N/A","N/A","N/A","N/A","N/A","3634.00","3634.00","N/A","N/A","N/A","3634.00","3634.00","N/A","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00"
"5","N/A","HCHG CONT RENAL REPL THER (CRRT)","90945","N/A","N/A","N/A","N/A","N/A","3634.00","3634.00","N/A","N/A","N/A","3634.00","3634.00","N/A","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00","3634.00"
"5","N/A","ESOPHAGUS MOTILITY STUDY","91010","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","HCHG ESOPHAGUS MOTILITY STUDY","91010","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","ESOPH IMPED FUNCTION TEST","91037","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","HCHG ESOPH IMPED FUCTION TEST","91037","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","ESOPH IMPED FUNCT TEST > 1HR","91038","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","HCHG ESOPH IMPED FUCTION TEST > 1 HOUR","91038","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","BREATH HYDROGEN/METHANE TEST","91065","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG BREATH HYDROGEN/METHANE TEST","91065","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","GI TRACT CAPSULE ENDOSCOPY","91110","N/A","N/A","N/A","N/A","N/A","2497.00","2497.00","N/A","N/A","N/A","2497.00","2497.00","N/A","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00"
"5","N/A","HCHG GI TRACT CAPSULE ENDOSCOPY","91110","N/A","N/A","N/A","N/A","N/A","2497.00","2497.00","N/A","N/A","N/A","2497.00","2497.00","N/A","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00","2497.00"
"5","N/A","HCHG RECTAL SENSATION TEST","91120","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","RECTAL SENSATION TEST","91120","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","ANAL PRESSURE RECORD","91122","N/A","N/A","N/A","N/A","N/A","683.00","683.00","N/A","N/A","N/A","683.00","683.00","N/A","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00"
"5","N/A","HCHG ANORECTAL MANOMETRY","91122","N/A","N/A","N/A","N/A","N/A","683.00","683.00","N/A","N/A","N/A","683.00","683.00","N/A","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00","683.00"
"5","N/A","HCHG FIBROSCAN","91200","N/A","N/A","N/A","N/A","N/A","483.00","483.00","N/A","N/A","N/A","483.00","483.00","N/A","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00"
"5","N/A","LIVER ELASTOGRAPHY","91200","N/A","N/A","N/A","N/A","N/A","483.00","483.00","N/A","N/A","N/A","483.00","483.00","N/A","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00","483.00"
"5","N/A","HCHG SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES","92100","N/A","N/A","N/A","N/A","N/A","500.00","500.00","N/A","N/A","N/A","500.00","500.00","N/A","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00"
"5","N/A","SERIAL TONOMETRY EXAM(S)","92100","N/A","N/A","N/A","N/A","N/A","500.00","500.00","N/A","N/A","N/A","500.00","500.00","N/A","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00","500.00"
"5","N/A","EAR AND THROAT EXAMINATION","92502","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","HCHG EXAMINATION UNDER ANESTHESIA","92502","N/A","N/A","N/A","N/A","N/A","1407.00","1407.00","N/A","N/A","N/A","1407.00","1407.00","N/A","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00","1407.00"
"5","N/A","EAR MICROSCOPY EXAMINATION","92504","N/A","N/A","N/A","N/A","N/A","25.00","25.00","N/A","N/A","N/A","25.00","25.00","N/A","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00"
"5","N/A","HCHG BINOCULAR MICROSCOPY","92504","N/A","N/A","N/A","N/A","N/A","25.00","25.00","N/A","N/A","N/A","25.00","25.00","N/A","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00"
"5","N/A","HCHG SP SPEECH-LANG-VOICE TREAT","92507","N/A","N/A","N/A","N/A","N/A","214.00","214.00","N/A","N/A","N/A","214.00","214.00","N/A","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00"
"5","N/A","HCHG SP SPEECH-LANG-VOICE TREAT 30MIN","92507","N/A","N/A","N/A","N/A","N/A","214.00","214.00","N/A","N/A","N/A","214.00","214.00","N/A","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00"
"5","N/A","HCHG SP SPEECH-LANG-VOICE TREAT 45MIN","92507","N/A","N/A","N/A","N/A","N/A","214.00","214.00","N/A","N/A","N/A","214.00","214.00","N/A","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00"
"5","N/A","HCHG SP SPEECH-LANG-VOICE TREAT 60MIN","92507","N/A","N/A","N/A","N/A","N/A","214.00","214.00","N/A","N/A","N/A","214.00","214.00","N/A","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00"
"5","N/A","HCHG TREATMENT; HEARING, LANGUAGE AND SPEECH DISORDER","92507","N/A","N/A","N/A","N/A","N/A","214.00","214.00","N/A","N/A","N/A","214.00","214.00","N/A","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00"
"5","N/A","SPEECH/HEARING THERAPY","92507","N/A","N/A","N/A","N/A","N/A","214.00","214.00","N/A","N/A","N/A","214.00","214.00","N/A","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00","214.00"
"5","N/A","HCHG NASOPHARYNGOSCOPY","92511","N/A","N/A","N/A","N/A","N/A","612.00","612.00","N/A","N/A","N/A","612.00","612.00","N/A","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00"
"5","N/A","HCHG NASOPHARYNGOSCOPY W ENDO","92511","N/A","N/A","N/A","N/A","N/A","612.00","612.00","N/A","N/A","N/A","612.00","612.00","N/A","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00"
"5","N/A","NASOPHARYNGOSCOPY","92511","N/A","N/A","N/A","N/A","N/A","612.00","612.00","N/A","N/A","N/A","612.00","612.00","N/A","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00","612.00"
"5","N/A","EVALUATION OF SPEECH FLUENCY","92521","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG SPEECH FLUENCY EVAL","92521","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","EVALUATE SPEECH PRODUCTION","92522","N/A","N/A","N/A","N/A","N/A","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","HCHG SPEECH SOUND PRODUCTION EVAL","92522","N/A","N/A","N/A","N/A","N/A","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","HCHG SPEECH PRODUCTION W LANG COMPREHEN EVAL","92523","N/A","N/A","N/A","N/A","N/A","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","SPEECH SOUND LANG COMPREHEN","92523","N/A","N/A","N/A","N/A","N/A","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","BEHAVRAL QUALIT ANALYS VOICE","92524","N/A","N/A","N/A","N/A","N/A","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","HCHG BEHAVRAL QUALIT ANALYS VOICE","92524","N/A","N/A","N/A","N/A","N/A","392.00","392.00","N/A","N/A","N/A","392.00","392.00","N/A","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00","392.00"
"5","N/A","HCHG SP SWALLOW TREAT","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG SP SWALLOW TREAT 30 MIN","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG SP SWALLOW TREAT 45 MIN","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG SP SWALLOW TREAT 60 MIN","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG SP SWALLOW TREAT 75 MIN","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG SP SWALLOW TREAT 90 MIN","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","HCHG TREATMENT; ORAL FUNCTION FOR FEEDING","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","ORAL FUNCTION THERAPY","92526","N/A","N/A","N/A","N/A","N/A","321.00","321.00","N/A","N/A","N/A","321.00","321.00","N/A","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00","321.00"
"5","N/A","CALORIC VSTBLR TEST W/REC","92537","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG CALORIC VESTIBULAR TEST WITH RECORDING; BILATERAL; BITHERMAL","92537","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","CALORIC VSTBLR TEST W/REC","92538","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG CALORIC VESTIBULAR TEST WITH RECORDING; BILATERAL; MONOTHERMAL","92538","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","BASIC VESTIBULAR EVALUATION","92540","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG BASIC VESTIBULAR EVALUATION, WITH RECORDING","92540","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG SPONTANEOUS NYSTAGMUS, WITH RECORDING","92541","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","SPONTANEOUS NYSTAGMUS TEST","92541","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG POSITIONAL NYSTAGMUS TEST, WITH RECORDING","92542","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","POSITIONAL NYSTAGMUS TEST","92542","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG OPTOKINETIC NYSTAGMUS TEST, WITH RECORDING","92544","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","OPTOKINETIC NYSTAGMUS TEST","92544","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG OSCILLATING TRACKING TEST, WITH RECORDING","92545","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","OSCILLATING TRACKING TEST","92545","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS","92550","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","TYMPANOMETRY & REFLEX THRESH","92550","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG PURE TONE AUDIOMETRY (THRESHOLD); AIR ONLY","92552","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","PURE TONE AUDIOMETRY AIR","92552","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","AUDIOMETRY AIR & BONE","92553","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG PURE TONE AUDIOMETRY: AIR AND BONE","92553","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG SPEECH AUDIOMETRY THRESHOLD","92555","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","SPEECH THRESHOLD AUDIOMETRY","92555","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG SPEECH AUDIOMETRY THRESHOLD WITH SPEECH RECOGNITION","92556","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","SPEECH AUDIOMETRY COMPLETE","92556","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","COMPREHENSIVE HEARING TEST","92557","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG COMPREHENSIVE AUDIOMETRY","92557","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","EVOKED AUDITORY TEST QUAL","92558","N/A","N/A","N/A","N/A","N/A","163.00","163.00","N/A","N/A","N/A","163.00","163.00","N/A","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00"
"5","N/A","HCHG AU EVOK OTOACSTIC EMISSNS SCRN","92558","N/A","N/A","N/A","N/A","N/A","163.00","163.00","N/A","N/A","N/A","163.00","163.00","N/A","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00"
"5","N/A","HCHG EVOKED AUDITORY TEST QUAL","92558","N/A","N/A","N/A","N/A","N/A","163.00","163.00","N/A","N/A","N/A","163.00","163.00","N/A","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00","163.00"
"5","N/A","HCHG STENGER TEST, PURE TONE","92565","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","STENGER TEST PURE TONE","92565","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","HCHG TYMPANOMETRY (IMPEDANCE TESTING)","92567","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","TYMPANOMETRY","92567","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","ACOUSTIC REFL THRESHOLD TST","92568","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","HCHG ACOUSTIC REFLEX TESTING, THRESHOLD","92568","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","ACOUSTIC IMMITANCE TESTING","92570","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG ACOUSTIC IMMITTANCE TESTING","92570","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG STENGER TEST, SPEECH","92577","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","STENGER TEST SPEECH","92577","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","HCHG VISUAL REINFORCEMENT AUDIOMETRY (VRA)","92579","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","VISUAL AUDIOMETRY (VRA)","92579","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","CONDITIONING PLAY AUDIOMETRY","92582","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG CONDITIONING PLAY AUDIOMETRY","92582","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG SELECT PICTURE AUDIOMETRY","92583","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","SELECT PICTURE AUDIOMETRY","92583","N/A","N/A","N/A","N/A","N/A","98.00","98.00","N/A","N/A","N/A","98.00","98.00","N/A","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00","98.00"
"5","N/A","EVOKED AUDITORY TEST LIMITED","92587","N/A","N/A","N/A","N/A","N/A","367.00","367.00","N/A","N/A","N/A","367.00","367.00","N/A","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00"
"5","N/A","HCHG AU EVOKED OTOACOUSTIC EMISSIONS","92587","N/A","N/A","N/A","N/A","N/A","367.00","367.00","N/A","N/A","N/A","367.00","367.00","N/A","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00"
"5","N/A","HCHG EVOKED AUDITORY TEST LIMITED","92587","N/A","N/A","N/A","N/A","N/A","367.00","367.00","N/A","N/A","N/A","367.00","367.00","N/A","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00","367.00"
"5","N/A","EVOKED AUDITORY TST COMPLETE","92588","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","HCHG EVOKED AUDITORY TEST COMPLETE","92588","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","HCHG SP EVAL VOICE PROSTHETIC DEV","92597","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","HCHG SP EVAL VOICE PROSTHETIC DEV 30M","92597","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","HCHG SP EVAL VOICE PROSTHETIC DEV 60M","92597","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","ORAL SPEECH DEVICE EVAL","92597","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","EX FOR NONSPEECH DEVICE RX","92605","N/A","N/A","N/A","N/A","N/A","358.00","358.00","N/A","N/A","N/A","358.00","358.00","N/A","358.00","358.00","358.00","358.00","358.00","358.00","358.00","358.00","358.00","358.00"
"5","N/A","HCHG EVALUATION; PRESCRIPTION OF COMMUNICATION DEVICE, NON-SPEECH GENERATING","92605","N/A","N/A","N/A","N/A","N/A","358.00","358.00","N/A","N/A","N/A","358.00","358.00","N/A","358.00","358.00","358.00","358.00","358.00","358.00","358.00","358.00","358.00","358.00"
"5","N/A","EX FOR SPEECH DEVICE RX 1HR","92607","N/A","N/A","N/A","N/A","N/A","394.00","394.00","N/A","N/A","N/A","394.00","394.00","N/A","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00"
"5","N/A","HCHG EVALUATION; PRESCRIPTION OF COMMUNICATION DEVICE, SPEECH GENERATING","92607","N/A","N/A","N/A","N/A","N/A","394.00","394.00","N/A","N/A","N/A","394.00","394.00","N/A","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00"
"5","N/A","HCHG SP EVAL SPEECH GEN DEV 1ST HR","92607","N/A","N/A","N/A","N/A","N/A","394.00","394.00","N/A","N/A","N/A","394.00","394.00","N/A","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00","394.00"
"5","N/A","EX FOR SPEECH DEVICE RX ADDL","92608","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","HCHG SP EVAL SPEECH GEN DEV ADDL 30 MIN","92608","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","HCHG SP SPEECH GEN DEVICE TX","92609","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","HCHG TREATMENT; DEVICE, SPEECH GENERATING","92609","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","USE OF SPEECH DEVICE SERVICE","92609","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","EVALUATE SWALLOWING FUNCTION","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG EVALUATION; SWALLOWING","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP CLINICAL SWALLOW EVAL","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP CLINICAL SWALLOW EVAL 30 MIN","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP CLINICAL SWALLOW EVAL 45 MIN","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP CLINICAL SWALLOW EVAL 60 MIN","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP CLINICAL SWALLOW EVAL 75 MIN","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP CLINICAL SWALLOW EVAL 90 MIN","92610","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP VIDEOESOPHAGRAM","92611","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP VIDEOESOPHAGRAM 15MIN","92611","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP VIDEOESOPHAGRAM 45MIN","92611","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP VIDEOESOPHAGRAM 60MIN","92611","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP VIDEOESOPHAGRAM 75MIN","92611","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","HCHG SP VIDEOESOPHAGRAM 90MIN","92611","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","MOTION FLUOROSCOPY/SWALLOW","92611","N/A","N/A","N/A","N/A","N/A","516.00","516.00","N/A","N/A","N/A","516.00","516.00","N/A","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00","516.00"
"5","N/A","ENDOSCOPY SWALLOW (FEES) VID","92612","N/A","N/A","N/A","N/A","N/A","692.00","692.00","N/A","N/A","N/A","692.00","692.00","N/A","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00"
"5","N/A","HCHG SP FEES W CINE & VIDEO","92612","N/A","N/A","N/A","N/A","N/A","692.00","692.00","N/A","N/A","N/A","692.00","692.00","N/A","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00","692.00"
"5","N/A","FEES W/LARYNGEAL SENSE TEST","92616","N/A","N/A","N/A","N/A","N/A","764.00","764.00","N/A","N/A","N/A","764.00","764.00","N/A","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00"
"5","N/A","HCHG SP FEES & LARYNX SENSIT W CINE","92616","N/A","N/A","N/A","N/A","N/A","764.00","764.00","N/A","N/A","N/A","764.00","764.00","N/A","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00","764.00"
"5","N/A","HCHG ASSESSMENT OF TINNITUS","92625","N/A","N/A","N/A","N/A","N/A","408.00","408.00","N/A","N/A","N/A","408.00","408.00","N/A","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00"
"5","N/A","TINNITUS ASSESSMENT","92625","N/A","N/A","N/A","N/A","N/A","408.00","408.00","N/A","N/A","N/A","408.00","408.00","N/A","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00"
"5","N/A","EVAL AUD FUNCJ 1ST HOUR","92626","N/A","N/A","N/A","N/A","N/A","398.00","398.00","N/A","N/A","N/A","398.00","398.00","N/A","398.00","398.00","398.00","398.00","398.00","398.00","398.00","398.00","398.00","398.00"
"5","N/A","HCHG EVALUATION; AUDITORY REHABILITATION STATUS","92626","N/A","N/A","N/A","N/A","N/A","398.00","398.00","N/A","N/A","N/A","398.00","398.00","N/A","398.00","398.00","398.00","398.00","398.00","398.00","398.00","398.00","398.00","398.00"
"5","N/A","HCHG AEP SCR AUDITORY POTENTIAL","92650","N/A","N/A","N/A","N/A","N/A","408.00","408.00","N/A","N/A","N/A","408.00","408.00","N/A","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00","408.00"
"5","N/A","HCHG AEP HEARING STATUS DETER I&R","92651","N/A","N/A","N/A","N/A","N/A","412.00","412.00","N/A","N/A","N/A","412.00","412.00","N/A","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00","412.00"
"5","N/A","HCHG AEP THRSHLD EST MLT FREQ I&R","92652","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","HCHG AEP NEURODIAGNOSTIC I&R","92653","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","HCHG PTCA, SINGLE MAJOR ART (LAD,CX, RCA)","92920","N/A","N/A","N/A","N/A","N/A","12468.00","12468.00","N/A","N/A","N/A","12468.00","12468.00","N/A","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00"
"5","N/A","PRQ CARDIAC ANGIOPLAST 1 ART","92920","N/A","N/A","N/A","N/A","N/A","12468.00","12468.00","N/A","N/A","N/A","12468.00","12468.00","N/A","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00","12468.00"
"5","N/A","HCHG PTCA ADDITIONAL BRANCH (OM, DIAG, POSTERIOR)","92921","N/A","N/A","N/A","N/A","N/A","6639.00","6639.00","N/A","N/A","N/A","6639.00","6639.00","N/A","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00"
"5","N/A","PRQ CARDIAC ANGIO ADDL ART","92921","N/A","N/A","N/A","N/A","N/A","6639.00","6639.00","N/A","N/A","N/A","6639.00","6639.00","N/A","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00","6639.00"
"5","N/A","HCHG CORONARY ATHERECT, SINGLE MAJ ART","92924","N/A","N/A","N/A","N/A","N/A","15637.00","15637.00","N/A","N/A","N/A","15637.00","15637.00","N/A","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00"
"5","N/A","PRQ CARD ANGIO/ATHRECT 1 ART","92924","N/A","N/A","N/A","N/A","N/A","15637.00","15637.00","N/A","N/A","N/A","15637.00","15637.00","N/A","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00","15637.00"
"5","N/A","HCHG CORONARY ATHERECT, ADDITIONAL BRANCH","92925","N/A","N/A","N/A","N/A","N/A","12949.00","12949.00","N/A","N/A","N/A","12949.00","12949.00","N/A","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00"
"5","N/A","PRQ CARD ANGIO/ATHRECT ADDL","92925","N/A","N/A","N/A","N/A","N/A","12949.00","12949.00","N/A","N/A","N/A","12949.00","12949.00","N/A","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00","12949.00"
"5","N/A","HCHG INTRA-CORONARY STENT, SINGLE MAJ ART","92928","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","PRQ CARD STENT W/ANGIO 1 VSL","92928","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","HCHG INTRA-CORONARY STENT, ADD'L BRANCH (OM,DIAG,POST)","92929","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","PRQ CARD STENT W/ANGIO ADDL","92929","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","HCHG CORO ATHERECT W/STENT, SINGLE MAJ ART","92933","N/A","N/A","N/A","N/A","N/A","23806.00","23806.00","N/A","N/A","N/A","23806.00","23806.00","N/A","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00"
"5","N/A","PRQ CARD STENT/ATH/ANGIO","92933","N/A","N/A","N/A","N/A","N/A","23806.00","23806.00","N/A","N/A","N/A","23806.00","23806.00","N/A","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00","23806.00"
"5","N/A","HCHG CORO ATHERECT W/STENT, ADD'L BRANCH (OM,DIAG,POST)","92934","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","PRQ CARD STENT/ATH/ANGIO","92934","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","HCHG PERCT CORO INTERVENTION (ANY) OF CABG","92937","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","PRQ REVASC BYP GRAFT 1 VSL","92937","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","HCHG PERCT CORO INTERVENTION (ANY) OF CABG ADD'L BRANCH","92938","N/A","N/A","N/A","N/A","N/A","6011.00","6011.00","N/A","N/A","N/A","6011.00","6011.00","N/A","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00"
"5","N/A","PRQ REVASC BYP GRAFT ADDL","92938","N/A","N/A","N/A","N/A","N/A","6011.00","6011.00","N/A","N/A","N/A","6011.00","6011.00","N/A","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00","6011.00"
"5","N/A","HCHG PERCT CORO INTERVENTION (ANY) OF AMI OCCLUSION","92941","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","PRQ CARD REVASC MI 1 VSL","92941","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","HCHG PERCT CORO INTERVENTION OF CTO (ALL)","92943","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","PRQ CARD REVASC CHRONIC 1VSL","92943","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","HCHG PERCT CORO INTERVENTION OF CTO-ADD'L VESSEL","92944","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","PRQ CARD REVASC CHRONIC ADDL","92944","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","HCHG CODE BLUE","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 1H","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 1H15M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 1H30M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 1H45M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 2H","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 2H15M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 2H30M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 2H45M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 30M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 3H","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CP RESUSCITATION 45M","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG CPR","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HEART/LUNG RESUSCITATION CPR","92950","N/A","N/A","N/A","N/A","N/A","1246.00","1246.00","N/A","N/A","N/A","1246.00","1246.00","N/A","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00","1246.00"
"5","N/A","HCHG TEMP TRANS EXT PACING","92953","N/A","N/A","N/A","N/A","N/A","1454.00","1454.00","N/A","N/A","N/A","1454.00","1454.00","N/A","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00"
"5","N/A","HCHG TEMP TRANSCUTANEOUS PACING","92953","N/A","N/A","N/A","N/A","N/A","1454.00","1454.00","N/A","N/A","N/A","1454.00","1454.00","N/A","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00"
"5","N/A","TEMPORARY EXTERNAL PACING","92953","N/A","N/A","N/A","N/A","N/A","1454.00","1454.00","N/A","N/A","N/A","1454.00","1454.00","N/A","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00","1454.00"
"5","N/A","CARDIOVERSION ELECTRIC EXT","92960","N/A","N/A","N/A","N/A","N/A","1148.00","1148.00","N/A","N/A","N/A","1148.00","1148.00","N/A","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00"
"5","N/A","HCHG CARDIOVERSION","92960","N/A","N/A","N/A","N/A","N/A","1148.00","1148.00","N/A","N/A","N/A","1148.00","1148.00","N/A","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00"
"5","N/A","HCHG CARDIOVERSION EXTERNAL","92960","N/A","N/A","N/A","N/A","N/A","1148.00","1148.00","N/A","N/A","N/A","1148.00","1148.00","N/A","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00"
"5","N/A","HCHG ELECT CARDIOVERSION","92960","N/A","N/A","N/A","N/A","N/A","1148.00","1148.00","N/A","N/A","N/A","1148.00","1148.00","N/A","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00","1148.00"
"5","N/A","CARDIOVERSION ELECTRIC INT","92961","N/A","N/A","N/A","N/A","N/A","717.00","717.00","N/A","N/A","N/A","717.00","717.00","N/A","717.00","717.00","717.00","717.00","717.00","717.00","717.00","717.00","717.00","717.00"
"5","N/A","HCHG CARDIOVERSION INTERNAL","92961","N/A","N/A","N/A","N/A","N/A","717.00","717.00","N/A","N/A","N/A","717.00","717.00","N/A","717.00","717.00","717.00","717.00","717.00","717.00","717.00","717.00","717.00","717.00"
"5","N/A","HCHG CORONARY THROMBECTOMY-ANGIOJET","92973","N/A","N/A","N/A","N/A","N/A","5264.00","5264.00","N/A","N/A","N/A","5264.00","5264.00","N/A","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00"
"5","N/A","PRQ CORONARY MECH THROMBECT","92973","N/A","N/A","N/A","N/A","N/A","5264.00","5264.00","N/A","N/A","N/A","5264.00","5264.00","N/A","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00","5264.00"
"5","N/A","DISSOLVE CLOT HEART VESSEL","92975","N/A","N/A","N/A","N/A","N/A","3628.00","3628.00","N/A","N/A","N/A","3628.00","3628.00","N/A","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00"
"5","N/A","HCHG THROMBOLYSIS CORON","92975","N/A","N/A","N/A","N/A","N/A","3628.00","3628.00","N/A","N/A","N/A","3628.00","3628.00","N/A","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00","3628.00"
"5","N/A","92977 IV INFUSION TPA/STREPTOKINASE","92977","N/A","N/A","N/A","N/A","N/A","2015.00","2015.00","N/A","N/A","N/A","2015.00","2015.00","N/A","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00"
"5","N/A","DISSOLVE CLOT HEART VESSEL","92977","N/A","N/A","N/A","N/A","N/A","2015.00","2015.00","N/A","N/A","N/A","2015.00","2015.00","N/A","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00"
"5","N/A","HCHG IV THROMBOLYSIS W/CORO ANGIOS","92977","N/A","N/A","N/A","N/A","N/A","2015.00","2015.00","N/A","N/A","N/A","2015.00","2015.00","N/A","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00","2015.00"
"5","N/A","ENDOLUMINL IVUS OCT C 1ST","92978","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","HCHG CORONARY IVUS OCT I&R INITIAL VESSEL","92978","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","ENDOLUMINL IVUS OCT C EA","92979","N/A","N/A","N/A","N/A","N/A","456.00","456.00","N/A","N/A","N/A","456.00","456.00","N/A","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00"
"5","N/A","HCHG CORONARY IVUS OCT I&R ADDL VESSEL","92979","N/A","N/A","N/A","N/A","N/A","456.00","456.00","N/A","N/A","N/A","456.00","456.00","N/A","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00","456.00"
"5","N/A","HCHG AORTIC VALVULOPLASTY","92986","N/A","N/A","N/A","N/A","N/A","12581.00","12581.00","N/A","N/A","N/A","12581.00","12581.00","N/A","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00"
"5","N/A","REVISION OF AORTIC VALVE","92986","N/A","N/A","N/A","N/A","N/A","12581.00","12581.00","N/A","N/A","N/A","12581.00","12581.00","N/A","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00","12581.00"
"5","N/A","HCHG MITRAL VALVULOPLASTY","92987","N/A","N/A","N/A","N/A","N/A","16253.00","16253.00","N/A","N/A","N/A","16253.00","16253.00","N/A","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00"
"5","N/A","REVISION OF MITRAL VALVE","92987","N/A","N/A","N/A","N/A","N/A","16253.00","16253.00","N/A","N/A","N/A","16253.00","16253.00","N/A","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00","16253.00"
"5","N/A","HCHG PULMONARY VALVULOPLASTY","92990","N/A","N/A","N/A","N/A","N/A","16491.00","16491.00","N/A","N/A","N/A","16491.00","16491.00","N/A","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00"
"5","N/A","REVISION OF PULMONARY VALVE","92990","N/A","N/A","N/A","N/A","N/A","16491.00","16491.00","N/A","N/A","N/A","16491.00","16491.00","N/A","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00","16491.00"
"5","N/A","ELECTROCARDIOGRAM TRACING","93005","N/A","N/A","N/A","N/A","N/A","515.00","515.00","N/A","N/A","N/A","515.00","515.00","N/A","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00"
"5","N/A","HCHG EKG 12 LEADS, TRACING ONLY","93005","N/A","N/A","N/A","N/A","N/A","515.00","515.00","N/A","N/A","N/A","515.00","515.00","N/A","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00"
"5","N/A","HCHG RIGHT SIDE 12 LEAD EKG, TRACING ONLY","93005","N/A","N/A","N/A","N/A","N/A","515.00","515.00","N/A","N/A","N/A","515.00","515.00","N/A","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00","515.00"
"5","N/A","CARDIOVASCULAR STRESS TEST","93017","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","HCHG BIKE STRESS TEST","93017","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","HCHG STRESS EKG PHARMACOLOGIC","93017","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","HCHG TREADMILL EXAM","93017","N/A","N/A","N/A","N/A","N/A","786.00","786.00","N/A","N/A","N/A","786.00","786.00","N/A","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00","786.00"
"5","N/A","HCHG EKG RHYTHM 1-3 LEADS TRACING","93041","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG RHYTHM STRIP EXTEND, TRACING ONLY","93041","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","RHYTHM ECG TRACING","93041","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","ECG MONIT/REPRT UP TO 48 HRS","93225","N/A","N/A","N/A","N/A","N/A","468.00","468.00","N/A","N/A","N/A","468.00","468.00","N/A","468.00","468.00","468.00","468.00","468.00","468.00","468.00","468.00","468.00","468.00"
"5","N/A","HCHG ECG UP TO 48 HR MONITORING-RECORDING","93225","N/A","N/A","N/A","N/A","N/A","468.00","468.00","N/A","N/A","N/A","468.00","468.00","N/A","468.00","468.00","468.00","468.00","468.00","468.00","468.00","468.00","468.00","468.00"
"5","N/A","ECG MONIT/REPRT UP TO 48 HRS","93226","N/A","N/A","N/A","N/A","N/A","754.00","754.00","N/A","N/A","N/A","754.00","754.00","N/A","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00"
"5","N/A","HCHG ECG UP TO 48 HR MONITORING-ANALYS & RPT","93226","N/A","N/A","N/A","N/A","N/A","754.00","754.00","N/A","N/A","N/A","754.00","754.00","N/A","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00","754.00"
"5","N/A","HCHG REMOTE 30 DAY ECG TECH SUPPORT","93229","N/A","N/A","N/A","N/A","N/A","3018.00","3018.00","N/A","N/A","N/A","3018.00","3018.00","N/A","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00"
"5","N/A","REMOTE 30 DAY ECG TECH SUPP","93229","N/A","N/A","N/A","N/A","N/A","3018.00","3018.00","N/A","N/A","N/A","3018.00","3018.00","N/A","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00","3018.00"
"5","N/A","HCHG EXT ECG>48HR<7D RECORDING","93242","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG EXT ECG>7D<15D RECORDING","93246","N/A","N/A","N/A","N/A","N/A","197.00","197.00","N/A","N/A","N/A","197.00","197.00","N/A","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00","197.00"
"5","N/A","HCHG PRGRMG DEV EVAL IMPLTBL SYS","93260","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","PRGRMG DEV EVAL IMPLTBL SYS","93260","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","HCHG DEFIB INTERROGATE","93261","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","HCHG INTERROGATE SUBQ DEFIB","93261","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","INTERROGATE SUBQ DEFIB","93261","N/A","N/A","N/A","N/A","N/A","114.00","114.00","N/A","N/A","N/A","114.00","114.00","N/A","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00","114.00"
"5","N/A","HCHG CARDIAC EVENT MONIT-RECORDING","93270","N/A","N/A","N/A","N/A","N/A","1627.00","1627.00","N/A","N/A","N/A","1627.00","1627.00","N/A","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00"
"5","N/A","REMOTE 30 DAY ECG REV/REPORT","93270","N/A","N/A","N/A","N/A","N/A","1627.00","1627.00","N/A","N/A","N/A","1627.00","1627.00","N/A","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00","1627.00"
"5","N/A","ECG/MONITORING AND ANALYSIS","93271","N/A","N/A","N/A","N/A","N/A","687.00","687.00","N/A","N/A","N/A","687.00","687.00","N/A","687.00","687.00","687.00","687.00","687.00","687.00","687.00","687.00","687.00","687.00"
"5","N/A","HCHG CARDIAC EVENT MONIT-ANALYS","93271","N/A","N/A","N/A","N/A","N/A","687.00","687.00","N/A","N/A","N/A","687.00","687.00","N/A","687.00","687.00","687.00","687.00","687.00","687.00","687.00","687.00","687.00","687.00"
"5","N/A","HCHG PACEMKR SNGL CH/INTR & REPRGM","93279","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","PRGRMG DEV EVAL PM/LDLS PM","93279","N/A","N/A","N/A","N/A","N/A","357.00","357.00","N/A","N/A","N/A","357.00","357.00","N/A","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00","357.00"
"5","N/A","HCHG PACEMKR DLCH/INTR & REPRGM","93280","N/A","N/A","N/A","N/A","N/A","475.00","475.00","N/A","N/A","N/A","475.00","475.00","N/A","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00"
"5","N/A","PM DEVICE PROGR EVAL DUAL","93280","N/A","N/A","N/A","N/A","N/A","475.00","475.00","N/A","N/A","N/A","475.00","475.00","N/A","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00"
"5","N/A","HCHG PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER","93281","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","PM DEVICE PROGR EVAL MULTI","93281","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG ICD INTERR/REPROG-SINGL CHAMB","93282","N/A","N/A","N/A","N/A","N/A","608.00","608.00","N/A","N/A","N/A","608.00","608.00","N/A","608.00","608.00","608.00","608.00","608.00","608.00","608.00","608.00","608.00","608.00"
"5","N/A","PRGRMG EVAL IMPLANTABLE DFB","93282","N/A","N/A","N/A","N/A","N/A","608.00","608.00","N/A","N/A","N/A","608.00","608.00","N/A","608.00","608.00","608.00","608.00","608.00","608.00","608.00","608.00","608.00","608.00"
"5","N/A","HCHG ICD INTERR/REPROG-DUAL CHAMB","93283","N/A","N/A","N/A","N/A","N/A","734.00","734.00","N/A","N/A","N/A","734.00","734.00","N/A","734.00","734.00","734.00","734.00","734.00","734.00","734.00","734.00","734.00","734.00"
"5","N/A","PRGRMG EVAL IMPLANTABLE DFB","93283","N/A","N/A","N/A","N/A","N/A","734.00","734.00","N/A","N/A","N/A","734.00","734.00","N/A","734.00","734.00","734.00","734.00","734.00","734.00","734.00","734.00","734.00","734.00"
"5","N/A","HCHG PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB","93284","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","PRGRMG EVAL IMPLANTABLE DFB","93284","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM","93285","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","PRGRMG DEV EVAL SCRMS IP","93285","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM","93286","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","PERI-PX EVAL PM/LDLS PM IP","93286","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB","93287","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","PERI-PX DEVICE EVAL & PRGR","93287","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","HCHG PACEMKR DUAL CHMB/INTERROGATE","93288","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","HCHG PACEMKR INTERROGATE","93288","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","INTERROG EVL PM/LDLS PM IP","93288","N/A","N/A","N/A","N/A","N/A","204.00","204.00","N/A","N/A","N/A","204.00","204.00","N/A","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00","204.00"
"5","N/A","HCHG ICD INTERR DUAL CHAMB","93289","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG ICD INTERR SINGL CHAMB","93289","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG ICD INTERROGATE","93289","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","INTERROG DEVICE EVAL HEART","93289","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG ICM INTERROGATE","93290","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG INTERROG DEV EVAL ICPMS IP","93290","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","INTERROG DEV EVAL ICPMS IP","93290","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG ILR INTERROGATE","93291","N/A","N/A","N/A","N/A","N/A","48.00","48.00","N/A","N/A","N/A","48.00","48.00","N/A","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00"
"5","N/A","INTERROG DEV EVAL SCRMS IP","93291","N/A","N/A","N/A","N/A","N/A","48.00","48.00","N/A","N/A","N/A","48.00","48.00","N/A","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00"
"5","N/A","HCHG WCD DEVICE INTERROGATE","93292","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG WEARABLE DEFIB INTERROGATE","93292","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","WCD DEVICE INTERROGATE","93292","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG PM PHONE R-STRIP DEVICE EVAL","93293","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","PM PHONE R-STRIP DEVICE EVAL","93293","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG ICD INTERR ANALYSIS-SINGLE CHAMB REMOTE","93294","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","HCHG REM INTERROG EVL PM/LDLS PM","93294","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","REM INTERROG EVL PM/LDLS PM","93294","N/A","N/A","N/A","N/A","N/A","102.00","102.00","N/A","N/A","N/A","102.00","102.00","N/A","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00","102.00"
"5","N/A","DEV INTERROG REMOTE 1/2/MLT","93295","N/A","N/A","N/A","N/A","N/A","209.00","209.00","N/A","N/A","N/A","209.00","209.00","N/A","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00"
"5","N/A","HCHG DEV INTERROG REMOTE 1/2/MLT","93295","N/A","N/A","N/A","N/A","N/A","209.00","209.00","N/A","N/A","N/A","209.00","209.00","N/A","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00"
"5","N/A","HCHG ICD INTERR/REPROG-MULTILEAD SYSTEM","93296","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG ICD INTERR/REPROG-SINGLE CHAMB REMOTE","93296","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW","93296","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","REM INTERROG EVL PM/IDS","93296","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG REM INTERROG DEV EVAL ICPMS","93297","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","REM INTERROG DEV EVAL ICPMS","93297","N/A","N/A","N/A","N/A","N/A","79.00","79.00","N/A","N/A","N/A","79.00","79.00","N/A","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00","79.00"
"5","N/A","HCHG REM INTERROG DEV EVAL SCRMS","93298","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","REM INTERROG DEV EVAL SCRMS","93298","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","ECHO TRANSTHORACIC","93303","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","HCHG TTE CONG ABN COMPLETE W/ CONTRAST","93303","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","HCHG TTE CONG ABN COMPLETE W/O CONTRAST","93303","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","ECHO TRANSTHORACIC","93304","N/A","N/A","N/A","N/A","N/A","1808.00","1808.00","N/A","N/A","N/A","1808.00","1808.00","N/A","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00"
"5","N/A","HCHG TTE CONG ABN LIMITED/F-UP W/ CONTRAST","93304","N/A","N/A","N/A","N/A","N/A","1808.00","1808.00","N/A","N/A","N/A","1808.00","1808.00","N/A","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00"
"5","N/A","HCHG TTE CONG ABN LIMITED/F-UP W/O CONTRAST","93304","N/A","N/A","N/A","N/A","N/A","1808.00","1808.00","N/A","N/A","N/A","1808.00","1808.00","N/A","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00","1808.00"
"5","N/A","HCHG TTE W OR WO CONTR, CONT ECG","93306","N/A","N/A","N/A","N/A","N/A","2062.00","2062.00","N/A","N/A","N/A","2062.00","2062.00","N/A","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00"
"5","N/A","HCHG TTE W OR WO FOL W CON, DOPPLER","93306","N/A","N/A","N/A","N/A","N/A","2062.00","2062.00","N/A","N/A","N/A","2062.00","2062.00","N/A","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00"
"5","N/A","HCHG TTE W/DOPPLER, COMPLETE","93306","N/A","N/A","N/A","N/A","N/A","2062.00","2062.00","N/A","N/A","N/A","2062.00","2062.00","N/A","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00"
"5","N/A","TTE W/DOPPLER COMPLETE","93306","N/A","N/A","N/A","N/A","N/A","2062.00","2062.00","N/A","N/A","N/A","2062.00","2062.00","N/A","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00","2062.00"
"5","N/A","HCHG 2D ECHO COMPLETE W M MODE","93307","N/A","N/A","N/A","N/A","N/A","1017.00","1017.00","N/A","N/A","N/A","1017.00","1017.00","N/A","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00"
"5","N/A","TTE W/O DOPPLER COMPLETE","93307","N/A","N/A","N/A","N/A","N/A","1017.00","1017.00","N/A","N/A","N/A","1017.00","1017.00","N/A","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00","1017.00"
"5","N/A","HCHG 2D ECHO COMPLETE M MODE F/U LTD","93308","N/A","N/A","N/A","N/A","N/A","1119.00","1119.00","N/A","N/A","N/A","1119.00","1119.00","N/A","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00"
"5","N/A","HCHG ECHO CONTRAST STUDY (93308)","93308","N/A","N/A","N/A","N/A","N/A","1119.00","1119.00","N/A","N/A","N/A","1119.00","1119.00","N/A","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00"
"5","N/A","HCHG ECHO TRANSTHOR HEART LTD","93308","N/A","N/A","N/A","N/A","N/A","1119.00","1119.00","N/A","N/A","N/A","1119.00","1119.00","N/A","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00"
"5","N/A","HCHG TTE W OR W/O FOL W/ CON, FU OR LTD","93308","N/A","N/A","N/A","N/A","N/A","1119.00","1119.00","N/A","N/A","N/A","1119.00","1119.00","N/A","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00"
"5","N/A","TTE F-UP OR LMTD","93308","N/A","N/A","N/A","N/A","N/A","1119.00","1119.00","N/A","N/A","N/A","1119.00","1119.00","N/A","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00","1119.00"
"5","N/A","ECHO TRANSESOPHAGEAL","93312","N/A","N/A","N/A","N/A","N/A","2031.00","2031.00","N/A","N/A","N/A","2031.00","2031.00","N/A","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00"
"5","N/A","HCHG ECHO TRANSESOPHAGEAL","93312","N/A","N/A","N/A","N/A","N/A","2031.00","2031.00","N/A","N/A","N/A","2031.00","2031.00","N/A","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00"
"5","N/A","HCHG ECHO TRANSESOPHAGEAL F/U","93312","N/A","N/A","N/A","N/A","N/A","2031.00","2031.00","N/A","N/A","N/A","2031.00","2031.00","N/A","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00","2031.00"
"5","N/A","ECHO TRANSESOPHAGEAL","93315","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","HCHG ECHO TEE CONGENITAL","93315","N/A","N/A","N/A","N/A","N/A","2538.00","2538.00","N/A","N/A","N/A","2538.00","2538.00","N/A","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00","2538.00"
"5","N/A","DOPPLER ECHO EXAM HEART","93320","N/A","N/A","N/A","N/A","N/A","461.00","461.00","N/A","N/A","N/A","461.00","461.00","N/A","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00"
"5","N/A","HCHG DOPPLER DURING ECHO","93320","N/A","N/A","N/A","N/A","N/A","461.00","461.00","N/A","N/A","N/A","461.00","461.00","N/A","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00","461.00"
"5","N/A","DOPPLER ECHO EXAM HEART","93321","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","HCHG DOPPLER DURING ECHO F/U LTD","93321","N/A","N/A","N/A","N/A","N/A","470.00","470.00","N/A","N/A","N/A","470.00","470.00","N/A","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00","470.00"
"5","N/A","DOPPLER COLOR FLOW ADD-ON","93325","N/A","N/A","N/A","N/A","N/A","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","HCHG COLOR FLOW DOPPLER DUR ECHO","93325","N/A","N/A","N/A","N/A","N/A","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","HCHG BIKE STRESS ECHO","93350","N/A","N/A","N/A","N/A","N/A","2021.00","2021.00","N/A","N/A","N/A","2021.00","2021.00","N/A","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00"
"5","N/A","HCHG DOBUTAMINE ECHO","93350","N/A","N/A","N/A","N/A","N/A","2021.00","2021.00","N/A","N/A","N/A","2021.00","2021.00","N/A","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00"
"5","N/A","HCHG STRESS ECHO","93350","N/A","N/A","N/A","N/A","N/A","2021.00","2021.00","N/A","N/A","N/A","2021.00","2021.00","N/A","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00"
"5","N/A","STRESS TTE ONLY","93350","N/A","N/A","N/A","N/A","N/A","2021.00","2021.00","N/A","N/A","N/A","2021.00","2021.00","N/A","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00","2021.00"
"5","N/A","ECHO TRANSESOPHAGEAL (TEE)","93355","N/A","N/A","N/A","N/A","N/A","3912.00","3912.00","N/A","N/A","N/A","3912.00","3912.00","N/A","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00"
"5","N/A","HCHG TEE GUIDE TCAT ICAR/VESSEL","93355","N/A","N/A","N/A","N/A","N/A","3912.00","3912.00","N/A","N/A","N/A","3912.00","3912.00","N/A","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00","3912.00"
"5","N/A","HCHG RIGHT HEART CATH-ONLY","93451","N/A","N/A","N/A","N/A","N/A","5597.00","5597.00","N/A","N/A","N/A","5597.00","5597.00","N/A","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00"
"5","N/A","RIGHT HEART CATH","93451","N/A","N/A","N/A","N/A","N/A","5597.00","5597.00","N/A","N/A","N/A","5597.00","5597.00","N/A","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00","5597.00"
"5","N/A","HCHG LEFT HEART W//LVGRAM","93452","N/A","N/A","N/A","N/A","N/A","6567.00","6567.00","N/A","N/A","N/A","6567.00","6567.00","N/A","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00"
"5","N/A","LEFT HRT CATH W/VENTRCLGRPHY","93452","N/A","N/A","N/A","N/A","N/A","6567.00","6567.00","N/A","N/A","N/A","6567.00","6567.00","N/A","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00","6567.00"
"5","N/A","HCHG RIGHT AND LEFT HRT W/L V GRAM","93453","N/A","N/A","N/A","N/A","N/A","8576.00","8576.00","N/A","N/A","N/A","8576.00","8576.00","N/A","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00"
"5","N/A","R&L HRT CATH W/VENTRICLGRPHY","93453","N/A","N/A","N/A","N/A","N/A","8576.00","8576.00","N/A","N/A","N/A","8576.00","8576.00","N/A","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00","8576.00"
"5","N/A","CORONARY ARTERY ANGIO S&I","93454","N/A","N/A","N/A","N/A","N/A","10151.00","10151.00","N/A","N/A","N/A","10151.00","10151.00","N/A","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00"
"5","N/A","HCHG CORONARY ANGIOS ONLY-NO LV (W/PCI)","93454","N/A","N/A","N/A","N/A","N/A","10151.00","10151.00","N/A","N/A","N/A","10151.00","10151.00","N/A","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00"
"5","N/A","HCHG CORONOARY ANGIOS ONLY-NO LV","93454","N/A","N/A","N/A","N/A","N/A","10151.00","10151.00","N/A","N/A","N/A","10151.00","10151.00","N/A","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00","10151.00"
"5","N/A","CORONARY ART/GRFT ANGIO S&I","93455","N/A","N/A","N/A","N/A","N/A","11908.00","11908.00","N/A","N/A","N/A","11908.00","11908.00","N/A","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00"
"5","N/A","HCHG CORONARY ANGIOS-GRAFTS-IMA-NO LV","93455","N/A","N/A","N/A","N/A","N/A","11908.00","11908.00","N/A","N/A","N/A","11908.00","11908.00","N/A","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00"
"5","N/A","HCHG CORONARY ANGIOS-GRAFTS-IMA-NO LV (PCI)","93455","N/A","N/A","N/A","N/A","N/A","11908.00","11908.00","N/A","N/A","N/A","11908.00","11908.00","N/A","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00","11908.00"
"5","N/A","HCHG CORONARY ANGIOS-NO LV WITH RHC","93456","N/A","N/A","N/A","N/A","N/A","14126.00","14126.00","N/A","N/A","N/A","14126.00","14126.00","N/A","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00"
"5","N/A","HCHG CORONARY ANGIOS-NO LV WITH RHC (PCI)","93456","N/A","N/A","N/A","N/A","N/A","14126.00","14126.00","N/A","N/A","N/A","14126.00","14126.00","N/A","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00"
"5","N/A","R HRT CORONARY ARTERY ANGIO","93456","N/A","N/A","N/A","N/A","N/A","14126.00","14126.00","N/A","N/A","N/A","14126.00","14126.00","N/A","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00","14126.00"
"5","N/A","HCHG CORONARY ANGIOS-GRAFTS, IMA - NO LV WITH RHC (PCI)","93457","N/A","N/A","N/A","N/A","N/A","12995.00","12995.00","N/A","N/A","N/A","12995.00","12995.00","N/A","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00"
"5","N/A","HCHG CORONARY ANGIOS-GRAFTS, IMA -NO LV WITH RHC","93457","N/A","N/A","N/A","N/A","N/A","12995.00","12995.00","N/A","N/A","N/A","12995.00","12995.00","N/A","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00"
"5","N/A","R HRT ART/GRFT ANGIO","93457","N/A","N/A","N/A","N/A","N/A","12995.00","12995.00","N/A","N/A","N/A","12995.00","12995.00","N/A","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00","12995.00"
"5","N/A","HCHG LEFT HEART CATH, CORO ANGIOS, LVGRAM","93458","N/A","N/A","N/A","N/A","N/A","10795.00","10795.00","N/A","N/A","N/A","10795.00","10795.00","N/A","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00"
"5","N/A","HCHG LEFT HEART CATH, CORO ANGIOS, LVGRAM (PCI)","93458","N/A","N/A","N/A","N/A","N/A","10795.00","10795.00","N/A","N/A","N/A","10795.00","10795.00","N/A","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00"
"5","N/A","L HRT ARTERY/VENTRICLE ANGIO","93458","N/A","N/A","N/A","N/A","N/A","10795.00","10795.00","N/A","N/A","N/A","10795.00","10795.00","N/A","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00","10795.00"
"5","N/A","HCHG LEFT HEART, CORO ANGIO, LV, GRAFTS, IMA","93459","N/A","N/A","N/A","N/A","N/A","12063.00","12063.00","N/A","N/A","N/A","12063.00","12063.00","N/A","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00"
"5","N/A","HCHG LEFT HEART, CORO ANGIO, LV, GRAFTS, IMA (PCI)","93459","N/A","N/A","N/A","N/A","N/A","12063.00","12063.00","N/A","N/A","N/A","12063.00","12063.00","N/A","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00"
"5","N/A","L HRT ART/GRFT ANGIO","93459","N/A","N/A","N/A","N/A","N/A","12063.00","12063.00","N/A","N/A","N/A","12063.00","12063.00","N/A","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00","12063.00"
"5","N/A","HCHG RIGHT/LEFT HEART, CORO ANGIO, LVGRAM (PCI)","93460","N/A","N/A","N/A","N/A","N/A","12955.00","12955.00","N/A","N/A","N/A","12955.00","12955.00","N/A","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00"
"5","N/A","HCHG RIGHT/LEFT HEART,CORO ANGIO, LVGRAM","93460","N/A","N/A","N/A","N/A","N/A","12955.00","12955.00","N/A","N/A","N/A","12955.00","12955.00","N/A","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00"
"5","N/A","R&L HRT ART/VENTRICLE ANGIO","93460","N/A","N/A","N/A","N/A","N/A","12955.00","12955.00","N/A","N/A","N/A","12955.00","12955.00","N/A","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00","12955.00"
"5","N/A","HCHG RIGHT/LEFT HEART, CORO ANGIO, LV, GRAFTS, IMA","93461","N/A","N/A","N/A","N/A","N/A","14914.00","14914.00","N/A","N/A","N/A","14914.00","14914.00","N/A","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00"
"5","N/A","HCHG RIGHT/LEFT HEART, CORO ANGIO, LV, GRAFTS, IMA (PCI)","93461","N/A","N/A","N/A","N/A","N/A","14914.00","14914.00","N/A","N/A","N/A","14914.00","14914.00","N/A","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00"
"5","N/A","R&L HRT ART/VENTRICLE ANGIO","93461","N/A","N/A","N/A","N/A","N/A","14914.00","14914.00","N/A","N/A","N/A","14914.00","14914.00","N/A","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00","14914.00"
"5","N/A","HCHG LEFT HEART CATH VIA SEPTAL PUNCTURE","93462","N/A","N/A","N/A","N/A","N/A","4669.00","4669.00","N/A","N/A","N/A","4669.00","4669.00","N/A","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00"
"5","N/A","L HRT CATH TRNSPTL PUNCTURE","93462","N/A","N/A","N/A","N/A","N/A","4669.00","4669.00","N/A","N/A","N/A","4669.00","4669.00","N/A","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00","4669.00"
"5","N/A","DRUG ADMIN & HEMODYNMIC MEAS","93463","N/A","N/A","N/A","N/A","N/A","2651.00","2651.00","N/A","N/A","N/A","2651.00","2651.00","N/A","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00"
"5","N/A","HCHG PHARMACOLOGIC ADMIN(NIPRIDE, NO, ADENO, DOBUTAMINE)","93463","N/A","N/A","N/A","N/A","N/A","2651.00","2651.00","N/A","N/A","N/A","2651.00","2651.00","N/A","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00","2651.00"
"5","N/A","EXERCISE W/HEMODYNAMIC MEAS","93464","N/A","N/A","N/A","N/A","N/A","2813.00","2813.00","N/A","N/A","N/A","2813.00","2813.00","N/A","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00"
"5","N/A","HCHG EXERCISE STUDY-BIKE OR ARM ERGOMETRY","93464","N/A","N/A","N/A","N/A","N/A","2813.00","2813.00","N/A","N/A","N/A","2813.00","2813.00","N/A","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00","2813.00"
"5","N/A","HCHG SWAN GANZ INSERT/MONITORING","93503","N/A","N/A","N/A","N/A","N/A","2057.00","2057.00","N/A","N/A","N/A","2057.00","2057.00","N/A","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00"
"5","N/A","INSERT/PLACE HEART CATHETER","93503","N/A","N/A","N/A","N/A","N/A","2057.00","2057.00","N/A","N/A","N/A","2057.00","2057.00","N/A","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00","2057.00"
"5","N/A","BIOPSY OF HEART LINING","93505","N/A","N/A","N/A","N/A","N/A","5314.00","5314.00","N/A","N/A","N/A","5314.00","5314.00","N/A","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00"
"5","N/A","HCHG ENDOCARDIAL BX","93505","N/A","N/A","N/A","N/A","N/A","5314.00","5314.00","N/A","N/A","N/A","5314.00","5314.00","N/A","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00","5314.00"
"5","N/A","HCHG RT CONGENITAL ANOMALIES","93530","N/A","N/A","N/A","N/A","N/A","5088.00","5088.00","N/A","N/A","N/A","5088.00","5088.00","N/A","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00"
"5","N/A","RT HEART CATH CONGENITAL","93530","N/A","N/A","N/A","N/A","N/A","5088.00","5088.00","N/A","N/A","N/A","5088.00","5088.00","N/A","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00","5088.00"
"5","N/A","HCHG RT/RET-LT CONGENITAL ANOMALIES","93531","N/A","N/A","N/A","N/A","N/A","5518.00","5518.00","N/A","N/A","N/A","5518.00","5518.00","N/A","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00"
"5","N/A","R & L HEART CATH CONGENITAL","93531","N/A","N/A","N/A","N/A","N/A","5518.00","5518.00","N/A","N/A","N/A","5518.00","5518.00","N/A","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00","5518.00"
"5","N/A","HCHG RT/TRANS-LT THRU SEPT CONG ANO","93532","N/A","N/A","N/A","N/A","N/A","4905.00","4905.00","N/A","N/A","N/A","4905.00","4905.00","N/A","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00"
"5","N/A","R & L HEART CATH CONGENITAL","93532","N/A","N/A","N/A","N/A","N/A","4905.00","4905.00","N/A","N/A","N/A","4905.00","4905.00","N/A","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00"
"5","N/A","HCHG RT/TRANS-LT OPEN SEPT CONG ANO","93533","N/A","N/A","N/A","N/A","N/A","4905.00","4905.00","N/A","N/A","N/A","4905.00","4905.00","N/A","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00"
"5","N/A","R & L HEART CATH CONGENITAL","93533","N/A","N/A","N/A","N/A","N/A","4905.00","4905.00","N/A","N/A","N/A","4905.00","4905.00","N/A","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00","4905.00"
"5","N/A","HCHG CORONARY ANGIOS W/CONGENITAL HEART CATH","93563","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","INJECT CONGENITAL CARD CATH","93563","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","HCHG GRAFT, IMA ANGIOS W/CONGENITAL HEART CATH","93564","N/A","N/A","N/A","N/A","N/A","2142.00","2142.00","N/A","N/A","N/A","2142.00","2142.00","N/A","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00"
"5","N/A","INJECT HRT CONGNTL ART/GRFT","93564","N/A","N/A","N/A","N/A","N/A","2142.00","2142.00","N/A","N/A","N/A","2142.00","2142.00","N/A","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00","2142.00"
"5","N/A","HCHG LVGRAM OR LAGRAM W/CONGENITAL HEART CATH","93565","N/A","N/A","N/A","N/A","N/A","2151.00","2151.00","N/A","N/A","N/A","2151.00","2151.00","N/A","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00"
"5","N/A","INJECT L VENTR/ATRIAL ANGIO","93565","N/A","N/A","N/A","N/A","N/A","2151.00","2151.00","N/A","N/A","N/A","2151.00","2151.00","N/A","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00"
"5","N/A","HCHG RVGRAM OR RAGRAM (LIST SEPERATELY)","93566","N/A","N/A","N/A","N/A","N/A","2151.00","2151.00","N/A","N/A","N/A","2151.00","2151.00","N/A","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00"
"5","N/A","INJECT R VENTR/ATRIAL ANGIO","93566","N/A","N/A","N/A","N/A","N/A","2151.00","2151.00","N/A","N/A","N/A","2151.00","2151.00","N/A","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00","2151.00"
"5","N/A","HCHG AORTAGRAM","93567","N/A","N/A","N/A","N/A","N/A","794.00","794.00","N/A","N/A","N/A","794.00","794.00","N/A","794.00","794.00","794.00","794.00","794.00","794.00","794.00","794.00","794.00","794.00"
"5","N/A","INJECT SUPRVLV AORTOGRAPHY","93567","N/A","N/A","N/A","N/A","N/A","794.00","794.00","N/A","N/A","N/A","794.00","794.00","N/A","794.00","794.00","794.00","794.00","794.00","794.00","794.00","794.00","794.00","794.00"
"5","N/A","HCHG PULMONARY ANGIOGRAPHY DURING CATH","93568","N/A","N/A","N/A","N/A","N/A","1493.00","1493.00","N/A","N/A","N/A","1493.00","1493.00","N/A","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00"
"5","N/A","INJECT PULM ART HRT CATH","93568","N/A","N/A","N/A","N/A","N/A","1493.00","1493.00","N/A","N/A","N/A","1493.00","1493.00","N/A","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00","1493.00"
"5","N/A","HCHG FRACTIONAL FLOW RESERVE MEASUREMENT","93571","N/A","N/A","N/A","N/A","N/A","1268.00","1268.00","N/A","N/A","N/A","1268.00","1268.00","N/A","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00"
"5","N/A","HEART FLOW RESERVE MEASURE","93571","N/A","N/A","N/A","N/A","N/A","1268.00","1268.00","N/A","N/A","N/A","1268.00","1268.00","N/A","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00","1268.00"
"5","N/A","HCHG FFR MEASUREMENT-ADDL VSSL","93572","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HEART FLOW RESERVE MEASURE","93572","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG PERC TRANSCATHETER CLOSURE - ASD","93580","N/A","N/A","N/A","N/A","N/A","24633.00","24633.00","N/A","N/A","N/A","24633.00","24633.00","N/A","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00"
"5","N/A","TRANSCATH CLOSURE OF ASD","93580","N/A","N/A","N/A","N/A","N/A","24633.00","24633.00","N/A","N/A","N/A","24633.00","24633.00","N/A","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00","24633.00"
"5","N/A","HCHG PERQ TRANSCATH CLOSURE PDA","93582","N/A","N/A","N/A","N/A","N/A","25431.00","25431.00","N/A","N/A","N/A","25431.00","25431.00","N/A","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00"
"5","N/A","PERQ TRANSCATH CLOSURE PDA","93582","N/A","N/A","N/A","N/A","N/A","25431.00","25431.00","N/A","N/A","N/A","25431.00","25431.00","N/A","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00","25431.00"
"5","N/A","HCHG PERQ TRANSCATH SEPTAL REDUXN","93583","N/A","N/A","N/A","N/A","N/A","10495.00","10495.00","N/A","N/A","N/A","10495.00","10495.00","N/A","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00"
"5","N/A","HCHG PERQ TRANSCATH SEPTAL REDUXN INCL PCMKR INSERT","93583","N/A","N/A","N/A","N/A","N/A","10495.00","10495.00","N/A","N/A","N/A","10495.00","10495.00","N/A","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00"
"5","N/A","PERQ TRANSCATH SEPTAL REDUXN","93583","N/A","N/A","N/A","N/A","N/A","10495.00","10495.00","N/A","N/A","N/A","10495.00","10495.00","N/A","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00","10495.00"
"5","N/A","HCHG PERQ TRANSCATH CLOSURE OF PARAVALVULAR LEAK; INITIAL OCC DEVICE, MV","93590","N/A","N/A","N/A","N/A","N/A","5963.00","5963.00","N/A","N/A","N/A","5963.00","5963.00","N/A","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00"
"5","N/A","PERQ TRANSCATH CLS MITRAL","93590","N/A","N/A","N/A","N/A","N/A","5963.00","5963.00","N/A","N/A","N/A","5963.00","5963.00","N/A","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00"
"5","N/A","HCHG PERQ TRANSCATH CLOSURE OF PARAVALVULAR LEAK; INITIAL OCC DEVICE, AV","93591","N/A","N/A","N/A","N/A","N/A","5963.00","5963.00","N/A","N/A","N/A","5963.00","5963.00","N/A","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00"
"5","N/A","PERQ TRANSCATH CLS AORTIC","93591","N/A","N/A","N/A","N/A","N/A","5963.00","5963.00","N/A","N/A","N/A","5963.00","5963.00","N/A","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00","5963.00"
"5","N/A","HCHG PERQ TRANSCATH CLOSURE OF PARAVALVULAR LEAK; EAC ADD OCC DEVICE","93592","N/A","N/A","N/A","N/A","N/A","2982.00","2982.00","N/A","N/A","N/A","2982.00","2982.00","N/A","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00"
"5","N/A","PERQ TRANSCATH CLOSURE EACH","93592","N/A","N/A","N/A","N/A","N/A","2982.00","2982.00","N/A","N/A","N/A","2982.00","2982.00","N/A","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00","2982.00"
"5","N/A","HCHG INTRA-ATRIAL PACING","93610","N/A","N/A","N/A","N/A","N/A","8734.00","8734.00","N/A","N/A","N/A","8734.00","8734.00","N/A","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00"
"5","N/A","INTRA-ATRIAL PACING","93610","N/A","N/A","N/A","N/A","N/A","8734.00","8734.00","N/A","N/A","N/A","8734.00","8734.00","N/A","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00","8734.00"
"5","N/A","HCHG INTRA-VENTRICULAR PACING","93612","N/A","N/A","N/A","N/A","N/A","8344.00","8344.00","N/A","N/A","N/A","8344.00","8344.00","N/A","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00"
"5","N/A","INTRAVENTRICULAR PACING","93612","N/A","N/A","N/A","N/A","N/A","8344.00","8344.00","N/A","N/A","N/A","8344.00","8344.00","N/A","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00","8344.00"
"5","N/A","ELECTROPHYS MAP 3D ADD-ON","93613","N/A","N/A","N/A","N/A","N/A","6357.00","6357.00","N/A","N/A","N/A","6357.00","6357.00","N/A","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00"
"5","N/A","HCHG EPS 3D MAPPING","93613","N/A","N/A","N/A","N/A","N/A","6357.00","6357.00","N/A","N/A","N/A","6357.00","6357.00","N/A","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00","6357.00"
"5","N/A","HCHG ARRHYTHM INDUC BY PACING","93618","N/A","N/A","N/A","N/A","N/A","3846.00","3846.00","N/A","N/A","N/A","3846.00","3846.00","N/A","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00"
"5","N/A","HEART RHYTHM PACING","93618","N/A","N/A","N/A","N/A","N/A","3846.00","3846.00","N/A","N/A","N/A","3846.00","3846.00","N/A","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00","3846.00"
"5","N/A","ELECTROPHYSIOLOGY EVALUATION","93619","N/A","N/A","N/A","N/A","N/A","11407.00","11407.00","N/A","N/A","N/A","11407.00","11407.00","N/A","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00"
"5","N/A","HCHG EPS MAPPING W/O INDUCT","93619","N/A","N/A","N/A","N/A","N/A","11407.00","11407.00","N/A","N/A","N/A","11407.00","11407.00","N/A","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00","11407.00"
"5","N/A","ELECTROPHYSIOLOGY EVALUATION","93620","N/A","N/A","N/A","N/A","N/A","14398.00","14398.00","N/A","N/A","N/A","14398.00","14398.00","N/A","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00"
"5","N/A","HCHG EPS COMPLETE MAPPING","93620","N/A","N/A","N/A","N/A","N/A","14398.00","14398.00","N/A","N/A","N/A","14398.00","14398.00","N/A","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00","14398.00"
"5","N/A","ELECTROPHYSIOLOGY EVALUATION","93621","N/A","N/A","N/A","N/A","N/A","2747.00","2747.00","N/A","N/A","N/A","2747.00","2747.00","N/A","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00"
"5","N/A","HCHG EPS W/ CS/LA MAPPING(ADD-ON)","93621","N/A","N/A","N/A","N/A","N/A","2747.00","2747.00","N/A","N/A","N/A","2747.00","2747.00","N/A","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00"
"5","N/A","ELECTROPHYSIOLOGY EVALUATION","93622","N/A","N/A","N/A","N/A","N/A","2747.00","2747.00","N/A","N/A","N/A","2747.00","2747.00","N/A","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00"
"5","N/A","HCHG EPS W/ LV MAPPING (ADD-ON)","93622","N/A","N/A","N/A","N/A","N/A","2747.00","2747.00","N/A","N/A","N/A","2747.00","2747.00","N/A","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00","2747.00"
"5","N/A","HCHG EPS IV DRUG STUDY","93623","N/A","N/A","N/A","N/A","N/A","2341.00","2341.00","N/A","N/A","N/A","2341.00","2341.00","N/A","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00"
"5","N/A","STIMULATION PACING HEART","93623","N/A","N/A","N/A","N/A","N/A","2341.00","2341.00","N/A","N/A","N/A","2341.00","2341.00","N/A","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00","2341.00"
"5","N/A","ELECTROPHYSIOLOGIC STUDY","93624","N/A","N/A","N/A","N/A","N/A","11941.00","11941.00","N/A","N/A","N/A","11941.00","11941.00","N/A","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00"
"5","N/A","HCHG EPS F/U STUDY","93624","N/A","N/A","N/A","N/A","N/A","11941.00","11941.00","N/A","N/A","N/A","11941.00","11941.00","N/A","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00","11941.00"
"5","N/A","EVALUATION HEART DEVICE","93640","N/A","N/A","N/A","N/A","N/A","1072.00","1072.00","N/A","N/A","N/A","1072.00","1072.00","N/A","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00"
"5","N/A","HCHG AICD LEAD TEST","93640","N/A","N/A","N/A","N/A","N/A","1072.00","1072.00","N/A","N/A","N/A","1072.00","1072.00","N/A","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00","1072.00"
"5","N/A","ELECTROPHYSIOLOGY EVALUATION","93641","N/A","N/A","N/A","N/A","N/A","2757.00","2757.00","N/A","N/A","N/A","2757.00","2757.00","N/A","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00"
"5","N/A","HCHG AICD LEAD/GEN TEST","93641","N/A","N/A","N/A","N/A","N/A","2757.00","2757.00","N/A","N/A","N/A","2757.00","2757.00","N/A","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00","2757.00"
"5","N/A","ELECTROPHYSIOLOGY EVALUATION","93642","N/A","N/A","N/A","N/A","N/A","6277.00","6277.00","N/A","N/A","N/A","6277.00","6277.00","N/A","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00"
"5","N/A","HCHG EPS AICD CONVERSION TEST","93642","N/A","N/A","N/A","N/A","N/A","6277.00","6277.00","N/A","N/A","N/A","6277.00","6277.00","N/A","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00","6277.00"
"5","N/A","ABLATE HEART DYSRHYTHM FOCUS","93650","N/A","N/A","N/A","N/A","N/A","10938.00","10938.00","N/A","N/A","N/A","10938.00","10938.00","N/A","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00"
"5","N/A","HCHG EPS CATH ABLATION-HRT BLOCK","93650","N/A","N/A","N/A","N/A","N/A","10938.00","10938.00","N/A","N/A","N/A","10938.00","10938.00","N/A","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00"
"5","N/A","HCHG RF ABLATION-HRT BLK ADD TO EP","93650","N/A","N/A","N/A","N/A","N/A","10938.00","10938.00","N/A","N/A","N/A","10938.00","10938.00","N/A","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00","10938.00"
"5","N/A","EP & ABLATE SUPRAVENT ARRHYT","93653","N/A","N/A","N/A","N/A","N/A","27971.00","27971.00","N/A","N/A","N/A","27971.00","27971.00","N/A","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00"
"5","N/A","HCHG EPS COMP MAPPING-INDUCTION-WITH SVT ABLATION","93653","N/A","N/A","N/A","N/A","N/A","27971.00","27971.00","N/A","N/A","N/A","27971.00","27971.00","N/A","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00"
"5","N/A","EP & ABLATE VENTRIC TACHY","93654","N/A","N/A","N/A","N/A","N/A","27971.00","27971.00","N/A","N/A","N/A","27971.00","27971.00","N/A","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00"
"5","N/A","HCHG EPS COMP MAPPING/INDUCT W/VT ABLATION","93654","N/A","N/A","N/A","N/A","N/A","27971.00","27971.00","N/A","N/A","N/A","27971.00","27971.00","N/A","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00"
"5","N/A","ABLATE ARRHYTHMIA ADD ON","93655","N/A","N/A","N/A","N/A","N/A","20980.00","20980.00","N/A","N/A","N/A","20980.00","20980.00","N/A","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00"
"5","N/A","HCHG INTRACARDIAC CATH ABLATION-SECONDARY FOCI (ALL)","93655","N/A","N/A","N/A","N/A","N/A","20980.00","20980.00","N/A","N/A","N/A","20980.00","20980.00","N/A","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00","20980.00"
"5","N/A","HCHG EPS COMP MAPPING W/AFIB ABLATION-PVI","93656","N/A","N/A","N/A","N/A","N/A","27971.00","27971.00","N/A","N/A","N/A","27971.00","27971.00","N/A","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00"
"5","N/A","TX ATRIAL FIB PULM VEIN ISOL","93656","N/A","N/A","N/A","N/A","N/A","27971.00","27971.00","N/A","N/A","N/A","27971.00","27971.00","N/A","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00","27971.00"
"5","N/A","HCHG ADD'L INTRACARDAC CATH ABLATION-POST AF PVI ABLAT","93657","N/A","N/A","N/A","N/A","N/A","5300.00","5300.00","N/A","N/A","N/A","5300.00","5300.00","N/A","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00"
"5","N/A","TX L/R ATRIAL FIB ADDL","93657","N/A","N/A","N/A","N/A","N/A","5300.00","5300.00","N/A","N/A","N/A","5300.00","5300.00","N/A","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00","5300.00"
"5","N/A","HCHG HEAD UPRIGHT TILT","93660","N/A","N/A","N/A","N/A","N/A","2996.00","2996.00","N/A","N/A","N/A","2996.00","2996.00","N/A","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00"
"5","N/A","TILT TABLE EVALUATION","93660","N/A","N/A","N/A","N/A","N/A","2996.00","2996.00","N/A","N/A","N/A","2996.00","2996.00","N/A","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00","2996.00"
"5","N/A","HCHG INTRACARDIAC ECHO (ICE)","93662","N/A","N/A","N/A","N/A","N/A","1027.00","1027.00","N/A","N/A","N/A","1027.00","1027.00","N/A","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00"
"5","N/A","INTRACARDIAC ECG (ICE)","93662","N/A","N/A","N/A","N/A","N/A","1027.00","1027.00","N/A","N/A","N/A","1027.00","1027.00","N/A","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00","1027.00"
"5","N/A","HCHG LVAD CH/INTR & REPRGM","93750","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","INTERROGATION VAD IN PERSON","93750","N/A","N/A","N/A","N/A","N/A","246.00","246.00","N/A","N/A","N/A","246.00","246.00","N/A","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00","246.00"
"5","N/A","AMBL BP MNTR W/SW REC ONLY","93786","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","HCHG ABP MONITORING 24+ HRS; RECORDING","93786","N/A","N/A","N/A","N/A","N/A","259.00","259.00","N/A","N/A","N/A","259.00","259.00","N/A","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00","259.00"
"5","N/A","AMBL BP MNTR W/SW A/R","93788","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG ABP MONITORING 24+ HRS; SCANNING ANALYSIS & REPORT","93788","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","CARDIAC REHAB","93797","N/A","N/A","N/A","N/A","N/A","271.00","271.00","N/A","N/A","N/A","271.00","271.00","N/A","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00"
"5","N/A","HCHG CARDIAC REHAB WITHOUT EKG","93797","N/A","N/A","N/A","N/A","N/A","271.00","271.00","N/A","N/A","N/A","271.00","271.00","N/A","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00"
"5","N/A","CARDIAC REHAB/MONITOR","93798","N/A","N/A","N/A","N/A","N/A","271.00","271.00","N/A","N/A","N/A","271.00","271.00","N/A","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00"
"5","N/A","HCHG CARDIAC REHAB WITH EKG","93798","N/A","N/A","N/A","N/A","N/A","271.00","271.00","N/A","N/A","N/A","271.00","271.00","N/A","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00","271.00"
"5","N/A","CARDIOVASCULAR PROCEDURE","93799","N/A","N/A","N/A","N/A","N/A","20309.00","20309.00","N/A","N/A","N/A","20309.00","20309.00","N/A","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00"
"5","N/A","HCHG FRACTIONAL FLOW RESERVE - STAND ALONE - OTHER CV PROCEDURES","93799","N/A","N/A","N/A","N/A","N/A","20309.00","20309.00","N/A","N/A","N/A","20309.00","20309.00","N/A","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00"
"5","N/A","HCHG FRACTIONAL FLOW RESERVE MEASUREMENT - RENAL ART","93799","N/A","N/A","N/A","N/A","N/A","20309.00","20309.00","N/A","N/A","N/A","20309.00","20309.00","N/A","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00"
"5","N/A","HCHG INTRACARDIAC ECHO (ICE) - STAND ALONE","93799","N/A","N/A","N/A","N/A","N/A","20309.00","20309.00","N/A","N/A","N/A","20309.00","20309.00","N/A","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00"
"5","N/A","HCHG PROCAINAMIDE CHALLENGE","93799","N/A","N/A","N/A","N/A","N/A","20309.00","20309.00","N/A","N/A","N/A","20309.00","20309.00","N/A","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00"
"5","N/A","HCHG TRICUSPID VALVULOPLASTY","93799","N/A","N/A","N/A","N/A","N/A","20309.00","20309.00","N/A","N/A","N/A","20309.00","20309.00","N/A","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00","20309.00"
"5","N/A","EXTRACRANIAL BILAT STUDY","93880","N/A","N/A","N/A","N/A","N/A","1015.00","1015.00","N/A","N/A","N/A","1015.00","1015.00","N/A","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00"
"5","N/A","HCHG CAROTID DPLX SCAN, BILAT STUDY","93880","N/A","N/A","N/A","N/A","N/A","1015.00","1015.00","N/A","N/A","N/A","1015.00","1015.00","N/A","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00","1015.00"
"5","N/A","EXTRACRANIAL UNI/LTD STUDY","93882","N/A","N/A","N/A","N/A","N/A","1009.00","1009.00","N/A","N/A","N/A","1009.00","1009.00","N/A","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00"
"5","N/A","HCHG CAROTID DPLX SCAN-UNILAT","93882","N/A","N/A","N/A","N/A","N/A","1009.00","1009.00","N/A","N/A","N/A","1009.00","1009.00","N/A","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00","1009.00"
"5","N/A","HCHG TCD COMPLETE STUDY","93886","N/A","N/A","N/A","N/A","N/A","742.00","742.00","N/A","N/A","N/A","742.00","742.00","N/A","742.00","742.00","742.00","742.00","742.00","742.00","742.00","742.00","742.00","742.00"
"5","N/A","INTRACRANIAL COMPLETE STUDY","93886","N/A","N/A","N/A","N/A","N/A","742.00","742.00","N/A","N/A","N/A","742.00","742.00","N/A","742.00","742.00","742.00","742.00","742.00","742.00","742.00","742.00","742.00","742.00"
"5","N/A","HCHG TCD LIMITED STUDY","93888","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","INTRACRANIAL LIMITED STUDY","93888","N/A","N/A","N/A","N/A","N/A","263.00","263.00","N/A","N/A","N/A","263.00","263.00","N/A","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00","263.00"
"5","N/A","HCHG LIMITED BILAT UPR/LWR XTR ART STDY 1-2 LVLS","93922","N/A","N/A","N/A","N/A","N/A","486.00","486.00","N/A","N/A","N/A","486.00","486.00","N/A","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00"
"5","N/A","HCHG LIMITED UNILAT UPR/LWR XTR ART STDY 1-2 LVLS","93922","N/A","N/A","N/A","N/A","N/A","486.00","486.00","N/A","N/A","N/A","486.00","486.00","N/A","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00"
"5","N/A","HCHG LIMITED UPR/LWR XTR ART STDY 1-2 LVLS","93922","N/A","N/A","N/A","N/A","N/A","486.00","486.00","N/A","N/A","N/A","486.00","486.00","N/A","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00"
"5","N/A","HCHG SEGMNT PRESSURE-SNGL LEV","93922","N/A","N/A","N/A","N/A","N/A","486.00","486.00","N/A","N/A","N/A","486.00","486.00","N/A","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00"
"5","N/A","UPR/L XTREMITY ART 2 LEVELS","93922","N/A","N/A","N/A","N/A","N/A","486.00","486.00","N/A","N/A","N/A","486.00","486.00","N/A","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00","486.00"
"5","N/A","HCHG COMPLETE BILAT UPR/LWR XTR ART STDY 3+ LVLS","93923","N/A","N/A","N/A","N/A","N/A","599.00","599.00","N/A","N/A","N/A","599.00","599.00","N/A","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00"
"5","N/A","HCHG COMPLETE UPR/LWR XTR ART STDY 3+ LVLS","93923","N/A","N/A","N/A","N/A","N/A","599.00","599.00","N/A","N/A","N/A","599.00","599.00","N/A","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00"
"5","N/A","HCHG SEGMNT LIMB PRESSUR-LOW EXTREM, BILAT STUDY","93923","N/A","N/A","N/A","N/A","N/A","599.00","599.00","N/A","N/A","N/A","599.00","599.00","N/A","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00"
"5","N/A","UPR/LXTR ART STDY 3+ LVLS","93923","N/A","N/A","N/A","N/A","N/A","599.00","599.00","N/A","N/A","N/A","599.00","599.00","N/A","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00","599.00"
"5","N/A","HCHG ART DPLX IMAG PERIP-LOW EXTREM, BILAT STUDY","93925","N/A","N/A","N/A","N/A","N/A","1039.00","1039.00","N/A","N/A","N/A","1039.00","1039.00","N/A","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00"
"5","N/A","LOWER EXTREMITY STUDY","93925","N/A","N/A","N/A","N/A","N/A","1039.00","1039.00","N/A","N/A","N/A","1039.00","1039.00","N/A","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00"
"5","N/A","HCHG ART DPLX IMAG PERIP F/U-LOW EXTREM","93926","N/A","N/A","N/A","N/A","N/A","830.00","830.00","N/A","N/A","N/A","830.00","830.00","N/A","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00"
"5","N/A","LOWER EXTREMITY STUDY","93926","N/A","N/A","N/A","N/A","N/A","830.00","830.00","N/A","N/A","N/A","830.00","830.00","N/A","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00"
"5","N/A","HCHG ART DPLX IMG PERIP-UPP CMPL, BILAT STUDY","93930","N/A","N/A","N/A","N/A","N/A","1039.00","1039.00","N/A","N/A","N/A","1039.00","1039.00","N/A","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00"
"5","N/A","UPPER EXTREMITY STUDY","93930","N/A","N/A","N/A","N/A","N/A","1039.00","1039.00","N/A","N/A","N/A","1039.00","1039.00","N/A","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00","1039.00"
"5","N/A","HCHG ART DPLX IMG PERIP-UPP LTD","93931","N/A","N/A","N/A","N/A","N/A","830.00","830.00","N/A","N/A","N/A","830.00","830.00","N/A","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00"
"5","N/A","UPPER EXTREMITY STUDY","93931","N/A","N/A","N/A","N/A","N/A","830.00","830.00","N/A","N/A","N/A","830.00","830.00","N/A","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00","830.00"
"5","N/A","EXTREMITY STUDY","93970","N/A","N/A","N/A","N/A","N/A","934.00","934.00","N/A","N/A","N/A","934.00","934.00","N/A","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00"
"5","N/A","HCHG DPLX SCAN-EXTREM VEINS CMPL","93970","N/A","N/A","N/A","N/A","N/A","934.00","934.00","N/A","N/A","N/A","934.00","934.00","N/A","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00"
"5","N/A","HCHG VEIN MAP IMAGING PERIPH, BILAT STUDY","93970","N/A","N/A","N/A","N/A","N/A","934.00","934.00","N/A","N/A","N/A","934.00","934.00","N/A","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00"
"5","N/A","HCHG VENOUS DPLX IMAGING PERIP","93970","N/A","N/A","N/A","N/A","N/A","934.00","934.00","N/A","N/A","N/A","934.00","934.00","N/A","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00","934.00"
"5","N/A","EXTREMITY STUDY","93971","N/A","N/A","N/A","N/A","N/A","753.00","753.00","N/A","N/A","N/A","753.00","753.00","N/A","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00"
"5","N/A","HCHG DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY","93971","N/A","N/A","N/A","N/A","N/A","753.00","753.00","N/A","N/A","N/A","753.00","753.00","N/A","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00"
"5","N/A","HCHG VEIN MAP IMAGING PERIPH LTD","93971","N/A","N/A","N/A","N/A","N/A","753.00","753.00","N/A","N/A","N/A","753.00","753.00","N/A","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00"
"5","N/A","HCHG VENOUS DPLX IMAGING PERIP F/U","93971","N/A","N/A","N/A","N/A","N/A","753.00","753.00","N/A","N/A","N/A","753.00","753.00","N/A","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00","753.00"
"5","N/A","HCHG DOPPLER STUDY, COMPLETE","93975","N/A","N/A","N/A","N/A","N/A","1279.00","1279.00","N/A","N/A","N/A","1279.00","1279.00","N/A","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00"
"5","N/A","HCHG MESENTERIC DPLX C CALORIC CHAL","93975","N/A","N/A","N/A","N/A","N/A","1279.00","1279.00","N/A","N/A","N/A","1279.00","1279.00","N/A","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00"
"5","N/A","HCHG MESENTERIC DPLX SCAN","93975","N/A","N/A","N/A","N/A","N/A","1279.00","1279.00","N/A","N/A","N/A","1279.00","1279.00","N/A","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00"
"5","N/A","HCHG RENAL ARTERY DPLX SCAN","93975","N/A","N/A","N/A","N/A","N/A","1279.00","1279.00","N/A","N/A","N/A","1279.00","1279.00","N/A","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00"
"5","N/A","VASCULAR STUDY","93975","N/A","N/A","N/A","N/A","N/A","1279.00","1279.00","N/A","N/A","N/A","1279.00","1279.00","N/A","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00","1279.00"
"5","N/A","HCHG DOPPLER/DUPLEX STUDY LIMITED","93976","N/A","N/A","N/A","N/A","N/A","876.00","876.00","N/A","N/A","N/A","876.00","876.00","N/A","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00"
"5","N/A","HCHG DPLX SCAN RENAL AR LTD","93976","N/A","N/A","N/A","N/A","N/A","876.00","876.00","N/A","N/A","N/A","876.00","876.00","N/A","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00"
"5","N/A","VASCULAR STUDY","93976","N/A","N/A","N/A","N/A","N/A","876.00","876.00","N/A","N/A","N/A","876.00","876.00","N/A","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00","876.00"
"5","N/A","HCHG DPLX SCAN-AORTA IVC ILIAC CMPL","93978","N/A","N/A","N/A","N/A","N/A","1044.00","1044.00","N/A","N/A","N/A","1044.00","1044.00","N/A","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00"
"5","N/A","VASCULAR STUDY","93978","N/A","N/A","N/A","N/A","N/A","1044.00","1044.00","N/A","N/A","N/A","1044.00","1044.00","N/A","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00"
"5","N/A","HCHG DPLX SCAN-AORTA IVC ILIAC-LTD","93979","N/A","N/A","N/A","N/A","N/A","582.00","582.00","N/A","N/A","N/A","582.00","582.00","N/A","582.00","582.00","582.00","582.00","582.00","582.00","582.00","582.00","582.00","582.00"
"5","N/A","VASCULAR STUDY","93979","N/A","N/A","N/A","N/A","N/A","582.00","582.00","N/A","N/A","N/A","582.00","582.00","N/A","582.00","582.00","582.00","582.00","582.00","582.00","582.00","582.00","582.00","582.00"
"5","N/A","DUP-SCAN HEMO COMPL BI STD","93985","N/A","N/A","N/A","N/A","N/A","808.00","808.00","N/A","N/A","N/A","808.00","808.00","N/A","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00"
"5","N/A","HCHG BILAT VEIN MAP PRE HEMO ACCESS","93985","N/A","N/A","N/A","N/A","N/A","808.00","808.00","N/A","N/A","N/A","808.00","808.00","N/A","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00","808.00"
"5","N/A","DUP-SCAN HEMO COMPL UNI STD","93986","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","HCHG UNILAT VEIN MAP PRE HEMO ACCESS","93986","N/A","N/A","N/A","N/A","N/A","390.00","390.00","N/A","N/A","N/A","390.00","390.00","N/A","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00","390.00"
"5","N/A","DOPPLER FLOW TESTING","93990","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG EXTREM ARTERIAL-VENOUS STUDY","93990","N/A","N/A","N/A","N/A","N/A","596.00","596.00","N/A","N/A","N/A","596.00","596.00","N/A","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00","596.00"
"5","N/A","HCHG CAROTID RISK IMT RESEARCH STUDY","93998","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","NONINVAS VASC DX STUDY PROC","93998","N/A","N/A","N/A","N/A","N/A","280.00","280.00","N/A","N/A","N/A","280.00","280.00","N/A","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00","280.00"
"5","N/A","HCHG HFOV VENT MGMT INITIAL DAY","94002","N/A","N/A","N/A","N/A","N/A","5319.00","5319.00","N/A","N/A","N/A","5319.00","5319.00","N/A","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00"
"5","N/A","HCHG VENT MGMT INITIAL DAY","94002","N/A","N/A","N/A","N/A","N/A","5319.00","5319.00","N/A","N/A","N/A","5319.00","5319.00","N/A","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00"
"5","N/A","VENT MGMT INPAT INIT DAY","94002","N/A","N/A","N/A","N/A","N/A","5319.00","5319.00","N/A","N/A","N/A","5319.00","5319.00","N/A","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00","5319.00"
"5","N/A","HCHG HFOV VENT MGMT SUBSEQUENT DAY","94003","N/A","N/A","N/A","N/A","N/A","4567.00","4567.00","N/A","N/A","N/A","4567.00","4567.00","N/A","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00"
"5","N/A","HCHG VENT MGMT SUBSEQUENT DAY","94003","N/A","N/A","N/A","N/A","N/A","4567.00","4567.00","N/A","N/A","N/A","4567.00","4567.00","N/A","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00"
"5","N/A","VENT MGMT INPAT SUBQ DAY","94003","N/A","N/A","N/A","N/A","N/A","4567.00","4567.00","N/A","N/A","N/A","4567.00","4567.00","N/A","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00","4567.00"
"5","N/A","BREATHING CAPACITY TEST","94010","N/A","N/A","N/A","N/A","N/A","376.00","376.00","N/A","N/A","N/A","376.00","376.00","N/A","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00"
"5","N/A","HCHG SIMP SPIROMETRY","94010","N/A","N/A","N/A","N/A","N/A","376.00","376.00","N/A","N/A","N/A","376.00","376.00","N/A","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00"
"5","N/A","HCHG SPIROMETRY","94010","N/A","N/A","N/A","N/A","N/A","376.00","376.00","N/A","N/A","N/A","376.00","376.00","N/A","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00"
"5","N/A","EVALUATION OF WHEEZING","94060","N/A","N/A","N/A","N/A","N/A","517.00","517.00","N/A","N/A","N/A","517.00","517.00","N/A","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00"
"5","N/A","HCHG BRONCHOSPASM","94060","N/A","N/A","N/A","N/A","N/A","517.00","517.00","N/A","N/A","N/A","517.00","517.00","N/A","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00"
"5","N/A","HCHG PEAK FLOW MEASURE","94060","N/A","N/A","N/A","N/A","N/A","517.00","517.00","N/A","N/A","N/A","517.00","517.00","N/A","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00","517.00"
"5","N/A","EVALUATION OF WHEEZING","94070","N/A","N/A","N/A","N/A","N/A","1086.00","1086.00","N/A","N/A","N/A","1086.00","1086.00","N/A","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00"
"5","N/A","HCHG BRONCHO PROVOCATION EVAL. SPIROMETRY","94070","N/A","N/A","N/A","N/A","N/A","1086.00","1086.00","N/A","N/A","N/A","1086.00","1086.00","N/A","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00"
"5","N/A","HCHG VITAL CAPACITY & NIF","94150","N/A","N/A","N/A","N/A","N/A","202.00","202.00","N/A","N/A","N/A","202.00","202.00","N/A","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00"
"5","N/A","VITAL CAPACITY TEST","94150","N/A","N/A","N/A","N/A","N/A","202.00","202.00","N/A","N/A","N/A","202.00","202.00","N/A","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00","202.00"
"5","N/A","HCHG APNEA DIFFUSION TEST","94450","N/A","N/A","N/A","N/A","N/A","325.00","325.00","N/A","N/A","N/A","325.00","325.00","N/A","325.00","325.00","325.00","325.00","325.00","325.00","325.00","325.00","325.00","325.00"
"5","N/A","HYPOXIA RESPONSE CURVE","94450","N/A","N/A","N/A","N/A","N/A","325.00","325.00","N/A","N/A","N/A","325.00","325.00","N/A","325.00","325.00","325.00","325.00","325.00","325.00","325.00","325.00","325.00","325.00"
"5","N/A","HCHG PULMONARY STRESS TEST","94618","N/A","N/A","N/A","N/A","N/A","526.00","526.00","N/A","N/A","N/A","526.00","526.00","N/A","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00"
"5","N/A","PULMONARY STRESS TESTING","94618","N/A","N/A","N/A","N/A","N/A","526.00","526.00","N/A","N/A","N/A","526.00","526.00","N/A","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00"
"5","N/A","AIRWAY INHALATION TREATMENT","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG AERONEB TX","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG AIRWAY INHALATION TREATMENT","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG MDI TX SUBSEQ","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG META NEB COMBO TX, INITIAL","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG META NEB COMBO TX, SUBSEQUENT","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG NEBULIZER VENT TX","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG PAP SYSTEM INITIAL","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG PAP SYSTEM SUBSEQUENT","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG SVN INITIAL TX","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG SVN SUB TX","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG SVN W PEAK FLOW INITIAL","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG SVN W PEAK FLOW SUBSEQUENT","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG ULTRASONIC TX INITIAL","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","HCHG ULTRASONIC TX SUBSEQUENT","94640","N/A","N/A","N/A","N/A","N/A","598.00","598.00","N/A","N/A","N/A","598.00","598.00","N/A","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00","598.00"
"5","N/A","AEROSOL INHALATION TREATMENT","94642","N/A","N/A","N/A","N/A","N/A","526.00","526.00","N/A","N/A","N/A","526.00","526.00","N/A","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00"
"5","N/A","HCHG PENTAMIDINE AEROSOL","94642","N/A","N/A","N/A","N/A","N/A","526.00","526.00","N/A","N/A","N/A","526.00","526.00","N/A","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00","526.00"
"5","N/A","HCHG BIPAP/CPAP PER HOUR","94660","N/A","N/A","N/A","N/A","N/A","2056.00","2056.00","N/A","N/A","N/A","2056.00","2056.00","N/A","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00"
"5","N/A","HCHG HI-FLOW SYSTEM INITIAL DAY","94660","N/A","N/A","N/A","N/A","N/A","2056.00","2056.00","N/A","N/A","N/A","2056.00","2056.00","N/A","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00"
"5","N/A","HCHG HI-FLOW SYSTEM SUBSEQ DAY","94660","N/A","N/A","N/A","N/A","N/A","2056.00","2056.00","N/A","N/A","N/A","2056.00","2056.00","N/A","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00"
"5","N/A","HCHG NPPV INITIAL DAY","94660","N/A","N/A","N/A","N/A","N/A","2056.00","2056.00","N/A","N/A","N/A","2056.00","2056.00","N/A","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00"
"5","N/A","HCHG NPPV SUBSEQUENT DAY","94660","N/A","N/A","N/A","N/A","N/A","2056.00","2056.00","N/A","N/A","N/A","2056.00","2056.00","N/A","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00"
"5","N/A","POS AIRWAY PRESSURE CPAP","94660","N/A","N/A","N/A","N/A","N/A","2056.00","2056.00","N/A","N/A","N/A","2056.00","2056.00","N/A","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00","2056.00"
"5","N/A","EVALUATE PT USE OF INHALER","94664","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","HCHG EVALUATE PT USE OF INHALER","94664","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","HCHG MDI TX INIT","94664","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","HCHG MDI VENT TX DEMO//EVAL","94664","N/A","N/A","N/A","N/A","N/A","476.00","476.00","N/A","N/A","N/A","476.00","476.00","N/A","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00","476.00"
"5","N/A","CHEST WALL MANIPULATION","94667","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG MANIPULATION CHEST WALL INITIAL","94667","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG PEP MASK INIT","94667","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG QUAD COUGH INIT","94667","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","HCHG VEST PROCEDURE INITIAL","94667","N/A","N/A","N/A","N/A","N/A","524.00","524.00","N/A","N/A","N/A","524.00","524.00","N/A","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00","524.00"
"5","N/A","CHEST WALL MANIPULATION","94668","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","HCHG MANIPULATION CHEST WALL SUBSQ","94668","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","HCHG PEP MASK THERAPY SUBSEQ","94668","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","HCHG QUAD COUGH SUBSEQ","94668","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","HCHG VEST SUBSEQUENT","94668","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","EXHALED AIR ANALYSIS","94690","N/A","N/A","N/A","N/A","N/A","577.00","577.00","N/A","N/A","N/A","577.00","577.00","N/A","577.00","577.00","577.00","577.00","577.00","577.00","577.00","577.00","577.00","577.00"
"5","N/A","HCHG OXYGEN UPTAKE REST INDIRECT","94690","N/A","N/A","N/A","N/A","N/A","577.00","577.00","N/A","N/A","N/A","577.00","577.00","N/A","577.00","577.00","577.00","577.00","577.00","577.00","577.00","577.00","577.00","577.00"
"5","N/A","HCHG NONINVAS OXIMETRY SNGL","94760","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG OXIMETRY SINGLE","94760","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","MEASURE BLOOD OXYGEN LEVEL","94760","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG NONINVAS OXIMETRY MULT","94761","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","HCHG OXIMETRY MULT","94761","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","MEASURE BLOOD OXYGEN LEVEL","94761","N/A","N/A","N/A","N/A","N/A","190.00","190.00","N/A","N/A","N/A","190.00","190.00","N/A","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00","190.00"
"5","N/A","HCHG OXIMETRY CONTINUOUS","94762","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","MEASURE BLOOD OXYGEN LEVEL","94762","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","HCHG ASSESS & TREAT PDP INIT EVAL","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG BEDSIDE PULMONARY MECHANICS","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG CONTINUOUS AEROSOL MIST W/ OR W/OUT OXYGEN","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG HELIOX PER 24HRS","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG INO HOURLY – OR/ICU","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG MANUAL VENTILATION","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG OXYGEN THERAPY","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG PULMONARY LAB-DISABILITY DETERMINATION","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG RAPID RESPONSE","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG TRACH TUBE CARE","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG TRANSCUTANEOUS MONITORING","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","PULMONARY SERVICE/PROCEDURE","94799","N/A","N/A","N/A","N/A","N/A","1240.00","1240.00","N/A","N/A","N/A","1240.00","1240.00","N/A","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00","1240.00"
"5","N/A","HCHG PERCUTANEOUS ALLERGY SKIN TEST","95004","N/A","N/A","N/A","N/A","N/A","2637.00","2637.00","N/A","N/A","N/A","2637.00","2637.00","N/A","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00"
"5","N/A","PERCUT ALLERGY SKIN TESTS","95004","N/A","N/A","N/A","N/A","N/A","2637.00","2637.00","N/A","N/A","N/A","2637.00","2637.00","N/A","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00","2637.00"
"5","N/A","ALLERGY PATCH TESTS","95044","N/A","N/A","N/A","N/A","N/A","1150.00","1150.00","N/A","N/A","N/A","1150.00","1150.00","N/A","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00"
"5","N/A","HCHG PATCH OR APPLICATION TEST(S)","95044","N/A","N/A","N/A","N/A","N/A","1150.00","1150.00","N/A","N/A","N/A","1150.00","1150.00","N/A","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00","1150.00"
"5","N/A","BRONCHIAL ALLERGY TESTS","95070","N/A","N/A","N/A","N/A","N/A","1086.00","1086.00","N/A","N/A","N/A","1086.00","1086.00","N/A","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00"
"5","N/A","HCHG BRONCHIAL METHACHOLINE CHALLEGE TEST","95070","N/A","N/A","N/A","N/A","N/A","1086.00","1086.00","N/A","N/A","N/A","1086.00","1086.00","N/A","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00","1086.00"
"5","N/A","CONT GLUC MNTR PHYS/QHP EQP","95250","N/A","N/A","N/A","N/A","N/A","449.00","449.00","N/A","N/A","N/A","449.00","449.00","N/A","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00"
"5","N/A","HCHG GLUCOSE MONITOR CONT >72HRS","95250","N/A","N/A","N/A","N/A","N/A","449.00","449.00","N/A","N/A","N/A","449.00","449.00","N/A","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00","449.00"
"5","N/A","EEG CONT REC W/VID EEG TECH","95700","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","HCHG EEG W/ VID TECH SETUP, EACH 24-HOURS","95700","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","EEG W/O VID 2-12 HR UNMNTR","95705","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","HCHG EEG NO VID TECH DATA REVIEW 2-12 HOURS UNMONITORED","95705","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","EEG WO VID 2-12HR INTMT MNTR","95706","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","HCHG EEG NO VID TECH DATA REVIEW 2-12 HOURS INTERMITTENT MONITOR","95706","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","EEG W/O VID 2-12HR CONT MNTR","95707","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","HCHG EEG NO VID TECH DATA REVIEW 2-12 HOURS CONTINUOUS MONITOR","95707","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","EEG WO VID EA 12-26HR UNMNTR","95708","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","HCHG EEG NO VID TECH DATA REVIEW 12-26 HOURS UNMONITORED","95708","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","EEG W/O VID EA 12-26HR INTMT","95709","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","HCHG EEG NO VID TECH DATA REVIEW 12-26 HOURS INTERMITTENT MONITOR","95709","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","EEG W/O VID EA 12-26HR CONT","95710","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","HCHG EEG NO VID TECH DATA REVIEW 12-26 HOURS CONTINUOUS MONITOR","95710","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","HCHG EEG W/ VID TECH DATA REVIEW 2-12 HOURS UNMONITORED","95711","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","VEEG 2-12 HR UNMONITORED","95711","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","HCHG EEG W/ VID TECH DATA REVIEW 2-12 HOURS INTERMITTENT MONITOR","95712","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","VEEG 2-12 HR INTMT MNTR","95712","N/A","N/A","N/A","N/A","N/A","1076.00","1076.00","N/A","N/A","N/A","1076.00","1076.00","N/A","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00","1076.00"
"5","N/A","HCHG EEG W/ VID TECH DATA REVIEW 2-12 HOURS CONTINUOUS MONITOR","95713","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","VEEG 2-12 HR CONT MNTR","95713","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","HCHG EEG W/ VID TECH DATA REVIEW 12-26 HOURS UNMONITORED","95714","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","VEEG EA 12-26 HR UNMNTR","95714","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","HCHG EEG W/ VID TECH DATA REVIEW 12-26 HOURS INTERMITTENT MONITORED","95715","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","VEEG EA 12-26HR INTMT MNTR","95715","N/A","N/A","N/A","N/A","N/A","2066.00","2066.00","N/A","N/A","N/A","2066.00","2066.00","N/A","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00","2066.00"
"5","N/A","HCHG EEG W/ VID TECH DATA REVIEW 12-26 HOURS CONTINUOUS MONITOR","95716","N/A","N/A","N/A","N/A","N/A","3865.00","3865.00","N/A","N/A","N/A","3865.00","3865.00","N/A","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00"
"5","N/A","VEEG EA 12-26HR CONT MNTR","95716","N/A","N/A","N/A","N/A","N/A","3865.00","3865.00","N/A","N/A","N/A","3865.00","3865.00","N/A","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00","3865.00"
"5","N/A","HCHG NAP STUDY < 6Y W 4+ PARAMETERS","95782","N/A","N/A","N/A","N/A","N/A","3307.00","3307.00","N/A","N/A","N/A","3307.00","3307.00","N/A","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00"
"5","N/A","HCHG SLEEP APNEA STUDY < 6Y","95782","N/A","N/A","N/A","N/A","N/A","3307.00","3307.00","N/A","N/A","N/A","3307.00","3307.00","N/A","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00"
"5","N/A","HCHG SLEEP APNEA STUDY F/U < 6Y","95782","N/A","N/A","N/A","N/A","N/A","3307.00","3307.00","N/A","N/A","N/A","3307.00","3307.00","N/A","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00"
"5","N/A","POLYSOM <6 YRS 4/> PARAMTRS","95782","N/A","N/A","N/A","N/A","N/A","3307.00","3307.00","N/A","N/A","N/A","3307.00","3307.00","N/A","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00","3307.00"
"5","N/A","HCHG SLEEP APNEA STUDY W CPAP < 6Y","95783","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","HCHG SLEEP APNEA W CPAP F/U < 6Y","95783","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","POLYSOM <6 YRS CPAP/BILVL","95783","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","HCHG MULT SLEEP LATENCY TESTING","95805","N/A","N/A","N/A","N/A","N/A","2459.00","2459.00","N/A","N/A","N/A","2459.00","2459.00","N/A","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00"
"5","N/A","MULTIPLE SLEEP LATENCY TEST","95805","N/A","N/A","N/A","N/A","N/A","2459.00","2459.00","N/A","N/A","N/A","2459.00","2459.00","N/A","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00","2459.00"
"5","N/A","HCHG SLEEP STUDY - UNATTENDED","95806","N/A","N/A","N/A","N/A","N/A","2025.00","2025.00","N/A","N/A","N/A","2025.00","2025.00","N/A","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00"
"5","N/A","SLEEP STUDY UNATT&RESP EFFT","95806","N/A","N/A","N/A","N/A","N/A","2025.00","2025.00","N/A","N/A","N/A","2025.00","2025.00","N/A","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00","2025.00"
"5","N/A","HCHG MODIFIED SLEEP STUDY","95807","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","SLEEP STUDY ATTENDED","95807","N/A","N/A","N/A","N/A","N/A","2148.00","2148.00","N/A","N/A","N/A","2148.00","2148.00","N/A","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00","2148.00"
"5","N/A","HCHG NAP STUDY 6Y OR > W 4+ PARAMETERS","95810","N/A","N/A","N/A","N/A","N/A","3723.00","3723.00","N/A","N/A","N/A","3723.00","3723.00","N/A","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00"
"5","N/A","HCHG SLEEP APNEA STUDY 6Y OR >","95810","N/A","N/A","N/A","N/A","N/A","3723.00","3723.00","N/A","N/A","N/A","3723.00","3723.00","N/A","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00"
"5","N/A","HCHG SLEEP APNEA STUDY F/U 6Y OR >","95810","N/A","N/A","N/A","N/A","N/A","3723.00","3723.00","N/A","N/A","N/A","3723.00","3723.00","N/A","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00"
"5","N/A","POLYSOM 6/> YRS 4/> PARAM","95810","N/A","N/A","N/A","N/A","N/A","3723.00","3723.00","N/A","N/A","N/A","3723.00","3723.00","N/A","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00","3723.00"
"5","N/A","HCHG SLEEP APNEA STUDY W CPAP 6Y OR >","95811","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","HCHG SLEEP APNEA W CPAP F/U 6Y OR >","95811","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","POLYSOM 6/>YRS CPAP 4/> PARM","95811","N/A","N/A","N/A","N/A","N/A","4338.00","4338.00","N/A","N/A","N/A","4338.00","4338.00","N/A","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00","4338.00"
"5","N/A","EEG EXTND MNTR 61-119 MIN","95813","N/A","N/A","N/A","N/A","N/A","1632.00","1632.00","N/A","N/A","N/A","1632.00","1632.00","N/A","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00"
"5","N/A","HCHG EEG GREATER THAN 1 HR","95813","N/A","N/A","N/A","N/A","N/A","1632.00","1632.00","N/A","N/A","N/A","1632.00","1632.00","N/A","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00","1632.00"
"5","N/A","EEG AWAKE AND DROWSY","95816","N/A","N/A","N/A","N/A","N/A","1019.00","1019.00","N/A","N/A","N/A","1019.00","1019.00","N/A","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00"
"5","N/A","HCHG EEG AWAKE & DROWSY","95816","N/A","N/A","N/A","N/A","N/A","1019.00","1019.00","N/A","N/A","N/A","1019.00","1019.00","N/A","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00","1019.00"
"5","N/A","EEG AWAKE AND ASLEEP","95819","N/A","N/A","N/A","N/A","N/A","1575.00","1575.00","N/A","N/A","N/A","1575.00","1575.00","N/A","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00"
"5","N/A","HCHG EEG AWAKE/ASLEEP","95819","N/A","N/A","N/A","N/A","N/A","1575.00","1575.00","N/A","N/A","N/A","1575.00","1575.00","N/A","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00"
"5","N/A","HCHG EEG AWAKE/ASLEEP W TEMP LEADS","95819","N/A","N/A","N/A","N/A","N/A","1575.00","1575.00","N/A","N/A","N/A","1575.00","1575.00","N/A","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00","1575.00"
"5","N/A","EEG COMA OR SLEEP ONLY","95822","N/A","N/A","N/A","N/A","N/A","931.00","931.00","N/A","N/A","N/A","931.00","931.00","N/A","931.00","931.00","931.00","931.00","931.00","931.00","931.00","931.00","931.00","931.00"
"5","N/A","HCHG EEG COMA OR SLEEP ONLY","95822","N/A","N/A","N/A","N/A","N/A","931.00","931.00","N/A","N/A","N/A","931.00","931.00","N/A","931.00","931.00","931.00","931.00","931.00","931.00","931.00","931.00","931.00","931.00"
"5","N/A","EEG CEREBRAL DEATH ONLY","95824","N/A","N/A","N/A","N/A","N/A","1658.00","1658.00","N/A","N/A","N/A","1658.00","1658.00","N/A","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00"
"5","N/A","HCHG ELECTROCEREBRAL INACTIVITY","95824","N/A","N/A","N/A","N/A","N/A","1658.00","1658.00","N/A","N/A","N/A","1658.00","1658.00","N/A","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00","1658.00"
"5","N/A","HCHG ELECTROCORTICOGRAPHY","95829","N/A","N/A","N/A","N/A","N/A","3774.00","3774.00","N/A","N/A","N/A","3774.00","3774.00","N/A","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00"
"5","N/A","SURGERY ELECTROCORTICOGRAM","95829","N/A","N/A","N/A","N/A","N/A","3774.00","3774.00","N/A","N/A","N/A","3774.00","3774.00","N/A","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00","3774.00"
"5","N/A","ECOG IMPLTD BRN NPGT <30 D","95836","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG ECOG IMPLTD BRN NPGT <30 D","95836","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG MUSCLE TEST 1 LIMB","95860","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","MUSCLE TEST ONE LIMB","95860","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG MUSCLE TEST 2 LIMBS","95861","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","MUSCLE TEST 2 LIMBS","95861","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG MUSCLE TEST 3 LIMBS","95863","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","MUSCLE TEST 3 LIMBS","95863","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG MUSCLE TEST 4 LIMBS","95864","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","MUSCLE TEST 4 LIMBS","95864","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG NEELE EMG SFE QUAN","95872","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","MUSCLE TEST ONE FIBER","95872","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG MUSCLE TEST DONE WITH NERVE TEST LIMITED","95885","N/A","N/A","N/A","N/A","N/A","128.00","128.00","N/A","N/A","N/A","128.00","128.00","N/A","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00"
"5","N/A","MUSC TST DONE W/NERV TST LIM","95885","N/A","N/A","N/A","N/A","N/A","128.00","128.00","N/A","N/A","N/A","128.00","128.00","N/A","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00","128.00"
"5","N/A","HCHG MUSCLE TEST DONE WITH NERVE TEST COMPLETE","95886","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","MUSC TEST DONE W/N TEST COMP","95886","N/A","N/A","N/A","N/A","N/A","149.00","149.00","N/A","N/A","N/A","149.00","149.00","N/A","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00","149.00"
"5","N/A","HCHG MOTOR/SENSE CONDUCT TEST","95905","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","MOTOR &/ SENS NRVE CNDJ TEST","95905","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG NERVE CONDUCTION STUDY; 1-2 STUDIES","95907","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","NVR CNDJ TST 1-2 STUDIES","95907","N/A","N/A","N/A","N/A","N/A","267.00","267.00","N/A","N/A","N/A","267.00","267.00","N/A","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00","267.00"
"5","N/A","HCHG NERVE CONDUCTION STUDY; 3-4 STUDIES","95908","N/A","N/A","N/A","N/A","N/A","623.00","623.00","N/A","N/A","N/A","623.00","623.00","N/A","623.00","623.00","623.00","623.00","623.00","623.00","623.00","623.00","623.00","623.00"
"5","N/A","NRV CNDJ TST 3-4 STUDIES","95908","N/A","N/A","N/A","N/A","N/A","623.00","623.00","N/A","N/A","N/A","623.00","623.00","N/A","623.00","623.00","623.00","623.00","623.00","623.00","623.00","623.00","623.00","623.00"
"5","N/A","HCHG NERVE CONDUCTION STUDY; 5-6 STUDIES","95909","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","NRV CNDJ TST 5-6 STUDIES","95909","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","HCHG NERVE CONDUCTION STUDY; 7-8 STUDIES","95910","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","NRV CNDJ TEST 7-8 STUDIES","95910","N/A","N/A","N/A","N/A","N/A","736.00","736.00","N/A","N/A","N/A","736.00","736.00","N/A","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00","736.00"
"5","N/A","HCHG NERVE CONDUCTION STUDY; 9-10 STUDIES","95911","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","NRV CNDJ TEST 9-10 STUDIES","95911","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","HCHG NERVE CONDUCTION STUDY; 11-12 STUDIES","95912","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","NRV CNDJ TEST 11-12 STUDIES","95912","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","HCHG NERVE CONDUCTION STUDY; 13 OR > STUDIES","95913","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","NRV CNDJ TEST 13/> STUDIES","95913","N/A","N/A","N/A","N/A","N/A","1411.00","1411.00","N/A","N/A","N/A","1411.00","1411.00","N/A","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00","1411.00"
"5","N/A","HCHG SER 2 NERVE-MEDIAN UPPER LIMB","95925","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","HCHG SER 2 NERVE-TIBIAL","95925","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","HCHG SER 2 NERVE-ULNAR","95925","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","SOMATOSENSORY TESTING","95925","N/A","N/A","N/A","N/A","N/A","870.00","870.00","N/A","N/A","N/A","870.00","870.00","N/A","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00","870.00"
"5","N/A","HCHG VER FULL FIELD","95930","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","VISUAL EP TEST CNS W/I&R","95930","N/A","N/A","N/A","N/A","N/A","534.00","534.00","N/A","N/A","N/A","534.00","534.00","N/A","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00","534.00"
"5","N/A","BLINK REFLEX TEST","95933","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG BLINK REFLEX TEST","95933","N/A","N/A","N/A","N/A","N/A","160.00","160.00","N/A","N/A","N/A","160.00","160.00","N/A","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00","160.00"
"5","N/A","HCHG NEUROMUSCULAR JUNCTION TEST EA NERVE","95937","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","NEUROMUSCULAR JUNCTION TEST","95937","N/A","N/A","N/A","N/A","N/A","402.00","402.00","N/A","N/A","N/A","402.00","402.00","N/A","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00","402.00"
"5","N/A","HCHG SOMATOSENSORY TESTING","95938","N/A","N/A","N/A","N/A","N/A","1417.00","1417.00","N/A","N/A","N/A","1417.00","1417.00","N/A","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00"
"5","N/A","SOMATOSENSORY TESTING","95938","N/A","N/A","N/A","N/A","N/A","1417.00","1417.00","N/A","N/A","N/A","1417.00","1417.00","N/A","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00","1417.00"
"5","N/A","EEG MONITORING/FUNCTION TEST","95958","N/A","N/A","N/A","N/A","N/A","3011.00","3011.00","N/A","N/A","N/A","3011.00","3011.00","N/A","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00"
"5","N/A","HCHG WADA ACTIVATION","95958","N/A","N/A","N/A","N/A","N/A","3011.00","3011.00","N/A","N/A","N/A","3011.00","3011.00","N/A","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00","3011.00"
"5","N/A","ALYS NPGT W/O PRGRMG","95970","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG ALYS NPGT W/O PRGRMG","95970","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","ALYS SMPL SP/PN NPGT W/PRGRM","95971","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG ALYS SMPL SP/PN NPGT W/PRGRM","95971","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","ALYS CPLX SP/PN NPGT W/PRGRM","95972","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG ALYS CPLX SP/PN NPGT W/PRGRM","95972","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","ALYS SMPL CN NPGT PRGRMG","95976","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG ALYS SMPL CN NPGT PRGRMG","95976","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","ALYS CPLX CN NPGT PRGRMG","95977","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","HCHG ALYS CPLX CN NPGT PRGRMG","95977","N/A","N/A","N/A","N/A","N/A","340.00","340.00","N/A","N/A","N/A","340.00","340.00","N/A","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00","340.00"
"5","N/A","ALYS BRN NPGT PRGRMG 15 MIN","95983","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG ALYS BRN NPGT PRGRMG 15 MIN","95983","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","ALYS BRN NPGT PRGRMG ADDL 15","95984","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG ALYS BRN NPGT PRGRMG ADDL 15","95984","N/A","N/A","N/A","N/A","N/A","108.00","108.00","N/A","N/A","N/A","108.00","108.00","N/A","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00","108.00"
"5","N/A","HCHG INTRATHECAL RESERVOIR","95991","N/A","N/A","N/A","N/A","N/A","345.00","345.00","N/A","N/A","N/A","345.00","345.00","N/A","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00"
"5","N/A","SPIN/BRAIN PUMP REFIL & MAIN","95991","N/A","N/A","N/A","N/A","N/A","345.00","345.00","N/A","N/A","N/A","345.00","345.00","N/A","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00","345.00"
"5","N/A","CANALITH REPOSITIONING PROC","95992","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","HCHG CANALITH REPOSITIONING PROCEDURE","95992","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","HCHG PT CANALITH REPOSITIONING PROCEDURE","95992","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","GENETIC COUNSELING 30 MIN","96040","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","HCHG GENETIC COUNSELING,30MINS","96040","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","ASSESSMENT OF APHASIA","96105","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","HCHG SP APHASIA ASSESS PER HR","96105","N/A","N/A","N/A","N/A","N/A","276.00","276.00","N/A","N/A","N/A","276.00","276.00","N/A","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00","276.00"
"5","N/A","COGNITIVE TEST BY HC PRO","96125","N/A","N/A","N/A","N/A","N/A","200.00","200.00","N/A","N/A","N/A","200.00","200.00","N/A","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00"
"5","N/A","HCHG SP COGNITIVE PERF TESTING PER HR","96125","N/A","N/A","N/A","N/A","N/A","200.00","200.00","N/A","N/A","N/A","200.00","200.00","N/A","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00","200.00"
"5","N/A","HCHG HLTH BHV ASSMT/REASSESSMENT","96156","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HLTH BHV ASSMT/REASSESSMENT","96156","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG HLTH BHV IVNTJ INDIV 1ST 30 MIN","96158","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HLTH BHV IVNTJ INDIV 1ST 30","96158","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG HLTH BHV IVNTJ INDIV EA ADDL 15 MIN","96159","N/A","N/A","N/A","N/A","N/A","54.00","54.00","N/A","N/A","N/A","54.00","54.00","N/A","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00"
"5","N/A","HLTH BHV IVNTJ INDIV EA ADDL","96159","N/A","N/A","N/A","N/A","N/A","54.00","54.00","N/A","N/A","N/A","54.00","54.00","N/A","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00","54.00"
"5","N/A","HCHG IV INFUSION HYDRATION 1ST HR","96360","N/A","N/A","N/A","N/A","N/A","543.00","543.00","N/A","N/A","N/A","543.00","543.00","N/A","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00"
"5","N/A","HYDRATION IV INFUSION INIT","96360","N/A","N/A","N/A","N/A","N/A","543.00","543.00","N/A","N/A","N/A","543.00","543.00","N/A","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00"
"5","N/A","HCHG IV INFUSION HYDRATION EA ADDL HR","96361","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HYDRATE IV INFUSION ADD-ON","96361","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG IV INFUSION THERAPY UP TO 1 HR","96365","N/A","N/A","N/A","N/A","N/A","543.00","543.00","N/A","N/A","N/A","543.00","543.00","N/A","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00"
"5","N/A","THER/PROPH/DIAG IV INF INIT","96365","N/A","N/A","N/A","N/A","N/A","543.00","543.00","N/A","N/A","N/A","543.00","543.00","N/A","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00","543.00"
"5","N/A","HCHG IV INFUSION THERAPY EA ADDL HR","96366","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","THER/PROPH/DIAG IV INF ADDON","96366","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG IV INFUS ADDL SEQ INFUS UP TO 1 HR","96367","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","TX/PROPH/DG ADDL SEQ IV INF","96367","N/A","N/A","N/A","N/A","N/A","171.00","171.00","N/A","N/A","N/A","171.00","171.00","N/A","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00","171.00"
"5","N/A","HCHG IV INFUS CONCURRENT INFUS","96368","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","THER/DIAG CONCURRENT INF","96368","N/A","N/A","N/A","N/A","N/A","308.00","308.00","N/A","N/A","N/A","308.00","308.00","N/A","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00","308.00"
"5","N/A","HCHG INJ THERAPEUTIC SUBQ/IM","96372","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","HCHG THER/PROPH/DIAG INJ SC/IM","96372","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","THER/PROPH/DIAG INJ SC/IM","96372","N/A","N/A","N/A","N/A","N/A","274.00","274.00","N/A","N/A","N/A","274.00","274.00","N/A","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00","274.00"
"5","N/A","HCHG THER/PROPH/DIAG INJ, IA","96373","N/A","N/A","N/A","N/A","N/A","496.00","496.00","N/A","N/A","N/A","496.00","496.00","N/A","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00"
"5","N/A","THER/PROPH/DIAG INJ IA","96373","N/A","N/A","N/A","N/A","N/A","496.00","496.00","N/A","N/A","N/A","496.00","496.00","N/A","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00"
"5","N/A","HCHG IV INJ/PUSH INITIAL","96374","N/A","N/A","N/A","N/A","N/A","496.00","496.00","N/A","N/A","N/A","496.00","496.00","N/A","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00"
"5","N/A","THER/PROPH/DIAG INJ IV PUSH","96374","N/A","N/A","N/A","N/A","N/A","496.00","496.00","N/A","N/A","N/A","496.00","496.00","N/A","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00","496.00"
"5","N/A","HCHG IV INJ/PUSH EA ADDL","96375","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","HCHG IV INJ/PUSH EA ADDL-DIFF SUB","96375","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","TX/PRO/DX INJ NEW DRUG ADDON","96375","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","HCHG IV INJ/PUSH EA ADD SAME SUB","96376","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","TX/PRO/DX INJ SAME DRUG ADON","96376","N/A","N/A","N/A","N/A","N/A","330.00","330.00","N/A","N/A","N/A","330.00","330.00","N/A","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00","330.00"
"5","N/A","APPLICATON ON-BODY INJECTOR","96377","N/A","N/A","N/A","N/A","N/A","195.00","195.00","N/A","N/A","N/A","195.00","195.00","N/A","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00"
"5","N/A","HCHG APPLICATON ON-BODY INJECTOR","96377","N/A","N/A","N/A","N/A","N/A","195.00","195.00","N/A","N/A","N/A","195.00","195.00","N/A","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00","195.00"
"5","N/A","CHEMO ANTI-NEOPL SQ/IM","96401","N/A","N/A","N/A","N/A","N/A","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","HCHG CHEMO ADMIN SUBQ/IM","96401","N/A","N/A","N/A","N/A","N/A","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","CHEMO HORMON ANTINEOPL SQ/IM","96402","N/A","N/A","N/A","N/A","N/A","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","HCHG CHEMO ADMIN HORMONAL ANTI-NEO SQ/IM","96402","N/A","N/A","N/A","N/A","N/A","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","HCHG CHEMO INJECTION, HORMONAL","96402","N/A","N/A","N/A","N/A","N/A","196.00","196.00","N/A","N/A","N/A","196.00","196.00","N/A","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00","196.00"
"5","N/A","CHEMO IV PUSH SNGL DRUG","96409","N/A","N/A","N/A","N/A","N/A","638.00","638.00","N/A","N/A","N/A","638.00","638.00","N/A","638.00","638.00","638.00","638.00","638.00","638.00","638.00","638.00","638.00","638.00"
"5","N/A","HCHG CHEMO ADMIN IV PUSH INITIAL","96409","N/A","N/A","N/A","N/A","N/A","638.00","638.00","N/A","N/A","N/A","638.00","638.00","N/A","638.00","638.00","638.00","638.00","638.00","638.00","638.00","638.00","638.00","638.00"
"5","N/A","CHEMO IV PUSH ADDL DRUG","96411","N/A","N/A","N/A","N/A","N/A","525.00","525.00","N/A","N/A","N/A","525.00","525.00","N/A","525.00","525.00","525.00","525.00","525.00","525.00","525.00","525.00","525.00","525.00"
"5","N/A","HCHG CHEMO ADMIN IV PUSH EA ADDL","96411","N/A","N/A","N/A","N/A","N/A","525.00","525.00","N/A","N/A","N/A","525.00","525.00","N/A","525.00","525.00","525.00","525.00","525.00","525.00","525.00","525.00","525.00","525.00"
"5","N/A","CHEMO IV INFUSION 1 HR","96413","N/A","N/A","N/A","N/A","N/A","887.00","887.00","N/A","N/A","N/A","887.00","887.00","N/A","887.00","887.00","887.00","887.00","887.00","887.00","887.00","887.00","887.00","887.00"
"5","N/A","HCHG CHEMO ADMIN BY INFUS UP TO 1 HR","96413","N/A","N/A","N/A","N/A","N/A","887.00","887.00","N/A","N/A","N/A","887.00","887.00","N/A","887.00","887.00","887.00","887.00","887.00","887.00","887.00","887.00","887.00","887.00"
"5","N/A","CHEMO IV INFUSION ADDL HR","96415","N/A","N/A","N/A","N/A","N/A","518.00","518.00","N/A","N/A","N/A","518.00","518.00","N/A","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00"
"5","N/A","HCHG CHEMO ADMIN BY INFUS EA ADDL HR","96415","N/A","N/A","N/A","N/A","N/A","518.00","518.00","N/A","N/A","N/A","518.00","518.00","N/A","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00","518.00"
"5","N/A","CHEMO PROLONG INFUSE W/PUMP","96416","N/A","N/A","N/A","N/A","N/A","1439.00","1439.00","N/A","N/A","N/A","1439.00","1439.00","N/A","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00"
"5","N/A","HCHG CHEMO INF PORT PUMP INITIAL","96416","N/A","N/A","N/A","N/A","N/A","1439.00","1439.00","N/A","N/A","N/A","1439.00","1439.00","N/A","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00"
"5","N/A","CHEMO IV INFUS EACH ADDL SEQ","96417","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG CHEMO ADMIN EA ADDL SEQ INFUSION UP TO 1HR","96417","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","CHEMO IA PUSH TECNIQUE","96420","N/A","N/A","N/A","N/A","N/A","417.00","417.00","N/A","N/A","N/A","417.00","417.00","N/A","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00"
"5","N/A","HCHG CHEMO ADMIN, INTRA-ARTERY;PUSH TECHNIQUE","96420","N/A","N/A","N/A","N/A","N/A","417.00","417.00","N/A","N/A","N/A","417.00","417.00","N/A","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00","417.00"
"5","N/A","CHEMOTHERAPY INTO CNS","96450","N/A","N/A","N/A","N/A","N/A","1044.00","1044.00","N/A","N/A","N/A","1044.00","1044.00","N/A","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00"
"5","N/A","HCHG CHEMO ADMIN INTRATHECAL","96450","N/A","N/A","N/A","N/A","N/A","1044.00","1044.00","N/A","N/A","N/A","1044.00","1044.00","N/A","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00","1044.00"
"5","N/A","HCHG IMPLANT PUMP REFILL/MAINT","96522","N/A","N/A","N/A","N/A","N/A","670.00","670.00","N/A","N/A","N/A","670.00","670.00","N/A","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00"
"5","N/A","REFILL/MAINT PUMP/RESVR SYST","96522","N/A","N/A","N/A","N/A","N/A","670.00","670.00","N/A","N/A","N/A","670.00","670.00","N/A","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00","670.00"
"5","N/A","HCHG IRRIGATION OF IMPLANTED VENOUS ACCESS DEVICE","96523","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","IRRIG DRUG DELIVERY DEVICE","96523","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","CHEMOTHERAPY INJECTION","96542","N/A","N/A","N/A","N/A","N/A","657.00","657.00","N/A","N/A","N/A","657.00","657.00","N/A","657.00","657.00","657.00","657.00","657.00","657.00","657.00","657.00","657.00","657.00"
"5","N/A","HCHG INJECTION VIA SQ RESERVOIR (OMMAYA)","96542","N/A","N/A","N/A","N/A","N/A","657.00","657.00","N/A","N/A","N/A","657.00","657.00","N/A","657.00","657.00","657.00","657.00","657.00","657.00","657.00","657.00","657.00","657.00"
"5","N/A","CHEMOTHERAPY UNSPECIFIED","96549","N/A","N/A","N/A","N/A","N/A","135.00","135.00","N/A","N/A","N/A","135.00","135.00","N/A","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00"
"5","N/A","HCHG UNLISTED CHEMOTHERAPY PROCEDURE - CHEMO ADMIN INTRAVESICAL","96549","N/A","N/A","N/A","N/A","N/A","135.00","135.00","N/A","N/A","N/A","135.00","135.00","N/A","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00","135.00"
"5","N/A","HCHG PT MECHANICAL TRACTION","97012","N/A","N/A","N/A","N/A","N/A","145.00","145.00","N/A","N/A","N/A","145.00","145.00","N/A","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00"
"5","N/A","MECHANICAL TRACTION THERAPY","97012","N/A","N/A","N/A","N/A","N/A","145.00","145.00","N/A","N/A","N/A","145.00","145.00","N/A","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00","145.00"
"5","N/A","ELECTRIC STIMULATION THERAPY","97014","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG OT E-STIM UNATTENDED","97014","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG PT ELEC STIM UNATT","97014","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG OT COMPRESSION TREATMENT","97016","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","HCHG PT APPLIC VASOPNEUMATIC PUMP","97016","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","VASOPNEUMATIC DEVICE THERAPY","97016","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","HCHG OT PARAFFIN BATH 1+ AREA","97018","N/A","N/A","N/A","N/A","N/A","48.00","48.00","N/A","N/A","N/A","48.00","48.00","N/A","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00"
"5","N/A","PARAFFIN BATH THERAPY","97018","N/A","N/A","N/A","N/A","N/A","48.00","48.00","N/A","N/A","N/A","48.00","48.00","N/A","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00","48.00"
"5","N/A","HCHG OT INFRARED","97026","N/A","N/A","N/A","N/A","N/A","28.00","28.00","N/A","N/A","N/A","28.00","28.00","N/A","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00"
"5","N/A","HCHG PT INFRARED","97026","N/A","N/A","N/A","N/A","N/A","28.00","28.00","N/A","N/A","N/A","28.00","28.00","N/A","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00"
"5","N/A","INFRARED THERAPY","97026","N/A","N/A","N/A","N/A","N/A","28.00","28.00","N/A","N/A","N/A","28.00","28.00","N/A","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00","28.00"
"5","N/A","ELECTRICAL STIMULATION","97032","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG ELEC STIMULATION EA 15 MIN","97032","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG OT E-STIM ATTENDED 15 MIN","97032","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","HCHG PT ELEC STIM ATT 15 MIN","97032","N/A","N/A","N/A","N/A","N/A","131.00","131.00","N/A","N/A","N/A","131.00","131.00","N/A","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00","131.00"
"5","N/A","ELECTRIC CURRENT THERAPY","97033","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","HCHG IONTOPHORESIS 15 MIN","97033","N/A","N/A","N/A","N/A","N/A","125.00","125.00","N/A","N/A","N/A","125.00","125.00","N/A","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00","125.00"
"5","N/A","CONTRAST BATH THERAPY","97034","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG OT CONTRAST BATHS 15 MIN","97034","N/A","N/A","N/A","N/A","N/A","71.00","71.00","N/A","N/A","N/A","71.00","71.00","N/A","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00","71.00"
"5","N/A","HCHG OT ULTRASOUND","97035","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG PT ULTRASOUND 15 MIN","97035","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","ULTRASOUND THERAPY","97035","N/A","N/A","N/A","N/A","N/A","120.00","120.00","N/A","N/A","N/A","120.00","120.00","N/A","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00","120.00"
"5","N/A","HCHG OT FLUIDOTHERAPY","97039","N/A","N/A","N/A","N/A","N/A","339.00","339.00","N/A","N/A","N/A","339.00","339.00","N/A","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00"
"5","N/A","PHYSICAL THERAPY TREATMENT","97039","N/A","N/A","N/A","N/A","N/A","339.00","339.00","N/A","N/A","N/A","339.00","339.00","N/A","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00","339.00"
"5","N/A","HCHG OT THERAPEUTIC EXERCISE 15 MIN","97110","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","HCHG PT EXERCISE 15 MIN","97110","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","THERAPEUTIC EXERCISES","97110","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","HCHG NEUROMUSCULAR RE-EDUC 15 MIN","97112","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","HCHG PT NEUROMUSC RE-ED 15 MIN","97112","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","NEUROMUSCULAR REEDUCATION","97112","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","GAIT TRAINING THERAPY","97116","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","HCHG PT GAIT TRAINING 15 MIN","97116","N/A","N/A","N/A","N/A","N/A","164.00","164.00","N/A","N/A","N/A","164.00","164.00","N/A","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00","164.00"
"5","N/A","HCHG PT MASSAGE 15 MIN","97124","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","MASSAGE THERAPY","97124","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","HCHG OT INITIAL COGNITIVE 15 MINUTES","97129","N/A","N/A","N/A","N/A","N/A","77.00","77.00","N/A","N/A","N/A","77.00","77.00","N/A","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00"
"5","N/A","HCHG SP INITIAL COGNITIVE 15 MINUTES","97129","N/A","N/A","N/A","N/A","N/A","77.00","77.00","N/A","N/A","N/A","77.00","77.00","N/A","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00"
"5","N/A","THER IVNTJ 1ST 15 MIN","97129","N/A","N/A","N/A","N/A","N/A","77.00","77.00","N/A","N/A","N/A","77.00","77.00","N/A","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00","77.00"
"5","N/A","HCHG OT EACH ADDITIONAL COGNITIVE 15 MINUTES","97130","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","HCHG SP COGNITIVE EACH ADDITIONAL 15 MINUTES","97130","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","THER IVNTJ EA ADDL 15 MIN","97130","N/A","N/A","N/A","N/A","N/A","73.00","73.00","N/A","N/A","N/A","73.00","73.00","N/A","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00","73.00"
"5","N/A","HCHG MANUAL THERAPY 15 MIN","97140","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","HCHG PT MANUAL THERAPY 15 MIN","97140","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","MANUAL THERAPY 1/> REGIONS","97140","N/A","N/A","N/A","N/A","N/A","201.00","201.00","N/A","N/A","N/A","201.00","201.00","N/A","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00","201.00"
"5","N/A","GROUP THERAPEUTIC PROCEDURES","97150","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG OT GROUP IOP","97150","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG PT GROUP TREAT 30 MIN","97150","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG PT GROUP TREAT 45 MIN","97150","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG PT GROUP TREAT 60 MIN","97150","N/A","N/A","N/A","N/A","N/A","333.00","333.00","N/A","N/A","N/A","333.00","333.00","N/A","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00","333.00"
"5","N/A","HCHG PT INIT EVAL LOW","97161","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL LOW 30 MIN","97161","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL LOW 45 MIN","97161","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL LOW 60 MIN","97161","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","PT EVAL LOW COMPLEX 20 MIN","97161","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL MOD","97162","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL MOD 45 MIN","97162","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL MOD 60 MIN","97162","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL MOD 75 MIN","97162","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","PT EVAL MOD COMPLEX 30 MIN","97162","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL HIGH","97163","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL HIGH 60 MIN","97163","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL HIGH 75 MIN","97163","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT INIT EVAL HIGH 90 MIN","97163","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","PT EVAL HIGH COMPLEX 45 MIN","97163","N/A","N/A","N/A","N/A","N/A","444.00","444.00","N/A","N/A","N/A","444.00","444.00","N/A","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00","444.00"
"5","N/A","HCHG PT RE-EVAL","97164","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG PT RE-EVAL 30 MIN","97164","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG PT RE-EVAL 45 MIN","97164","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","PT RE-EVAL EST PLAN CARE","97164","N/A","N/A","N/A","N/A","N/A","393.00","393.00","N/A","N/A","N/A","393.00","393.00","N/A","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00","393.00"
"5","N/A","HCHG OT EVAL - LOW","97165","N/A","N/A","N/A","N/A","N/A","376.00","376.00","N/A","N/A","N/A","376.00","376.00","N/A","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00"
"5","N/A","HCHG OT MED-SURG EVAL LOW","97165","N/A","N/A","N/A","N/A","N/A","376.00","376.00","N/A","N/A","N/A","376.00","376.00","N/A","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00"
"5","N/A","HCHG OT MED-SURG EVAL LOW 30 MIN","97165","N/A","N/A","N/A","N/A","N/A","376.00","376.00","N/A","N/A","N/A","376.00","376.00","N/A","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00"
"5","N/A","OT EVAL LOW COMPLEX 30 MIN","97165","N/A","N/A","N/A","N/A","N/A","376.00","376.00","N/A","N/A","N/A","376.00","376.00","N/A","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00","376.00"
"5","N/A","HCHG OT EVAL - MOD","97166","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG OT MED-SURG EVAL MOD","97166","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","OT EVAL MOD COMPLEX 45 MIN","97166","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG OT EVAL - HIGH","97167","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG OT MED-SURG EVAL HIGH","97167","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG OT MED-SURG EVAL HIGH 45 MIN","97167","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG OT MED-SURG EVAL HIGH 60 MIN","97167","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","OT EVAL HIGH COMPLEX 60 MIN","97167","N/A","N/A","N/A","N/A","N/A","415.00","415.00","N/A","N/A","N/A","415.00","415.00","N/A","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00","415.00"
"5","N/A","HCHG OT MED-SURG RE-EVAL","97168","N/A","N/A","N/A","N/A","N/A","329.00","329.00","N/A","N/A","N/A","329.00","329.00","N/A","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00"
"5","N/A","HCHG OT MED-SURG RE-EVAL 30 MIN","97168","N/A","N/A","N/A","N/A","N/A","329.00","329.00","N/A","N/A","N/A","329.00","329.00","N/A","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00"
"5","N/A","HCHG OT MED-SURG RE-EVAL 45 MIN","97168","N/A","N/A","N/A","N/A","N/A","329.00","329.00","N/A","N/A","N/A","329.00","329.00","N/A","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00"
"5","N/A","HCHG OT MED-SURG RE-EVAL 60 MIN","97168","N/A","N/A","N/A","N/A","N/A","329.00","329.00","N/A","N/A","N/A","329.00","329.00","N/A","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00"
"5","N/A","HCHG OT RE-EVAL","97168","N/A","N/A","N/A","N/A","N/A","329.00","329.00","N/A","N/A","N/A","329.00","329.00","N/A","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00"
"5","N/A","OT RE-EVAL EST PLAN CARE","97168","N/A","N/A","N/A","N/A","N/A","329.00","329.00","N/A","N/A","N/A","329.00","329.00","N/A","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00","329.00"
"5","N/A","HCHG OT THERAPEUTIC ACTIVITY 15 MIN","97530","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","HCHG PT THERAPEUTIC ACTIV 15 MIN","97530","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","THERAPEUTIC ACTIVITIES","97530","N/A","N/A","N/A","N/A","N/A","183.00","183.00","N/A","N/A","N/A","183.00","183.00","N/A","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00","183.00"
"5","N/A","HCHG OT IND DAILY LIV SKILLS 15 MIN","97535","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","HCHG PT IND DAILY LIV SKILLS 15 MIN","97535","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","SELF CARE MNGMENT TRAINING","97535","N/A","N/A","N/A","N/A","N/A","173.00","173.00","N/A","N/A","N/A","173.00","173.00","N/A","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00","173.00"
"5","N/A","COMMUNITY/WORK REINTEGRATION","97537","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG OT COMM REINT TRNG 15 MIN","97537","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG OT WORK REINT TRNG 15MIN","97537","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG PT WORK REINT TRNG 15MIN","97537","N/A","N/A","N/A","N/A","N/A","142.00","142.00","N/A","N/A","N/A","142.00","142.00","N/A","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00","142.00"
"5","N/A","HCHG PT WHEELCHAIR MGT 15 MIN","97542","N/A","N/A","N/A","N/A","N/A","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","WHEELCHAIR MNGMENT TRAINING","97542","N/A","N/A","N/A","N/A","N/A","165.00","165.00","N/A","N/A","N/A","165.00","165.00","N/A","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00","165.00"
"5","N/A","HCHG OT WORK HARDENING INITIAL 2HR","97545","N/A","N/A","N/A","N/A","N/A","475.00","475.00","N/A","N/A","N/A","475.00","475.00","N/A","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00"
"5","N/A","HCHG PT WORK HARDENING INITIAL 2HR","97545","N/A","N/A","N/A","N/A","N/A","475.00","475.00","N/A","N/A","N/A","475.00","475.00","N/A","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00"
"5","N/A","WORK HARDENING","97545","N/A","N/A","N/A","N/A","N/A","475.00","475.00","N/A","N/A","N/A","475.00","475.00","N/A","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00","475.00"
"5","N/A","HCHG OT WORK HARDENING ADDL HR","97546","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","HCHG PT WORK HARDENING ADDL HR","97546","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","WORK HARDENING ADD-ON","97546","N/A","N/A","N/A","N/A","N/A","278.00","278.00","N/A","N/A","N/A","278.00","278.00","N/A","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00","278.00"
"5","N/A","HCHG DEBRIDE, OPEN WOUND, ASSESS & INSTRUC CARE, PER SESSION, 1ST 20 SQ CM OR LESS","97597","N/A","N/A","N/A","N/A","N/A","556.00","556.00","N/A","N/A","N/A","556.00","556.00","N/A","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00"
"5","N/A","HCHG DEBRIDEMENT, OPEN WOUND, 1ST 20 SQ CM OR LESS","97597","N/A","N/A","N/A","N/A","N/A","556.00","556.00","N/A","N/A","N/A","556.00","556.00","N/A","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00"
"5","N/A","RMVL DEVITAL TIS 20 CM/<","97597","N/A","N/A","N/A","N/A","N/A","556.00","556.00","N/A","N/A","N/A","556.00","556.00","N/A","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00","556.00"
"5","N/A","HCHG DEBRIDE, OPEN WOUND, ASSESS & INSTRUC CARE, PER SESSION, @ ADDL 20 SQ CM OR PART THEREOF","97598","N/A","N/A","N/A","N/A","N/A","505.00","505.00","N/A","N/A","N/A","505.00","505.00","N/A","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00"
"5","N/A","HCHG DEBRIDEMENT, OPEN WOUND, EA ADDL 20 SQ CM","97598","N/A","N/A","N/A","N/A","N/A","505.00","505.00","N/A","N/A","N/A","505.00","505.00","N/A","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00"
"5","N/A","RMVL DEVITAL TIS ADDL 20CM/<","97598","N/A","N/A","N/A","N/A","N/A","505.00","505.00","N/A","N/A","N/A","505.00","505.00","N/A","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00","505.00"
"5","N/A","HCHG NONSELECTIVE DEBRIDEMENT","97602","N/A","N/A","N/A","N/A","N/A","421.00","421.00","N/A","N/A","N/A","421.00","421.00","N/A","421.00","421.00","421.00","421.00","421.00","421.00","421.00","421.00","421.00","421.00"
"5","N/A","WOUND(S) CARE NON-SELECTIVE","97602","N/A","N/A","N/A","N/A","N/A","421.00","421.00","N/A","N/A","N/A","421.00","421.00","N/A","421.00","421.00","421.00","421.00","421.00","421.00","421.00","421.00","421.00","421.00"
"5","N/A","HCHG NEGATIVE PRESSURE WOUND THERAPY = 50 SQ CM","97605","N/A","N/A","N/A","N/A","N/A","331.00","331.00","N/A","N/A","N/A","331.00","331.00","N/A","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00"
"5","N/A","HCHG WOUND VAC - 50 SQ CM OR LESS","97605","N/A","N/A","N/A","N/A","N/A","331.00","331.00","N/A","N/A","N/A","331.00","331.00","N/A","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00"
"5","N/A","NEG PRESS WOUND TX <=50 CM","97605","N/A","N/A","N/A","N/A","N/A","331.00","331.00","N/A","N/A","N/A","331.00","331.00","N/A","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00","331.00"
"5","N/A","HCHG WOUND VAC - > 50 SQ CM","97606","N/A","N/A","N/A","N/A","N/A","632.00","632.00","N/A","N/A","N/A","632.00","632.00","N/A","632.00","632.00","632.00","632.00","632.00","632.00","632.00","632.00","632.00","632.00"
"5","N/A","NEG PRESS WOUND TX >50 CM","97606","N/A","N/A","N/A","N/A","N/A","632.00","632.00","N/A","N/A","N/A","632.00","632.00","N/A","632.00","632.00","632.00","632.00","632.00","632.00","632.00","632.00","632.00","632.00"
"5","N/A","HCHG NPWT - 50 SQ CM OR LESS DISPOSABLE","97607","N/A","N/A","N/A","N/A","N/A","714.00","714.00","N/A","N/A","N/A","714.00","714.00","N/A","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00"
"5","N/A","NEG PRESS WND TX <=50 SQ CM","97607","N/A","N/A","N/A","N/A","N/A","714.00","714.00","N/A","N/A","N/A","714.00","714.00","N/A","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00","714.00"
"5","N/A","HCHG NPWT - > 50 SQ CM DISPOSABLE","97608","N/A","N/A","N/A","N/A","N/A","649.00","649.00","N/A","N/A","N/A","649.00","649.00","N/A","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00"
"5","N/A","NEG PRESS WOUND TX >50 CM","97608","N/A","N/A","N/A","N/A","N/A","649.00","649.00","N/A","N/A","N/A","649.00","649.00","N/A","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00","649.00"
"5","N/A","HCHG OT PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG PHYSICAL PERFORMANCE TEST EA 15 MIN","97750","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","PHYSICAL PERFORMANCE TEST","97750","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG PT ADAPT ORTHO FABRICA 15 MIN","97760","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","ORTHOTIC MGMT&TRAING 1ST ENC","97760","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","HCHG OT PROSTHETIC TRAINING 15 MIN","97761","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","HCHG PT PROSTHETIC TRAINING 15 MIN","97761","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","PROSTHETIC TRAING 1ST ENC","97761","N/A","N/A","N/A","N/A","N/A","218.00","218.00","N/A","N/A","N/A","218.00","218.00","N/A","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00","218.00"
"5","N/A","HCHG PT THER ADAPT FU 15 MIN","97763","N/A","N/A","N/A","N/A","N/A","235.00","235.00","N/A","N/A","N/A","235.00","235.00","N/A","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00"
"5","N/A","ORTHC/PROSTC MGMT SBSQ ENC","97763","N/A","N/A","N/A","N/A","N/A","235.00","235.00","N/A","N/A","N/A","235.00","235.00","N/A","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00","235.00"
"5","N/A","HCHG RESPIR VIRUS CULT DOH","99000","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","SPECIMEN HANDLING OFFICE-LAB","99000","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","HCHG HANDLING AND/OR CONVEYANCE OF","99001","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","SPECIMEN HANDLING PT-LAB","99001","N/A","N/A","N/A","N/A","N/A","46.00","46.00","N/A","N/A","N/A","46.00","46.00","N/A","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00","46.00"
"5","N/A","COLLJ & INTERPJ DATA EA 30 D","99091","N/A","N/A","N/A","N/A","N/A","122.00","122.00","N/A","N/A","N/A","122.00","122.00","N/A","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00"
"5","N/A","HCHG COLLJ & INTERP J DATA EA 30 D","99091","N/A","N/A","N/A","N/A","N/A","122.00","122.00","N/A","N/A","N/A","122.00","122.00","N/A","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00","122.00"
"5","N/A","HCHG CONSCIOUS SEDATION<5 YRS INITIAL 15 MINS","99151","N/A","N/A","N/A","N/A","N/A","1894.00","1894.00","N/A","N/A","N/A","1894.00","1894.00","N/A","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00"
"5","N/A","MOD SED SAME PHYS/QHP <5 YRS","99151","N/A","N/A","N/A","N/A","N/A","1894.00","1894.00","N/A","N/A","N/A","1894.00","1894.00","N/A","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00"
"5","N/A","HCHG CONSCIOUS SEDATION 5 YO OR > INITIAL 15 MINS","99152","N/A","N/A","N/A","N/A","N/A","1894.00","1894.00","N/A","N/A","N/A","1894.00","1894.00","N/A","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00"
"5","N/A","MOD SED SAME PHYS/QHP 5/>YRS","99152","N/A","N/A","N/A","N/A","N/A","1894.00","1894.00","N/A","N/A","N/A","1894.00","1894.00","N/A","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00","1894.00"
"5","N/A","HCHG CONSCIOUS SEDATION EACH ADDITIONAL 15 MIN","99153","N/A","N/A","N/A","N/A","N/A","860.00","860.00","N/A","N/A","N/A","860.00","860.00","N/A","860.00","860.00","860.00","860.00","860.00","860.00","860.00","860.00","860.00","860.00"
"5","N/A","MOD SED SAME PHYS/QHP EA","99153","N/A","N/A","N/A","N/A","N/A","860.00","860.00","N/A","N/A","N/A","860.00","860.00","N/A","860.00","860.00","860.00","860.00","860.00","860.00","860.00","860.00","860.00","860.00"
"5","N/A","HCHG MOD SED OTH PHYS/QHP <5 YRS INITIAL 15 MINS","99155","N/A","N/A","N/A","N/A","N/A","1836.00","1836.00","N/A","N/A","N/A","1836.00","1836.00","N/A","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00"
"5","N/A","MOD SED OTH PHYS/QHP <5 YRS","99155","N/A","N/A","N/A","N/A","N/A","1836.00","1836.00","N/A","N/A","N/A","1836.00","1836.00","N/A","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00"
"5","N/A","HCHG MOD SED OTH PHYS/QHP 5/>YRS INITIAL 15 MINS","99156","N/A","N/A","N/A","N/A","N/A","1836.00","1836.00","N/A","N/A","N/A","1836.00","1836.00","N/A","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00"
"5","N/A","MOD SED OTH PHYS/QHP 5/>YRS","99156","N/A","N/A","N/A","N/A","N/A","1836.00","1836.00","N/A","N/A","N/A","1836.00","1836.00","N/A","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00","1836.00"
"5","N/A","HCHG MOD SED OTHER PHYS/QHP EA ADDITIONAL 15 MINS","99157","N/A","N/A","N/A","N/A","N/A","609.00","609.00","N/A","N/A","N/A","609.00","609.00","N/A","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00"
"5","N/A","MOD SED OTHER PHYS/QHP EA","99157","N/A","N/A","N/A","N/A","N/A","609.00","609.00","N/A","N/A","N/A","609.00","609.00","N/A","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00","609.00"
"5","N/A","ANOGENITAL EXAM CHILD W IMAG","99170","N/A","N/A","N/A","N/A","N/A","283.00","283.00","N/A","N/A","N/A","283.00","283.00","N/A","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00"
"5","N/A","HCHG ANOGENITAL EXAM, CHILD INC IMAGE REC WHEN PERFORMED","99170","N/A","N/A","N/A","N/A","N/A","283.00","283.00","N/A","N/A","N/A","283.00","283.00","N/A","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00","283.00"
"5","N/A","HCHG THERAPEUTIC PHLEBOTOMY","99195","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","PHLEBOTOMY","99195","N/A","N/A","N/A","N/A","N/A","457.00","457.00","N/A","N/A","N/A","457.00","457.00","N/A","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00","457.00"
"5","N/A","HCHG E&M NEW LEVEL 2-RAD THER","99202","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG E&M NEW PATIENT - LEVEL 2","99202","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG E&M NEW PT-(LIMITED)","99202","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","OFFICE/OUTPATIENT VISIT NEW","99202","N/A","N/A","N/A","N/A","N/A","317.00","317.00","N/A","N/A","N/A","317.00","317.00","N/A","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00","317.00"
"5","N/A","HCHG E&M NEW LEVEL 3-RAD THER","99203","N/A","N/A","N/A","N/A","N/A","361.00","361.00","N/A","N/A","N/A","361.00","361.00","N/A","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00"
"5","N/A","HCHG E&M NEW PATIENT - LEVEL 3","99203","N/A","N/A","N/A","N/A","N/A","361.00","361.00","N/A","N/A","N/A","361.00","361.00","N/A","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00"
"5","N/A","HCHG E&M NEW PT-(INTERMEDIATE)","99203","N/A","N/A","N/A","N/A","N/A","361.00","361.00","N/A","N/A","N/A","361.00","361.00","N/A","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00"
"5","N/A","OFFICE/OUTPATIENT VISIT NEW","99203","N/A","N/A","N/A","N/A","N/A","361.00","361.00","N/A","N/A","N/A","361.00","361.00","N/A","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00","361.00"
"5","N/A","HCHG E&M NEW LEVEL 4-RAD THER","99204","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","HCHG E&M NEW PATIENT - LEVEL 4","99204","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","HCHG E&M NEW PT-(EXTENDED)","99204","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","OFFICE/OUTPATIENT VISIT NEW","99204","N/A","N/A","N/A","N/A","N/A","409.00","409.00","N/A","N/A","N/A","409.00","409.00","N/A","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00","409.00"
"5","N/A","HCHG E&M NEW LEVEL 5-RAD THER","99205","N/A","N/A","N/A","N/A","N/A","477.00","477.00","N/A","N/A","N/A","477.00","477.00","N/A","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00"
"5","N/A","HCHG E&M NEW PATIENT - LEVEL 5","99205","N/A","N/A","N/A","N/A","N/A","477.00","477.00","N/A","N/A","N/A","477.00","477.00","N/A","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00"
"5","N/A","HCHG E&M NEW PT-(COMPLEX)","99205","N/A","N/A","N/A","N/A","N/A","477.00","477.00","N/A","N/A","N/A","477.00","477.00","N/A","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00"
"5","N/A","OFFICE/OUTPATIENT VISIT NEW","99205","N/A","N/A","N/A","N/A","N/A","477.00","477.00","N/A","N/A","N/A","477.00","477.00","N/A","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00","477.00"
"5","N/A","HCHG E&M EST PATIENT - LEVEL 1","99211","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG E&M EST PT (BRIEF)","99211","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG E&M EST PT-(BRIEF)","99211","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG E&M ESTABLISHED LEVEL 1-RAD THER","99211","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG WORK INJURY-FU","99211","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","OFFICE/OUTPATIENT VISIT EST","99211","N/A","N/A","N/A","N/A","N/A","260.00","260.00","N/A","N/A","N/A","260.00","260.00","N/A","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00","260.00"
"5","N/A","HCHG E&M EST PATIENT - LEVEL 2","99212","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","HCHG E&M EST PT-(LIMITED)","99212","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","HCHG E&M ESTABLISHED LEVEL 2-RAD THER","99212","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","OFFICE/OUTPATIENT VISIT EST","99212","N/A","N/A","N/A","N/A","N/A","300.00","300.00","N/A","N/A","N/A","300.00","300.00","N/A","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00","300.00"
"5","N/A","HCHG E&M EST PATIENT - LEVEL 3","99213","N/A","N/A","N/A","N/A","N/A","341.00","341.00","N/A","N/A","N/A","341.00","341.00","N/A","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00"
"5","N/A","HCHG E&M EST PT-(INTERMEDIATE)","99213","N/A","N/A","N/A","N/A","N/A","341.00","341.00","N/A","N/A","N/A","341.00","341.00","N/A","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00"
"5","N/A","HCHG E&M ESTABLISHED LEVEL 3-RAD THER","99213","N/A","N/A","N/A","N/A","N/A","341.00","341.00","N/A","N/A","N/A","341.00","341.00","N/A","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00"
"5","N/A","OFFICE/OUTPATIENT VISIT EST","99213","N/A","N/A","N/A","N/A","N/A","341.00","341.00","N/A","N/A","N/A","341.00","341.00","N/A","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00","341.00"
"5","N/A","HCHG E&M EST PATIENT - LEVEL 4","99214","N/A","N/A","N/A","N/A","N/A","387.00","387.00","N/A","N/A","N/A","387.00","387.00","N/A","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00"
"5","N/A","HCHG E&M EST PT-(EXTENDED)","99214","N/A","N/A","N/A","N/A","N/A","387.00","387.00","N/A","N/A","N/A","387.00","387.00","N/A","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00"
"5","N/A","HCHG E&M ESTABLISHED LEVEL 4-RAD THER","99214","N/A","N/A","N/A","N/A","N/A","387.00","387.00","N/A","N/A","N/A","387.00","387.00","N/A","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00"
"5","N/A","OFFICE/OUTPATIENT VISIT EST","99214","N/A","N/A","N/A","N/A","N/A","387.00","387.00","N/A","N/A","N/A","387.00","387.00","N/A","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00","387.00"
"5","N/A","HCHG E&M EST PATIENT - LEVEL 5","99215","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG E&M EST PT-(COMPLEX)","99215","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","HCHG E&M ESTABLISHED LEVEL 5-RAD THER","99215","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","OFFICE/OUTPATIENT VISIT EST","99215","N/A","N/A","N/A","N/A","N/A","448.00","448.00","N/A","N/A","N/A","448.00","448.00","N/A","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00","448.00"
"5","N/A","INITIAL OBSERVATION CARE","99218","N/A","N/A","N/A","N/A","N/A","3944.00","3944.00","N/A","N/A","N/A","3944.00","3944.00","N/A","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00"
"5","N/A","OBSERVATION","99218","N/A","N/A","N/A","N/A","N/A","3944.00","3944.00","N/A","N/A","N/A","3944.00","3944.00","N/A","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00"
"5","N/A","OBSERVATION - NON-MEDICARE","99218","N/A","N/A","N/A","N/A","N/A","3944.00","3944.00","N/A","N/A","N/A","3944.00","3944.00","N/A","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00","3944.00"
"5","N/A","EMERGENCY DEPT VISIT","99281","N/A","N/A","N/A","N/A","N/A","532.00","532.00","N/A","N/A","N/A","350.00","532.00","350.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00"
"5","N/A","HCHG EMERGENCY FEE 1 NON-URGENT","99281","N/A","N/A","N/A","N/A","N/A","532.00","532.00","N/A","N/A","N/A","350.00","532.00","350.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00"
"5","N/A","HCHG EMERGENCY FEE 1 NON-URGENT (MOD25)","99281","N/A","N/A","N/A","N/A","N/A","532.00","532.00","N/A","N/A","N/A","350.00","532.00","350.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00","532.00"
"5","N/A","EMERGENCY DEPT VISIT","99282","N/A","N/A","N/A","N/A","N/A","924.00","924.00","N/A","N/A","N/A","350.00","924.00","350.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00"
"5","N/A","HCHG EMERGENCY FEE 2 URGENT I","99282","N/A","N/A","N/A","N/A","N/A","924.00","924.00","N/A","N/A","N/A","350.00","924.00","350.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00"
"5","N/A","HCHG EMERGENCY FEE 2 URGENT I (MOD25)","99282","N/A","N/A","N/A","N/A","N/A","924.00","924.00","N/A","N/A","N/A","350.00","924.00","350.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00","924.00"
"5","N/A","EMERGENCY DEPT VISIT","99283","N/A","N/A","N/A","N/A","N/A","2053.00","2053.00","N/A","N/A","N/A","425.00","2053.00","425.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00"
"5","N/A","HCHG EMERGENCY FEE 3 URGENT II","99283","N/A","N/A","N/A","N/A","N/A","2053.00","2053.00","N/A","N/A","N/A","425.00","2053.00","425.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00"
"5","N/A","HCHG EMERGENCY FEE 3 URGENT II (MOD25)","99283","N/A","N/A","N/A","N/A","N/A","2053.00","2053.00","N/A","N/A","N/A","425.00","2053.00","425.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00","2053.00"
"5","N/A","EMERGENCY DEPT VISIT","99284","N/A","N/A","N/A","N/A","N/A","2989.00","2989.00","N/A","N/A","N/A","425.00","2989.00","425.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00"
"5","N/A","HCHG EMERGENCY FEE 4 EMERGENT I","99284","N/A","N/A","N/A","N/A","N/A","2989.00","2989.00","N/A","N/A","N/A","425.00","2989.00","425.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00"
"5","N/A","HCHG EMERGENCY FEE 4 EMERGENT I (MOD25)","99284","N/A","N/A","N/A","N/A","N/A","2989.00","2989.00","N/A","N/A","N/A","425.00","2989.00","425.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00","2989.00"
"5","N/A","EMERGENCY DEPT VISIT","99285","N/A","N/A","N/A","N/A","N/A","3341.00","3341.00","N/A","N/A","N/A","575.00","3341.00","575.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00"
"5","N/A","HCHG EMERGENCY FEE 5 EMERGENT II","99285","N/A","N/A","N/A","N/A","N/A","3341.00","3341.00","N/A","N/A","N/A","575.00","3341.00","575.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00"
"5","N/A","HCHG EMERGENCY FEE 5 EMERGENT II (MOD25)","99285","N/A","N/A","N/A","N/A","N/A","3341.00","3341.00","N/A","N/A","N/A","575.00","3341.00","575.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00","3341.00"
"5","N/A","CRITICAL CARE FIRST HOUR","99291","N/A","N/A","N/A","N/A","N/A","6002.00","6002.00","N/A","N/A","N/A","6002.00","6002.00","N/A","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00"
"5","N/A","HCHG EMERGENCY FEE 6 CRITICAL CARE","99291","N/A","N/A","N/A","N/A","N/A","6002.00","6002.00","N/A","N/A","N/A","6002.00","6002.00","N/A","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00"
"5","N/A","HCHG EMERGENCY FEE 6 CRITICAL CARE (MOD25)","99291","N/A","N/A","N/A","N/A","N/A","6002.00","6002.00","N/A","N/A","N/A","6002.00","6002.00","N/A","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00","6002.00"
"5","N/A","CRITICAL CARE ADDL 30 MIN","99292","N/A","N/A","N/A","N/A","N/A","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","HCHG EMERGENCY FEE 6 CRITICAL CARE EA ADDL 30MIN","99292","N/A","N/A","N/A","N/A","N/A","1815.00","1815.00","N/A","N/A","N/A","1815.00","1815.00","N/A","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00","1815.00"
"5","N/A","HCHG PROLONGED SVCS OP 30 MIN TO 1.25 HR","99354","N/A","N/A","N/A","N/A","N/A","381.00","381.00","N/A","N/A","N/A","381.00","381.00","N/A","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00"
"5","N/A","PROLONG E&M/PSYCTX SERV O/P","99354","N/A","N/A","N/A","N/A","N/A","381.00","381.00","N/A","N/A","N/A","381.00","381.00","N/A","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00"
"5","N/A","HCHG PROLONGED SVCS OP EA ADDTL 30 MIN","99355","N/A","N/A","N/A","N/A","N/A","381.00","381.00","N/A","N/A","N/A","381.00","381.00","N/A","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00"
"5","N/A","PROLONG E&M/PSYCTX SERV O/P","99355","N/A","N/A","N/A","N/A","N/A","381.00","381.00","N/A","N/A","N/A","381.00","381.00","N/A","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00","381.00"
"5","N/A","BEHAV CHNG SMOKING 3-10 MIN","99406","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","HCHG BEHAV CHNG SMOKING 3-10 MIN","99406","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","HCHG BEHAVIOR CHANGE SMOKING 3 TO 10 MINS","99406","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","BEHAV CHNG SMOKING > 10 MIN","99407","N/A","N/A","N/A","N/A","N/A","117.00","117.00","N/A","N/A","N/A","117.00","117.00","N/A","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00"
"5","N/A","HCHG BEHAV CHNG SMOKING >10 MIN","99407","N/A","N/A","N/A","N/A","N/A","117.00","117.00","N/A","N/A","N/A","117.00","117.00","N/A","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00"
"5","N/A","HCHG BEHAVIOR CHANGE SMOKING > 10 MINS","99407","N/A","N/A","N/A","N/A","N/A","117.00","117.00","N/A","N/A","N/A","117.00","117.00","N/A","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00","117.00"
"5","N/A","AUDIT/DAST 15-30 MIN","99408","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG AUDIT/DAST, 15-30 MIN","99408","N/A","N/A","N/A","N/A","N/A","64.00","64.00","N/A","N/A","N/A","64.00","64.00","N/A","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00","64.00"
"5","N/A","HCHG ONLINE DIGITAL E/M SVC EST PT < 7 D 5-10 MINUTES","99421","N/A","N/A","N/A","N/A","N/A","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","OL DIG E/M SVC 5-10 MIN","99421","N/A","N/A","N/A","N/A","N/A","27.00","27.00","N/A","N/A","N/A","27.00","27.00","N/A","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00","27.00"
"5","N/A","HCHG ONLINE DIGITAL E/M SVC EST PT < 7 D 11-20 MINUTES","99422","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","OL DIG E/M SVC 11-20 MIN","99422","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","HCHG ONLINE DIGITAL E/M SVC EST PT < 7 D 21+ MINUTES","99423","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","OL DIG E/M SVC 21+ MIN","99423","N/A","N/A","N/A","N/A","N/A","89.00","89.00","N/A","N/A","N/A","89.00","89.00","N/A","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00","89.00"
"5","N/A","HCHG NTRPROF PHONE/NTRNET/EHR ASSMT & MGMT 5-10 MIN","99446","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","NTRPROF PH1/NTRNET/EHR 5-10","99446","N/A","N/A","N/A","N/A","N/A","38.00","38.00","N/A","N/A","N/A","38.00","38.00","N/A","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00","38.00"
"5","N/A","HCHG NTRPROF PHONE/NTRNET/EHR ASSMT & MGMT 11-20 MIN","99447","N/A","N/A","N/A","N/A","N/A","76.00","76.00","N/A","N/A","N/A","76.00","76.00","N/A","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00"
"5","N/A","NTRPROF PH1/NTRNET/EHR 11-20","99447","N/A","N/A","N/A","N/A","N/A","76.00","76.00","N/A","N/A","N/A","76.00","76.00","N/A","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00","76.00"
"5","N/A","HCHG NTRPROF PHONE/NTRNET/EHR ASSMT & MGMT 21-30 MIN","99448","N/A","N/A","N/A","N/A","N/A","113.00","113.00","N/A","N/A","N/A","113.00","113.00","N/A","113.00","113.00","113.00","113.00","113.00","113.00","113.00","113.00","113.00","113.00"
"5","N/A","NTRPROF PH1/NTRNET/EHR 21-30","99448","N/A","N/A","N/A","N/A","N/A","113.00","113.00","N/A","N/A","N/A","113.00","113.00","N/A","113.00","113.00","113.00","113.00","113.00","113.00","113.00","113.00","113.00","113.00"
"5","N/A","HCHG NTRPROF PHONE/NTRNET/EHR ASSMT & MGMT 31/> MIN","99449","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","NTRPROF PH1/NTRNET/EHR 31/>","99449","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","HCHG NTRPROF PHONE/NTRNET/EHR ASSMT & MGMT 5/> MIN","99451","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","NTRPROF PH1/NTRNET/EHR 5/>","99451","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","HCHG NTRPROF PHONE/NTRNET/EHR REFFERAL SVCS 30 MIN","99452","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","NTRPROF PH1/NTRNET/EHR RFRL","99452","N/A","N/A","N/A","N/A","N/A","70.00","70.00","N/A","N/A","N/A","70.00","70.00","N/A","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00","70.00"
"5","N/A","ATTENDANCE AT DELIVERY","99464","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","HCHG NEONATAL DELIVERY ATTENDANCE","99464","N/A","N/A","N/A","N/A","N/A","454.00","454.00","N/A","N/A","N/A","454.00","454.00","N/A","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00","454.00"
"5","N/A","CHRON CARE MGMT SRVC 20 MIN","99490","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG CHRONIC CARE MANAGEMENT SERVICES 20 MIN","99490","N/A","N/A","N/A","N/A","N/A","229.00","229.00","N/A","N/A","N/A","229.00","229.00","N/A","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00","229.00"
"5","N/A","HCHG TRANS CARE MGMT 14 DAY DISCHARGE","99495","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","TRANS CARE MGMT 14 DAY DISCH","99495","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","HCHG CURBSIDE CONSULT WRITTEN AND VERBAL 5-10 MIN","99496","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","HCHG TRANS CARE MGMT 7 DAY DISCHARGE","99496","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","TRANS CARE MGMT 7 DAY DISCH","99496","N/A","N/A","N/A","N/A","N/A","337.00","337.00","N/A","N/A","N/A","337.00","337.00","N/A","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00","337.00"
"5","N/A","HCHG PROSTASCINT IN111, UP TO 10MCI","A4641","N/A","N/A","N/A","N/A","N/A","9900.00","9900.00","N/A","N/A","N/A","9900.00","9900.00","N/A","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00"
"5","N/A","RADIOPHARM DX AGENT NOC","A4641","N/A","N/A","N/A","N/A","N/A","9900.00","9900.00","N/A","N/A","N/A","9900.00","9900.00","N/A","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00","9900.00"
"5","N/A","PUMP PAIN W/ DUAL 5" CATH 550","A4649","N/A","N/A","N/A","N/A","N/A","808.50","808.50","N/A","N/A","N/A","808.50","808.50","N/A","808.50","808.50","808.50","808.50","808.50","808.50","808.50","808.50","808.50","808.50"
"5","N/A","SURGICAL SUPPLIES","A4649","N/A","N/A","N/A","N/A","N/A","808.50","808.50","N/A","N/A","N/A","808.50","808.50","N/A","808.50","808.50","808.50","808.50","808.50","808.50","808.50","808.50","808.50","808.50"
"5","N/A","ABACAVIR 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACARBOSE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN 120 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN 160 MG/5 ML (5 ML) SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN 160 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN 325 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN 325 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN 650 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN 650 MG/20.3 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN EXTRA STRENGTH 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN-CODEINE (120 MG/12 MG PER 5 ML) 120 MG-12 MG /5 ML (5 ML) SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN/CAFFEINE/BUTALBITAL 325/40/50 MG 50-325-40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN/CODEINE (120 MG/12 MG PER 5 ML) 300 MG-30 MG /12.5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN/CODEINE 300/15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN/CODEINE 300/30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAMINOPHEN/CODEINE 300/60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAZOLAMIDE 125 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETAZOLAMIDE 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETYLCYSTEINE 20 % (200 MG/ML) SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETYLCYSTEINE 20 % (200 MG/ML) SOLN 30 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETYLCYSTEINE 20% (200 MG/ML) MISC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETYLCYSTEINE 20% (200 MG/ML) MISC 30 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETYLCYSTEINE 200 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACETYLCYSTEINE 200 MG/ML SOLN 30 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACITRETIN 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACTIVATED CHARCOAL/SORBITOL 25 GRAM/120 ML SUSP 120 ML TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACYCLOVIR 200 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACYCLOVIR 200 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACYCLOVIR 5 % OINT 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ACYCLOVIR 800 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALBENDAZOLE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALBUTEROL 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALBUTEROL 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALBUTEROL SULFATE 90 MCG/ACTUATION HFAA 6.7 G CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALBUTEROL SULFATE 90 MCG/ACTUATION HFAA 8 G CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALENDRONATE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALENDRONATE 70 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALFUZOSIN ER 10 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALLOPURINOL 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALLOPURINOL 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALPRAZOLAM 0.25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALPRAZOLAM 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALPRAZOLAM 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALUMIMUM SULFATE-CALCIUM ACETATE 952-1,347 MG PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALUMINUM HYDROXIDE GEL 320 MG/5 ML SUSP 473 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALUMINUM SULFATE-CALCIUM ACETATE 952-1,347 MG PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALUMINUM-MAGNESIUM HYDROXIDE/SIMETHICONE 400/400/40 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALUMINUM-MAGNESIUM HYDROXIDE/SIMETHICONE 400/400/40 MG/5 ML SUSP 30 ML CUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ALVIMOPAN 12 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMANTADINE HCL 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMANTADINE HCL 50 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMILORIDE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMINOCAPROIC ACID 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMIODARONE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMIODARONE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMITRIPTYLINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMITRIPTYLINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMITRIPTYLINE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMLODIPINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMLODIPINE 10 MG TABLET 1,000 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMLODIPINE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMLODIPINE 2.5 MG TABLET 500 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMLODIPINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMLODIPINE 5 MG TABLET 500 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMMONIA AROMATIC 15 % (W/V) SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMMONIUM LACTATE 12 % LOTN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMMONIUM LACTATE 12 % LOTN 225 G BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMMONIUM LACTATE 12 % LOTN 226 G BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN 125 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN 250 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN 400 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN 500 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN/CLAVULANATE 400-57 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN/CLAVULANATE 500/125 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN/CLAVULANATE 875/125 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMOXICILLIN/POT CLAVULANATE 200-28.5 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMPHETAMINE/DEXTROAMPHETAMINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMPHETAMINE/DEXTROAMPHETAMINE XR 10 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMPHETAMINE/DEXTROAMPHETAMINE XR 20 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMPHETAMINE/DEXTROAMPHETAMINE XR 30 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMPHETAMINE/DEXTROAMPHETAMINE XR 5 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMPICILLIN 500 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AMYLASE/LIPASE/PROTEASE DR 12,000-38,000 -60,000 UNIT CAP DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ANAGRELIDE 0.5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ANASTROZOLE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ANASTROZOLE 1 MG TABLET 30 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","APIXABAN 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","APIXABAN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","APREMILAST 10 MG (4)-20 MG (4)-30 MG (47) DOSE PACK 55 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARIPIPRAZOLE 1 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARIPIPRAZOLE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARIPIPRAZOLE 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARIPIPRAZOLE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARIPIPRAZOLE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARIPIPRAZOLE 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARIPIPRAZOLE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ARTIFI.TEARS(HYPROMELLOSE)(PF) 1.7 % DRPA","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASCORBIC ACID (VITAMIN C) 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASENAPINE MALEATE 5 MG SUBL.TAB","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASPIRIN 300 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASPIRIN 325 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASPIRIN 600 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASPIRIN 81 MG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASPIRIN DR 325 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASPIRIN DR 81 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ASPIRIN/ACETAMINOPHEN/CAFFEINE 250-250-65 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATENOLOL 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATENOLOL 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATOMOXETINE 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATOMOXETINE 40 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATOMOXETINE 60 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATORVASTATIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATORVASTATIN 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATORVASTATIN 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATORVASTATIN 80 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ATOVAQUONE 750 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AUGMENTED BETAMETHASONE DIPROPIONATE 0.05 % OINT 45 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AZITHROMYCIN 200 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AZITHROMYCIN 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","AZITHROMYCIN 600 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","B COMPLEX WITH FOLIC ACID 400 MCG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","B COMPLEX-VITAMIN C-FOLIC ACID 0.8 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BACITRACIN 500 UNIT/G OINT 14 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BACITRACIN 500 UNIT/G OINT 3.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BACITRACIN 500 UNIT/G PKT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BACLOFEN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BALANCED SALT SOLUTION (NON-SURGICAL USE) SOLN 30 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BELLADONNA/OPIUM 16.2/60 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENAZEPRIL 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENAZEPRIL 20 MG TABLET 500 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENAZEPRIL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENAZEPRIL 5 MG TABLET 100 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOCAINE (OMNICELL DOSE CHARGE) 20 % AEROSOL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOCAINE (OMNICELL DOSE CHARGE) 20 % AEROSOL 57 G CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOCAINE 20 % AEROSOL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOCAINE 20 % AEROSOL 57 G CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOCAINE-MENTHOL 15-3.6 MG LOZG","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOCAINE-MENTHOL 20-0.5 % AEROSOL 56 G CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZONATATE 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOYL PEROXIDE 10 % CLEANSER 148 G BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOYL PEROXIDE 10 % GEL 42.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZOYL PEROXIDE 5 % GEL 42.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZTROPINE 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZTROPINE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BENZTROPINE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BETHANECHOL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BETHANECHOL 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BICALUTAMIDE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BICALUTAMIDE 50 MG TABLET 30 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BICTEGRAV-EMTRICIT-TENOFOV ALA 50-200-25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BIMATOPROST 0.01 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BIOTIN 5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BISACODYL 10 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BISACODYL DR 5 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BISMUTH SUBSALICYLATE 262 MG/15 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BISMUTH SUBSALICYLATE 262 MG/15 ML SUSP 236 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BISMUTH SUBSALICYLATE 262 MG/15 ML SUSP 237 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NICOTINE 7 MG/24 HR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NIFEDIPINE 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NIFEDIPINE 30 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NIFEDIPINE 60 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NIFEDIPINE 90 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NIMODIPINE 30 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NIMODIPINE 30 MG SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROFURANTOIN MACROCRYSTALS 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROFURANTOIN MONOHYDRATE/NITROFURANTOIN MACROCRYSTALS 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROGLYCERIN 0.1 MG/HR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROGLYCERIN 0.2 MG/HR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROGLYCERIN 0.4 MG SUBL.TAB 25 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROGLYCERIN 0.4 MG/HR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROGLYCERIN 2 % OINT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NITROGLYCERIN 2 % OINT 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NON-COVERED ITEM OR SERVICE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NORGESTIMATE/ETHINYL ESTRADIOL 0.25 MG/35 MCG TABLET 28 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NORTRIPTYLINE 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NORTRIPTYLINE 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/G CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/G OINT 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/G POWD","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/G POWD 15 G JAR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/G POWD 15 G SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/ML SUSP 60 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NYSTATIN 100,000 UNIT/ML SUSP 60 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OCTREOTIDE 100 MCG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OCTREOTIDE 500 MCG/ML SOLN 1 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OCTREOTIDE ACETATE 50 MCG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OFLOXACIN 0.3 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE 7.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE RAPID DISSOLVE 10 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE RAPID DISSOLVE 15 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLANZAPINE RAPID DISSOLVE 5 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLIVE OIL OIL 120 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLMESARTAN 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLMESARTAN/HYDROCHLOROTHIAZIDE 20-12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OLMESARTAN/HYDROCHLOROTHIAZIDE 40/12.5 MG 40-12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OMEGA-3 FATTY ACIDS-FISH OIL 360-1,200 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OMEPRAZOLE EC 20 MG CAP DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ONDANSETRON 2 MG/2.5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ONDANSETRON 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ONDANSETRON 4 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ONDANSETRON 8 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OSELTAMIVIR 30 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXANDROLONE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXCARBAZEPINE 150 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXCARBAZEPINE 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYBUTYNIN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYCODONE 10 MG TR12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYCODONE 20 MG TR12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYCODONE 20 MG/ML CONC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYCODONE 40 MG TR12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYCODONE 5 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYCODONE IMMEDIATE RELEASE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYCODONE/ACETAMINOPHEN 5 /325 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","OXYMETAZOLINE 0.05 % NON-AER.SPRY 15 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PALIPERIDONE SR 3 MG TR24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PALIPERIDONE SR 6 MG TR24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PALIPERIDONE SR 9 MG TR24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PANTOPRAZOLE DR 40 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PANTOTHENIC AC-MIN OIL-PET,HYD 41 % OINT 50 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PAPAVERINE 30 MG/1 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PAROXETINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PAROXETINE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PEDI ACETAMINOPHEN 160 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PEDI IBUPROFEN 100 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PEDI SODIUM PHOSPHATES 9.5-3.5 GRAM/59 ML ENEMA 66 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PEG 3350-ELECTROLYTES-VIT C 100-7.5-2.691 GRAM PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PEG 400/HYPROMELLOSE/GLYCERIN 1-0.2-0.2 % DROP 15 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PEG-ELECTROLYTE SOLN 420 GRAM RECON.SOLN.","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PEG-ELECTROLYTE SOLN 420 GRAM RECON.SOLN. 4,000 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PENICILLIN V POTASSIUM 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PENICILLIN V POTASSIUM 250 MG/5 ML RECON.SOLN.","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PENICILLIN V POTASSIUM 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PENTOSAN 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PENTOXIFYLLINE SR 400 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PERAMPANEL 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PERMETHRIN 1 % LIQ 59 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PERMETHRIN 1 % LIQ 60 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PERMETHRIN 5 % CR 60 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PERPHENAZINE 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENAZOPYRIDINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENAZOPYRIDINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENELZINE 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENOBARBITAL 20 MG/5 ML ELIX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENOBARBITAL 32.4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENOBARBITAL 64.8 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENOBARBITAL 97.2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENOL 1.4 % NON-AER.SPRY 177 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENYLEPHRINE 0.25 % NON-AER.SPRY 15 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENYLEPHRINE 1 % 1 % NON-AER.SPRY 15 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENYTOIN 125 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENYTOIN 50 MG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHENYTOIN SODIUM EXTENDED 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHYTONADIONE (VITAMIN K1) 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHYTONADIONE 1 MG/0.5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PHYTONADIONE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PILOCARPINE 1 % DROP 15 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PILOCARPINE HCL 2 % DROP 1 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PILOCARPINE HCL 2 % DROP 15 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PILOCARPINE HCL 4 % DROP 15 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PILOCARPINE ORAL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PIOGLITAZONE 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POLYETHYLENE GLYCOL 3350 17 GRAM PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POSACONAZOLE 100 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM BICARBONATE 25 MEQ TBER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM CHLORIDE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM CHLORIDE 10 % LIQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM CHLORIDE 20 MEQ PKT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM CHLORIDE ER 20 MEQ TBTQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM CHLORIDE SR 10 MEQ CAP SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM CHLORIDE SR 10 MEQ TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM CITRATE 10 MEQ TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM IODIDE 1 GRAM/ML SOLN 30 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POTASSIUM, SODIUM PHOSPHATES 280-160-250 MG PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","POVIDONE/IODINE 5 % SOLN 30 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAMIPEXOLE 0.125 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAMIPEXOLE 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAMOXINE/CALAMINE 1/8 % LOTN 177 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRASUGREL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRASUGREL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAVASTATIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAVASTATIN 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAVASTATIN 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAVASTATIN 80 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAZIQUANTEL 600 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAZOSIN 1 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAZOSIN 2 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRAZOSIN 5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PREDNISOLONE 1 % DRPS 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PREDNISOLONE 15 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PREGABALIN 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PREGABALIN 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PREGABALIN 50 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PREGABALIN 75 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRENATAL VITAMIN-IRON FUMARATE-FOLIC ACID 27-1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRIMAQUINE 26.3 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRIMIDONE 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PRIMIDONE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROBENECID 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROCHLORPERAZINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROCHLORPERAZINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROMETHAZINE 12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROMETHAZINE 25 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROMETHAZINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROMETHAZINE/CODEINE 6.25/10 MG/5 ML SYRUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROPAFENONE 150 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROPRANOLOL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROPRANOLOL 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROPRANOLOL 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PROPRANOLOL 80 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PSEUDOEPHEDRINE 15 MG/5 ML LIQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PSEUDOEPHEDRINE 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PSEUDOEPHEDRINE 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PSYLLIUM HUSK-ASPARTAME PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PYRAZINAMIDE 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PYRETHRINS/PIPERONYL BUTOXIDE 0.33-4 % SHAMPOO 118 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PYRIDOSTIGMINE 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PYRIDOXINE (VITAMIN B6) 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","PYRIDOXINE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 200 MG TABLET 100 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 300 MG TABLET 100 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE XR 200 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE XR 300 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUETIAPINE XR 50 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","QUINIDINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RABEPRAZOLE DR 20 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RALOXIFENE 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RALTEGRAVIR 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RAMIPRIL 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RAMIPRIL 2.5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RAMIPRIL 5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RANOLAZINE SR 500 MG TAB SR 12H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RASAGILINE 1 TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","REPAGLINIDE 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","REPAGLINIDE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIBOFLAVIN (VITAMIN B2) 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIFABUTIN 150 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIFAMPIN 150 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIFAMPIN 300 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIFAMPIN 300 MG CAP 100 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIFAXIMIN 550 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RILUZOLE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE 0.25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE 1 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE 3 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE M 0.5 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE M 1 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE M 2 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE M 3 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RISPERIDONE M 4 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RITONAVIR 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIVAROXABAN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIVAROXABAN 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIVAROXABAN 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIVAROXABAN 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIVASTIGMINE 4.6 MG/24 HOUR 4.6 MG/24 HOUR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIVASTIGMINE 9.5 MG/24 HOUR 9.5 MG/24 HOUR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIVASTIGMINE TARTRATE 1.5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","RIZATRIPTAN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROFLUMILAST 500 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROPINIROLE 0.25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROPINIROLE 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROPINIROLE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROPINIROLE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROSUVASTATIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROSUVASTATIN 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROSUVASTATIN 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ROSUVASTATIN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SACCHAROMYCES BOULARDII 250 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SACUBITRIL-VALSARTAN 24-26 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SACUBITRIL-VALSARTAN 49-51 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SACUBITRIL-VALSARTAN 97-103 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SALIVA STIMULANT AGENTS COMB.3 NON-AER.SPRY 45 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SALMETEROL XINAFOATE 50 MCG/PUFF DSDV 60 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SCOPOLAMINE 1 MG/3 DAYS PT3D","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SCOPOLAMINE 1.5 MG PT3D","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SELEGILINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SELEGILINE 6 MG/24 HR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SELENIUM 200 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SELENIUM SULFIDE 2.5 % LOTN 120 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SENNOSIDES 8.6 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SENNOSIDES/DOCUSATE SODIUM 8.6/50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SERTRALINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SERTRALINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SERTRALINE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SEVELAMER CARBONATE 2.4 GRAM PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SEVELAMER CARBONATE 800 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SILDENAFIL CITRATE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SILODOSIN 8 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SILVER SULFADIAZINE 1 % CR 25 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SILVER SULFADIAZINE 1 % CR 400 G JAR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SIMETHICONE 40 MG/0.6 ML DRPS 30 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SIMETHICONE 80 MG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SIMPLE SYRUP SYRUP 480 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SIMVASTATIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SIMVASTATIN 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SIMVASTATIN 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SIMVASTATIN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SITAGLIPTIN 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SITAGLIPTIN 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SITAGLIPTIN 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SITAGLIPTIN 50 MG TABLET 100 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM BICARBONATE 650 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM BICARBONATE 650 MG TABLET 500 EACH DOSE-PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM BICARBONATE POWD 113 G JAR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM BICARBONATE/SODIUM CHLORIDE POWD 113 G JAR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM CHLORIDE 0.65 % AERO.SPRAY 44 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM CHLORIDE 1 GRAM TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM CHLORIDE 5 % DROP 15 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM CITRATE/CITRIC ACID 500/334 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM PHOS/POTASSIUM PHOS LOW-K 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM PHOSPHATES 19-7 GRAM/118 ML ENEMA 133 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM POLYSTYR SULFON-SORBITOL 15 GRAM/60 ML- 20 GRAM/21.5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM POLYSTYRENE SULFONATE 15 GRAM/60 ML- 20 GRAM/21.5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM ZIRCONIUM CYCLOSILICATE 10 GRAM PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM ZIRCONIUM CYCLOSILICATE 5 GRAM PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SODIUM,POTASSIUM,MAG SULFATES 17.5-3.13-1.6 GRAM RECON.SOLN.","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SOLIFENACIN SUCCINATE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SORBITOL 70 % SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SOTALOL 80 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SPINOSAD 0.9 % SUSP 120 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SPIRONOLACTONE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SPIRONOLACTONE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SPIRONOLACTONE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SPIRONOLACTONE/HYDROCHLOROTHIAZE 25/25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SUCRALFATE 1 GRAM TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SUCRALFATE 100 MG/ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SULFADIAZINE 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SULFASALAZINE 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","SUMATRIPTAN 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TACROLIMUS 0.1 % OINT 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TADALAFIL 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TAFLUPROST (PF) 0.0015 % DROPPERETTE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TAFLUPROST (PF) 0.0015 % DROPPERETTE 1 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TAMOXIFEN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TAMOXIFEN 10 MG TABLET 60 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TAMSULOSIN 0.4 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TAMSULOSIN 0.4 MG CAP 1,000 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TEMAZEPAM 15 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TENOFOVIR 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TENOFOVIR ALAFENAMIDE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TERAZOSIN 1 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TERAZOSIN 2 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TERAZOSIN 5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TERBINAFINE HCL 1 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TERBINAFINE HCL 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TETRACAINE HCL (PF) 0.5 % DROP 1 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TETRACAINE HCL (PF) 0.5 % DROP 4 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THEOPHYLLINE 80 MG/15 ML ELIX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THEOPHYLLINE SR 100 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THEOPHYLLINE SR 300 MG TAB SR 12H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THIAMINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THIAMINE MONONITRATE (VIT B1) 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THYROID (PORK) 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THYROID (PORK) 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","THYROID 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TICAGRELOR 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TICAGRELOR 90 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIMOLOL 0.25 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIMOLOL 0.5 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIOTROPIUM 18 MCG/CAP CPDV 5 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIOTROPIUM 2.5 MCG/ACTUATION MIST","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIOTROPIUM 2.5 MCG/ACTUATION MIST 4 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIOTROPIUM/OLODATEROL 2.5-2.5 MCG/ACTUATION MIST 4 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIZANIDINE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TIZANIDINE 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOBRAMYCIN 0.3 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOBRAMYCIN/DEXAMETHASONE 0.3/0.1% DRPS 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOBRAMYCIN/DEXAMETHASONE 0.3/0.1% OINT 3.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOLTERODINE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOLTERODINE TARTRATE 2 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOLTERODINE TARTRATE 4 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOLVAPTAN 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOPIRAMATE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOPIRAMATE 100 MG TABLET 60 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOPIRAMATE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TOPIRAMATE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TORSEMIDE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRAMADOL 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRAVOPROST 0.004 % DROP 2.5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRAZODONE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRAZODONE 150 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRAZODONE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.025 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.025 % OINT 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.1 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.1 % CR 80 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.1 % OINT 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.1 % OINT 80 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.5 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE 0.5 % OINT 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE ACETONIDE 0.1 % LOTN 60 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMCINOLONE ACETONIDE 0.1 % PASTE 5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIAMTERENE/HYDROCHLOROTHIAZIDE 37.5/25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIFLUOPERAZINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIFLURIDINE 1 % DROP 7.5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIHEXYPHENIDYL 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIMETHOPRIM/POLYMYXIN B 0.1 %/10,000 UNIT/ML DROP 10 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIMETHOPRIM/SULFAMETHOXAZOLE 160/800 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIMETHOPRIM/SULFAMETHOXAZOLE 40/200 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","TRIMETHOPRIM/SULFAMETHOXAZOLE 80/400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","UMECLIDINIUM 62.5 MCG/ACTUATION DSDV 7 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","UMECLIDINIUM-VILANTEROL 62.5-25 MCG/ACTUATION DSDV 14 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","UREA 10 % LOTN 240 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","URSODIOL 300 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALACYCLOVIR 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALGANCICLOVIR 450 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALGANCICLOVIR 50 MG/ML RECON.SOLN. 88 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALPROATE SODIUM (VALPROIC ACID) 250 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALPROIC ACID (AS SODIUM SALT) 250 MG/5 ML (5 ML) SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALSARTAN 160 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALSARTAN 160 MG TABLET 90 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALSARTAN 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VALSARTAN 80 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VANCOMYCIN 25 MG/ML RECON.SOLN.","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VEHICLE S 0.2/0.2 % LIQ 480 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENETOCLAX 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENLAFAXINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENLAFAXINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENLAFAXINE 37.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENLAFAXINE 75 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENLAFAXINE XR 150 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENLAFAXINE XR 37.5 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VENLAFAXINE XR 75 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VERAPAMIL 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VERAPAMIL SR 180 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VERAPAMIL SR 240 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VERAPAMIL SR PELLETS 120 MG C24P","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VILAZODONE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VIT B CMPLX 3-FA-VIT C-BIOTIN 1-60-300 MG-MG-MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VIT E/GLYCERIN/DIMETHICONE LOTN 473 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VITAMIN A 10,000 UNIT CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VITAMIN E 400 UNIT CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VORICONAZOLE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VORICONAZOLE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","VORTIOXETINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 3 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 6 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WARFARIN 7.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WHITE PETROLATUM-MINERAL OIL 57.3-42.5 % OINT 3.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WHITE PETROLATUM/MINERAL OIL 83-15 % OINT 3.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WHITE PETROLATUM/MINERAL OIL 94-3 % OINT 3.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WITCH HAZEL 50 % MED.PADS 100 EACH BOX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WITCH HAZEL 50 % MED.PADS 100 EACH JAR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","WITCH HAZEL 50 % MED.PADS 48 EACH BOX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZINC OXIDE 16 % OINT 57 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZINC SULFATE 220 MG (50 MG ZINC) CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZINC SULFATE 220 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZINC SULFATE 50 MG ZINC (220 MG) TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZIPRASIDONE 20 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZIPRASIDONE 40 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZIPRASIDONE 60 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZIPRASIDONE 80 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ZOLPIDEM 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BISOPROLOL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BRIMONIDINE TARTRATE 0.1 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BRIMONIDINE TARTRATE 0.2 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BRIMONIDINE/TIMOLOL 0.2-0.5 % DROP 5 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BRINZOLAMIDE 1 % 1 % DRPS 10 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BRINZOLAMIDE/BRIMONIDINE 1-0.2 % DRPS 8 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BRIVARACETAM 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BROMOCRIPTINE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUDESONIDE 180 MCG/PUFF AEPB 1 EACH CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUDESONIDE EC 3 MG CECX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUDESONIDE/FORMOTEROL 160-4.5 MCG/ACTUATION HFAA 6 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUDESONIDE/FORMOTEROL 80-4.5 MCG/ACTUATION HFAA 6.9 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUMETANIDE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPRENORPHINE 20 MCG/HOUR PTWK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPRENORPHINE HCL 2 MG SUBL.TAB","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPRENORPHINE HCL 8 MG SUBL.TAB","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPRENORPHINE-NALOXONE 2-0.5 MG FILM","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPRENORPHINE-NALOXONE 8-2 MG FILM","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPROPION 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPROPION 75 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPROPION SR 100 MG SR12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPROPION SR 150 MG SR12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPROPION XL 150 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUPROPION XL 300 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUSPIRONE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","BUSPIRONE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CAFFEINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALAMINE-ZINC OXIDE 8-8 % LOTN 177 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALCITONIN (SALMON) 200 UNIT/SPRAY NON-AER.SPRY 3.7 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALCITRIOL 0.25 MCG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALCIUM ACETATE(PHOSPHAT BIND) 667 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALCIUM CARBONATE 500 MG 500 MG) CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALCIUM CARBONATE 648 MG CALCIUM TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALCIUM CARBONATE/VITAMIN D3 500 MG-400 UNIT TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CALCIUM/VITAMIN D3 250-125 MG-UNIT TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CAMPHOR/MENTHOL 0.5/0.5 % LOTN 222 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CANAGLIFLOZIN 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CAPSAICIN 0.075 % CR 57 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CAPTOPRIL 12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBAMAZEPINE 100 MG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBAMAZEPINE 100 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBAMAZEPINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBAMAZEPINE XR 100 MG TAB SR 12H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBAMAZEPINE XR 200 MG TAB SR 12H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBAMIDE PEROXIDE 10 % SOLN 15 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBAMIDE PEROXIDE 6.5 % DROP 15 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBIDOPA/LEVODOPA 10/100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBIDOPA/LEVODOPA 25-100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBIDOPA/LEVODOPA 25/250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBIDOPA/LEVODOPA CR 25/100 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARBIDOPA/LEVODOPA SR 50/200 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARISOPRODOL 350 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARVEDILOL 12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARVEDILOL 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARVEDILOL 3.125 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARVEDILOL 6.25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARVEDILOL PHOSPHATE CR 10 MG CM24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARVEDILOL PHOSPHATE CR 20 MG CM24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CARVEDILOL PHOSPHATE CR 40 MG CM24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEFDINIR 250 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEFDINIR 300 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEFUROXIME 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEFUROXIME 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CELECOXIB 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CELECOXIB 200 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEPHALEXIN 125 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEPHALEXIN 250 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEPHALEXIN 250 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CEPHALEXIN 500 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CETIRIZINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CETIRIZINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CETIRIZINE HCL 5 MG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORDIAZEPOXIDE 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORDIAZEPOXIDE 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORDIAZEPOXIDE 5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORHEXIDINE GLUCONATE 0.12 % MOUTHWASH 473 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORPHENIRAMINE/HYDROCODONE ER 8/10 MG/5 ML SU12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORPROMAZINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORPROMAZINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORPROMAZINE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORTHALIDONE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHLORZOXAZONE 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHOLECALCIFEROL (VITAMIN D3) 1,000 UNIT TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CHOLESTYRAMINE/ASPARTAME 4 GRAM PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CILOSTAZOL 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CINACALCET 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CINACALCET 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CIPROFLOXACIN 0.2 % DROPPERETTE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CIPROFLOXACIN HCL 0.3 % OINT 3.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CIPROFLOXACIN HCL 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CIPROFLOXACIN HCL 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CIPROFLOXACIN HCL 750 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CIPROFLOXACIN/DEXAMETHASONE 0.3/0.1 % DRPS 7.5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CITALOPRAM 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CITALOPRAM 10 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CITALOPRAM 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CITALOPRAM 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLARITHROMYCIN 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLARITHROMYCIN 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLINDAMYCIN 150 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLINDAMYCIN 300 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLINDAMYCIN PALMITATE 75 MG/5 ML RECON.SOLN.","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLINDAMYCIN PHOSPHATE 1 % SOLN 60 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOBAZAM 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOBETASOL 0.05 % CR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOBETASOL 0.05 % CR 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOBETASOL PROPIONATE 0.05 % OINT 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOBETASOL PROPIONATE 0.05 % SHAMPOO","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLONAZEPAM 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLONAZEPAM 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLONAZEPAM 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLONIDINE 0.1 MG/24 HR PTWK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLONIDINE 0.2 MG/24 HR PTWK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLONIDINE HCL 0.1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLONIDINE HCL 0.2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOPIDOGREL 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOPIDOGREL 75 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOTRIMAZOLE 1 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOTRIMAZOLE 1 % CR 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOTRIMAZOLE 1 % CR 45 G TUBE/KIT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOTRIMAZOLE 10 MG TROCHE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOTRIMAZOLE/BETAMETHASONE 1/0.05 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOZAPINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOZAPINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CLOZAPINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CODEINE 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CODEINE 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CODEINE/GUAIFENESIN 10-100 MG/5 ML LIQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","COENZYME Q10 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","COENZYME Q10 30 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","COLCHICINE 0.6 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","COLLAGENASE 250 UNIT/G OINT 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","COLLAGENASE 250 UNIT/GRAM OINT 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","COLLOIDAL OATMEAL PKT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CONJUGATED ESTROGENS 0.3 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CONJUGATED ESTROGENS 0.625 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CYANOCOBALAMIN 500 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CYCLOBENZAPRINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CYCLOBENZAPRINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CYCLOSPORINE 0.05 % DROPPERETTE 30 EACH KIT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","CYPROHEPTADINE 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DABIGATRAN 150 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DABIGATRAN 75 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DANAZOL 200 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DANTROLENE 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DAPAGLIFLOZIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DAPAGLIFLOZIN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DAPSONE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DAPSONE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DARUNAVIR ETHANOLATE 600 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DARUNAVIR ETHANOLATE 800 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DARUNAVIR-COBICISTAT 800-150 MG-MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DEFERASIROX 180 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DEMECLOCYCLINE 150 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DEMECLOCYCLINE 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESIPRAMINE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESMOPRESSIN 10 MCG/SPRAY SPRP 5 ML AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESMOPRESSIN ACETATE 0.1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESMOPRESSIN RHINAL TUBE 0.1 MG/ML (REFRIG) SOLN 2.5 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESONIDE 0.05 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESONIDE 0.05 % OINT 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESVENLAFAXINE SUCCINATE 25 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DESVENLAFAXINE SUCCINATE 50 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DEXAMETHASONE 0.1 % DRPS 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DEXTRAN 70/HYPROMELLOSE (PF) 0.1-0.3 % DROPPERETTE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DEXTROMETHORPHAN-GUAIFENESIN 10-100 MG/5 ML SYRUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DEXTROSE (DIABETIC USE) 40 % GEL 37.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIAZEPAM 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIAZEPAM 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIAZEPAM 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIAZEPAM 5-7.5-10 MG KIT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIBUCAINE 1 % OINT 28 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICLOFENAC 0.1 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICLOFENAC EPOLAMINE 1.3 % PT12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICLOFENAC SODIUM 1 % GEL 100 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICLOXACILLIN 250 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICLOXACILLIN 500 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICYCLOMINE 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICYCLOMINE 10 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICYCLOMINE 10 MG/5 ML SOLN 10 ML CUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DICYCLOMINE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIGOXIN 125 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIGOXIN 250 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DILTIAZEM 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DILTIAZEM 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DILTIAZEM SR 120 MG CAP SA 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DILTIAZEM SR 120 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DILTIAZEM SR 180 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DILTIAZEM SR 240 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DILTIAZEM SR 300 MG CAP SR 24HR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DINOPROSTONE 10 MG INSR 1 EACH BOX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DINOPROSTONE 10 MG INSR 1 EACH PACKET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENHYDRAMINE 12.5 MG/5 ML ELIX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENHYDRAMINE 12.5 MG/5 ML ELIX 10 ML CUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENHYDRAMINE 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENHYDRAMINE 50 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENHYDRAMINE/ZINC ACETATE 2-0.1 % CR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENHYDRAMINE/ZINC ACETATE 2-0.1 % CR 28 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENHYDRAMINE/ZINC ACETATE 2-0.1 % CR 28.4 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENOXYLATE/ATROPINE 2.5/0.025 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPHENOXYLATE/ATROPINE 2.5/0.025 MG/5 ML LIQ 60 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPYRIDAMOLE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPYRIDAMOLE 75 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIPYRIDAMOLE/ASPIRIN 200/25 MG CM12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DISULFIRAM 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIVALPROEX 125 MG CDRS","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIVALPROEX DR 125 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIVALPROEX DR 250 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIVALPROEX DR 500 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIVALPROEX ER 250 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DIVALPROEX ER 500 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOCOSANOL 10 % CR 2 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOCUSATE CALCIUM 240 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOCUSATE SODIUM 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOCUSATE SODIUM 50 MG/5 ML LIQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOFETILIDE 125 MCG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOLUTEGRAVIR 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DONEPEZIL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DONEPEZIL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DORZOLAMIDE 2 % DROP 10 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DORZOLAMIDE/TIMOLOL 2/0.5% DROP 10 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXAZOSIN 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXAZOSIN 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXAZOSIN 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXEPIN 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXEPIN 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXEPIN 50 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXYCYCLINE HYCLATE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXYCYCLINE MONOHYDRATE 25 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DOXYLAMINE SUCCINATE (SLEEP) 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DRONABINOL 2.5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DRONABINOL 5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DRONEDARONE 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DROXIDOPA 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DULOXETINE DR 20 MG CAP DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DULOXETINE DR 30 MG CAP DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DULOXETINE DR 60 MG CAP DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DUTASTERIDE 0.5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","DUTASTERIDE 0.5 MG CAP 30 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EFAVIRENZ 600 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EFAVIRENZ/EMTRICITAB/TENOFOVIR 600/200/300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ELVITEG-COB-EMTRI-TENOF ALAFEN 150-150-200-10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EMPAGLIFLOZIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EMPAGLIFLOZIN 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EMTRICITAB-RILPIVIR-TENOFO ALA 200-25-25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EMTRICITABINE 200 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EMTRICITABINE-TENOFOVIR (TDF) 200-300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ENALAPRIL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ENTACAPONE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ENTECAVIR 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ENTECAVIR 0.5 MG TABLET 30 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ENTECAVIR 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EPLERENONE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ERGOCALCIFEROL 50,000 UNIT CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ERYTHROMYCIN 250 MG TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ERYTHROMYCIN 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ERYTHROMYCIN 5 MG/1 G OINT 1 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ERYTHROMYCIN 5 MG/GRAM (0.5 %) OINT 1 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESCITALOPRAM 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESCITALOPRAM OXALATE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESCITALOPRAM OXALATE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESCITALOPRAM OXALATE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESOMEPRAZOLE MAGNESIUM 20 MG GRPS","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESOMEPRAZOLE MAGNESIUM 40 MG GRPS","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESTRADIOL 0.05 MG/24 HR PTWK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESTRADIOL 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ESZOPICLONE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ETHAMBUTOL 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ETRAVIRINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EXEMESTANE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","EZETIMIBE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FAMCICLOVIR 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FAMOTIDINE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FAMOTIDINE 40 MG/5 ML (8 MG/ML) SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FEBUXOSTAT 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FELODIPINE DR 2.5 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FELODIPINE DR 5 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FENOFIBRATE 160 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FENOFIBRATE 54 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FENTANYL 100 MCG/HR PT72","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FENTANYL 12 MCG/HR PT72","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FENTANYL 25 MCG/HR PT72","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FENTANYL 50 MCG/HR PT72","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FENTANYL 75 MCG/HR PT72","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FERROUS GLUCONATE 324 MG (38 MG IRON) TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FERROUS SULFATE 15 MG/ML IRON (75 MG/ML) DROP 50 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FERROUS SULFATE 300 MG (60 MG IRON)/5 ML LIQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FERROUS SULFATE DR 324 MG (65 MG IRON) TAB DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FEXOFENADINE 180 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FEXOFENADINE 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FIDAXOMICIN 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FINASTERIDE 0.33 MG/ML SLSQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FINASTERIDE 0.33 MG/ML SLSQ 90 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FINASTERIDE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLECAINIDE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLECAINIDE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUCONAZOLE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUCONAZOLE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUCYTOSINE 250 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUDROCORTISONE 0.1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUOCINOLONE 0.01 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUOXETINE 10 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUOXETINE 20 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUOXETINE 20 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUPHENAZINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUPHENAZINE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUPHENAZINE 5 MG/ML CONC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE FUROATE-VILANTEROL 200-25 MCG/DOSE DSDV 28 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE PROPIONATE 110 MCG/PUFF HFAA 12 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE PROPIONATE 220 MCG/PUFF HFAA 12 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE PROPIONATE 44 MCG/PUFF HFAA 10.6 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE PROPIONATE 50 MCG/SPRAY SPSN 16 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE-UMECLIDIN-VILANTER 100-62.5-25 MCG DSDV 28 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE/SALMETEROL 100/50 MCG/PUFF DSDV 14 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE/SALMETEROL 500/50 MCG/PUFF DSDV 14 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE/SALMETEROL 500/50 MCG/PUFF DSDV 60 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUTICASONE/VILANTEROL 100/25 MCG/PUFF DSDV 28 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FLUVOXAMINE MALEATE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FOLIC ACID 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FOLIC ACID 50 MG/10 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FOLIC ACID 50 MG/10 ML SOLN 0.2 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FOLIC ACID 50 MG/10 ML SOLN 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FOSFOMYCIN 3 GRAM PKT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FUROSEMIDE 10 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FUROSEMIDE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FUROSEMIDE 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","FUROSEMIDE 80 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GABAPENTIN 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GABAPENTIN 250 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GABAPENTIN 300 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GABAPENTIN 400 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GALANTAMINE 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GANCICLOVIR 0.15 % GEL 5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GEMFIBROZIL 600 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GENTAMICIN 0.1 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLIMEPIRIDE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLIMEPIRIDE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLIPIZIDE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLIPIZIDE XL 2.5 MG TR24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLIPIZIDE XL 5 MG TR24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLUTAMINE 15 GRAM PWPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLYCERIN ADULT SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLYCERIN PEDIATRIC SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GLYCOPYRROLATE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GRANISETRON HCL 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GUAIFENESIN 100 MG/5 ML LIQ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GUAIFENESIN 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GUAIFENESIN ER 600 MG TA12","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GUANFACINE 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","GUANFACINE SR 1 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HALOPERIDOL 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HALOPERIDOL 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HALOPERIDOL 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HALOPERIDOL 2 MG/ML CONC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HALOPERIDOL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDRALAZINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDRALAZINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDRALAZINE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCHLOROTHIAZIDE 12.5 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCHLOROTHIAZIDE 12.5 MG CAP 500 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCHLOROTHIAZIDE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCHLOROTHIAZIDE 25 MG TABLET 100 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCODONE/ACETAMINOPHEN 10/325MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCODONE/ACETAMINOPHEN 5-325 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCODONE/ACETAMINOPHEN 7.5-325 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCODONE/ACETAMINOPHEN 7.5-325 MG/15 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 1 % CR 28 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 1 % OINT 28.35 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 100 MG/60 ML ENEMA 60 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 2.5 % CR 28 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 2.5 % CR 28.35 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 25 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROCORTISONE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROMORPHONE 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROMORPHONE 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROXYCHLOROQUINE 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROXYZINE 10 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROXYZINE HCL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROXYZINE HCL 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HYDROXYZINE HCL 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IBUPROFEN 100 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IBUPROFEN 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IBUPROFEN 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IBUPROFEN 600 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IBUPROFEN 800 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ICOSAPENT ETHYL 1 GRAM CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IMATINIB 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IMATINIB MESYLATE 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IMIPRAMINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INDAPAMIDE 1.25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INDOMETHACIN 25 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INDOMETHACIN 50 MG SUPP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN ASP PRT/INSULIN ASPART 100 UNIT/ML (70-30) SOLN 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN ASPART 100 UNIT/ML INSULIN PEN 3 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN ASPART 100 UNITS/ML INSULIN PEN 3 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN ASPART 100 UNITS/ML SOLN 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN ASPART 100 UNITS/ML SOLN 3 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN ASPART U-100 100 UNIT/ML INSULIN PEN 3 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN ASPART U-100 100 UNIT/ML SOLN 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN DETEMIR U-100 100 UNIT/ML (3 ML) INSULIN PEN 3 ML BOX","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN DETEMIR U-100 100 UNIT/ML SOLN 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN GLARGINE 100 UNIT/ML (3 ML) INSULIN PEN 3 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN GLARGINE 100 UNIT/ML SOLN 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN LISPRO (HUMAN) 100 UNIT/ML INSULIN PEN 3 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN NPH ISOPH U-100 HUMAN 1000 UNIT/10 ML SUSP 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN NPH/REGULAR HUMAN REC 1000 UNIT/10 ML SUSP 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR 100 UNIT/ML INJ UNIT DOSE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ ML","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ ML 3 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ ML SOLN 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ ML SOLN 3 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ML 10 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ML 3 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ML INJ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ML INJ 3 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN 100 UNITS/ML SOLN 3 ML VIAL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","INSULIN REGULAR HUMAN U-500 (CONCENTRATED) 500 UNIT/ML INJ","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IODINE/POTASSIUM IODIDE 5-10 % SOLN 8 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IPRATROPIUM 0.06 % NON-AER.SPRY 15 ML CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IPRATROPIUM 17 MCG/ACTUATION HFAA 12.9 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IPRATROPIUM/ALBUTEROL 20-100 MCG/ACTUATION MIST 4 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IRBESARTAN 150 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IRBESARTAN 150 MG TABLET 30 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IRBESARTAN 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IRBESARTAN 300 MG TABLET 30 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IRBESARTAN 75 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IRON-FOLATE B COMPLEX-VIT C 66 MG IRON- 1,000 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISAVUCONAZONIUM SULFATE 186 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISONIAZID 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISONIAZID 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE DINITRATE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE DINITRATE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE DINITRATE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE MONONITRATE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE MONONITRATE 120 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE MONONITRATE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE MONONITRATE 30 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ISOSORBIDE MONONITRATE 60 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ITRACONAZOLE 10 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","ITRACONAZOLE 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","IVERMECTIN 3 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","KETOCONAZOLE 2 % CR 30 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","KETOCONAZOLE 2 % SHAMPOO 120 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","KETOROLAC 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","KETOTIFEN FUMARATE 0.025 % DROP 5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LABETALOL 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LABETALOL 200 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LABETALOL 300 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LACOSAMIDE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LACOSAMIDE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LACTOBACILLUS RHAMNOSUS (GG) 15 BILLION CELL CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LACTOBACILLUS RHAMNOSUS (GG) 15 BILLION CELL CAP SPRINKLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LACTULOSE 10 GRAM/15 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LACTULOSE 10 GRAM/15 ML SOLN 473 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LACTULOSE 20 GRAM/30 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LAMIVUDINE 10 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LAMIVUDINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LAMIVUDINE 150 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LAMOTRIGINE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LAMOTRIGINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LANOLIN CR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LANOLIN CR 9 ML TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LANOLIN/MINERAL OIL/WHITE PETROLATUM CR 113 G JAR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LANTHANUM 500 MG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LATANOPROST 0.005 % DROP 2.5 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEFLUNOMIDE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEFLUNOMIDE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LETROZOLE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEUCOVORIN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVALBUTEROL HFA 45 MCG/ACTUATION HFAA 15 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVETIRACETAM 100 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVETIRACETAM 125 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVETIRACETAM 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVETIRACETAM 500 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVETIRACETAM 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOCARNITINE 330 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOCETIRIZINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOFLOXACIN 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOFLOXACIN 750 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOMILNACIPRAN 40 MG CAP SA 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVONORGESTREL 1.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVONORGESTREL/ETHINYL ESTRADIOL 0.1 MG/20 MCG TABLET 28 EACH BLIST PACK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 100 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 112 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 125 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 150 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 200 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 25 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 50 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 75 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LEVOTHYROXINE 88 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 2 % SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 2 % SOLN 100 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 2 % SOLN 15 ML CUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 2 % SOLN 20 ML CUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 4 % CR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 4 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 4 % CR 5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 5 % OINT 35.44 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE 5 %(700 MG/PATCH) PTMD","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE HCL 2 % JELP 10 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE HCL 2 % JELP 11 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIDOCAINE/PRILOCAINE 2.5-2.5 % CR 5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LINACLOTIDE 145 MCG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LINACLOTIDE 290 MCG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LINACLOTIDE 72 MCG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LINAGLIPTIN 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LINEZOLID 100 MG/5 ML SUSR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LINEZOLID 600 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIOTHYRONINE 25 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIOTHYRONINE 5 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIP PROTECTANT 0.6-0.5-1.1-0.5 % OINT 10 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIP PROTECTIVE (PADIMATE O) STICK 1 EACH PF APPLI","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIPASE-PROTEASE-AMYLASE 10,440-39,150- 39,150 UNIT TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIPASE-PROTEASE-AMYLASE 21,000-54,700- 83,900 UNIT CAP DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIPASE-PROTEASE-AMYLASE 5,000-17,000- 24,000 UNIT CAP DR EC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) PEN INJECTOR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LIRAGLUTIDE 0.6 MG/0.1 ML (18 MG/3 ML) PEN INJECTOR 3 ML SYRINGE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISDEXAMFETAMINE 20 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISINOPRIL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISINOPRIL 10 MG TABLET 1,000 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISINOPRIL 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISINOPRIL 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISINOPRIL 20 MG TABLET 1,000 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISINOPRIL 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LISINOPRIL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LITHIUM 300 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LITHIUM CARBONATE 150 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LITHIUM CARBONATE CR 450 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LITHIUM CITRATE (8 MEQ/5 ML = 300 MG LITHIUM) 8 MEQ/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOPERAMIDE 2 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LORATADINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LORAZEPAM 0.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LORAZEPAM 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LORAZEPAM 2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LORAZEPAM 2 MG/ML CONC","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOSARTAN 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOSARTAN 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOSARTAN 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOSARTAN/HYDROCHLOROTHIAZIDE 100-12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOSARTAN/HYDROCHLOROTHIAZIDE 100/25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOSARTAN/HYDROCHLOROTHIAZIDE 50/12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOVASTATIN 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOVASTATIN 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LOVASTATIN 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LUBIPROSTONE 8 MCG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LURASIDONE 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LURASIDONE 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","LURASIDONE 80 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MAGNESIUM CITRATE SOLN 296 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MAGNESIUM HYDROXIDE 400 MG/5 ML SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MAGNESIUM OXIDE 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MECLIZINE 12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MECLIZINE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEDROXYPROGESTERONE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEGESTROL 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEGESTROL 40 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEGESTROL 400 MG/10 ML (10 ML) SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEGESTROL ACETATE 400 MG/10 ML (40 MG/ML) SUSP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MELATONIN 1 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MELATONIN 3 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MELOXICAM 7.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEMANTINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEMANTINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MESALAMINE 4 GRAM/60 ML ENEMA 60 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MESALAMINE 400 MG CDTI","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MESALAMINE SR 500 MG CAP SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METFORMIN 1,000 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METFORMIN 1,000 MG TABLET 500 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METFORMIN 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METFORMIN 850 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METFORMIN XR 500 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METFORMIN XR 500 MG TAB SR 24H 500 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHADONE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHADONE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHADONE 5 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHENAMINE HIPPURATE 1 GRAM TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHIMAZOLE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHOCARBAMOL 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHOCARBAMOL 750 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYL SALICYL/MENTHOL OINT 28 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYL SALICYLATE-MENTHOL 30-8 % CR 57 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLERGONOVINE 0.2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLNALTREXONE 12 MG/0.6 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLNALTREXONE 12 MG/0.6 ML SYR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLPHENIDATE HCL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLPHENIDATE HCL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLPHENIDATE SR 20 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLPHENIDATE TR24 18 MG TR24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLPHENIDATE TR24 27 MG TR24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METHYLPREDNISOLONE 4 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOCLOPRAMIDE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOCLOPRAMIDE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOCLOPRAMIDE 5 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOLAZONE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOLAZONE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOPROLOL SUCCINATE XL 100 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOPROLOL SUCCINATE XL 200 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOPROLOL SUCCINATE XL 25 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOPROLOL SUCCINATE XL 50 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOPROLOL TARTRATE 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOPROLOL TARTRATE 25 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METOPROLOL TARTRATE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METRONIDAZOLE 0.75 % GEL 70 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METRONIDAZOLE 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","METRONIDAZOLE 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEXILETINE 150 CAP 100 EACH BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MEXILETINE 150 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MICONAZOLE 2 % CR 45 G TUBE/KIT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MICROFIBRIL COLLAGEN HEMOSTAT POWD 1 G JAR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIDAZOLAM ORAL 2 MG/ML SYRUP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIDODRINE 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIDODRINE 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIDODRINE 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MINERAL OIL ENEMA 133 ML SQUEEZ BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MINERAL OIL OIL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MINERAL OIL, LIGHT STERILE OIL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MINOCYCLINE 100 MG CAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MINOXIDIL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MINOXIDIL 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIRABEGRON 25 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIRTAZAPINE 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIRTAZAPINE 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIRTAZAPINE 7.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MIRTAZAPINE SOLUBLE 15 MG TBDL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MISOPROSTOL 100 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MISOPROSTOL 200 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MISOPROSTOL 25 TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MODAFINIL 100 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MODIFIED LANOLIN 100 % CR 40 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MOMETASONE 0.1 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MOMETASONE 0.1 % SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MOMETASONE 0.1 % SOLN 60 ML BOTTLE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MOMETASONE 220 MCG (30 DOSES) AEPB 1 EACH CANISTER","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MOMETASONE-FORMOTEROL 200-5 MCG/ACTUATION HFAA 8.8 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MOMETASONE/FORMOTEROL 100-5 MCG/ACTUATION HFAA 8.8 G AER W/ADAP","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MONTELUKAST 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MONTELUKAST 5 MG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE IR 15 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE IR 30 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE SR 100 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE SR 15 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE SR 30 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE SR 60 MG TAB SR","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE SULFATE 20 MG/5 ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MORPHINE SULFATE 20 MG/ML SOLN","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MOXIFLOXACIN 400 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MULTIVIT-MIN-IRON-FOLIC-VIT K1 8 MG-400 MCG- 10 MCG CHEW","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MULTIVITAMIN TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MULTIVITAMIN WITH FOLIC ACID 400 MCG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MUPIROCIN 2 % CR 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MUPIROCIN 2 % OINT","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MUPIROCIN 2 % OINT 15 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","MUPIROCIN 2 % OINT 22 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NADOLOL 20 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NALDEMEDINE 0.2 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NALOXEGOL 12.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NALTREXONE 50 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NAPROXEN 250 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NAPROXEN 375 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NAPROXEN 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NATEGLINIDE 120 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NATEGLINIDE 60 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEBIVOLOL 10 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEBIVOLOL 2.5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEBIVOLOL 5 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEOMYCIN SULFATE 500 MG TABLET","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5,000 MG-UNIT-UNIT/G OINT 14 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEOMYCIN/BACITRACIN/POLYMYXIN 3.5 MG/400 UNIT/10,000 UNIT/G OINT 3.5 G TUBE","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEOMYCIN/BACITRACIN/POLYMYXIN OIPK","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NEOMYCIN/POLYMIXIN/HYDROCORTISONE 3.5 MG/10,000 UNIT/ML /1 % DRPS 10 ML DROP BTL","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NIACIN 500 MG TAB SR 24H","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NICOTINE 14 MG/24 HR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NICOTINE 2 MG GUM","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","NICOTINE 21 MG/24 HR PT24","A9270","N/A","N/A","N/A","N/A","N/A","1229.80","1229.80","N/A","N/A","N/A","1229.80","1229.80","N/A","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80","1229.80"
"5","N/A","HCHG TC99M CARDIOLITE/DOSE","A9500","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","TC99M SESTAMIBI","A9500","N/A","N/A","N/A","N/A","N/A","139.00","139.00","N/A","N/A","N/A","139.00","139.00","N/A","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00","139.00"
"5","N/A","HCHG THALLIUM 201 PER 1MCI","A9505","N/A","N/A","N/A","N/A","N/A","92.00","92.00","N/A","N/A","N/A","92.00","92.00","N/A","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00"
"5","N/A","TL201 THALLIUM","A9505","N/A","N/A","N/A","N/A","N/A","92.00","92.00","N/A","N/A","N/A","92.00","92.00","N/A","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00","92.00"
"5","N/A","HCHG TC99M HIDA, UP TO 15MCI","A9510","N/A","N/A","N/A","N/A","N/A","249.00","249.00","N/A","N/A","N/A","249.00","249.00","N/A","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00"
"5","N/A","TC99M DISOFENIN","A9510","N/A","N/A","N/A","N/A","N/A","249.00","249.00","N/A","N/A","N/A","249.00","249.00","N/A","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00","249.00"
"5","N/A","HCHG TC99M PERTECHNETATE, PER MCI","A9512","N/A","N/A","N/A","N/A","N/A","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","TC99M PERTECHNETATE","A9512","N/A","N/A","N/A","N/A","N/A","8.00","8.00","N/A","N/A","N/A","8.00","8.00","N/A","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00","8.00"
"5","N/A","HCHG LUTETIUM LU 177 DOTATATE 1MCI (LUTATHERA) (NDC 69488-0003-01)","A9513","N/A","N/A","N/A","N/A","N/A","531.00","531.00","N/A","N/A","N/A","531.00","531.00","N/A","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00"
"5","N/A","LUTETIUM LU 177 DOTATAT THER","A9513","N/A","N/A","N/A","N/A","N/A","531.00","531.00","N/A","N/A","N/A","531.00","531.00","N/A","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00","531.00"
"5","N/A","CHOLINE C-11","A9515","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","HCHG TC99M DTPA, UP TO 25MCI","A9515","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","HCHG I-123 CAPSULE DIAG PER 100UCI","A9516","N/A","N/A","N/A","N/A","N/A","121.00","121.00","N/A","N/A","N/A","121.00","121.00","N/A","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00"
"5","N/A","IODINE I-123 SOD IODIDE MIC","A9516","N/A","N/A","N/A","N/A","N/A","121.00","121.00","N/A","N/A","N/A","121.00","121.00","N/A","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00","121.00"
"5","N/A","HCHG I-131 DIAG (UPTAKE) PER 1UCI UP TO 100UCI","A9517","N/A","N/A","N/A","N/A","N/A","5.00","5.00","N/A","N/A","N/A","5.00","5.00","N/A","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00"
"5","N/A","I131 IODIDE CAP, RX","A9517","N/A","N/A","N/A","N/A","N/A","5.00","5.00","N/A","N/A","N/A","5.00","5.00","N/A","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00","5.00"
"5","N/A","HCHG TC99 TILMANOCEPT DIAG 0.5MCI","A9520","N/A","N/A","N/A","N/A","N/A","2381.00","2381.00","N/A","N/A","N/A","2381.00","2381.00","N/A","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00"
"5","N/A","HCHG TC99M SULFUR COLLOID UP TO 20MCI","A9520","N/A","N/A","N/A","N/A","N/A","2381.00","2381.00","N/A","N/A","N/A","2381.00","2381.00","N/A","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00"
"5","N/A","TC99 TILMANOCEPT DIAG 0.5MCI","A9520","N/A","N/A","N/A","N/A","N/A","2381.00","2381.00","N/A","N/A","N/A","2381.00","2381.00","N/A","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00","2381.00"
"5","N/A","HCHG CERETEC HMPAO, UP TO 25MCI","A9521","N/A","N/A","N/A","N/A","N/A","6469.00","6469.00","N/A","N/A","N/A","6469.00","6469.00","N/A","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00"
"5","N/A","TC99M EXAMETAZIME","A9521","N/A","N/A","N/A","N/A","N/A","6469.00","6469.00","N/A","N/A","N/A","6469.00","6469.00","N/A","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00","6469.00"
"5","N/A","HCHG VOLUMEX I-131 ALBUMIN INJ DIAG PER 5UCI","A9524","N/A","N/A","N/A","N/A","N/A","312.00","312.00","N/A","N/A","N/A","312.00","312.00","N/A","312.00","312.00","312.00","312.00","312.00","312.00","312.00","312.00","312.00","312.00"
"5","N/A","I131 SERUM ALBUMIN, DX","A9524","N/A","N/A","N/A","N/A","N/A","312.00","312.00","N/A","N/A","N/A","312.00","312.00","N/A","312.00","312.00","312.00","312.00","312.00","312.00","312.00","312.00","312.00","312.00"
"5","N/A","HCHG IODINE I-131 IODIDE CAP, DX","A9528","N/A","N/A","N/A","N/A","N/A","4739.00","4739.00","N/A","N/A","N/A","4739.00","4739.00","N/A","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00"
"5","N/A","IODINE I-131 IODIDE CAP, DX","A9528","N/A","N/A","N/A","N/A","N/A","4739.00","4739.00","N/A","N/A","N/A","4739.00","4739.00","N/A","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00"
"5","N/A","HCHG I-131 DIAG PER 1MCI","A9529","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","I131 IODIDE SOL, DX","A9529","N/A","N/A","N/A","N/A","N/A","75.00","75.00","N/A","N/A","N/A","75.00","75.00","N/A","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00","75.00"
"5","N/A","HCHG I-131 THERAPY PER 1MCI","A9530","N/A","N/A","N/A","N/A","N/A","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A","I131 IODIDE SOL, RX","A9530","N/A","N/A","N/A","N/A","N/A","36.00","36.00","N/A","N/A","N/A","36.00","36.00","N/A","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00","36.00"
"5","N/A","HCHG IN111 ZEVALIN KIT UP TO 5MCI","A9542","N/A","N/A","N/A","N/A","N/A","15840.00","15840.00","N/A","N/A","N/A","15840.00","15840.00","N/A","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00"
"5","N/A","IN111 IBRITUMOMAB, DX","A9542","N/A","N/A","N/A","N/A","N/A","15840.00","15840.00","N/A","N/A","N/A","15840.00","15840.00","N/A","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00","15840.00"
"5","N/A","HCHG Y-90 ZEVALIN KIT UP TO 40MCI","A9543","N/A","N/A","N/A","N/A","N/A","191989.00","191989.00","N/A","N/A","N/A","191989.00","191989.00","N/A","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00"
"5","N/A","Y90 IBRITUMOMAB, RX","A9543","N/A","N/A","N/A","N/A","N/A","191989.00","191989.00","N/A","N/A","N/A","191989.00","191989.00","N/A","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00","191989.00"
"5","N/A","HCHG INDIUM-111 OXINE (1 TEST)","A9547","N/A","N/A","N/A","N/A","N/A","8506.00","8506.00","N/A","N/A","N/A","8506.00","8506.00","N/A","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00"
"5","N/A","IN111 OXYQUINOLINE","A9547","N/A","N/A","N/A","N/A","N/A","8506.00","8506.00","N/A","N/A","N/A","8506.00","8506.00","N/A","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00"
"5","N/A","HCHG INDIUM-111 DTPA (0.5 MCI)","A9548","N/A","N/A","N/A","N/A","N/A","7906.00","7906.00","N/A","N/A","N/A","7906.00","7906.00","N/A","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00"
"5","N/A","IN111 PENTETATE","A9548","N/A","N/A","N/A","N/A","N/A","7906.00","7906.00","N/A","N/A","N/A","7906.00","7906.00","N/A","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00","7906.00"
"5","N/A","HCHG TC99M DMSA/VIAL UP TO 10MCI","A9551","N/A","N/A","N/A","N/A","N/A","1965.00","1965.00","N/A","N/A","N/A","1965.00","1965.00","N/A","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00"
"5","N/A","TC99M SUCCIMER","A9551","N/A","N/A","N/A","N/A","N/A","1965.00","1965.00","N/A","N/A","N/A","1965.00","1965.00","N/A","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00","1965.00"
"5","N/A","F18 FDG","A9552","N/A","N/A","N/A","N/A","N/A","1283.00","1283.00","N/A","N/A","N/A","1283.00","1283.00","N/A","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00"
"5","N/A","HCHG 18-FLUORODEOXYGLUCOSE INJ, UP TO 45 MILLICURIES (MOD KX)","A9552","N/A","N/A","N/A","N/A","N/A","1283.00","1283.00","N/A","N/A","N/A","1283.00","1283.00","N/A","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00","1283.00"
"5","N/A","GA67 GALLIUM","A9556","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","HCHG GALLIUM-67 DIAG PER 1MCI","A9556","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","HCHG XENON-133 GAS (20MCI) PER10MCI","A9558","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","XE133 XENON 10MCI","A9558","N/A","N/A","N/A","N/A","N/A","489.00","489.00","N/A","N/A","N/A","489.00","489.00","N/A","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00","489.00"
"5","N/A","HCHG TC99M ULTRATAG, UP TO 30MCI","A9560","N/A","N/A","N/A","N/A","N/A","569.00","569.00","N/A","N/A","N/A","569.00","569.00","N/A","569.00","569.00","569.00","569.00","569.00","569.00","569.00","569.00","569.00","569.00"
"5","N/A","TC99M LABELED RBC","A9560","N/A","N/A","N/A","N/A","N/A","569.00","569.00","N/A","N/A","N/A","569.00","569.00","N/A","569.00","569.00","569.00","569.00","569.00","569.00","569.00","569.00","569.00","569.00"
"5","N/A","HCHG TC99M HDP, UP TO 30MCI","A9561","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","TC99M OXIDRONATE","A9561","N/A","N/A","N/A","N/A","N/A","133.00","133.00","N/A","N/A","N/A","133.00","133.00","N/A","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00","133.00"
"5","N/A","HCHG TC99M MAG3, UP TO 15MCI","A9562","N/A","N/A","N/A","N/A","N/A","1293.00","1293.00","N/A","N/A","N/A","1293.00","1293.00","N/A","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00"
"5","N/A","TC99M MERTIATIDE","A9562","N/A","N/A","N/A","N/A","N/A","1293.00","1293.00","N/A","N/A","N/A","1293.00","1293.00","N/A","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00","1293.00"
"5","N/A","HCHG P-32 NA PHOS PER1MCI","A9563","N/A","N/A","N/A","N/A","N/A","1310.00","1310.00","N/A","N/A","N/A","1310.00","1310.00","N/A","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00"
"5","N/A","P32 NA PHOSPHATE","A9563","N/A","N/A","N/A","N/A","N/A","1310.00","1310.00","N/A","N/A","N/A","1310.00","1310.00","N/A","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00","1310.00"
"5","N/A","HCHG P-32 CHRM PHOS PER1MCI","A9564","N/A","N/A","N/A","N/A","N/A","2076.00","2076.00","N/A","N/A","N/A","2076.00","2076.00","N/A","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00"
"5","N/A","P32 CHROMIC PHOSPHATE","A9564","N/A","N/A","N/A","N/A","N/A","2076.00","2076.00","N/A","N/A","N/A","2076.00","2076.00","N/A","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00","2076.00"
"5","N/A","HCHG TC99M DTPA, UP 75MCI FOR AEROSOL VENT","A9567","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","TECHNETIUM TC-99M AEROSOL","A9567","N/A","N/A","N/A","N/A","N/A","983.00","983.00","N/A","N/A","N/A","983.00","983.00","N/A","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00","983.00"
"5","N/A","HCHG INDIUM-111 AUTO WBC","A9570","N/A","N/A","N/A","N/A","N/A","8506.00","8506.00","N/A","N/A","N/A","8506.00","8506.00","N/A","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00"
"5","N/A","INDIUM IN-111 AUTO WBC","A9570","N/A","N/A","N/A","N/A","N/A","8506.00","8506.00","N/A","N/A","N/A","8506.00","8506.00","N/A","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00","8506.00"
"5","N/A","HCHG IOBENGUANE I123 - DIAGNOSTIC UP TO 15MCI","A9582","N/A","N/A","N/A","N/A","N/A","15094.00","15094.00","N/A","N/A","N/A","15094.00","15094.00","N/A","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00"
"5","N/A","IODINE I-123 IOBENGUANE","A9582","N/A","N/A","N/A","N/A","N/A","15094.00","15094.00","N/A","N/A","N/A","15094.00","15094.00","N/A","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00","15094.00"
"5","N/A","HCHG IODINE I-123 IOFLUPANE = < 5 MCL","A9584","N/A","N/A","N/A","N/A","N/A","4739.00","4739.00","N/A","N/A","N/A","4739.00","4739.00","N/A","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00"
"5","N/A","IODINE I-123 IOFLUPANE","A9584","N/A","N/A","N/A","N/A","N/A","4739.00","4739.00","N/A","N/A","N/A","4739.00","4739.00","N/A","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00","4739.00"
"5","N/A","GALLIUM GA-68","A9587","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","HCHG GALLIUM GA 68 DOTATATE, DIAGNOSTIC, 0.1 MCI","A9587","N/A","N/A","N/A","N/A","N/A","172.00","172.00","N/A","N/A","N/A","172.00","172.00","N/A","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00","172.00"
"5","N/A","PET RADIOPHARMACEUTICAL, DX, TUMOR ID","A9597","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","PET, DX, FOR TUMOR ID, NOC","A9597","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","PET DX FOR NON-TUMOR ID, NOC","A9598","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","PET RADIOPHARMACEUTICAL, DX, NON TUMOR ID","A9598","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","HCHG SR-89 METASTRON (5MCI) PER1MCI","A9600","N/A","N/A","N/A","N/A","N/A","5835.00","5835.00","N/A","N/A","N/A","5835.00","5835.00","N/A","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00"
"5","N/A","SR89 STRONTIUM","A9600","N/A","N/A","N/A","N/A","N/A","5835.00","5835.00","N/A","N/A","N/A","5835.00","5835.00","N/A","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00","5835.00"
"5","N/A","HCHG SM-153 QUADRAMET UP TO 150MCI","A9604","N/A","N/A","N/A","N/A","N/A","29585.00","29585.00","N/A","N/A","N/A","29585.00","29585.00","N/A","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00"
"5","N/A","SM 153 LEXIDRONAM","A9604","N/A","N/A","N/A","N/A","N/A","29585.00","29585.00","N/A","N/A","N/A","29585.00","29585.00","N/A","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00","29585.00"
"5","N/A","HCHG XOFIGO, PER UCI (NDC 50419-0208-01)","A9606","N/A","N/A","N/A","N/A","N/A","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","RADIUM RA223 DICHLORIDE THER","A9606","N/A","N/A","N/A","N/A","N/A","594.00","594.00","N/A","N/A","N/A","594.00","594.00","N/A","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00","594.00"
"5","N/A","ALLOGRAFT MIX FREEZE DBM DBX 10ML","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR BIOCOMPOSITE FB WR SZ 23X14MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR BIOCOMPOSITE PSHLK 2.9X15.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR BONE W/DELIVERY SYSTEM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR CORKSCREW BCMPS 5.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR CORKSCREW FT II 5.5X16.3","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR CORKSCREW TIGERTAIL 5.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR KNOTLESS FLEX CINCHLOCK W/ INSERTER","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR MENISCAL FIBERSTITCH CURVED 24 DEG","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR NERVESTIMULATOR BI-WING","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUT GII QANCHR+ SZ 2 2.4X8.8MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUT MICRORAPTOR REGENESORB","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE ARTHREX FIBERTAK","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE BCMPS 2.4X12","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE BIOCOMP 4.5X14MM W/2 TIGERTAIL","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE BIOCOMP 5.5X147MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE BIOCOMPOSITE 2.4X11.3","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE CLSD 7X19.1MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE CRKSCRW FT 5.5X14.7","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE FAST-FIX 360 MENISCAL REPAIR W/ REV CRV NDL","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE FBWR 2 5.5X14MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE FIBERSTITCH FIBERWIRE 2-0 CURVED","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE FIBERTAK DR LABTP WHT/BLK #2 TGRTL WHT/GRN/BLK","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE FIBERTAK DR WHT/BLU & #2 TIGERTAIL WHT/BLK","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE FIBERTAK DX ST & NDLS","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE FIBERWIRE NANO TI 3-0 1.35MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE LIGAMENT ECLIPSE SPEEDSCAP","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE PEEK KNOTLESS 3.9X11.2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE PEEK SHORT 2.9X12.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE Q-FIX 2.8MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE QUICKANCHOR V-4 3-0","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SUTURETAK 1 3X14MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SUTURETAK TGRTL BCMPS 3X14.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK 3.5X14.8","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK 6.25X19.1","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK 7X19.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK BIOCOMPOSITE 3.9X17.9MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK C FBTP TGRWR SZ 2 4.75X19.1MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK C FIBERTAPE BLU 4.75X19.1MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK C PEEK 5.5X19.1MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK C TIGERTAPE 4.75X19.1MM BLK/WTE","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK DX 3.5X8.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE SWIVELOCK PEEK 3.9X17.9MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE TIGHTROPE BTB W/DEPLOY SUTURE","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE TIGHTROPE DBL LOAD PASS ACL RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE TIGHTROPE DEPLOYING RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE TWINFIX ULTRA HA 4.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE TWINFIX ULTRA HA 5.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE W/#2 FIBERWIRE FIBERTAK","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE W/1.3MM SUTURE TAPE","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SUTURE XBRAID ICONIX 2.3MM W/2 STRAND","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SWIVELOCK BIOCOMPOSITE 5.5X19.1MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","ANCHOR SYSTEM INTLBRACK KNEE","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 100MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 105MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 110MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 115MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 75MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 80MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 85MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","BLADE HELICAL TFNA 90MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PIN BUTTRESS T8 VA LKNG 1.8X18","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN BUTTRESS T8 VA LKNG 1.8X20","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN EXT FIX SD-ST 3.0X80MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN EXT FIX SD-ST 4.0X150MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN FIXATION DORSAL BUTTRESS PIN LP 27MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN FIXATION IJS AXIS 2.5X55MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN FIXATION IJS AXIS 2.5X65MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN FIXATION SONICWELD RX 2.1X4MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN FIXATION SONICWELD RX 2.1X5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN HALF APEX TRANSFIX S-D S-T SS 3.0X200MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN HALF JET-X SHORT 5X45MM 110MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN HALF QUICK CONNECT 6X180MM STL","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN HALF TL AO 4X180MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN POSITIONING THREADED STER 4.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DIAMOND POINT SMOOTH SS 3/32X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DIAMOND POINT SMOOTH SS 5/64X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DIAMOND POINT SS 1/8X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DIAMOND POINT SS 3/16X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DIAMOND POINT SS 5/32X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DIAMOND POINT SS 9/64X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DIAMOND POINT TRD SS 1/8X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DMD PNT 1/8X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DMD PNT 3/32X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DMD PNT 5/32X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DMD PNT 5/64X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN STEINMANN DMD PNT 7/64X9"","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PIN TRANSFIXATION SS 6X225MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 1 LVL 1.9H 24MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE 108MM RDUS CRV 104X10.2X2.7MM SS 3.5MM SCRW 8 H RECON","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE 108MM RDUS CRV 156X10.2X2.7MM SS 3.5MM SCRW 12 H RECON","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE ADAPTION MICRO TI 20 H 0.4MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE ADAPTION TI 20 H 0.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE ADVC 5MM 100D STD 5H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BASE IJS-E ASSEMBLY","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE 6H CRVD 4 MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE A.L.P.S. PROXIMAL HUMERUS LOW 83MM 4H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ALPHA 7H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ALPS TIBIA DISTAL CONTOUR 226MM 12H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ANKLE FUSION RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ANTERIOR TT FLAT RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ARCH MINI SGL BEND TI 2.0X10MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ARCH MINI SGL BEND TI 2.0X12MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE AXSOS 3 FEMUR DISTAL TI 14H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE AXSOS 3 FEMUR DISTAL TI 202MM 8H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE AXSOS 3 TIBIA DISTAL TI 102MM 4H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE AXSOS FEMUR DISTAL 238MM 10H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE AXSOS NARROW COMPRESSION LKNG 115MM 6H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE AXSOS NARROW COMPRESSION LKNG 97MM 5H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE C-TEK MAXAN CERVICAL 1 LVL LP TI 12MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 1 LVL 1.6V 20MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 1 LVL 1.6V 22MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 2 LVL 1.6V 32MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 2 LVL 1.6V 34MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 2 LVL 1.6V 36MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 2 LVL 1.6V 38MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 2 LVL 1.6V 40MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 2 LVL 1.6V 42MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 3 LVL 1.9 64MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 3 LVL 1.9H 56MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 3 LVL 1.9H 58MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 3 LVL 1.9H 60MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CERVICAL ANTERIOR 3 LVL 1.9H 62MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CFX L RIGID TI 10MM LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CFX L RIGID TI 10MM RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CLAVICLE DISTAL LONG SS 8H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CLAVICLE DISTAL SMALL SS 5H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CLAVICLE LT CENTRAL 3RD CMPRSN","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CLAVICLE SM RT LOCK","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CLAVICLE SUPERIOR LATERAL MED 8H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE COLINK MINI STRAIGHT 2H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE COLINK MINI STRAIGHT 6H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE COMPRESSION LCP LKNG SS 3.5X111MM 8H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE CONDYLAR VA LKNG SS 2.0MM 8H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE DECADE SPINAL XLIF 2H SZ 10","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE DISTAL LATERAL FIBULAR LKNG 80MM 4H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE DORSAL DISTAL RADIUS NRW TI 4H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE EVOS LKNG SS 3.5MM CMPRSN 10H 116MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE EVOS MDT SS 2.7/3.5MM 162MM 12H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE EVOS SS 3.5MM 1/3 TUBULAR 82MM 7H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE EVOS TIBIA PM-P 3.5X78MM 5H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE EXTREMILOCK STEP 2.7-3MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE FEMORAL NECK 1 H STL","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE FEMORAL NECK 2H STL","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE FIBULAR DISTAL LKNG SS 8H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE FIXATION MMF L1 2.0MM 7H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE FRACTURE CLAVICLE CENTRAL THIRD LT SS","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE FRACTURE CLAVICLE CENTRAL THIRD RT SS","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GEMINIUS DORAL SPANNING LONG TI","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA DISTAL TIBIAL 5H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA DISTAL TIBIAL 6H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA FIBULA MALLEOUS 5H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA FIBULA MALLEOUS 6H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA STR FIBULAR 10H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA STR FIBULAR 4H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA STR FIBULAR 6H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE GORILLA STR FIBULAR 8H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE H LP TI 16X34MM RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE H MED LP TI 16X34MM LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE H MED LP TI 16X34MM RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE HELIX R 4 LVL 70MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE HELIX-T 3 LEVEL 58MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ICON CRVD LKNG 1.0MM 7H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE ICON STRAIGHT 1.0MM 18H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE L 115D 8MM BAR RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE L 12MM 100D RT 6H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE L 12MM LT 6H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE L MID-FACE 100 DEG 0.6X5MM 5H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP BROAD CRV SS 4.5X318MM 17H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP CALCANEAL MED 2.7X64MM LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP TIBIAL PROX SS 3.5X105MM 4H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP TIBIAL SS 3.5MM 4H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP VAR ANG ANTERO 2.7/3.5MM 16H 292MM LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP VAR ANG ANTERO 2.7/3.5MM 16H 292MM RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP VAR ANG ANTERO SS 2.7/3.5MM 8H 142MM RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP WRIST FUSION STD BEND","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE LCP WRIST STR 2.4X170MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE BONE T LP TARSOMETATARSAL TI 3H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE BONE TIBIAL MEDIAL DISTAL 11H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE TIBIAL PROXIMAL LAT 91MM 6H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE BONE TRYPTIK 2 CERV 1 LVL 28MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE TRYPTIK 2 CERV 2 LVL 40MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE UNION CERVICLE STD 1 LVL TI 14MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE UNIPLATE 2 PREBENT 1 LVL 13MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE UNIPLATE 2 PREBENT 1 LVL 14MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE UNIPLATE 2 PREBENT 2 LVL 30MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE UNIVERSAL 2 CHIN BAR MINI-PLATING TI 6MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE UNIVERSAL MALLEABLE L 100 DEG 1.7X 2MM 5H LT BLUE","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE UNIVERSAL MALLEABLE L 100 DEG 1.7X2MM 5H RT BLU","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE VA WEB LKNG SS 1.5MM 14H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE VAR ANG LKNG STR 2.0MM 6H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE VARIAX BROAD STR 5H T10","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE VARIAX BROAD Y 7H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE VOLAR DISTAL RADIUS WIDE TI 3H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BONE Y LCP 1.5MM 3H HEAD 8H SHAFT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BOX RAPID RESRB 4 H 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BROAD CRVD LCP 20 H 4.5X372MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BSSO ICON MEDIUM 4H 1.0MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BSSO ICON MEDIUM 4H SHORT THICK 1.0MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BUR H CVR LP W/ TAB 20","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BUR H PROF ZERO GROOVED","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BUR H PROF ZERO LG 22MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BUR H PROF ZERO SM 14.5","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE BURR H PROF ZERO XL 26MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CALCANEAL VA LEFT LARGE 2.7X70MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CERVICAL 1 LVL HELIX R 22MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CERVICAL 1 LVL SKYLINE 20MM (BREMER)","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CERVICAL 3 LVL SKYLINE 51MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CERVICAL STANDARD 3-LEVEL 51MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CHAMPY MANDIBULAR 110D LT 4H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CHIN BTM MDE 6 H 8MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CHIN MINI 8MM 6HOLE","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICAL ANT LCP 9H 2.7/35X89MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE ANT LCP 3 H LT 69MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE ANT LCP 4 H RT 81MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE ANT LCP 6 H LT 108","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE EXTN 6 H LT 3.5X105","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE EXTN 7 H LT 3.5X120","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE EXTN 7 H RT 3.5X120","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE EXTN 8 H LT 3.5X130","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE EXTN 8 H RT 3.5X130","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLAVICLE SUPERIOR 8 H RT 115","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CLSP TIT 42MM X 34MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LC-DCP 8 H 103MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LCP 10 H 3.5X137","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LCP 12 H 3.5X163","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LCP 5 H 3.5X72MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LCP 6 H 3.5X85MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LCP 7 H 3.5X98MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LCP 8 H 3.5X111MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE COMPRESSION LCP 9 H 3.5X124MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 12 2.7X97","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 12 H 2X81","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 4 H 2.4X36","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 4 H 2X31MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 5 H 2.4X44","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 5 H 2X38MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 6 H 2X45MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 7 H 2.7X66","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR SS LCP 7 H 2.7X67","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR VA 10 H LT 4.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE CONDYLAR VA 14 H LT 3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE CONDYLAR VA 16 H RT 4.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE DCP TI 2X2 H 1.25MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE DISTAL VOLAR RADIUS 4X6 H LT 2.4X66MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE DISTAL VOLAR RADIUS 7X5 H RT 2.4X77MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE DISTAL VOLAR RADIUS NRW GEMINUS 4 H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE DISTAL VOLAR RADIUS SHT RT NRW 21.6X48.9","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE DISTAL VOLAR RADIUS TI NARROW 3H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE DISTAL VOLAR RADIUS TI STD 3H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE DOG BN LP TAB 2 H 12X1.5","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE DOG BN LP TAB 2 H 16X1.5","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FAN REINF TI SYNPOR 0.8","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULA LATERAL COLINK 5H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULA N/S 4 H RT 2.7/3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR 3 H LT 2.7/3.5X73MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR 5 H RT 2.7/3.5X103MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR 5 H RT 2.7/3.5X99MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR 6 H RT 2.7/3.5X112MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR 7 H LT 2.7/3.5X125MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR 9 H LT 2.7/3.5X155MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR CLUSTER ANATOMICAL 9H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR CLUSTER ANATOMICAL 9H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FIBULAR DISTAL TIBIA 6H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FRACTURE 6H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FRACTURE C 4 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FRACTURE ICON LOCKING MED 1.5MM 4H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FRACTURE LOCKING ICON LONG 4H 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FRACTURE W/ BAR TI 4 H 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FRAGMENT PROTEAN DISTAL ULNA","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FUSION CONTRD TI LT SHT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FUSION CONTRD TI LT STD","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FUSION CONTRD TI RT SHT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE FUSION TMT VA-LCP 2.4/2.7MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE GAP LP 6 H LG 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE H LP TI LT LG 16X36MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE H LP TI LT MD 16X34MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE NARROW SS LCP 6 H 4.5X116MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE OLECRANON SS 2 H LT 73MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE OLECRANON SS 2 H LT 90MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE OLECRANON SS 2 H RT 90MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE OLECRANON SS 4 H LT 116MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE OLECRANON SS 6 H LT 142MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE ORBITAL FLR MD 1.7X0.4","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE ORBITAL FLR TI 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE PREBENT RT 4 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","PLATE RECONSTRUCTION 6 H 3.5X70MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION 8 H 3.5X94MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION ANG 26 H RT 2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LCP 5 H 3.5X70MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LCP 6 H 3.5X84MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP 5 H 3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP 7 H 3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP 8 H 3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP 9 H 3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP CRV 10 H 3.5X88","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP CRV 14 3.5X182","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP CRV 16 3.5X208","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION LP CRV 8 H 3.5X88","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RECONSTRUCTION TI LT 2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RESORB XG ST 4H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RIB LOCKING 2.3MM 10H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RIB LOCKING 2.3MM 20H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RIB LOCKING UNI 2.3MM 14H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RIGID STR TI 4 H 24MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE RIGID STRAIGHT CFX 10 HOLE 1.6MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SAGITTAL CRV MINI TI 6 H 1MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SCREW BRIGADE 5.5X25MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SHUNT BUR H TAB 1.5X20MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SPINAL 1 LVL VECTRA 14MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SPINAL 2 LVL VECTRA 30MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SPINAL 2 LVL VECTRA 32MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SPINAL 2 LVL VECTRA 34MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SPINAL 2 LVL VECTRA 36MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SPINAL RIGID LP 2 H 0.6MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SQUARE STERNALOCK BLU 4 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STANDARD 135 DEG DHS 2 H 46MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STD TI 4 H GEMINUS BN RA LT DIST VLR NS","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STERNAL X TI 8 H 1.8MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STR 78X10.2X2.7MM SS 3.5MM SCRW 6 H RECON LP LC-DCP BN","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT 6 HOLE","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT BAR MIDFACE 4 H 1.7","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT CFX 10 H 1.2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT LKNG TI 12 H 1MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT LKNG TI 4 H 1.5X28MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT LKNG TI 4 H 1.5X33MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT LKNG TI 6 H 1.5X43MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT LP 4 H 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT LP TI 4 H 3MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT LP TI 5 H 2.4MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT MATRIXNEURO ULP 24MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT MD 2 H 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT MINI 4 H 8MM BAR 2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT MINI 4 H W/O BAR 2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT MINI MANDIBLE 4 H 1","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT PROF LNG ZERO 4 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT PROF ZERO 2 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT STERNALOCK BLU 4 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT STERNALOCK BLU 8 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT TI 16 H 1X0.6MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT TI 24 H 1X0.6MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT TI 6 H 1.5X29MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT TI CFX 10 H 2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE STRAIGHT TI CFX 4 H 2MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE SUBTEMPORAL 0.5X30X48MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE T DISTAL LCP 8 H 3.5X132","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE T LP TI 4 H 2.4MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE T RT ANG SS 3X5 H 3.5X67","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE T RT ANG SS 3X7 H 3.5X87","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE T SS 2X4 H 2.7X40MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIA MEDIAL LCP 3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL LCP 3.5X145MM 8H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL N/S 6 H LT 2.7/3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL N/S 8 H RT 2.7/3.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL PROX 8 H RT 3.5X111","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 10 H LT 3.5X177MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 10 H RT 3.5X177MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 12 H LT 3.5X207MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 12 H RT 3.5X207MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 14 H RT 3.5X237MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 4 H LT 3.5X87MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 4 H RT 3.5X87MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TIBIAL SM 6 H RT 3.5X117MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TRADITIONAL C-C SM 8MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TRADITIONAL C-C SM 9.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 6 H LCP 3.5X69","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 7 H LCP 81MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 LC-DCP 6 3.5X76","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 LCP 10 H 117MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 LCP 5 H 3.5X57","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 LCP 8 H 93MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 LKNG SS 4 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR 1/3 LKNG SS 5H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR COLINK AFX 1/3 5H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE TUBULAR LOCKING SS 10H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE UNIVERSAL COLINK 2H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE UNIVERSAL COLINK 4H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA LCP DIST 2.7/3.5 8H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA LCP DIST FIBULAR 2.7MM 7H LEFT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA LOCK METACARPAL NECK 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA-LCP 2.4/2.7X145MM 10H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA-LCP 2.7/3.5X111MM 4H LEFT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA-LCP 2.7/3.5X88MM 4H RT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA-LCP PROX 3.5X87MM 4H RIGHT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VA-LCP PROXIMAL 3.5X117MM 6H RIGHT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VAL STRAIGHT 12 HOLES 2.0MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE VARIABLE LCP TIB 3.5X87 4H LT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE X STERNALOCK BLU 8 H","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE X TI MD 3MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE Y DBL LNG TI 6 H 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE Y DBL LP BAR 6 H 1.5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE Y SS LCP 3X7 H 55MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","PLATE Y VAL 2.0MM 3 HOLES HD-7 HOLES SHAFT","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","SCREW CORTICAL LKNG SQ DVR 2.7X10MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","SCREW BONE CROSS PIN 2.0X12MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","SCREW BONE CROSS PIN 2.0X16MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
"5","N/A","SCREW BONE CROSS PIN S-T 1.7X5MM","C1713","N/A","N/A","N/A","N/A","N/A","27902.49","27902.49","N/A","N/A","N/A","27902.49","27902.49","N/A","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49","27902.49"
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"5","N/A","DEFIBRILLATOR ASSURA DR CD2357-40Q","C1721","N/A","N/A","N/A","N/A","N/A","54833.95","54833.95","N/A","N/A","N/A","54833.95","54833.95","N/A","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95"
"5","N/A","DEFIBRILLATOR COBAL AICD DR MRI IS DF4","C1721","N/A","N/A","N/A","N/A","N/A","54833.95","54833.95","N/A","N/A","N/A","54833.95","54833.95","N/A","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95"
"5","N/A","DEFIBRILLATOR ELLIPSE DR CD2411-36C","C1721","N/A","N/A","N/A","N/A","N/A","54833.95","54833.95","N/A","N/A","N/A","54833.95","54833.95","N/A","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95"
"5","N/A","DEFIBRILLATOR EVERA XT MRI DDMB1D4","C1721","N/A","N/A","N/A","N/A","N/A","54833.95","54833.95","N/A","N/A","N/A","54833.95","54833.95","N/A","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95"
"5","N/A","DEFIBRILLATOR ICD RIVACOR DR-T DF4 W/CLS","C1721","N/A","N/A","N/A","N/A","N/A","54833.95","54833.95","N/A","N/A","N/A","54833.95","54833.95","N/A","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95"
"5","N/A","DEFIBRILLATOR MOMENTUM EL DR ICD IS-1/DF-1","C1721","N/A","N/A","N/A","N/A","N/A","54833.95","54833.95","N/A","N/A","N/A","54833.95","54833.95","N/A","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95"
"5","N/A","DEFIBRILLATOR RESONATE EL DR DF4","C1721","N/A","N/A","N/A","N/A","N/A","54833.95","54833.95","N/A","N/A","N/A","54833.95","54833.95","N/A","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95","54833.95"
"5","N/A","DEFIBRILLATOR ASSURA VR CD1357-40Q","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","DEFIBRILLATOR COBAL AICD VR MRI DF4","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","DEFIBRILLATOR COBAL AICD VR MRI IS1 DF1","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","DEFIBRILLATOR EMBLEM MRI S-ICD","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","DEFIBRILLATOR ICD ACTICOR DX DF4 W/CLS","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","DEFIBRILLATOR RESONATE EL VR DF4","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","DEFIBRILLATOR VISIA AF MRI VR #DVFB1D4","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","DEVICE PACEMAKER MODEL #DVFB1D1","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","HCHG OPTIME PACEMAKER","C1722","N/A","N/A","N/A","N/A","N/A","80925.00","80925.00","N/A","N/A","N/A","80925.00","80925.00","N/A","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00","80925.00"
"5","N/A","CATHETER BALLOON SAPPHIRE II PRO 014 4F 1MMX15X140CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER BALLOON SAPPHIRE II PRO 014 4F 1MMX8X140CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER BALLOON TUBE EUSTACHIAN","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION CRE 12-15MM 180CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION CRE 15-18MM 180CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION CRE 6-8MM 240CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION KT UROMAX ULTRA 5MMX4","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION KT UROMAX ULTRA 7MMX4","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION RX HURRICANE 5.8 10X4","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION RX HURRICANE 5.8F 4X4","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION RX HURRICANE 5.8F 6X4","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER DILATATION RX HURRICANE 5.8F 8X4","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER EXTRACTOR PRO RX 12-15MM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER EXTRACTOR PRO RX 9-12MM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER FIXED WRE CRE 10-12MMX8 180MM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER FIXED WRE CRE 6-8MMX8 180CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER FIXED WRE CRE 8-10MMX8 180MM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER SINUS DILATION 7X20MM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","CATHETER URETHRAL PRIMOFIT EXTERNAL MALE","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 10-12MM 240CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 12-15MM 240CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 15-18MM 240CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 18-20MM 240CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 6FR 12-15MM 180CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 6FR 15-18MM 180CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 6FR 18-20MM 180CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR BALLOON CRE 8-10MM 240CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR RENAL AMPLATZ 26F 36CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR VASCULAR RADPQ 0.035" 4FR 20CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR VASCULAR STD 0.035" 5FR 20CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR VASCULAR STD 0.038 16F 20CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR VASCULAR STD 0.038 22F 20CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DILATOR VASCULAR STD 0.038" 12FR 20CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","HCHG OPTIME STERILE SUPPLY","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","KIT BALLOON NEPHROMAX 24F 8MMX12CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","SHEATH RENAL AMPLATZ 26F 17CM","C1726","N/A","N/A","N/A","N/A","N/A","6442.50","6442.50","N/A","N/A","N/A","6442.50","6442.50","N/A","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50","6442.50"
"5","N/A","DISSECTOR BALLOON OVAL SPACEMAKER PRO","C1727","N/A","N/A","N/A","N/A","N/A","1791.90","1791.90","N/A","N/A","N/A","1791.90","1791.90","N/A","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90","1791.90"
"5","N/A","CATHETER BILIARY 32 SP 038 8.5FR 40CM","C1729","N/A","N/A","N/A","N/A","N/A","6432.21","6432.21","N/A","N/A","N/A","6432.21","6432.21","N/A","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21"
"5","N/A","CATHETER BILIARY 5 SP 038 10.2FR 25CM","C1729","N/A","N/A","N/A","N/A","N/A","6432.21","6432.21","N/A","N/A","N/A","6432.21","6432.21","N/A","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21"
"5","N/A","CATHETER BILIARY 5 SP 038 8.5FR 25CM","C1729","N/A","N/A","N/A","N/A","N/A","6432.21","6432.21","N/A","N/A","N/A","6432.21","6432.21","N/A","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21"
"5","N/A","CATHETER BILIARY DRAINAGE 10.2F 038X40CM","C1729","N/A","N/A","N/A","N/A","N/A","6432.21","6432.21","N/A","N/A","N/A","6432.21","6432.21","N/A","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21"
"5","N/A","CATHETER BILIARY EXT LGTH SIDEPORTS 038 10.2F 16X40CM","C1729","N/A","N/A","N/A","N/A","N/A","6432.21","6432.21","N/A","N/A","N/A","6432.21","6432.21","N/A","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21"
"5","N/A","CATHETER CARSON 2W COUDE IC 12FR 5","C1729","N/A","N/A","N/A","N/A","N/A","6432.21","6432.21","N/A","N/A","N/A","6432.21","6432.21","N/A","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21"
"5","N/A","CATHETER CARSON 2W COUDE IC 14FR 5","C1729","N/A","N/A","N/A","N/A","N/A","6432.21","6432.21","N/A","N/A","N/A","6432.21","6432.21","N/A","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21","6432.21"
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"5","N/A","KIT CATHETER DIALYSIS PALINDROME STR 14.5F 28CM","C1750","N/A","N/A","N/A","N/A","N/A","1081.71","1081.71","N/A","N/A","N/A","1081.71","1081.71","N/A","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71"
"5","N/A","KIT CATHETER DIALYSIS PALINDROME STR 14.5F 33CM","C1750","N/A","N/A","N/A","N/A","N/A","1081.71","1081.71","N/A","N/A","N/A","1081.71","1081.71","N/A","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71"
"5","N/A","KIT CATHETER DIALYSIS PALINDROME STR 14.5F 44CM","C1750","N/A","N/A","N/A","N/A","N/A","1081.71","1081.71","N/A","N/A","N/A","1081.71","1081.71","N/A","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71"
"5","N/A","KIT CATHETER DIALYSIS PALINDROME STR 14.5F 55CM","C1750","N/A","N/A","N/A","N/A","N/A","1081.71","1081.71","N/A","N/A","N/A","1081.71","1081.71","N/A","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71","1081.71"
"5","N/A","CATHETER ARTERIAL KIT 20GX6"","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CENTRAL VENOUS DL HICKMAN PEDI 9FR 90","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CENTRAL VENOUS TRAY DL POWERLINE 6F","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CENTRAL VENOUS TRAY DL POWERLINE 6FR","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CENTRAL VENOUS TRAY DL POWERPICC 5FR","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CENTRAL VENOUS TRAY SL POWERLINE 5F","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CENTRAL VENOUS TRAY SL POWERPICC 4FR","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CENTRAL VENOUS TRAY TL G44128","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER CONTINUOUS CARDIAC OUTPUT 8F","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER DISTAL ACS SOFIA 5F 125CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER EDM V TRANSLUCENT 4.9MM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER ICY HEPARIN","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER INFUSION 45 PROWLER 2.3FR","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER NAVIEN A + 058 5.2FR 105","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER NAVIEN A + 072 6.3FR 105","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER PIGTAIL ACCU-VU 035 5FR 100CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER SIZING ACCU-VU 035 5FR 70CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER STRAIGHT NAVIEN 5.2F 115CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","DEVICE THROMBECTOMY SOLITAIRE X REVAS 027 3X20X200CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","HCHG KIT PICC DBL LUMEN","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","HCHG OPTIME STERILE SUPPLY","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","HCHG PICC 5F DBL LUMEN WITH 3CG","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","KIT CATHETER ARROW PICC DOUBLE LUMEN 5FX55CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","KIT CATHETER ARROW PICC SINGLE LUMEN 4FX55CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","KIT CATHETER ARROW PICC TRIPLE LUMEN 6FX55CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","KIT CATHETER MIDLINE DRAPE BIOFLO DUAL FENESTRATED 4F","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","PASSER CATHETER MALL DISP 55CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","SET CATHETER ARTERIAL RADIAL 20GAX1.75"","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER CENTRAL VENOUS DUAL LUMEN","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER CV TL G44015","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER POWERLINE MICROINTRO CV DL 6F 70CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER POWERLINE MICROINTRO CV SL 5F 70CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER POWERPICC DL 5F 135CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER POWERPICC PROVENA MAX BARRIER TL 5F","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER POWERPICC PROVENA SHERLOCK DL 4F","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER POWERPICC PROVENA SHERLOCK SL 3F","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","TRAY CATHETER POWERPICC SL 4F 135CM","C1751","N/A","N/A","N/A","N/A","N/A","18975.00","18975.00","N/A","N/A","N/A","18975.00","18975.00","N/A","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00","18975.00"
"5","N/A","CATHETER MAHURKAR 12FX20CM","C1752","N/A","N/A","N/A","N/A","N/A","398.57","398.57","N/A","N/A","N/A","398.57","398.57","N/A","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57"
"5","N/A","CATHETER MAHURKAR TRAY 11.5F 16CM","C1752","N/A","N/A","N/A","N/A","N/A","398.57","398.57","N/A","N/A","N/A","398.57","398.57","N/A","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57"
"5","N/A","CATHETER MAHURKAR TRAY 11.5FX13.5CM","C1752","N/A","N/A","N/A","N/A","N/A","398.57","398.57","N/A","N/A","N/A","398.57","398.57","N/A","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57"
"5","N/A","CATHETER MAHURKAR TRAY 12F 16CM","C1752","N/A","N/A","N/A","N/A","N/A","398.57","398.57","N/A","N/A","N/A","398.57","398.57","N/A","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57"
"5","N/A","CATHETER MAHURKAR TRAY 12F 24CM","C1752","N/A","N/A","N/A","N/A","N/A","398.57","398.57","N/A","N/A","N/A","398.57","398.57","N/A","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57"
"5","N/A","CATHETER MAHURKAR TRAY 12FR 24CM","C1752","N/A","N/A","N/A","N/A","N/A","398.57","398.57","N/A","N/A","N/A","398.57","398.57","N/A","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57"
"5","N/A","HCHG OPTIME IMPLANTS","C1752","N/A","N/A","N/A","N/A","N/A","398.57","398.57","N/A","N/A","N/A","398.57","398.57","N/A","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57","398.57"
"5","N/A","CATHETER ASPIRATION INDIGO LIGHTNING 12F HTORQ TIP 100CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY ART FOGARTY 3F 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY ART FOGARTY 3FR 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY ART FOGARTY 4F 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY ART FOGARTY 4FR 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY ART FOGARTY 5F 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY ART FOGARTY 5FR 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY OTW FOGARTY 3FR 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY OTW FOGARTY 4FR 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY OTW FOGARTY 5.5FR 80","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY PYTHON OTW 5F 5MMX80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY PYTHON OTW 5F 9MMX80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER EMBOLECTOMY SYNTEL 4F 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER THROMBECTOMY ULTRA AVX 6F 035 50CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER VENOUS THROMBECTOMY FOGARTY 8F 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE REVASCULARIZATION EMBOTRAP III 021 5X22X194CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE REVASCULARIZATION EMBOTRAP III 021 5X22X194MM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE REVASCULARIZATION EMBOTRAP III 021 5X37X195CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE REVASCULARIZATION EMBOTRAP III 021 5X37X195MM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE THROMBECTOMY 6F 9MMX65CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE THROMBECTOMY SOLITAIRE X REVAS 021 4X40X200CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE THROMBECTOMY SOLITAIRE X REVAS 027 4X20X200CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","DEVICE THROMBECTOMY SOLITAIRE X REVAS 027 4X40X200CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","HCHG OPTIME STERILE SUPPLY","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","INACTIVE CATHETER ARTERIAL IRRIG FOGARTY 4FR 80","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","KIT CATHETER REPERFUSION 3MAX W/HI-FLOW TUBING","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","SEPARATOR THROMBECTOMY INDIGO 8 .021"X150CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","USE #00127470 CATHETER EMBOLECTOMY ART FOGARTY 4FR 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","USE #00127471 CATHETER EMBOLECTOMY ART FOGARTY 5F 80CM","C1757","N/A","N/A","N/A","N/A","N/A","22473.00","22473.00","N/A","N/A","N/A","22473.00","22473.00","N/A","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00","22473.00"
"5","N/A","CATHETER DUAL LUM 038" 6/10FR 50CM","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","CATHETER POLLACK 038 5F 70CM","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","CATHETER TORQUEABLE BERNE 5FR 65CM","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","CATHETER URETERAL DL 038" 10FR 50CM","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","CATHETER URETERAL RGD 038 5FR 70CM","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","CATHETER URETERAL RUTNER UNIV 5FR 70CM","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","CATHETER URETERAL SOF-FLEX OPEN-END 5F 70CM","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","KIT CATHETER URETERAL STRYKER 6F","C1758","N/A","N/A","N/A","N/A","N/A","993.98","993.98","N/A","N/A","N/A","993.98","993.98","N/A","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98","993.98"
"5","N/A","IMPLANT ARTHROSCOPIC BIOINDUCTIVE LRG","C1763","N/A","N/A","N/A","N/A","N/A","9075.00","9075.00","N/A","N/A","N/A","9075.00","9075.00","N/A","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00"
"5","N/A","IMPLANT VAGINAL Y COLPASSIST UPSYLON","C1763","N/A","N/A","N/A","N/A","N/A","9075.00","9075.00","N/A","N/A","N/A","9075.00","9075.00","N/A","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00"
"5","N/A","LENS INTRAOCULAR PANOPTIX TRIFOCAL PC ACR TFNT00 12.5","C1763","N/A","N/A","N/A","N/A","N/A","9075.00","9075.00","N/A","N/A","N/A","9075.00","9075.00","N/A","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00"
"5","N/A","MATRIX REPAIR XENFORM 4X7CM","C1763","N/A","N/A","N/A","N/A","N/A","9075.00","9075.00","N/A","N/A","N/A","9075.00","9075.00","N/A","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00","9075.00"
"5","N/A","GENERATOR ELITE 5 IPG PROCLAIM","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","GENERATOR INFINITY IPG","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","GENERATOR IPG VNS SENTIVA","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","GENERATOR PULSE PROCLAIM 7 ELITE","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","KIT NEUROSTIMULATOR RNS-320-K","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","NEUROSTIMULATOR IMPLANTABLE KT ACTIVA SC","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","NEUROSTIMULATOR INTERSTIM II 1.7X2"","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","NEUROSTIMULATOR MULTI ACTIVA SC","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","NEUROSTIMULATOR PERCEPT PC","C1767","N/A","N/A","N/A","N/A","N/A","116394.30","116394.30","N/A","N/A","N/A","116394.30","116394.30","N/A","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30","116394.30"
"5","N/A","ARTEGRAFT 7MMX15CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT ARTERY BOV CRTD 5MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT ARTERY BOV CRTD 6MMX40CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT ARTERY BOV CRTD 6MMX45CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT BIFURCATED HMSHL GLD 16X8MMX40CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT BONE KT INFUSE II LG 8ML","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT BONE KT INFUSE MD 5.6ML","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT BONE KT INFUSE SM 2.8ML","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT STANDARD HEP PROPATEN 4-7MMX45","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT STANDARD HEP PROPATEN 6MMX40CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT STANDARD WALL GORE-TEX 4-7MMX40","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT STANDARD WALL GORE-TEX 7MMX10CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT STANDARD WALL GORE-TEX 8MMX70CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT STRAIGHT HMSHL GLD 7MMX15CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT THIN WALL HEP PROPATEN 8MMX40CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT THIN WALL HEP PROPATEN 8MMX80CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT VASCULAR CRYOVEIN SAPHENOUS 62CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT VASCULAR CRYOVEIN SAPHENOUS 68CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT VASCULAR DOUBLE VELOUR PLATINUM 34X15","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT VASCULAR THIN WALL GORE-TEX 7MMX10CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN CARDIOROOT 26MMX15CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN HMSHL PT 30MMX50CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 10MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 20MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 24MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 26MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 28MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 30MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 32MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 7MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","GRAFT WOVEN STR PT 8MMX30CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","PATCH FELT PTFE 2.5X15CM","C1768","N/A","N/A","N/A","N/A","N/A","32604.00","32604.00","N/A","N/A","N/A","32604.00","32604.00","N/A","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00","32604.00"
"5","N/A","CATHETER MAHURKAR TRAY 11.5FX19.5CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE BENTSON .025 145CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE BENTSON NON-HEP 035 20X145CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY ASAHI FIELDER FC 014 180CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY ASAHI GAIA SECOND J 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY ASAHI GAIA THIRD J 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY ASAHI MIRACLEBROS 12 180CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY ASAHI SUOH 03 STR 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY H-T EXTRA S'PORT STR 014 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY H-T EXTRA S'PORT STR 014 300CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY H-T PILOT 200 STR .014 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY H-T PILOT 50 STR 014 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY H-T POWERTURN FLEX STR 014 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE CORONARY H-T WIGGLE STR .014 30X190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE ENDO STR TIP .035 450CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE ENDOSCOPIC JAGWIRE ANGLE .025X260CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE ENDOSCOPIC JAGWIRE STR .025FX260CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE FIXED CORE 3MM "J" 035 150CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE FIXED CORE 3MM "J" 035 260CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE FIXED CORE NON-HEP STR 035 145CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE FIXED CORE STR 035 260CM W/O HEP","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE FLEX TIP HVY DTY DBL 032 60CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE FLOPPY CHOICE PT STR 014 182CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE FLOPPY CHOICE PT STR 014 300CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE HYDROPHILIC GLIDEWIRE STIFF STR .038 3X150CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE INTERMEDIATE NITINOL NITREX STR TIP 018 5X60CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE INTERVENTIONAL COONS NON HEPARIN 035/145","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE NITINOL BLUNT 1.45MM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE NITINOL SHARP 1.45MM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE ORTHO W/TRCR TIP 2.4MMX9.25"","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE ROSEN 1.5 J 035 260CM W/O HEP","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE SENTAI HORNET 14 .014 300CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE STRETCH EXTENSION .014 150CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE TROCAR TIP 1.6X220MM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR AMPLATZ X-STIFF 035 3MMX260CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR ASAHI CONFIANZA PRO 12 STR .014 180CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR ASAHI SION BLACK STR .014 40X190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR BENTSON STARTER .035 260CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR BENTSON STARTER NON-HEP 038 150CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR FIELDER XT-A 190CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR HI-TRQ COMMAND ES 014 300CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR MEIER 035 11X260CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VASCULAR SAFE-T-J FIXED-CORE .025 50CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VICTORY .014 25GX195CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VIPER ADVANCE 017 335CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE VISIGLIDE ANGLED 270CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","GUIDEWIRE W/TROCAR TIP .062X9.25","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","INTRODUCER SHEATH PREC PNCL 7F","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","KIT MICROINTRODUCER XSHARP TUNGSTEN 018 5F 7CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","TRAY CATHETER POWERPICC PROVENA SL 3F 135CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","USE #00126531 GUIDEWIRE CORONARY ASAHI SION STR 180CM","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","WIRE PROTRACK PIGTAIL 230CM SUPERSTIFF","C1769","N/A","N/A","N/A","N/A","N/A","1631.39","1631.39","N/A","N/A","N/A","1631.39","1631.39","N/A","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39","1631.39"
"5","N/A","SLING URETHRAL ADVANCE XP MALE KIT","C1771","N/A","N/A","N/A","N/A","N/A","24931.50","24931.50","N/A","N/A","N/A","24931.50","24931.50","N/A","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50"
"5","N/A","SLING URETHRAL SOLYX SIS 9CM","C1771","N/A","N/A","N/A","N/A","N/A","24931.50","24931.50","N/A","N/A","N/A","24931.50","24931.50","N/A","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50"
"5","N/A","SLING VAGINAL CRV OBTRYX","C1771","N/A","N/A","N/A","N/A","N/A","24931.50","24931.50","N/A","N/A","N/A","24931.50","24931.50","N/A","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50"
"5","N/A","SYSTEM SLING LYNX MID-URETHERAL BLUE","C1771","N/A","N/A","N/A","N/A","N/A","24931.50","24931.50","N/A","N/A","N/A","24931.50","24931.50","N/A","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50"
"5","N/A","SYSTEM SLING RETROARC RETROPUBIC","C1771","N/A","N/A","N/A","N/A","N/A","24931.50","24931.50","N/A","N/A","N/A","24931.50","24931.50","N/A","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50","24931.50"
"5","N/A","ALLOGRAFT FLEXIGRAFT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","ARM EXTENSION AXSOS 3 VA 5.0MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT ACETABULAR REDAPT 56X18MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT ACETABULAR REDAPT 62X12MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT FEMORAL BALANCED KNEE DISTAL SZ 4 8MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT FEMORAL BALANCED KNEE DISTAL SZ 5 4MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT FEMORAL BALANCED KNEE DISTAL SZ 5 8MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT FEMORAL BALANCED KNEE DISTAL SZ 6 4MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT FEMORAL S-ROM DISTAL 10MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT TIBIAL PERSONA CONE RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AUGMENT TIBIAL REGENEREX TI XS 40MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AXLE FEMORAL DISTAL SEG SS STER SM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","AXLE FEMORAL OSS KNEE REDUCE SIZE","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL ATTUNE REV CMTD SZ 3","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL LEGION HK CMTD SZ 4 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL LEGION SZ 5 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL LEGION SZ 5 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL LEGION TI CMTD SZ 3 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL LEGION TI SZ 3 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL MOD TI STER OSS 71MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL MRH KEEL S1","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL NP SZ F LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL OSS LONG 71MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL OSS NON-MODULAR LONG 63MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL PERSONA SZ F RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL SZ 2 TH4 35MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BASEPLATE TIBIAL TI STER REV RT 4","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BEARING HIP VIVACIT-E C 38X28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BEARING TIBIAL OSS 12MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BEARING TIBIAL OSS POLY STANDARD 18MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BEARING TIBIAL OXFORD XS 6MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BLOCK AUGMENTATION OSS RM/LL 20X71/75MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BLOCK CEMENTED VERSYS REV 3/15X20MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BODY CONE ARCOS PROXIMAL SZ E HIGH OFFSET 80MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BODY CONE OFFSET STANDARD SIZE C 60MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BODY CONE PROX HIGH OFFSET SZ E 60MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BODY CONE PROXIMAL HIGH OFFSET TI SZ B 60MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BODY CONE PROXY 20X75MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BODY CONE PROXY 20X85MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BODY PROXIMAL CONE STD OFFSET SZ E 70MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BOLT HIP REV TROCHANTERIC 34MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BOLT LOCKING BOX JUNCTION","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BOX JUNCTION TAPERED 5DEG","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BUSHING FEMORAL OSS HIP REDUCE SIZE","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","BUTTON TROCHANTERIC 25MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CAGE ACETABULAR SHORT FLANGE REVISION 62/64MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CAGE SPINAL X-CORE MINI 12X17-24","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CAGE SPINAL X-CORE MINI 14X17MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CENTRALIZER DISTAL INVIS 12MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CENTRALIZER STEM SUMMIT 8.5MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COLLAR SPINAL TI 6MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT ACETABULAR TRIFLANGED SZ 27 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL BALANCED KNEE COCR SZ 5 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL BALANCED KNEE COCR SZ 6 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL CONSTR LEGION OXINIUM SZ 6 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL CONSTR LEGION SZ 3 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL GENESIS II OXINIUM PS SZ 4 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL GMRS DISTAL SM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL GMRS EXT PIECE 100MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL LEGION SZ 2 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL LEGION SZ 5 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL LEGION SZ 7 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL MODULAR SZ 4 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL MONOGRAM XS-XL","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL OSS 3CM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL OSS 3CM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL OXINIUM LEGION PS SZ 5 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL PERSONA COCR SZ 7 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL PERSONA COCR SZ 7 STD","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL REMEDY MEDIUM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL SROM XS 66X58MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT FEMORAL TRIMAX CR SZ 5 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT GLENOID ECLIPSE 49MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT GLENOID ECLIPSE TRUNION 37MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT GLENOID ECLIPSE TRUNION 47MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT GLENOID W/CLEAT SML","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT HUMERAL COONRAD/MORREY REG 6"","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT HUMERAL ELBOW SM 4"","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT PATELLA KLASSIC SOMBRERO SZ 3 7MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT TALAR SALTO TALARIS COCR SZ 0 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT TIBIAL COCR 0 ANKLE","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT TIBIAL REMEDY MEDIUM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT ULNAR COONRAD/MORREY PLASMA REG RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COMPONENT ULNAR ELB AY RT SM 3"","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CONE TIBIAL LEGION 20","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CONE TIBIAL LEGION ID 20 SHORT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CONNECTOR CROSS ROMEO 2 5.4X33MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CONNECTOR CROSS ROMEO 2 5.4X36MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CONNECTOR CROSS ROMEO 2 5.4X43MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COUPLER STEM OFFSET METAL 2MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","COUPLER STEM OFFSET METAL 6MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CUP ACETABULAR BI MENTUM CEMENTED 47MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CUP ACETABULAR BI-MENTUM CEMENTED 49MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CUP ACETABULAR PINNACLE GRIPTION 56MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","CUP ACETABULAR PROSTALAC 42X32MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","DOME TALAR CADENCE SZ 1 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","DOME TALAR CADENCE SZ 1 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","DOME TALAR CADENCE SZ 2 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","DOME TALAR CADENCE SZ 3 RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","EXTENSION STEM BALANCED KNEE 15X80MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","EXTENSION STEM BALANCED KNEE FLUTED 16X80MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","EXTENSION STEM DISTAL FEM 50MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","EXTENSION STEM TPR PERSONA +30MM 14","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","FABRIC KNITTED HMSHL 0.3X3"","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","GLENOID UNIVERS W/CLEAT LARGE","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","GLENOID W/CLEAT MEDIUM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","GLENOSPHERE AEQUALIS TORNIER +3 33MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD COBALT CHROME -5 SHORT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEM ARTIC +1 32MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL 12/14T 36MM NK -3","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL ACETABULAR OPTION 28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL ACETABULAR OPTION SIZE 40MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA +0 28","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA +3.5X28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA CERAMIC +3MM 28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA CERAMIC +4 32MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA CERAMIC MED +4 12/14 36MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA CERAMIC SHORT +0 12/14 36MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA OPTION +0MM 32MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA OPTION +7MM 32MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX DELTA UNIV TAPER +0 28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL BIOLOX INSITU 36MM -4MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL CERAMIC DELTA 32 12/14 + 0","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL G7 BIOLOX OPTION 32MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL MOD COCR -3MM 28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL OXINIUM +4 12/14 22MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL OXINIUM +4 14/16 36MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL OXINIUM 12/14 22MM +0","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL OXINIUM 12/14 28MM +4","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL OXINIUM 12/14 36MM +0","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL OXINIUM MODULAR 40MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL UNIPOLAR SOLITUDE 42MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD FEMORAL V40 COCR TPR +0MM 22MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD HUMERAL ECLIPSE 18X49MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD HUMERAL ECLIPSE 37/16","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD HUMERAL ECLIPSE 47/18","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD RADIAL ALIGN 24MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD RADIAL ALIGN 26MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","HEAD TAPERED MSPEC -2MM 12/14 36MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","IMPLANT BLOCK BONE CUSTOM SM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","IMPLANT JOINT ANATOEMIC 18.5MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","IMPLANT JOINT ANATOEMIC 20MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","IMPLANT KNEE LEGION BOLT SLEEVE 13MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","IMPLANT KNEE LEGION BOLT SLEEVE 15MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","IMPLANT METACARPAL NEUFLEX 20","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","IMPLANT TRAPEZIUM SWANSON SZ 2","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ACETABULAR OR30 DUAL MOBILITY XLPE 22X38MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ACETABULAR POLARCUP XLPE 22X45MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR CONSTR N/S 3-4 11MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR CONSTR N/S 3-4 9MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR GENESIS II SZ 1-2 15MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR JOURNEY II 5-6 12MM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR JOURNEY II 5-6 13MM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR JOURNEY LT 7-8 9MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR PERSONA VIVACIT-E 7-9+ EF 10MM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR PERSONA VIVACIT-E 7-9+ EF 18MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT ARTICULAR PERSONA VIVACIT-E SZ 6-7 C-D 16MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT BUMPER NEUT MRH","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT JOURNEY II CR XLPE SZ 3-4 9MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT JOURNEY II SZ5-6 9MM L","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TALUS FIXED UHMWPE SZ 2 8MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TALUS SALTO TALARIS SZ 00 8MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL ATTUNE LPS XS 26MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL BKS E-VITALIZE PS SZ 3 12MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL BKS E-VITALIZE PS SZ 4 14MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL BKS E-VITALIZE PS SZ 5 12MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL CADENCE NEUTRAL SZ 1 6MM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL CADENCE NEUTRAL SZ 1 6MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL CADENCE NEUTRAL SZ 1 7MM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL CADENCE NEUTRAL SZ 2 6MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL CADENCE NEUTRAL SZ 3 6MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL E-VITALIZE PS BKS SZ 4 16MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL KLASSIC ULTRA-PS STD POLY SZ 3 10MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL LEGION SZ 4-5 13MM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL LEGION SZ 4-5 13MM RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL LEGION SZ 4-5 15MM LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","INSERT TIBIAL MRH S1/S2 13MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","JOINT FINGER FLEXSPAN SWANSON 3","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","KIT REVISION COONRAD/MORREY OLD REG HUM BUSHING","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACET 36MM (SNRICH)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACET 36X52MM (SNRICH)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR 0 DEG R3 36X54MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR 20 DEG R3 XLPE POLY 36X52MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR BI-MENTUM PROXIMAL 28X47MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR BI-MENTUM PROXIMAL 49X28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR DUAL MOBILITY 38X50MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR DUAL MOBILITY 40X52MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR DUAL MOBILITY 42X54MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR DUAL MOBILITY 44X58MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR G7 DUAL MOBILITY SZ E 42MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR G7 DUAL SZ C 38MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR G7 LONGEVITY E 36MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR NEUTRAL INSITU 52X36MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR R3 XLPE 20 DEG +4 36X60MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR R3 XLPE 20 DEG 32X48MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR REDAPT XLPE CEMENTED 0 DEG 36X54MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR REDAPT XLPE CEMENTED 0 DEG 40X58MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR RINGLOC SZ 27 40MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR VIVACIT-E HH ELEVATED 32X50MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR VIVACIT-E SZ E 28X20MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR VIVACIT-E SZ F 28X46MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR XLPE DUAL MOBILITY 22X40MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR XLPE DUAL MOBILITY 28X42MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","LINER ACETABULAR XLPE DUAL MOBILITY 28X44MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PATELLA E-VITALIZE BKS TRIMAX 35MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PATELLA RSRF RND JOURNEY 7.5 32MM STD","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PATELLA STANDARD SERIES A 34X8.5MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PIN LOCK PCARB OSS","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PLATE BONE MATRIXNEURO TI X 4H","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PLATE CONDYLAR CURVED VA-LCP 1.5X266MM 12H LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PLATE FIBULA DISTAL LCP VA 2.7MM 7H","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PLATE FIBULAR PARAGON 5H","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PLATE FIXED MAXAN GREEN 2 LEVEL 32MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","PLATE MID-FACE 0.6MM 100D 5H 5MM BAR","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","POLARSTEM COLLAR STD TI/HA 2","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SCREW CORTEX NEAR VAL TI 2.4X20MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SET OATS SMALL JOINT 10MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACET 52MM HIP MLHL CLR CD OSSE G7 E HEMI","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR BIPOLAR RINGLOC 52X28MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR G7 PPS FINNED 50MM SZ G 3H","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR OSSEOTI LIMITED 48MM SZ C","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR PE R3 3 H 50MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR PE R3 3 H 52MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR POLARCUP CMTD SS 45MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR REDAPT MODULAR 52MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR REDAPT MODULAR 54MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR REDAPT MODULAR 56MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR TRABECULAR METAL REV 68MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL ACETABULAR TRABECULAR METAL REVISION 62MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL MODULAR REDAPT 58MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SHELL REDAPT MODULAR 60MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE ADAPTER UNIVERSAL C-TAPER TI +2.5MM OFFSET","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE CENTERING MATRIX TAPER TI +0MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE CENTERING MATRIX TAPER TI +12MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE FEMORAL 40MM M-L 22MM A/P","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE FEMORAL MODULAR HEAD TAPER 12/14 +0MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE FEMORAL POROUS UNIVERSAL 46MM DEPUY","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE TAPER BIOLOX DELTA SZ TYPE 1 +3","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE TAPER BIOLOX DELTA SZ TYPE 1 STD","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE TAPER OPTION -6MM NECK","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE TIBIAL 45MM M-L 29MM A/P","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE TIBIAL ATTUNE M/L 37MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE TIBIAL MOD ROT HINGE","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SLEEVE TIBIAL OSS PROXIMAL 3CM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SPACER KNEE INTERSPACE LARGE","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM CEMENTED LEGION 12X120MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM CEMENTED LEGION STR TI 10X160MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM CEMENTED PF LEGION 12X160MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM CEMENTED PF LEGION 14X160MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM CEMENTED SYNERGY STD SZ 11","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM CENTRALIZER 9.25MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENDER TIBIA FLUTED PRESS FIT TI 13X80MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION ATTUNE PRESS FIT 12X110MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION BKS FLUTE SLOTTED 14X80MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION BKS FLUTED 14X110MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION BKS FLUTED 18X80MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION BKS SLOTTED 17X80MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION LEGION STR TI 11X220MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION PERSONA 6MM OFFSET 12X135MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION PERSONA 6MM OFFSET 14X135MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM EXTENSION PERSONA 6MM OFFSET 15X135MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL ARCOS DISTAL TAPER 15X250MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL ARCOS STS DISTAL 19X150MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL ARCOS TAPER DISTAL 16X150MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL ARCOS TAPER DISTAL TI 16X190MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL AVENIR STD OFFSET COLLARED SZ 3","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL CMTD REV 15X180MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL CMTD REVISION VERSYS 13X170MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL COLLARED ACTIS HIGH SZ 7","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL GMRS BOWED PRESS FIT TI 13X150MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL LEGION PF STR TI 13X120MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL OSS BOWED 150X12.5MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL RECLAIM TAPER STR TI 15X140MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL RECLAIM TAPER TI 14X140MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL RECLAIM TAPER TI 17X140MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL REDAPT STD OFFSET TI SZ 17 240MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL REDAPT STD OFFSET TI SZ 19 240MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL REDAPT SVLS REV STD OFFSET TI SZ 16 300MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL REV FLT UNIV 14X75MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL REV PF STER 13X160MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL REV PF STER 18X160MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL STD 135 DEG POLAR 4MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM FEMORAL SYNERGY STD SZ 10 115MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM IMPLANT OSS BOWED CEM 150X14.5MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM IMPLANT OSS BOWED CEM 150X18.5MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM RADIAL 11X0MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM RADIAL ALIGN FLUTE TI 10X0MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM RADIAL TPR GRIT TI 9X2MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM SYNERGY CEMENTED STD SZ 13 130MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM SYNERGY CEMENTED STD SZ 15 140MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM TIBIAL GENESIS II LONG TI 10X100","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM TIBIAL OSS KNEE PROXIMAL 16.5X150MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","STEM TIBIAL PERSONA STR KNEE REV 14X135MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SURFACE ARTICULAR REV E-F 3-4 17MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SYSTEM FIXATION SWIVELOCK ACL PEEK 4.75X19.1MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","SYSTEM HIP BLOCK CEMENTED VERSYS SZ 13/15X30MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HEMI ARTHROPLASTY (DEPUY)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HEMI ARTHROPLASTY (SNRICH)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HEMI ARTHROPLASTY (ZIMMER)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HEMI HIP (ORTHOD)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HEMI SHOULDER (DEPUY)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HIP (DEPUY) HIGH","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HIP (ORTHOD)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HIP (RICHARDS) HIGH","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL HIP (ZIMMER) HIGH","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE (DEPUY)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE (HOWMEDICA)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE (ORTHOD)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE (RICHARDS)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE (TJO)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE (ZIMMER)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE JOURNEY (RICHARDS)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE REVISION (ZIMMER)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL KNEE UNICOMPART (BIOMET)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL REVERSE SHOULDER (ARTHREX)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL REVERSE SHOULDER (INTEGRA)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL REVERSE SHOULDER (TORNIER)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL REVERSE SHOULDER (ZIMMER)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL SHOULDER (ARTHREX)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL SHOULDER (INTEGRA)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL SHOULDER (TORNIER)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL SHOULDER (ZIMMER)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL SHOULDER REVISION (AAI)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TOTAL SHOULDER REVISION (EXACTECH)","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TRAY TIBIAL CADENCE SZ 1X LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TRAY TIBIAL CADENCE SZ 1X RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TRAY TIBIAL CADENCE SZ 2 LT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TRAY TIBIAL CADENCE SZ 3X RT","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TRAY TIBIAL SALTO TALARIS KNEE XL SZ 0","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TRAY TIBIAL SLEEVE BKSR SZ 4","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","TRAY TIBIAL SLEEVE BKSR SZ 5","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","WASHER AND WIRE PLATE TRIMED","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","WEDGE DISTAL FEMORAL SZ 5 10MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","WEDGE DISTAL FEMORAL SZ 5 5MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","WEDGE FEMORAL LEGION SZ 5-6 LONG 10MM POSTERIOR","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","WEDGE TIBIAL LEGION HEMI SZ 3-4 LM/RL 10MM","C1776","N/A","N/A","N/A","N/A","N/A","44154.00","44154.00","N/A","N/A","N/A","44154.00","44154.00","N/A","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00","44154.00"
"5","N/A","GRAFT PATCH U-T HMSHL 0.3X3"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MEMBRANE PERICARDIAL 15X20CMX0.1MM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH CIRCULAR VENTRALEX MD 2.5"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH CIRCULAR VENTRALEX SM 1.7"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH CIRCULAR VENTRALIGHT ST 4.5","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH CIRCULAR VENTRIO ST 3"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH COMPOSITE SYMBOTEX 15X10CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH COMPOSITE SYMBOTEX 30X20CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH COMPOSITE SYMBOTEX ROUND 12CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH COMPOSITE SYMBOTEX ROUND 9CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH COMPOSIX ROUND STEX 15CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH CONTOUR MATRIXNEURO 100X100MM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH CONTOUR MATRIXNEURO RIGID 38X45X0.6MM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH DURASORB MONOFILAMENT 6X16CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH ELLIPSE VENTRALIGHT 6X8"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH ELLIPSE VENTRALIGHT 8X10"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH FLAT NON ABS PP 3X6"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH FLAT NON ABS PP 6X6"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA 3DMAX 3X5" MED RT","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA 3DMAX LT 4X6"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA 3DMAX LT LG","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA 3DMAX RT 4.1X6.2"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA 3DMAX RT 4X6"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA EXT PROL 4"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA ONFLEX 3.4X5.6","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA PARIETEX 15X20CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA PRESHAPED 12X12"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA PROGRIP LT 8X12CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA PROGRIP RT 15X10CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH HERNIA PROGRIP RT 8X12CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH LAPAROSCOPIC LT PROGRIP 10X15CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH LAPAROSCOPIC PROGRIP 10X15CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH LIGHT LT 3DMAX MD 3.1X5.3","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH MARLEX 10X14"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH OVAL VENTRIO ST 4.3X5.5"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH OVAL VENTRIO ST 5.4X7"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH PLUG PERFIX LG 1.6X1.9"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH PLUG PERFIX MD 1.3X1.55"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH PROGRIP 15X9CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SOFT GYNEMESH PS 10X15CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SPINAL RND TI SYNMESH 12X32","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SPINAL RND TI SYNMESH 12X88","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH ST PHASIX 7X10CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SURGICAL GORE ENFORM 10X16CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SURGICAL LAP INTERCEED 3X4"","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SYMBOTEX 25X20CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SYNECOR 10X15CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH SYNECOR 15X20CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH VENTRAL PARIETEX 4.6CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH VENTRAL PARIETEX 6.6CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","MESH VENTRAL PARIETEX 8.6CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","PATCH TISSUE GORE-TEX 1MMX5CMX10CM","C1781","N/A","N/A","N/A","N/A","N/A","7518.23","7518.23","N/A","N/A","N/A","7518.23","7518.23","N/A","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23","7518.23"
"5","N/A","PACEMAKER ACCOLADE DR MRI EL L331","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","PACEMAKER ACCOLADE DR MRI L311","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","PACEMAKER ADAPTA DR ADDRL1","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","PACEMAKER ASSURITY DR PM2240","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","PACEMAKER ASSURITY MRI DR-RF","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","PACEMAKER ASSURITY MRI SR-RF","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","PACEMAKER AZURE MRI XT DR","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","PACEMAKER EDORA DR-T W/CLS","C1785","N/A","N/A","N/A","N/A","N/A","17641.65","17641.65","N/A","N/A","N/A","17641.65","17641.65","N/A","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65","17641.65"
"5","N/A","HCHG OPTIME PACEMAKER","C1786","N/A","N/A","N/A","N/A","N/A","54987.50","54987.50","N/A","N/A","N/A","54987.50","54987.50","N/A","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50"
"5","N/A","PACEMAKER ACCOLADE MRI SR L310","C1786","N/A","N/A","N/A","N/A","N/A","54987.50","54987.50","N/A","N/A","N/A","54987.50","54987.50","N/A","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50"
"5","N/A","PACEMAKER AZURE XT SR MRI","C1786","N/A","N/A","N/A","N/A","N/A","54987.50","54987.50","N/A","N/A","N/A","54987.50","54987.50","N/A","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50"
"5","N/A","PACEMAKER SYSTEM MICRA","C1786","N/A","N/A","N/A","N/A","N/A","54987.50","54987.50","N/A","N/A","N/A","54987.50","54987.50","N/A","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50"
"5","N/A","SYSTEM PACEMAKER MICRA AV","C1786","N/A","N/A","N/A","N/A","N/A","54987.50","54987.50","N/A","N/A","N/A","54987.50","54987.50","N/A","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50","54987.50"
"5","N/A","SHEATH GUIDING PINNACLE DESTINATION STR 6F 65CM","C1787","N/A","N/A","N/A","N/A","N/A","247.50","247.50","N/A","N/A","N/A","247.50","247.50","N/A","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50","247.50"
"5","N/A","KIT PORT POWER INTERMEDIATE CLEARVUE ISP 6F","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT PORT POWER INTERMEDIATE CLEARVUE ISP 8F","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT PORT POWER INTERMEDIATE DUAL-LUMEN 9.5F","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT PORT POWER INTERMEDIATE MRI 8F","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT PORT POWER MICROINTRODUCER CLEARVUE SLIM 6F","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","KIT PORT POWER MICROINTRODUCER CLEARVUE SLIM 8F","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","PORT INFUSION PREATTACHED CATH 9.6","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","PORT INFUSION PU CLEARVUE SLIM 6FR","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","PORT INFUSION PU CLEARVUEW SLIM 8F","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","PORT INFUSION PU POWERPORT ISP 8FR","C1788","N/A","N/A","N/A","N/A","N/A","1320.00","1320.00","N/A","N/A","N/A","1320.00","1320.00","N/A","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00","1320.00"
"5","N/A","EXPANDER TISSUE ALLOX2 TEXTURE 340-420CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","EXPANDER TISSUE DERMASPAN FH 360-430CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","EXPANDER TISSUE DERMASPAN SMOOTH FH 250-300CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","EXPANDER TISSUE DERMASPAN SMOOTH FH 310-370CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","EXPANDER TISSUE DERMASPAN SMOOTH FH 480-575CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","EXPANDER TISSUE SMOOTH 133MV 300CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","EXPANDER TISSUE SMOOTH 133MV 400CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","EXPANDER TISSUE SMOOTH 133MV 500ML","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST GEL HP 700CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST INSPIRA SCX 445CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST INSPIRA SCX 470CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST INSPIRA SCX 495CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST INSPIRA SCX 650CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST INSPIRA SMOOTH 295CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST NATRELLE INSPIRA SCX 400CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST NATRELLE INSPIRA SCX 445CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST NATRELLE INSPIRA SCX 495CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST NATRELLE INSPIRA SCX 750","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST NATRELLE INSPIRIA 375CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST OPUS ROUND GEL HP 620CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SALINE 68MP MOD 360","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SALINE 68MP MOD 480","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SIL SCM 520CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SIL SRMP 400CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SILICONE SCF-365","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SILICONE SCF-385","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SILICONE SCF-415","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SILICONE SCF-520","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SILICONE SCF-650","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SILICONE SCF-745","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SMOOTH ROUND HIGH 415CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SMOOTH ROUND MOD PLUS 175CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SMOOTH ROUND MOD PLUS 440CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","IMPLANT BREAST SMOOTH ROUND MOD PLUS 650CC","C1789","N/A","N/A","N/A","N/A","N/A","5923.50","5923.50","N/A","N/A","N/A","5923.50","5923.50","N/A","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50","5923.50"
"5","N/A","PROSTHESIS PENILE AMS 700 CX 21CM","C1813","N/A","N/A","N/A","N/A","N/A","41885.25","41885.25","N/A","N/A","N/A","41885.25","41885.25","N/A","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25"
"5","N/A","PROSTHESIS PENILE AMS 700 CXR 14CM","C1813","N/A","N/A","N/A","N/A","N/A","41885.25","41885.25","N/A","N/A","N/A","41885.25","41885.25","N/A","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25"
"5","N/A","PROSTHESIS PENILE AMS 700 MS 15CM","C1813","N/A","N/A","N/A","N/A","N/A","41885.25","41885.25","N/A","N/A","N/A","41885.25","41885.25","N/A","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25"
"5","N/A","PROSTHESIS PENILE AMS 700 MS 18CM","C1813","N/A","N/A","N/A","N/A","N/A","41885.25","41885.25","N/A","N/A","N/A","41885.25","41885.25","N/A","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25"
"5","N/A","PROSTHESIS PENILE CX-LGX 2CM","C1813","N/A","N/A","N/A","N/A","N/A","41885.25","41885.25","N/A","N/A","N/A","41885.25","41885.25","N/A","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25"
"5","N/A","PROSTHESIS PENILE INFLATABLE CX 12CM","C1813","N/A","N/A","N/A","N/A","N/A","41885.25","41885.25","N/A","N/A","N/A","41885.25","41885.25","N/A","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25"
"5","N/A","RESERVOIR PENILE LP CONCEAL 100ML","C1813","N/A","N/A","N/A","N/A","N/A","41885.25","41885.25","N/A","N/A","N/A","41885.25","41885.25","N/A","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25","41885.25"
"5","N/A","OCCLUDER PFO AMPLATZER 25MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","OCCLUDER PFO AMPLATZER 35MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","OCCLUDER SEPTAL CRIBRIFORM AMPLATZER 25MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","OCCLUDER SEPTAL CRIBRIFORM AMPLATZER 30MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","OCCLUDER SEPTAL TORQVUE AMPLATZER 14MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","OCCLUDER SEPTAL TORQVUE AMPLATZER 24MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","PLUG 2 VASCULAR AMPLATZER 7X10MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","PLUG 4 VASCULAR AMPLATZER .038 8X13.5MM","C1817","N/A","N/A","N/A","N/A","N/A","34963.50","34963.50","N/A","N/A","N/A","34963.50","34963.50","N/A","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50","34963.50"
"5","N/A","CATHETER CORONARY CTO RE-ENTRY STINGRAY LP","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","GRAFT AORTIC EXCLUDER 32MMX4.5CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","HCHG STENT VIABAHN COVERED","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.25X13MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.25X9MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X13MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X15MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X18MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X22MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X26MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X30MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X40MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.50X9MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 2.75X13MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.00X13MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.00X15MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.00X18MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.00X22MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.00X26MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.00X30MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.50X13MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES ORSIRO SIROLIMUS RX 3.50X9MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.00X08MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.00X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.00X15MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.00X18MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.00X22MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.00X26MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.25X08MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.25X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.25X26MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.50X08MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.50X15MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.50X22MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.50X26MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 2.75X26MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES RESOLUTE ONYX RX 3.00X15MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X32MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X38MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.25X8MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X32MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X38MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.50X8MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X32MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X38MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 2.75X8MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X32MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X38MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.00X8MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X32MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X38MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 3.50X8MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.00X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.00X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.00X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.00X32MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.00X38MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.00X8MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.0X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.50X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.50X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 4.50X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 5.00X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 5.00X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY MR 5.00X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 2.50X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 2.50X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 2.50X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 2.50X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 2.50X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 3.0X12MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 3.0X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 3.0X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 3.0X24MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 3.0X28MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 3.5X16MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 3.5X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY DES SYNERGY OTW 4.0X20MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY PK-PAPYRUS COVERED RX 2.5X15MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT CORONARY PK-PAPYRUS COVERED RX 3.5X15MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT COVERED LIFESTREAM 9X38X80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VBX 11X39MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VBX 8X29MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VBX LRG 8X29MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VBX LRG 8X39MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VBX LRG 8X59MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIABAHN 13MMX10X120CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIABAHN 8MMX5X120CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIABAHN 8X10MMX120CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIABAHN 9MMX5CMX120CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIABIL 10MMX10X40CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIABIL 10MMX6X40CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIABIL 10MMX8X40CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIATORR 8-10X10MMX4CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIATORR 8-10X10MMX5CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIATORR 8-10X10MMX6CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ENDOPROSTHESIS VIATORR 8-10X10MMX8CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT ILIAC SMART 7X40MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT VASCULAR COVERA COVERED 8F 10X40MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT VASCULAR COVERA COVERED 8F 10X60MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT VASCULAR COVERA COVERED 8F 7X100MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT VASCULAR COVERA COVERED 8F 7X60MMX80CM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT VASCULAR COVERA COVERED 8F 8X40MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT VASCULAR COVERA COVERED 8F 8X60MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT VASCULAR COVERA COVERED 8F 8X80MM","C1874","N/A","N/A","N/A","N/A","N/A","15298.80","15298.80","N/A","N/A","N/A","15298.80","15298.80","N/A","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80","15298.80"
"5","N/A","STENT BILIARY EXPRESS LD 7X57MMX75CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY EXPRESS LD 8X27MMX75CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY EXPRESS SD 5X19MMX150CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY EXPRESS SD 6X14MMX150CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTAR 12X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTENT 035 10X20MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTENT 035 6F 10X40MMX130CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTENT 035 6F 10X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTENT 035 6F 10X60MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTENT 8X20MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTENT 8X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY LIFESTENT 8X60MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY PALMAZ GENESIS 035 7X30MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY PALMAZ GENESIS 8X29MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY WALLFLEX 8.5FR 10X40","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY WALLFLEX 8.5FR 10X60","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY ZILVER 14X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY ZILVER 14X60MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY ZILVER SELF-EXPANDING OTW 4X30MMX125CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT BILIARY ZILVER SELF-EXPANDING OTW 4X40MMX125CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT CAROTID ACCULINK RX 5.0X30MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT CAROTID ACCULINK RX 6.0X30MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT CAROTID ACCULINK RX 7-10X40MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT CORONARY INTEGRITY BM RX 2.5X22MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT CORONARY INTEGRITY BM RX 2.5X8MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT CORONARY INTEGRITY BM RX 3X12MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT CORONARY INTEGRITY BM RX 3X22MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 10X20MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 6X100MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 6X40MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 6X60MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 7X40MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 7X60MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 7X80MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 8X30MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 8X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 8X60MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT ILIAC SMART 8X60MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT INTRALUMINAL LVIS 4.0X22MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT INTRALUMINAL LVIS 5.5X30MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT INTRALUMINAL LVIS JR 2.5X23MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT INTRALUMINAL LVIS JR 3.5X33MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL EVERFLEX OTW 6F 6X200MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL OMNILINK OTW 10X29MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL OMNILINK OTW 7X19MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL OMNILINK OTW 8X29MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL OMNILINK OTW 8X29MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL OMNILINK OTW 8X59MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL OMNILINK OTW 9X29MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL OMNILINK OTW 9X39MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL R2P MISAGO RX SE 6X150MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL R2P MISAGO RX SE 6X60MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT PERIPHERAL SUPERA 6FR 5.5X80MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR ABSOLUTE PRO OTW 10X40MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR ABSOLUTE PRO OTW 10X60MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR ABSOLUTE PRO OTW 6X40MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR ABSOLUTE PRO OTW 6X60MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR ABSOLUTE PRO OTW 8X40MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR ABSOLUTE PRO OTW 8X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR ABSOLUTE PRO OTW 8X60MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR CAROTID PRECISE PRO RX 6X40MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 5X40MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X100MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X100MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X150MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X20MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X20MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X40X135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X60MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X80MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 6X80MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 7X60X135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 7X60X80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 035 5F 7X80X80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 5X100MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 5X120MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 5X40MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 5X60MMX135CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 5X80MMX80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 7X100X80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 7X20X80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 5F 7X40X80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 7X150X130CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR LIFESTENT 8X80X80CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR SFA SMART 6X120MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR SFA SMART 7X150MMX120CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR SOLO 6X200X135","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR SOLO 7X200X135","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR XACT CAROTID STR 7X30MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VASCULAR XACT CAROTID TAPER 6-8X40MM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","STENT VENOUS ABRE ILIOFEMORAL 16X60MMX90CM","C1876","N/A","N/A","N/A","N/A","N/A","22968.00","22968.00","N/A","N/A","N/A","22968.00","22968.00","N/A","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00","22968.00"
"5","N/A","GEL VOICE LNG PROLARYN + 1ML","C1878","N/A","N/A","N/A","N/A","N/A","2062.50","2062.50","N/A","N/A","N/A","2062.50","2062.50","N/A","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50"
"5","N/A","GEL VOICE SHT PROLARYN 1ML","C1878","N/A","N/A","N/A","N/A","N/A","2062.50","2062.50","N/A","N/A","N/A","2062.50","2062.50","N/A","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50","2062.50"
"5","N/A","DEFIBRILLATOR ASSURA QUADRA MP ICD U PR","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR CLARIA CRT-D MRI QUAD US DF4","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR CLARIA CRT-D MRI US DF1","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR COBAL HF MRI CRT-D IS1 DF4","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR COBAL HF MRI CRT-D IS1 DF41","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR COBAL HF MRI QUAD CRT-D IS4 DF1","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR COBAL HF MRI QUAD CRT-D IS4 DF4","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR ICD ACTICOR HF-T IS-1 DF4 PROMRI","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR ICD RIVACOR HF-T QP DF4 W/CLS","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR INTICA NEO 7 VR-T DX DF1 PROMRI","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR MOMENTUM CRT-D IS-1 DF1","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR MOMENTUM CRT-D IS-1 DF4","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR MOMENTUM X4 CRT-D IS-1/DF-1/IS4","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","DEFIBRILLATOR RESONATE X4 CRT-D DF4","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","GENERATOR ASSURA HV","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","HCHG OPTIME IMPLANTS","C1882","N/A","N/A","N/A","N/A","N/A","76239.65","76239.65","N/A","N/A","N/A","76239.65","76239.65","N/A","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65","76239.65"
"5","N/A","ADAPTER LEAD BRADY-EXT IS-1 /IS-1 BP","C1883","N/A","N/A","N/A","N/A","N/A","3382.25","3382.25","N/A","N/A","N/A","3382.25","3382.25","N/A","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25"
"5","N/A","ADAPTER LEAD L10 8 CHANNEL","C1883","N/A","N/A","N/A","N/A","N/A","3382.25","3382.25","N/A","N/A","N/A","3382.25","3382.25","N/A","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25"
"5","N/A","EXTENSION LEAD DBS INFINITY 60CM","C1883","N/A","N/A","N/A","N/A","N/A","3382.25","3382.25","N/A","N/A","N/A","3382.25","3382.25","N/A","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25"
"5","N/A","EXTENSION LEAD QP DBS 1.3MMX60CM","C1883","N/A","N/A","N/A","N/A","N/A","3382.25","3382.25","N/A","N/A","N/A","3382.25","3382.25","N/A","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25"
"5","N/A","KIT EXTENSION LEAD INTERSTIM","C1883","N/A","N/A","N/A","N/A","N/A","3382.25","3382.25","N/A","N/A","N/A","3382.25","3382.25","N/A","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25","3382.25"
"5","N/A","HCHG INTRODUCER PICC MICRO INTRO","C1894","N/A","N/A","N/A","N/A","N/A","156.00","156.00","N/A","N/A","N/A","156.00","156.00","N/A","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00"
"5","N/A","HCHG INTRODUCER PICC MICRO INTRO (AKA IVT)","C1894","N/A","N/A","N/A","N/A","N/A","156.00","156.00","N/A","N/A","N/A","156.00","156.00","N/A","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00"
"5","N/A","LEAD BIPOLAR ACTIVE DURATA 58CM","C1895","N/A","N/A","N/A","N/A","N/A","14471.05","14471.05","N/A","N/A","N/A","14471.05","14471.05","N/A","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05"
"5","N/A","LEAD QUADRIPOLAR ACTIVE QUATTRO 62CM","C1895","N/A","N/A","N/A","N/A","N/A","14471.05","14471.05","N/A","N/A","N/A","14471.05","14471.05","N/A","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05","14471.05"
"5","N/A","HCHG OPTIME PACEMAKER","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD BIPOLAR CAPSURE FIX NOVUS 65CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD BIPOLAR VENTR SCRW 1S1 35CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD CARDIAC PACING BIPOLAR TENDRIL STS 100CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD CARDIAC PACING BIPOLAR TENDRIL STS 46CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD CARDIAC PACING BIPOLAR TENDRIL STS 52CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD CARDIAC PACING BIPOLAR TENDRIL STS 58CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACEMAKER SOLIA S PRO MRI 60CM 377179","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACEMAKER SOLIA S PRO MRI 45CM 377176","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACEMAKER SOLIA S PRO MRI 53 CM 377177","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACING BI CAPSUREFIX 45CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACING BI CAPSUREFIX 52CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACING BIPOLAR CAPSUREFIX 5076-58CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACING INGEVITY+ IS-1 BI 45CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACING INGEVITY+ IS-1 BI 52CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","LEAD PACING INGEVITY+ IS-1 BI 59CM","C1898","N/A","N/A","N/A","N/A","N/A","1689.05","1689.05","N/A","N/A","N/A","1689.05","1689.05","N/A","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05","1689.05"
"5","N/A","HCHG YTTRIUM-90 MICROSPHERES","C2616","N/A","N/A","N/A","N/A","N/A","52800.00","52800.00","N/A","N/A","N/A","52800.00","52800.00","N/A","52800.00","52800.00","52800.00","52800.00","52800.00","52800.00","52800.00","52800.00","52800.00","52800.00"
"5","N/A","HCHG 2D TEE W OR W/O CONTRAST","C8925","N/A","N/A","N/A","N/A","N/A","2822.00","2822.00","N/A","N/A","N/A","2822.00","2822.00","N/A","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00","2822.00"
"5","N/A","HCHG INTRA-CORONARY STENT DES MAJOR CORO ARTERY","C9600","N/A","N/A","N/A","N/A","N/A","49135.66","49135.66","N/A","N/A","N/A","49135.66","49135.66","N/A","49135.66","49135.66","49135.66","49135.66","49135.66","49135.66","49135.66","49135.66","49135.66","49135.66"
"5","N/A","HCHG INTRA-CORONARY STENT DES ADD'L BRANCH","C9601","N/A","N/A","N/A","N/A","N/A","60629.86","60629.86","N/A","N/A","N/A","60629.86","60629.86","N/A","60629.86","60629.86","60629.86","60629.86","60629.86","60629.86","60629.86","60629.86","60629.86","60629.86"
"5","N/A","HCHG CORO ATHERECT W/ DES MAJ CORO ART/BRANCH","C9602","N/A","N/A","N/A","N/A","N/A","56869.22","56869.22","N/A","N/A","N/A","56869.22","56869.22","N/A","56869.22","56869.22","56869.22","56869.22","56869.22","56869.22","56869.22","56869.22","56869.22","56869.22"
"5","N/A","HCHG CORO ATHERECT W/ DES ADD'L BRANCH","C9603","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","HCHG PERCT CORO INTERVENTION CABG (W/ DES)","C9604","N/A","N/A","N/A","N/A","N/A","43853.34","43853.34","N/A","N/A","N/A","43853.34","43853.34","N/A","43853.34","43853.34","43853.34","43853.34","43853.34","43853.34","43853.34","43853.34","43853.34","43853.34"
"5","N/A","HCHG PERCT CORO INTERVENTION CABG (W/ DES) ADD'L BRANCH","C9605","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","HCHG PERCT CORO INTERV OF AMI OCCLUSION (DES)","C9606","N/A","N/A","N/A","N/A","N/A","21242.00","21242.00","N/A","N/A","N/A","21242.00","21242.00","N/A","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00","21242.00"
"5","N/A","HCHG PERCT CORO INTERVENTION OF CTO W/ DES","C9607","N/A","N/A","N/A","N/A","N/A","62639.24","62639.24","N/A","N/A","N/A","62639.24","62639.24","N/A","62639.24","62639.24","62639.24","62639.24","62639.24","62639.24","62639.24","62639.24","62639.24","62639.24"
"5","N/A","HCHG PERCT CORO INTERVENTION OF CTO W/ DES ADD'L BRANCH","C9608","N/A","N/A","N/A","N/A","N/A","6762.00","6762.00","N/A","N/A","N/A","6762.00","6762.00","N/A","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00","6762.00"
"5","N/A","ADMIN INFLUENZA VIRUS VAC","G0008","N/A","N/A","N/A","N/A","N/A","112.00","112.00","N/A","N/A","N/A","112.00","112.00","N/A","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00"
"5","N/A","HCHG ADMIN OF INFLUENZA VACCINE","G0008","N/A","N/A","N/A","N/A","N/A","112.00","112.00","N/A","N/A","N/A","112.00","112.00","N/A","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00","112.00"
"5","N/A","ADMIN HEPATITIS B VACCINE","G0010","N/A","N/A","N/A","N/A","N/A","156.00","156.00","N/A","N/A","N/A","156.00","156.00","N/A","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00"
"5","N/A","HCHG ADMIN OF HEP B VACCINE","G0010","N/A","N/A","N/A","N/A","N/A","156.00","156.00","N/A","N/A","N/A","156.00","156.00","N/A","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00","156.00"
"5","N/A","CA SCREEN;FLEXI SIGMOIDSCOPE","G0104","N/A","N/A","N/A","N/A","N/A","6685.74","6685.74","N/A","N/A","N/A","6685.74","6685.74","N/A","6685.74","6685.74","6685.74","6685.74","6685.74","6685.74","6685.74","6685.74","6685.74","6685.74"
"5","N/A","COLORECTAL SCRN; HI RISK IND","G0105","N/A","N/A","N/A","N/A","N/A","6136.71","6136.71","N/A","N/A","N/A","6136.71","6136.71","N/A","6136.71","6136.71","6136.71","6136.71","6136.71","6136.71","6136.71","6136.71","6136.71","6136.71"
"5","N/A","DIAB MANAGE TRN PER INDIV","G0108","N/A","N/A","N/A","N/A","N/A","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","HCHG DIABETES OP SMT INDIV 30 MIN","G0108","N/A","N/A","N/A","N/A","N/A","99.00","99.00","N/A","N/A","N/A","99.00","99.00","N/A","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00","99.00"
"5","N/A","DIAB MANAGE TRN IND/GROUP","G0109","N/A","N/A","N/A","N/A","N/A","65.00","65.00","N/A","N/A","N/A","65.00","65.00","N/A","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00"
"5","N/A","HCHG PR DIABETES OP SMT GROUP 30 MIN","G0109","N/A","N/A","N/A","N/A","N/A","65.00","65.00","N/A","N/A","N/A","65.00","65.00","N/A","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00","65.00"
"5","N/A","COLON CA SCRN NOT HI RSK IND","G0121","N/A","N/A","N/A","N/A","N/A","5830.66","5830.66","N/A","N/A","N/A","5830.66","5830.66","N/A","5830.66","5830.66","5830.66","5830.66","5830.66","5830.66","5830.66","5830.66","5830.66","5830.66"
"5","N/A","HCHG OT GROUP PHP","G0129","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","HCHG OT INDIVIDUAL PHP","G0129","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","PARTIAL HOSP PROG SERVICE","G0129","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","HCHG ACTIVITY THERAPY PHP","G0176","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","OPPS/PHP;ACTIVITY THERAPY","G0176","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","HCHG EDUC TRAINING PHP","G0177","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","OPPS/PHP; TRAIN & EDUC SERV","G0177","N/A","N/A","N/A","N/A","N/A","119.00","119.00","N/A","N/A","N/A","119.00","119.00","N/A","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00","119.00"
"5","N/A","HCHG SACROILIAC JOINT INJECTION-ANESTH","G0260","N/A","N/A","N/A","N/A","N/A","1623.71","1623.71","N/A","N/A","N/A","1623.71","1623.71","N/A","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71"
"5","N/A","INJ FOR SACROILIAC JT ANESTH","G0260","N/A","N/A","N/A","N/A","N/A","1623.71","1623.71","N/A","N/A","N/A","1623.71","1623.71","N/A","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71","1623.71"
"5","N/A","HCHG PLCMT OCCL DEVC VENOUS/ART POST SURG/INTRVNL PROC","G0269","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","OCCLUSIVE DEVICE IN VEIN ART","G0269","N/A","N/A","N/A","N/A","N/A","779.00","779.00","N/A","N/A","N/A","779.00","779.00","N/A","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00","779.00"
"5","N/A","HBOT, FULL BODY CHAMBER, 30M","G0277","N/A","N/A","N/A","N/A","N/A","474.00","474.00","N/A","N/A","N/A","474.00","474.00","N/A","474.00","474.00","474.00","474.00","474.00","474.00","474.00","474.00","474.00","474.00"
"5","N/A","HCHG HYPERBARIC OXYGEN THERAPY FULL BODY CHAMBER, 30M","G0277","N/A","N/A","N/A","N/A","N/A","474.00","474.00","N/A","N/A","N/A","474.00","474.00","N/A","474.00","474.00","474.00","474.00","474.00","474.00","474.00","474.00","474.00","474.00"
"5","N/A","HCHG ILIAC&/FEM ART ANGIO NONSEL AT TIME CARD CATH","G0278","N/A","N/A","N/A","N/A","N/A","36793.31","36793.31","N/A","N/A","N/A","36793.31","36793.31","N/A","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31"
"5","N/A","ILIAC ART ANGIO,CARDIAC CATH","G0278","N/A","N/A","N/A","N/A","N/A","36793.31","36793.31","N/A","N/A","N/A","36793.31","36793.31","N/A","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31","36793.31"
"5","N/A","HCHG DX DIGI BRST TOMO","G0279","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","TOMOSYNTHESIS, MAMMO","G0279","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG LDCT FOR LUNG CA SCREENING","G0297","N/A","N/A","N/A","N/A","N/A","2299.00","2299.00","N/A","N/A","N/A","2299.00","2299.00","N/A","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00"
"5","N/A","LDCT FOR LUNG CA SCREEN","G0297","N/A","N/A","N/A","N/A","N/A","2299.00","2299.00","N/A","N/A","N/A","2299.00","2299.00","N/A","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00","2299.00"
"5","N/A","HCHG ROBOT LIN-RADSURG COMPLT COURSE 1 SESSION OR FIRST FRACTX","G0339","N/A","N/A","N/A","N/A","N/A","14020.00","14020.00","N/A","N/A","N/A","14020.00","14020.00","N/A","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00"
"5","N/A","ROBOT LIN-RADSURG COM, FIRST","G0339","N/A","N/A","N/A","N/A","N/A","14020.00","14020.00","N/A","N/A","N/A","14020.00","14020.00","N/A","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00","14020.00"
"5","N/A","HCHG ROBOT LIN-RADSURG FRACTX 2-5","G0340","N/A","N/A","N/A","N/A","N/A","10302.00","10302.00","N/A","N/A","N/A","10302.00","10302.00","N/A","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00"
"5","N/A","ROBT LIN-RADSURG FRACTX 2-5","G0340","N/A","N/A","N/A","N/A","N/A","10302.00","10302.00","N/A","N/A","N/A","10302.00","10302.00","N/A","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00","10302.00"
"5","N/A","HCHG PRE-NOTIFICATION CONSULT (TRANSFERS)","G0390","N/A","N/A","N/A","N/A","N/A","39518.00","39518.00","N/A","N/A","N/A","39518.00","39518.00","N/A","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00"
"5","N/A","HCHG PRE-NOTIFICATION FULL TRAUMA","G0390","N/A","N/A","N/A","N/A","N/A","39518.00","39518.00","N/A","N/A","N/A","39518.00","39518.00","N/A","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00"
"5","N/A","HCHG PRE-NOTIFICATION MODIFIED TRAUMA","G0390","N/A","N/A","N/A","N/A","N/A","39518.00","39518.00","N/A","N/A","N/A","39518.00","39518.00","N/A","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00"
"5","N/A","TRAUMA RESPONS W/HOSP CRITI","G0390","N/A","N/A","N/A","N/A","N/A","39518.00","39518.00","N/A","N/A","N/A","39518.00","39518.00","N/A","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00","39518.00"
"5","N/A","ALCOHOL/SUBS INTERV 15-30MN","G0396","N/A","N/A","N/A","N/A","N/A","157.00","157.00","N/A","N/A","N/A","157.00","157.00","N/A","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00"
"5","N/A","HCHG AUDIT/DAST, 15-30 MINS","G0396","N/A","N/A","N/A","N/A","N/A","157.00","157.00","N/A","N/A","N/A","157.00","157.00","N/A","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00","157.00"
"5","N/A","ALCOHOL/SUBS INTERV >30 MIN","G0397","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","HCHG AUDIT/DAST, >30 MINS","G0397","N/A","N/A","N/A","N/A","N/A","282.00","282.00","N/A","N/A","N/A","282.00","282.00","N/A","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00","282.00"
"5","N/A","HCHG HOME SLEEP TEST/TYPE 3 PORTA","G0399","N/A","N/A","N/A","N/A","N/A","1143.00","1143.00","N/A","N/A","N/A","1143.00","1143.00","N/A","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00"
"5","N/A","HOME SLEEP TEST/TYPE 3 PORTA","G0399","N/A","N/A","N/A","N/A","N/A","1143.00","1143.00","N/A","N/A","N/A","1143.00","1143.00","N/A","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00","1143.00"
"5","N/A","HCHG INPT TELE F/U 15 MIN","G0406","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","INPT/TELE FOLLOW UP 15","G0406","N/A","N/A","N/A","N/A","N/A","81.00","81.00","N/A","N/A","N/A","81.00","81.00","N/A","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00","81.00"
"5","N/A","HCHG INPT TELE F/U 25 MIN","G0407","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","INPT/TELE FOLLOW UP 25","G0407","N/A","N/A","N/A","N/A","N/A","151.00","151.00","N/A","N/A","N/A","151.00","151.00","N/A","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00","151.00"
"5","N/A","HCHG INPT TELE F/U 35 MIN","G0408","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","INPT/TELE FOLLOW UP 35","G0408","N/A","N/A","N/A","N/A","N/A","217.00","217.00","N/A","N/A","N/A","217.00","217.00","N/A","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00","217.00"
"5","N/A","GRP PSYCH PARTIAL HOSP 45-50","G0410","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG PHP GROUP THERAPY","G0410","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG PHP PSYCHIATRY GROUP, MD","G0410","N/A","N/A","N/A","N/A","N/A","137.00","137.00","N/A","N/A","N/A","137.00","137.00","N/A","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00","137.00"
"5","N/A","HCHG PROSTATE SAT BX 10-20 SPECIMENS","G0416","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","PROSTATE BIOPSY, ANY MTHD","G0416","N/A","N/A","N/A","N/A","N/A","566.00","566.00","N/A","N/A","N/A","566.00","566.00","N/A","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00","566.00"
"5","N/A","HCHG INPT/ED TELECONSULT 30 MIN","G0425","N/A","N/A","N/A","N/A","N/A","209.00","209.00","N/A","N/A","N/A","209.00","209.00","N/A","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00"
"5","N/A","INPT/ED TELECONSULT30","G0425","N/A","N/A","N/A","N/A","N/A","209.00","209.00","N/A","N/A","N/A","209.00","209.00","N/A","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00","209.00"
"5","N/A","HCHG INPT/ED TELECONSULT 50 MIN","G0426","N/A","N/A","N/A","N/A","N/A","284.00","284.00","N/A","N/A","N/A","284.00","284.00","N/A","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00"
"5","N/A","INPT/ED TELECONSULT50","G0426","N/A","N/A","N/A","N/A","N/A","284.00","284.00","N/A","N/A","N/A","284.00","284.00","N/A","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00","284.00"
"5","N/A","HCHG INPT/ED TELECONSULT 70 MIN","G0427","N/A","N/A","N/A","N/A","N/A","422.00","422.00","N/A","N/A","N/A","422.00","422.00","N/A","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00"
"5","N/A","INPT/ED TELECONSULT70","G0427","N/A","N/A","N/A","N/A","N/A","422.00","422.00","N/A","N/A","N/A","422.00","422.00","N/A","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00","422.00"
"5","N/A","CHEMO EXTEND IV INFUS W/PUMP","G0498","N/A","N/A","N/A","N/A","N/A","1439.00","1439.00","N/A","N/A","N/A","1439.00","1439.00","N/A","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00"
"5","N/A","HCHG CHEMO INF PORT PUMP INITIAL W AMBULATORY PUMP","G0498","N/A","N/A","N/A","N/A","N/A","1439.00","1439.00","N/A","N/A","N/A","1439.00","1439.00","N/A","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00","1439.00"
"5","N/A","MOD SEDAT ENDO SERVICE >5YRS","G0500","N/A","N/A","N/A","N/A","N/A","6376.67","6376.67","N/A","N/A","N/A","6376.67","6376.67","N/A","6376.67","6376.67","6376.67","6376.67","6376.67","6376.67","6376.67","6376.67","6376.67","6376.67"
"5","N/A","CDSM NDSC","G1004","N/A","N/A","N/A","N/A","N/A","10270.03","10270.03","N/A","N/A","N/A","10270.03","10270.03","N/A","10270.03","10270.03","10270.03","10270.03","10270.03","10270.03","10270.03","10270.03","10270.03","10270.03"
"5","N/A","HCHG REMOTE IMAGE SUBMITTED BY PT","G2010","N/A","N/A","N/A","N/A","N/A","26.00","26.00","N/A","N/A","N/A","26.00","26.00","N/A","26.00","26.00","26.00","26.00","26.00","26.00","26.00","26.00","26.00","26.00"
"5","N/A","REMOT IMAGE SUBMIT BY PT","G2010","N/A","N/A","N/A","N/A","N/A","26.00","26.00","N/A","N/A","N/A","26.00","26.00","N/A","26.00","26.00","26.00","26.00","26.00","26.00","26.00","26.00","26.00","26.00"
"5","N/A","BRIEF CHECK IN BY MD/QHP","G2012","N/A","N/A","N/A","N/A","N/A","31.00","31.00","N/A","N/A","N/A","31.00","31.00","N/A","31.00","31.00","31.00","31.00","31.00","31.00","31.00","31.00","31.00","31.00"
"5","N/A","HCHG BRIEF COMMUNICATION TECHNOLOGY-BASED SERVICE BY MD/QHP","G2012","N/A","N/A","N/A","N/A","N/A","31.00","31.00","N/A","N/A","N/A","31.00","31.00","N/A","31.00","31.00","31.00","31.00","31.00","31.00","31.00","31.00","31.00","31.00"
"5","N/A","HCHG QUAL NONMD EST PT 5-10 MIN","G2061","N/A","N/A","N/A","N/A","N/A","25.00","25.00","N/A","N/A","N/A","25.00","25.00","N/A","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00"
"5","N/A","QUAL NONMD EST PT 5-10M","G2061","N/A","N/A","N/A","N/A","N/A","25.00","25.00","N/A","N/A","N/A","25.00","25.00","N/A","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00"
"5","N/A","HCHG QUAL NONMD EST PT 11-20 MIN","G2062","N/A","N/A","N/A","N/A","N/A","44.00","44.00","N/A","N/A","N/A","44.00","44.00","N/A","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00"
"5","N/A","QUAL NONMD EST PT 11-20M","G2062","N/A","N/A","N/A","N/A","N/A","44.00","44.00","N/A","N/A","N/A","44.00","44.00","N/A","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00","44.00"
"5","N/A","HCHG QUAL NONMD EST PT > 21 MIN","G2063","N/A","N/A","N/A","N/A","N/A","69.00","69.00","N/A","N/A","N/A","69.00","69.00","N/A","69.00","69.00","69.00","69.00","69.00","69.00","69.00","69.00","69.00","69.00"
"5","N/A","QUAL NONMD EST PT 21>MIN","G2063","N/A","N/A","N/A","N/A","N/A","69.00","69.00","N/A","N/A","N/A","69.00","69.00","N/A","69.00","69.00","69.00","69.00","69.00","69.00","69.00","69.00","69.00","69.00"
"5","N/A","HCHG INTER DEVC REMOTE 30D","G2066","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","INTER DEVC REMOTE 30D","G2066","N/A","N/A","N/A","N/A","N/A","106.00","106.00","N/A","N/A","N/A","106.00","106.00","N/A","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00","106.00"
"5","N/A","HCHG HEPARIN 100 U/ML","J1642","N/A","N/A","N/A","N/A","N/A","22.00","22.00","N/A","N/A","N/A","22.00","22.00","N/A","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00"
"5","N/A","HCHG HEPARIN 100 U/ML (AKA IVT)","J1642","N/A","N/A","N/A","N/A","N/A","22.00","22.00","N/A","N/A","N/A","22.00","22.00","N/A","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00"
"5","N/A","INJ HEPARIN SODIUM PER 10 U","J1642","N/A","N/A","N/A","N/A","N/A","22.00","22.00","N/A","N/A","N/A","22.00","22.00","N/A","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00","22.00"
"5","N/A","HCHG RHO IG FULL DOSE (00562-7805-01)","J2790","N/A","N/A","N/A","N/A","N/A","286.00","286.00","N/A","N/A","N/A","286.00","286.00","N/A","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00"
"5","N/A","RHO D IMMUNE GLOBULIN INJ","J2790","N/A","N/A","N/A","N/A","N/A","286.00","286.00","N/A","N/A","N/A","286.00","286.00","N/A","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00","286.00"
"5","N/A","FACTOR VIIA","J7189","N/A","N/A","N/A","N/A","N/A","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","HCHG FACTOR NOVOSEVEN EA 1 MCG","J7189","N/A","N/A","N/A","N/A","N/A","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","FACTOR VIII","J7190","N/A","N/A","N/A","N/A","N/A","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","HCHG FACTOR 8(HUMAN) @UNIT HEMOFILM","J7190","N/A","N/A","N/A","N/A","N/A","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","HCHG FACTOR 8(HUMAN) @UNIT HUMATE P","J7190","N/A","N/A","N/A","N/A","N/A","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","HCHG FACTOR 8(HUMAN) @UNIT MONOCLAT","J7190","N/A","N/A","N/A","N/A","N/A","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","FACTOR VIII (PORCINE)","J7191","N/A","N/A","N/A","N/A","N/A","11.00","11.00","N/A","N/A","N/A","11.00","11.00","N/A","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00"
"5","N/A","HCHG FACTOR 8(PROCINE) @UNIT HYATE","J7191","N/A","N/A","N/A","N/A","N/A","11.00","11.00","N/A","N/A","N/A","11.00","11.00","N/A","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00","11.00"
"5","N/A","FACTOR VIII RECOMBINANT NOS","J7192","N/A","N/A","N/A","N/A","N/A","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","HCHG FACTOR 8 (RECOM) @UNIT KOGENATE","J7192","N/A","N/A","N/A","N/A","N/A","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","FACTOR IX RECOMBINANT NOS","J7195","N/A","N/A","N/A","N/A","N/A","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","HCHG FACTOR 9(RECOMB) @UNIT BENEFIX","J7195","N/A","N/A","N/A","N/A","N/A","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","HCHG FACTOR 9(RECOMB) @UNIT MONONIN","J7195","N/A","N/A","N/A","N/A","N/A","4.00","4.00","N/A","N/A","N/A","4.00","4.00","N/A","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00","4.00"
"5","N/A","ANTI-INHIBITOR","J7198","N/A","N/A","N/A","N/A","N/A","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","HCHG ANTI-INHIBITOR COAG COMPLEX PER IU","J7198","N/A","N/A","N/A","N/A","N/A","6.00","6.00","N/A","N/A","N/A","6.00","6.00","N/A","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00","6.00"
"5","N/A","HCHG CUSTOM FABRICATED STATIC ANKLE-FOOT ORTHOTIC","L1940","N/A","N/A","N/A","N/A","N/A","655.00","655.00","N/A","N/A","N/A","655.00","655.00","N/A","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00","655.00"
"5","N/A","HCHG STATIC ANTERIOR ELBOW CUSTOM","L3702","N/A","N/A","N/A","N/A","N/A","492.00","492.00","N/A","N/A","N/A","492.00","492.00","N/A","492.00","492.00","492.00","492.00","492.00","492.00","492.00","492.00","492.00","492.00"
"5","N/A","HCHG STATIC POSTERIOR ELBOW CUSTOM","L3702","N/A","N/A","N/A","N/A","N/A","492.00","492.00","N/A","N/A","N/A","492.00","492.00","N/A","492.00","492.00","492.00","492.00","492.00","492.00","492.00","492.00","492.00","492.00"
"5","N/A","HCHG MUNSTER/SUGARTONG CUSTOM ORTHOTIC","L3763","N/A","N/A","N/A","N/A","N/A","563.00","563.00","N/A","N/A","N/A","563.00","563.00","N/A","563.00","563.00","563.00","563.00","563.00","563.00","563.00","563.00","563.00","563.00"
"5","N/A","HCHG STATIC POSTERIOR ELBOW-WRIST-HAND CUSTOM","L3763","N/A","N/A","N/A","N/A","N/A","563.00","563.00","N/A","N/A","N/A","563.00","563.00","N/A","563.00","563.00","563.00","563.00","563.00","563.00","563.00","563.00","563.00","563.00"
"5","N/A","HCHG NEURO ANTISPASTICITY WHFO","L3807","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","HCHG RADIAL NERVE PALSY WHFO","L3807","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","HCHG SPLINT RESTING HAND PREFAB","L3807","N/A","N/A","N/A","N/A","N/A","557.00","557.00","N/A","N/A","N/A","557.00","557.00","N/A","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00","557.00"
"5","N/A","HCHG RESTING HAND CUSTOM ORTHOTIC","L3808","N/A","N/A","N/A","N/A","N/A","429.00","429.00","N/A","N/A","N/A","429.00","429.00","N/A","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00"
"5","N/A","HCHG ULNAR GUTTER WRIST-HAND-FINGER CUSTOM ORTHOTIC","L3808","N/A","N/A","N/A","N/A","N/A","429.00","429.00","N/A","N/A","N/A","429.00","429.00","N/A","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00"
"5","N/A","HCHG WRIST COCK-UP W/THUMB SPICA CUSTOM","L3808","N/A","N/A","N/A","N/A","N/A","429.00","429.00","N/A","N/A","N/A","429.00","429.00","N/A","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00"
"5","N/A","HCHG WRIST-HAND-FINGER STATIC CUSTOM ORTHOTIC","L3808","N/A","N/A","N/A","N/A","N/A","429.00","429.00","N/A","N/A","N/A","429.00","429.00","N/A","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00","429.00"
"5","N/A","HCHG ULNAR GUTTER WRIST-HAND CUSTOM ORTHOTIC","L3906","N/A","N/A","N/A","N/A","N/A","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","HCHG WRIST COCK-UP CUSTOM","L3906","N/A","N/A","N/A","N/A","N/A","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","HCHG WRIST-HAND STATIC CUSTOM ORTHOTIC","L3906","N/A","N/A","N/A","N/A","N/A","396.00","396.00","N/A","N/A","N/A","396.00","396.00","N/A","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00","396.00"
"5","N/A","HCHG WRIST BRACE PREFAB","L3908","N/A","N/A","N/A","N/A","N/A","155.00","155.00","N/A","N/A","N/A","155.00","155.00","N/A","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00","155.00"
"5","N/A","HCHG HAND-FINGER STATIC CUSTOM ORTHOTIC","L3913","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG ULNAR GUTTER HAND-FINGER CUSTOM ORTHOTIC","L3913","N/A","N/A","N/A","N/A","N/A","167.00","167.00","N/A","N/A","N/A","167.00","167.00","N/A","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00","167.00"
"5","N/A","HCHG HAND STATIC CUSTOM ORTHOTIC","L3919","N/A","N/A","N/A","N/A","N/A","95.00","95.00","N/A","N/A","N/A","95.00","95.00","N/A","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00","95.00"
"5","N/A","HCHG WRIST WRAP/WIDGIT PREFAB","L3923","N/A","N/A","N/A","N/A","N/A","189.00","189.00","N/A","N/A","N/A","189.00","189.00","N/A","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00","189.00"
"5","N/A","HCHG FINGER SPLINT","L3927","N/A","N/A","N/A","N/A","N/A","93.00","93.00","N/A","N/A","N/A","93.00","93.00","N/A","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00","93.00"
"5","N/A","HCHG FINGER KNUCKLE BENDER HFO","L3929","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","HCHG REVERSE FINGER KNUCKLE BENDER HFO","L3929","N/A","N/A","N/A","N/A","N/A","265.00","265.00","N/A","N/A","N/A","265.00","265.00","N/A","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00","265.00"
"5","N/A","HCHG FINGER BASED/TRIGGER CUSTOM","L3935","N/A","N/A","N/A","N/A","N/A","35.13","35.13","N/A","N/A","N/A","35.13","35.13","N/A","35.13","35.13","35.13","35.13","35.13","35.13","35.13","35.13","35.13","35.13"
"5","N/A","HCHG FOOT DROP SPLINT PREFAB","L4398","N/A","N/A","N/A","N/A","N/A","159.00","159.00","N/A","N/A","N/A","159.00","159.00","N/A","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00","159.00"
"5","N/A","HCHG INTRAVENOUS INFUSION, BAMALANIVIMAB-XXX, INCLUDES INFUSION AND POST ADMINISTRATION MONITORING","M0239","N/A","N/A","N/A","N/A","N/A","697.00","697.00","N/A","N/A","N/A","697.00","697.00","N/A","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00","697.00"
"5","N/A","BLOOD SPLIT UNIT","P9011","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","HCHG BLOOD SPLIT UNIT","P9011","N/A","N/A","N/A","N/A","N/A","266.00","266.00","N/A","N/A","N/A","266.00","266.00","N/A","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00","266.00"
"5","N/A","CRYOPRECIPITATE EACH UNIT","P9012","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG CRYOPRECIPITATE, EA UNIT","P9012","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG RARE RBC L/R EACH UNIT","P9016","N/A","N/A","N/A","N/A","N/A","4539.00","4539.00","N/A","N/A","N/A","4539.00","4539.00","N/A","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00"
"5","N/A","HCHG RBC LEUKOCYTES REDUCED EA UNIT","P9016","N/A","N/A","N/A","N/A","N/A","4539.00","4539.00","N/A","N/A","N/A","4539.00","4539.00","N/A","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00"
"5","N/A","RBC LEUKOCYTES REDUCED","P9016","N/A","N/A","N/A","N/A","N/A","4539.00","4539.00","N/A","N/A","N/A","4539.00","4539.00","N/A","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00","4539.00"
"5","N/A","HCHG PLASMA 1 DONOR FRZ W/IN 8 HR EA UNIT","P9017","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","PLASMA 1 DONOR FRZ W/IN 8 HR","P9017","N/A","N/A","N/A","N/A","N/A","212.00","212.00","N/A","N/A","N/A","212.00","212.00","N/A","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00","212.00"
"5","N/A","HCHG RED BLOOD CELLS, EA UNIT","P9021","N/A","N/A","N/A","N/A","N/A","723.00","723.00","N/A","N/A","N/A","723.00","723.00","N/A","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00"
"5","N/A","RED BLOOD CELLS UNIT","P9021","N/A","N/A","N/A","N/A","N/A","723.00","723.00","N/A","N/A","N/A","723.00","723.00","N/A","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00","723.00"
"5","N/A","HCHG RED BLOOD CELLS, WASHED, EA UNIT","P9022","N/A","N/A","N/A","N/A","N/A","1880.00","1880.00","N/A","N/A","N/A","1880.00","1880.00","N/A","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00"
"5","N/A","WASHED RED BLOOD CELLS UNIT","P9022","N/A","N/A","N/A","N/A","N/A","1880.00","1880.00","N/A","N/A","N/A","1880.00","1880.00","N/A","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00"
"5","N/A","HCHG PLATELETS, LEUKOCYTES REDUCED, EACH UNIT","P9031","N/A","N/A","N/A","N/A","N/A","275.00","275.00","N/A","N/A","N/A","275.00","275.00","N/A","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00"
"5","N/A","PLATELETS LEUKOCYTES REDUCED","P9031","N/A","N/A","N/A","N/A","N/A","275.00","275.00","N/A","N/A","N/A","275.00","275.00","N/A","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00","275.00"
"5","N/A","HCHG PLATELETS, PHERESIS, EA UNIT","P9034","N/A","N/A","N/A","N/A","N/A","1645.00","1645.00","N/A","N/A","N/A","1645.00","1645.00","N/A","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00"
"5","N/A","PLATELETS, PHERESIS","P9034","N/A","N/A","N/A","N/A","N/A","1645.00","1645.00","N/A","N/A","N/A","1645.00","1645.00","N/A","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00","1645.00"
"5","N/A","HCHG PLATELET PHERES LEUKOREDUCED EA UNIT","P9035","N/A","N/A","N/A","N/A","N/A","1972.00","1972.00","N/A","N/A","N/A","1972.00","1972.00","N/A","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00"
"5","N/A","HCHG PLATELET PHERES LEUKOREDUCED WASHED EA UNIT","P9035","N/A","N/A","N/A","N/A","N/A","1972.00","1972.00","N/A","N/A","N/A","1972.00","1972.00","N/A","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00"
"5","N/A","PLATELET PHERES LEUKOREDUCED","P9035","N/A","N/A","N/A","N/A","N/A","1972.00","1972.00","N/A","N/A","N/A","1972.00","1972.00","N/A","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00","1972.00"
"5","N/A","HCHG PLATELET PHERESIS IRRADIATED EA UNIT","P9036","N/A","N/A","N/A","N/A","N/A","1773.00","1773.00","N/A","N/A","N/A","1773.00","1773.00","N/A","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00"
"5","N/A","PLATELET PHERESIS IRRADIATED","P9036","N/A","N/A","N/A","N/A","N/A","1773.00","1773.00","N/A","N/A","N/A","1773.00","1773.00","N/A","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00"
"5","N/A","HCHG PLATE PHERES LEUKOREDU IRRAD EA UNIT","P9037","N/A","N/A","N/A","N/A","N/A","1773.00","1773.00","N/A","N/A","N/A","1773.00","1773.00","N/A","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00"
"5","N/A","PLATE PHERES LEUKOREDU IRRAD","P9037","N/A","N/A","N/A","N/A","N/A","1773.00","1773.00","N/A","N/A","N/A","1773.00","1773.00","N/A","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00","1773.00"
"5","N/A","HCHG RBC IRRADIATED EA UNIT","P9038","N/A","N/A","N/A","N/A","N/A","659.00","659.00","N/A","N/A","N/A","659.00","659.00","N/A","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00"
"5","N/A","RBC IRRADIATED","P9038","N/A","N/A","N/A","N/A","N/A","659.00","659.00","N/A","N/A","N/A","659.00","659.00","N/A","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00"
"5","N/A","HCHG RED BLOOD CELLS, DEGLYC, EA UNIT","P9039","N/A","N/A","N/A","N/A","N/A","1880.00","1880.00","N/A","N/A","N/A","1880.00","1880.00","N/A","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00"
"5","N/A","RBC DEGLYCEROLIZED","P9039","N/A","N/A","N/A","N/A","N/A","1880.00","1880.00","N/A","N/A","N/A","1880.00","1880.00","N/A","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00","1880.00"
"5","N/A","HCHG RBC LEUKOREDUCED IRRADIATED EA UNIT","P9040","N/A","N/A","N/A","N/A","N/A","659.00","659.00","N/A","N/A","N/A","659.00","659.00","N/A","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00"
"5","N/A","RBC LEUKOREDUCED IRRADIATED","P9040","N/A","N/A","N/A","N/A","N/A","659.00","659.00","N/A","N/A","N/A","659.00","659.00","N/A","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00","659.00"
"5","N/A","CRYOPRECIPITATEREDUCEDPLASMA","P9044","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","HCHG CRYOPRECIPITATEREDUCEDPLASMA EA UNIT","P9044","N/A","N/A","N/A","N/A","N/A","203.00","203.00","N/A","N/A","N/A","203.00","203.00","N/A","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00","203.00"
"5","N/A","BLOOD, L/R, CMV-NEG","P9051","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","HCHG BLOOD, L/R, CMV-NEG EA UNIT","P9051","N/A","N/A","N/A","N/A","N/A","586.00","586.00","N/A","N/A","N/A","586.00","586.00","N/A","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00","586.00"
"5","N/A","HCHG PLATELETS, HLA MATCHED, LEUKOREDUCED PHERESIS, EA UNIT","P9052","N/A","N/A","N/A","N/A","N/A","3119.00","3119.00","N/A","N/A","N/A","3119.00","3119.00","N/A","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00"
"5","N/A","HCHG PLATELETS, HLA MATCHED, LEUKOREDUCED PHERESIS, IRRADIATED, BBH, EACH UNIT","P9052","N/A","N/A","N/A","N/A","N/A","3119.00","3119.00","N/A","N/A","N/A","3119.00","3119.00","N/A","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00"
"5","N/A","PLATELETS, HLA-M, L/R, UNIT","P9052","N/A","N/A","N/A","N/A","N/A","3119.00","3119.00","N/A","N/A","N/A","3119.00","3119.00","N/A","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00","3119.00"
"5","N/A","HCHG PLATELETS, PHER, L/R CMV-NEG, IRR EA UNIT","P9053","N/A","N/A","N/A","N/A","N/A","1933.00","1933.00","N/A","N/A","N/A","1933.00","1933.00","N/A","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00"
"5","N/A","PLT, PHER, L/R CMV-NEG, IRR","P9053","N/A","N/A","N/A","N/A","N/A","1933.00","1933.00","N/A","N/A","N/A","1933.00","1933.00","N/A","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00"
"5","N/A","BLOOD, L/R, FROZ/DEGLY/WASH","P9054","N/A","N/A","N/A","N/A","N/A","5687.00","5687.00","N/A","N/A","N/A","5687.00","5687.00","N/A","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00"
"5","N/A","HCHG BLOOD, L/R, FROZ/DEGLY/WASH EA UNIT","P9054","N/A","N/A","N/A","N/A","N/A","5687.00","5687.00","N/A","N/A","N/A","5687.00","5687.00","N/A","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00"
"5","N/A","HCHG RARE BLOOD, L/R, FROZEN, DEGLYC, WASH EA UNIT","P9054","N/A","N/A","N/A","N/A","N/A","5687.00","5687.00","N/A","N/A","N/A","5687.00","5687.00","N/A","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00","5687.00"
"5","N/A","HCHG PLATELETS, APH/PHER, L/R, CMV-NEG EA UNIT","P9055","N/A","N/A","N/A","N/A","N/A","1933.00","1933.00","N/A","N/A","N/A","1933.00","1933.00","N/A","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00"
"5","N/A","PLT, APH/PHER, L/R, CMV-NEG","P9055","N/A","N/A","N/A","N/A","N/A","1933.00","1933.00","N/A","N/A","N/A","1933.00","1933.00","N/A","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00","1933.00"
"5","N/A","BLOOD, L/R, IRRADIATED","P9056","N/A","N/A","N/A","N/A","N/A","1197.00","1197.00","N/A","N/A","N/A","1197.00","1197.00","N/A","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00"
"5","N/A","HCHG BLOOD, L/R, IRRADIATED, EA UNIT","P9056","N/A","N/A","N/A","N/A","N/A","1197.00","1197.00","N/A","N/A","N/A","1197.00","1197.00","N/A","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00","1197.00"
"5","N/A","HCHG RBC, FRZ/DEG/WSH, L/R, IRRAD, EA UNIT","P9057","N/A","N/A","N/A","N/A","N/A","2006.00","2006.00","N/A","N/A","N/A","2006.00","2006.00","N/A","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00"
"5","N/A","RBC, FRZ/DEG/WSH, L/R, IRRAD","P9057","N/A","N/A","N/A","N/A","N/A","2006.00","2006.00","N/A","N/A","N/A","2006.00","2006.00","N/A","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00","2006.00"
"5","N/A","HCHG RBC, L/R, CMV-NEG, IRRAD EA UNIT","P9058","N/A","N/A","N/A","N/A","N/A","713.00","713.00","N/A","N/A","N/A","713.00","713.00","N/A","713.00","713.00","713.00","713.00","713.00","713.00","713.00","713.00","713.00","713.00"
"5","N/A","RBC, L/R, CMV-NEG, IRRAD","P9058","N/A","N/A","N/A","N/A","N/A","713.00","713.00","N/A","N/A","N/A","713.00","713.00","N/A","713.00","713.00","713.00","713.00","713.00","713.00","713.00","713.00","713.00","713.00"
"5","N/A","HCHG PLASMA FRZ 8-24 HR EA UNIT","P9059","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","PLASMA, FRZ BETWEEN 8-24HOUR","P9059","N/A","N/A","N/A","N/A","N/A","213.00","213.00","N/A","N/A","N/A","213.00","213.00","N/A","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00","213.00"
"5","N/A","FERN TEST","Q0114","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","HCHG FERN TEST","Q0114","N/A","N/A","N/A","N/A","N/A","56.00","56.00","N/A","N/A","N/A","56.00","56.00","N/A","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00","56.00"
"5","N/A","HCHG NEWBORN METABOLIC SCRN PANEL (OREGON) 90","S3620","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","NEWBORN METABOLIC SCREENING","S3620","N/A","N/A","N/A","N/A","N/A","148.00","148.00","N/A","N/A","N/A","148.00","148.00","N/A","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00","148.00"
"5","N/A","DIABETIC MANAGEMENT PROGRAM,","S9140","N/A","N/A","N/A","N/A","N/A","1549.00","1549.00","N/A","N/A","N/A","1549.00","1549.00","N/A","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00"
"5","N/A","HCHG DIABETES/PREGNANCY SERVICES 1","S9140","N/A","N/A","N/A","N/A","N/A","1549.00","1549.00","N/A","N/A","N/A","1549.00","1549.00","N/A","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00"
"5","N/A","HCHG DIABETES/PREGNANCY SERVICES 2","S9140","N/A","N/A","N/A","N/A","N/A","1549.00","1549.00","N/A","N/A","N/A","1549.00","1549.00","N/A","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00"
"5","N/A","HCHG DIABETES/PREGNANCY SERVICES 3","S9140","N/A","N/A","N/A","N/A","N/A","1549.00","1549.00","N/A","N/A","N/A","1549.00","1549.00","N/A","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00","1549.00"
"5","N/A","HCHG INTENSIVE OUTPATIENT PSYCH PER DAY","S9480","N/A","N/A","N/A","N/A","N/A","446.00","446.00","N/A","N/A","N/A","446.00","446.00","N/A","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00"
"5","N/A","INTENSIVE OUTPATIENT PSYCHIA","S9480","N/A","N/A","N/A","N/A","N/A","446.00","446.00","N/A","N/A","N/A","446.00","446.00","N/A","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00","446.00"
"5","N/A","HCHG SARS COV-2 (COVID 19) DOH","U0001","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","HCHG SARS-COV-2 COVID 19 AMP PRB - NON CDC TESTING KITS - 90","U0002","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","HCHG SARS-COV-2 COVID 19 AMP PRB-NON CDC TESTING KITS","U0002","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","HCHG VIRUS DETECT BY NUC ACID, QUAL, PCR - COVID-19 TESTING","U0002","N/A","N/A","N/A","N/A","N/A","250.00","250.00","N/A","N/A","N/A","250.00","250.00","N/A","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00","250.00"
"5","N/A","HCHG COV-19 AMP PRB HGH THRUPUT","U0003","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","HCHG SARS-COV-2 COVID 19 AMP PRB - NON CDC TESTING KITS - 90","U0003","N/A","N/A","N/A","N/A","N/A","175.00","175.00","N/A","N/A","N/A","175.00","175.00","N/A","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00","175.00"
"5","N/A","HCHG COV-19 AMP PRB HGH THRUPUT WITHIN 2 DAYS COLLECT","U0005","N/A","N/A","N/A","N/A","N/A","25.00","25.00","N/A","N/A","N/A","25.00","25.00","N/A","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00","25.00"
"5","N/A","POST CHMBR INTRAOCULAR LENS","V2632","N/A","N/A","N/A","N/A","N/A","9919.68","9919.68","N/A","N/A","N/A","9919.68","9919.68","N/A","9919.68","9919.68","9919.68","9919.68","9919.68","9919.68","9919.68","9919.68","9919.68","9919.68"