Header 11

Hospital Price List

LONG_DESCRIPTION PDH_CDM PDH_CPT PDH_Hosp_Tech_Price PDH_WalkIn_Price
80061 Lipid Panel 12000116 80061 23.8  
80230- Add on 12000148 80230 211.5  
81003Kidney Stone Urine Test 12000118 81003 6.32  
82131Kidney Stone Urine Test 12000119 82131 6.32  
82140Kidney Stone Urine Test 12000120 82140 6.32  
82340Kidney Stone Urine Test 12000121 82340 6.32  
82397- Add on 12000149 82397 211.5  
82436Kidney Stone Urine Test 12000122 82436 6.32  
82507Kidney Stone Urine Test 12000123 82507 6.32  
82570Kidney Stone Urine Test 12000124 82570 6.32  
82784 Celiac Disease Panel LC 12000104 82784 15.09  
82784 Immunofixation Serum LC 12000133 82784 14.56  
83516 Celiac Disease Panel LC 12000105 83516 15.09  
83520 - Cytokine Panel 39001627 83520 26.15 26.15
83655 Heavy Metals Profile 1 Bld LC 12000114 83655 20.5  
83704NVR Lipo Profile LC 12000117 83704 23.8  
83735Kidney Stone Urine Test 12000125 83735 6.32  
83825 Heavy Metals Profile 1 Bld LC 12000115 83825 20.5  
83935Kidney Stone Urine Test 12000126 83935 6.32  
83945Kidney Stone Urine Test 12000127 83945 6.32  
84105Kidney Stone Urine TesT 12000128 84105 6.32  
84133Kidney Stone Urine Test 12000129 84133 6.32  
84155 Protein Electro.,S LC 1-12000111|2-12000153 84155 37.12  
84165 Protein Electro.,S LC 1-12000112|2-12000154 84165 37.13  
84300KidneyStone Urine Test 12000130 84300 6.32  
84392Kidney Stone Urine Test 12000131 84392 6.32  
84560Kidney Stone Urine Test 12000132 84560 6.32  
85220-Add-on 12000174 85220 217.25  
85230 Prolonged Activated Partial Thromboplastin Time (aPTT) LC 12000168 85230 105.41  
85230-Add-on 12000175 85230 217.25  
85240 Prolonged Activated Partial Thromboplastin Time (aPTT) LC 12000167 85240 105.41  
85260-Add-on 12000176 85260 217.25  
85270 Prolonged Activated Partial Thromboplastin Time (aPTT) LC 12000169 85270 105.41  
85280 Prolonged Activated Partial Thromboplastin Time (aPTT) LC 12000170 85280 105.41  
85613 Lupus Anticoagulant Comp LC 12000100 85613 50.57  
85613 Prolonged Activated Partial Thromboplastin Time (aPTT) LC 12000171 85613 105.41  
85670 Lupus Anticoagulant Comp LC 12000101 85670 50.57  
85705 Lupus Anticoagulant Comp LC 12000102 85705 50.57  
85732 Lupus Anticoagulant Comp LC 12000103 85732 50.57  
85732 Prolonged Activated Partial Thromboplastin Time (aPTT) LC 12000172 85732 105.43  
86255 Celiac Disease Panel LC 12000106 86255 15.09  
86334 Immunofixation Serum LC 12000134 86334 14.56  
86611 Bartonella Antibody 39001671 86611 5.76 5.76
86665 EBV Antibody Profile LC 12000183 86665 13.13  
86704-HBsAg Screen 12000146 86704 5.52  
86705-Hep Be Ag 12000147 86705 5.52  
86706-Hep B Core Ab, IgM 12000148 86706 5.52  
86707-Hep B Core Ab, Tot 12000149 86707 5.52  
87077 Group Strep B 12000108 87077 124 62
87254 12000157 87254 20.08  
87255 12000158 87255 20.08  
87340-Hep Be Ab 12000150 87340 5.52  
87350-Hep B Surface Ab, Qual 12000151 87350 5.53  
87491-C. trachomatis 12000142 87491 16  
87491-C. trachomatis, NAA, Pharyn 12000144 87491 16  
87536 12000165 87536 386  
87591-N. gonorrhoeae 12000143 87591 16  
87591-N. gonorrhoeae, NAA, Pharyn 12000145 87591 16  
87653 Group B Strep (Solana) 12000109 87653 524 262
87900 12000164 87900 175  
87906 12000163 87906 175  
93320 ECHO DOPPLER LIMITED CHARGE 12000095 93320 447  
94375 Flow Volume Loop 12000202 94375 292  
94727 Functional Residual Capacity Charge 12000200 94727 183  
94729 Carbon Monoxide Diff Cap Charge 12000201 94729 252  
ANESTHESIA TECH FEE ANESTECH   214  
ANTI-YO ANTIBODIES 12000001 86256 32.52  
ASSAY IGA/IGM/IGG 12000035 82784 10.12  
ASSAY OF ALDOSTERONE 12000033 82088 13.4  
ASSAY OF CALCIUM 12000059 82310 4.44 4.44
ASSAY OF FOLIC ACID 12000034 82746 6  
ASSAY OF FREE TESTOSTERONE 12000044 84402 15.22  
ASSAY OF GONADOTROPIN F 12000037 83001 9  
ASSAY OF GONADOTROPIN L 12000038 83002 9  
ASSAY OF IGE 12000036 82785 10.12  
ASSAY OF PTH 12000041 83970 4.44 4.44
ASSAY OF RENIN 12000043 84244 13.4  
ASSAY OF TOTAL TESTOSTERONE 12000045 84403 15.3  
Antiphosphatidylserine IgG/M/A LC 39001057 86148 22.82  
Assay Progesterone - PKU 12000023 83498 18.25 18.25
Biotinidase - PKU 12000029 82261 18.25 18.25
Blood Gas Arterial RT 12000015 36600 204  
CCP IGG/IGA AB 12000049 86200 58.5  
CK-MB 12000005 82553 240 188
CLOT INHIBIT PROT S TOTA 12000065 85305 35 35
CLOT INHIBIT PROT S FREE 12000066 85306 35 35
CT Abdomen and Pelvis w/o Contrast 12000003 74176 1053 790
CT Angio Neck 12000067 70498 2683  
CT Chest w/o Contrast 12000002 71250 1630 1223
Candida Ab, IgA, IgG, IgM, ELISA 163135 LC 39001054 86628 51.67  
Capillary Draw 12000028 36416 20  
Chlamydia Trachomatis, amplified 12000087 87491 16  
Chlamydia trachomatis 12000180 87491 105.81  
Creatine Kinase 12000004 82550 136 106
Creatinine Urine 12000019 82570 117 106
Cytopathology, cervical or vaginal 12000183 88174 105.81  
Doppler echocardiography color flow velocity mapping 12000079 93325 257  
Draw Fee 36415 12000030 36415 50 35
ED LWOBS + Suture Removal Charge 12000083   0  
FECES CULTURE AERO 12000060 87045 5  
GLUCOSE TOLERANCE 3 SP 12000018 82951 298 269
Galactose Transferase - PKU 12000020 82776 18.25 18.25
HEMOGLOBIN; HGB 12000011 85018 25 19
HEP A AB 12000052 86708    
HEP B CORE ANTIBODY 12000050 86704    
HEP B SURFACE ANTIBODY 12000051 86706    
HEPATITIS A IGM ANTIBODY 12000064 86709    
Hemoglin Chromat - PKU 12000022 83021 18.25 18.25
Herpes simplex type 2 12000085 86696 40  
Herpes simplex type 1 12000086 86695 40  
ID 12000021 87077 129  
INSULIN 4 SPECIMENS 12000040 83525 9.37  
IRON-BINDING CAPACITY 12000017 83550 139 126
IRT - PKU 12000025 83516 18.25 18.25
Immunoassay for analyte other than infectious agent antibody 12000039 83520 32.52  
Iron Level 12000016 83540 139 126
METHEMOGLOBIN, QUANT 12000010 83050 63 48
MUMPS ANTIBODIES IGG 12000053 86735 5.5  
Mass Spectrometery - PKU 12000026 83789 19.75 19.75
Microalbumin Level Urine 12000012 82043 131 130
Microsomal Antibodies 12000083 86376 16.67  
NT PROBNP 12000031 83880 238 238
Neisseria gonorrhoeae, amplified 12000088 87591 16  
Neisseria gonorrheae 12000181 87591 105.81  
OB VISIT COUNTER 1 12000069      
OB VISIT COUNTER 2 12000070      
OB VISIT COUNTER 3 12000071      
OB VISIT COUNTER 4 12000072      
OB VISIT COUNTER 5 12000073      
OB VISIT COUNTER 6 12000068      
OB VISIT COUNTER 7 12000074      
OB VISIT COUNTER 8 12000075      
OB VISIT COUNTER 9 12000076      
OB VISIT COUNTER 10 12000077      
OB VISIT COUNTER MISC 12000078      
OVA AND PARASITES 12000062 87177 6.63  
PSA ULTRA W/SERIAL 12000042 84153 12.95  
PT/INR 12000014 85610 110 99
PTT 12000013 85730 145 131
PULMONARY/SPIROMETRY SCREEN CHARGE 12000080 94010 207  
Protein Urine 12000009 84156 114 103
RA TEST QUANT 12000057 86431 58.5  
RUBELLA AG IGG 12000054 86762 5.5  
RUBEOLA ANTIBODIES IGG 12000055 86765 5.5  
Rh Typing 12000032 86901 89  
SMEAR COMPLEX STAIN 12000063 87209 6.62  
STOOL CULTR AEROBI 12000061 87046 10  
T-4 (FREE) 12000006 84439 218 151
T-4 (THYROXINE) 12000046 84436 10.51  
T-4 Free 12000048 84479 3.5  
THYROGLOBULIN AB/THYROGLOBULIN 12000056 86800    
TSH 12000047 84443 18.25  
Thyrogloblin Antibody 12000084 86800 16.67  
Thyroid Panel With TSH LC 84436 12000089 84436 3.72  
Thyroid Panel With TSH LC 84479 12000091 84479 3.72  
Thyroid Panel With TSH LC 84443 12000090 84443 3.72  
Thyroid Stimulating Hormone 12000007 84443 260 184
Thyroid Stim Horm - PKU 12000024 84443 18.25 18.25
Trecs - PKU 12000027 81479 0 0
Trichomonas vaginalis, amplified probe technique 12000182 87661 105.81  
Troponin-I 12000008 84484 271 262
VITAMIN B-12 12000107 82607 4.5  
WEST NILE VIRUS AB CSF Add-ON 12000058 86789 4.5  
hhn tx, initial 12000081 94640 230  
patient teaching 12000082 99211 198  
PSO Place in Observation 15001007   336  
10021 Fine needle aspiration; without imaging guidance 50001000 10021    
10040 Acne Surgery 50001001 10040    
10060 Incision and drainage of abscess; simple or single 50001002 10060    
10061 Incision and drainage of abscess; complicated or multiple 50001003 10061    
10080 Incision and drainage of pilonidal cyst; simple 50001004 10080    
10081 Incision and drainage of pilonidal cyst; complicated 50001005 10081    
10120 Incision and removal of foreign body, subcutaneous tissues; simple 50001006 10120    
10121 Incision and removal of foreign body, subcutaneous tissues; complicated 50001007 10121    
10140 Incision and drainage of hematoma, seroma or fluid collection 50001008 10140    
10160 Puncture aspiration of abscess, hematoma, bulla, or cyst 50001009 10160    
11000 Debridement of extensive eczematous or infected skin; up to 10% of body surface 50001010 11000    
11042 Debridement, subcutaneous tissue; first 20 sq cm or less 50001011 11042    
11043 Debridement, muscle and/or fascia; first 20 sq cm or less 50001012 11043    
11045 Debridement, subcutaneous tissue each additional 20 sq cm, or part thereof 50001013 11045    
11055 Paring or cutting of benign hyperkeratotic lesion; single lesion 50001014 11055    
11056 Paring or cutting of benign hyperkeratotic lesion; 2 to 4 lesions 50001015 11056    
11057 Paring or cutting of benign hyperkeratotic lesion; more than 4 lesions 50001016 11057    
11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion 50001309 11102    
11103 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional les 50001270 11103    
11104 Punch biopsy of skin (including simple closure, when performed); single lesion 50001330 11104    
11105 Punch biopsy of skin (including simple closure, when performed); each separate/additional lesi 50001271 11105    
11106 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesi 50001314 11106    
11107 Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separat 50001315 11107    
11200 Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions 50001017 11200    
11201 Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions 50001018 11201    
11300 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion < 0.5cm 50001019 11300    
11301 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion 0.6 to 1.0cm 50001020 11301    
11302 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion 1.1 to 2.0cm 50001021 11302    
11303 Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion >2.0cm 50001022 11303    
11305 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; > 0.5cm 50001023 11305    
11306 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; 0.6-1.0cm 50001024 11306    
11307 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; 1.1-2.0cm 50001025 11307    
11308 Shaving of epidermal or dermal lesion; scalp, neck, hands, feet, genitalia; >2.0cm 50001026 11308    
11310 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; < 0.5cm 50001027 11310    
11311 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; 0.6-1.0cm 50001028 11311    
11312 Shaving of lesion; face, ears, eyelids, nose, lips, mucous membrane; 1.1-2.0cm 50001029 11312    
11400 Excision, benign lesion including margins; trunk, arms or legs; < 0.5cm 50001030 11400    
11401 Excision, benign lesion including margins; trunk, arms or legs; 0.6-1.0cm 50001031 11401    
11402 Excision, benign lesion including margins; trunk, arms or legs; 1.1-2.0cm 50001032 11402    
11403 Excision, benign lesion including margins; trunk, arms or legs; 2.1-3.0cm 50001033 11403    
11404 Excision, benign lesion including margins; trunk, arms or legs; 3.1-4.0cm 50001034 11404    
11406 Excision, benign lesion including margins; trunk, arms or legs; >4.0cm 50001035 11406    
11420 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; < 0.5cm 50001036 11420    
11421 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 0.6-1.0cm 50001037 11421    
11422 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 1.1-2.0cm 50001038 11422    
11423 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 2.1-3.0cm 50001039 11423    
11424 Excision, benign lesion including margins; scalp, neck, hands, feet, genitalia; 3.1-4.0cm 50001040 11424    
11440 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; < 0.5cm 50001041 11440    
11441 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; 0.6-1.0cm 50001042 11441    
11442 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; 1.0-2.0cm 50001043 11442    
11443 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; 2.1-3.0cm 50001044 11443    
11444 Excision, benign lesion including margins; face, ears, eyelids, nose, lips; 3.1-4.0cm 50001045 11444    
11600 Excision, malignant lesion including margins, trunk, arms, or legs; < 0.5cm 50001046 11600    
11601 Excision, malignant lesion including margins, trunk, arms, or legs; 0.6-1.0cm 50001047 11601    
11602 Excision, malignant lesion including margins, trunk, arms, or legs; 1.1-2.0cm 50001048 11602    
11603 Excision, malignant lesion including margins, trunk, arms, or legs; 2.1-3.0cm 50001049 11603    
11604 Excision, malignant lesion including margins, trunk, arms, or legs; 3.1-4.0cm 50001050 11604    
11606 Excision, malignant lesion including margins, trunk, arms, or legs; >4.0cm 50001051 11606    
11621 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; 0.6-1.0cm 50001052 11621    
11622 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; 1.1-2.0cm 50001053 11622    
11623 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; 2.1-3.0cm 50001054 11623    
11624 Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; 3.1-4.0cm 50001055 11624    
11626 Excision, malignant lesion including margins, scalp, neck 50001331 11626    
11640 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; < 0.5 cm 50001056 11640    
11641 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; 0.6-1.0cm 50001057 11641    
11642 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; 1.1-2.0cm 50001058 11642    
11643 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; 2.1-3.0cm 50001059 11643    
11644 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; 3.1-4.0cm 50001060 11644    
11646 Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; < 4.0 cm 50001061 11646    
11719 Trimming of nondystrophic nails, any number 50001062 11719    
11720 Debridement of nail(s) by any method(s); 1 to 5 50001063 11720    
11721 Debridement of nail(s) by any method(s); 6 or more 50001064 11721    
11730 Avulsion of nail plate, partial or complete, simple; single 50001065 11730    
11732 Avulsion of nail plate, partial or complete, simple; each additional nail plate 50001066 11732    
11750 Excision of nail and nail matrix, partial or complete, for permanent removal 50001067 11750    
11765 Wedge excision of skin of nail fold 50001068 11765    
11900 Injection, intralesional; up to and including 7 lesions 50001069 11900    
11976 Removal, implantable contraceptive capsules 50001070 11976    
11981 INSERT DRUG IMPLANT DEVICE. 50001316 11981    
11982 Removal, non-biodegradable drug delivery implant 50001071 11982    
12001 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; <2.5cm< td> 50001072 12001    
12002 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; 2.6-7.5cm 50001073 12002    
12005 Simple repair of wounds; scalp, neck, axillae, genitalia, trunk, extremeties; 12.6-20.0cm 50001074 12005    
12020 Treatment of superficial wound dehiscence; simple closure 50001075 12020    
12031 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; <2.5cm< td> 50001076 12031    
12032 Repair, intermediate; wounds of scalp, axillae, trunk, extremities; 2.6-7.5cm 50001077 12032    
12041 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; <2.5cm< td> 50001078 12041    
12042 Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6-7.5cm 50001079 12042    
12051 Intermed repair of wounds; face, ears, eyelids, nose, lips, mucous membra; <2.5cm< td> 50001080 12051    
12052 Intermed repair of wounds; face, ears, eyelids, nose, lips, mucous membra; 2.6-5.0cm 50001081 12052    
12053 Intermed repair of wounds; face, ears, eyelids, nose, lips, mucous membra; 5.1-7.5cm 50001082 12053    
13151 Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm 50001083 13151    
16020 Dressings and/or debridement of partial-thickness burns, initial or subsequent; small  50001084 16020    
17000 Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettemen 50001085 17000    
17003 Destruction, premalignant lesions; second through 14 lesions, each 50001086 17003    
17004 Destruction, premalignant lesions, 15 or more lesions 50001087 17004    
17110 Destruction of benign lesions; 1-14 lesions 50001088 17110    
17111 Destruction of benign lesions; 15 + lesions 50001089 17111    
17250 Chemical cauterization of granulation tissue (proud flesh, sinus or fistula) 50001090 17250    
17260 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 0.5 cm or less 50001317 17260    
17261 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm 50001318 17261    
17262 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm 50001319 17262    
17263 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 2.1 to 3.0 cm 50001091 17263    
17264 Destruction, malignant lesion, trunk, arms or legs; lesion diameter 3.1 to 4.0 cm 50001320 17264    
17266 Destruction, malignant lesion, trunk, arms or legs; lesion diameter over 4.0 cm 50001321 17266    
19000 Puncture aspiration of cyst of breast 50001092 19000    
19020 Mastotomy with exploration or drainage of abscess, deep 50001093 19020    
19100 Biopsy of breast; percutaneous, needle core, not using imaging guidance 50001094 19100    
19101 Biopsy of breast; open, incisional 50001095 19101    
20205 Biopsy, muscle; deep 50001096 20205    
20526 Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel 50001097 20526    
20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia) 50001098 20550    
20551 Injection(s); single tendon origin/insertion 50001099 20551    
20552 Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s) 50001100 20552    
20553 Injection(s); single or multiple trigger point(s), 3 or more muscle(s) 50001101 20553    
20600 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes) 50001102 20600    
20605 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa 50001103 20605    
20610 Arthrocentesis, aspiration and/or injection, major joint or bursa; without ultrasound guidance 50001104 20610    
20612 Aspiration and/or injection of ganglion cyst(s) any location 50001105 20612    
20670 Removal of implant; superficial (buried wire, pin or rod) 50001106 20670    
21011 Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm 50001107 21011    
21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater 50001108 21552    
21555 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm 50001109 21555    
21930 Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm 50001110 21930    
21931 Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater 50001111 21931    
21933 Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater 50001112 21933    
23330 Removal of foreign body, shoulder; subcutaneous 50001113 23330    
24071 Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater 50001114 24071    
24075 Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm 50001115 24075    
24105 Excision, olecranon bursa 50001116 24105    
25071 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater 50001117 25071    
25075 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm 50001118 25075    
25605 Closed treatment of distal radial fracture; with manipulation 50001119 25605    
26160 Excision of lesion of tendon sheath or joint capsule, hand or finger 50001120 26160    
26775 Closed treatment of interphalangeal joint dislocation single, with manip; requiring anesthesia 50001121 26775    
28090 Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy); foot 50001122 28090    
28124 Partial excision of bone; phalanx of toe 50001123 28124    
29065 Application, cast; shoulder to hand (long arm) 50001124 29065    
29075 Application, cast; elbow to finger (short arm) 50001125 29075    
29085 Application, cast; hand and lower forearm (gauntlet) 50001126 29085    
29105 Application of long arm splint (shoulder to hand) 50001127 29105    
29125 Application of short arm splint (forearm to hand); static 50001128 29125    
29130 Application Finger Splint 50001129 29130    
29345 Application of long leg cast (thigh to toes); 50001130 29345    
29405 Application of short leg cast (below knee to toes); 50001131 29405    
29425 Application of short leg cast (below knee to toes); walking or ambulatory type 50001132 29425    
29515 Application of short leg splint (calf to foot) 50001133 29515    
29540 Strapping; ankle and/or foot 50001134 29540    
29580 Strapping; Unna boot 50001135 29580    
29581 Application Multilayer Compression System; Below Knee 50001136 29581    
30117 Excision or destruction (eg, laser), intranasal lesion; internal approach 50001137 30117    
31505 Laryngoscopy, indirect; diagnostic (separate procedure) 50001138 31505    
31575 Laryngoscopy, flexible fiberoptic; diagnostic 50001139 31575    
36415 Collection of venous blood by venipuncture 50001272 36415    
36590 Removal of tunneled central venous access device, w/sub port/pump, 50001140 36590    
37609 Ligation or biopsy, temporal artery 50001141 37609    
38500 Biopsy or excision of lymph node(s); open, superficial 50001142 38500    
38510 Biopsy or excision of lymph node(s); open, deep cervical node(s) 50001143 38510    
38525 Biopsy or excision of lymph node(s); open, deep axillary node(s) 50001144 38525    
40810 Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair 50001145 40810    
40819 Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy) 50001146 40819    
41110 Excision of lesion of tongue without closure 50001147 41110    
41115 Excision of lingual frenum (frenectomy) 50001148 41115    
45390 Colonoscopy with Endoscopic Mucosal Resection 60001076 45390 4688  
46083 Incision of thrombosed hemorrhoid, external 50001149 46083    
46220 Excision of single external papilla or tag, anus 50001150 46220    
46221 Hemorrhoidectomy, internal, by rubber band ligation(s) 50001151 46221    
46230 Excision of multiple external papillae or tags, anus 50001152 46230    
46320 Excision of thrombosed hemorrhoid, external 50001153 46320    
46600 Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when perform 50001154 46600    
46606 Anoscopy; with biopsy, single or multiple 50001155 46606    
46922 Surgical excision, destruction of lesion (s), anus 50001156 46922    
49180 Biopsy, abdominal or retroperitoneal mass, percutaneous needle 50001157 49180    
51701 Insertion of non-indwelling bladder catheter 50001158 51701    
51701 Insertion of non-indwelling bladder catheter PDH 50001158 51701    
51702 Insertion of temporary indwelling bladder catheter; simple 50001159 51702    
51702 Insertion of temporary indwelling bladder catheter; simple PDH 50001159 51702    
51705 Change of cystostomy tube; simple 50001160 51705    
51798 Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging 50001161 51798    
54050 Destruction of lesion(s), penis, simple; chemicall 50001162 54050    
54056 Destruction of lesion(s), penis, simple; cryosurgery 50001163 54056    
54150 Circumcision, using clamp or other device with regional dorsal penile or ring block 50001164 54150    
55250 Vasectomy, unilateral or bilateral, including postoperative semen examination(s) 50001165 55250    
56405 Incision and drainage of vulva or perineal abscess 50001166 56405    
56420 Incision and drainage of Bartholin's gland abscess 50001167 56420    
56501 Destruction of lesion(s), vulva; simple 50001168 56501    
56605 Biopsy of vulva or perineum; 1 lesion 50001169 56605    
56606 Biopsy of vulva or perineum; each separate additional lesion 50001170 56606    
57061 Destruction of vaginal lesion(s); simple 50001171 57061    
57135 Excision of vaginal cyst or tumor 50001172 57135    
57160 Fitting and insertion of pessary or other intravaginal support device 50001173 57160    
57170 Diaphragm or cervical cap fitting with instructions 50001174 57170    
57452 Colposcopy of the cervix including upper/adjacent vagina 50001175 57452    
57454 Colposcopy of the cervix incl. vagina; w/ biopsy of cervix and endocervical curettage 50001176 57454    
57455 Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix 50001177 57455    
57456 Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage 50001178 57456    
57460 Colposcopy of the cervix incl. upper vagina; with loop electrode biopsy(s) of the cervix 50001179 57460    
57461 Colposcopy cervix including upper/adjacent vagina; w/ loop electrode conization of the cervix 50001180 57461    
57500 Biopsy of cervix, single or multiple, or local excision of lesion, w/ or w/o fulguration 50001181 57500    
57511 Cautery of cervix; cryocautery, initial or repeat 50001182 57511    
57522 Conization of cervix; loop electrode excision 50001183 57522    
58100 Endometrial biopsy with or w/o endocer biopsy, w/o cervical dilation, any method 50001184 58100    
58110 Endometrial sampling (biopsy) performed in conjunction with colposcopy 50001185 58110    
58300 Insertion of intrauterine device (IUD) 50001186 58300    
58301 Removal of intrauterine device (IUD) 50001187 58301    
59400 Routine obstetric care including antepartum care, vaginal delivery, postpartum care 50001188 59400    
59425 Antepartum care only; 4-6 visits 50001310 59425    
59426 Antepartum care only; 7 or more visits 50001311 59426    
59510 Routine obstetric care including antepartum care, cesarean delivery, and postpartum care 50001189 59510    
64425 Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves 50001337 64425    
64455 Injection,anesthetic agent and/or steroid, plantar common digital nerve(s) 50001190 64455    
65205 Removal of foreign body, external eye; conjunctival superficial 50001191 65205    
69100 Biopsy external ear 50001192 69100    
69200 Removal foreign body from external auditory canal; without general anesthesia 50001193 69200    
69210 Removal impacted cerumen requiring instrumentation, unilateral 50001195 69210    
90460 Immunization counseling and administration, through 18 yrs; first or only component 50001201 90460    
90460 VFC Immunization counseling and administration, through 18 yrs; first or only component 50001202 90460    
90461 Immunization counseling and administration, through 18 yrs; each additional vaccine component 50001203 90461    
90461 VFC Immunization counseling and administration, through 18 yrs; each additional vaccine compo 50001204 90461    
90471 Immunization administration; first vaccine 50001205 90471    
90472 Immunization administration; each additional vaccine 50001206 90472    
90632 Hepatitis A vaccine, adult dosage, for intramuscular use 54000021 90632    
90633 Havrix Hepatitis A vaccine, 2 dose schedule, for intramuscular use 54000022 90633    
90633 VFC Havrix Hepatitis A vaccine, 2 dose schedule, for intramuscular use 54000041 90633    
90648 Hib PRP-T Conjugate 4 dose schedule IM. 54000025 90648    
90648 VFC Hib PRP-T Conjugate 4 dose schedule IM. 54000043 90648    
90649 HPV vaccine, quadrivalent, over 18 54000026 90649    
90649 VFC HPV vaccine, quadrivalent, over 18 54000044 90649    
90662 Fluzone High Dose Charge 54000080 90662    
90670 Pneumococcal 13-valent conjugate vaccine 54000031 90670    
90670 VFC pneumococcal 13-valent conjugate vaccine 54000049 90670    
90681 Rotavirus, monovalent RV1 54000034 90681    
90681 VFC Rotavirus, monovalent RV1 54000051 90681    
90686 Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage 54000027 90686    
90686 Influenza Quadrivalent Vaccine Charge        
90686 VFC Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosag 54000045 90686    
90696 DTaP-IPV, when administered to children 4 through 6 years of age, for intramuscular use 54000020 90696    
90696 VFC DTaP-IPV, when administered to children 4 through 6 years of age, for intramuscular use 54000020 90696    
90700 DTaP, under 7 years, for IM use 54000018 90700    
90700 VFC DTaP, under 7 years, for IM use 54000038 90700    
90707 Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use 54000029 90707    
90707 VFC Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use 54000047 90707    
90710 Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use 54000030 90710    
90710 VFC Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use 54000048 90710    
90713 Poliovirus vaccine, inactivated (IPV) 54000033 90713    
90713 VFC Poliovirus vaccine, inactivated (IPV) VFC90713 90713    
90714 Tenivac - Tetanus and diphtheria toxoids (Td), over 18 54000035 90714    
90715 Tdap, when administered to individuals 7 years or older, for intramuscular use 54000036 90715    
90715 VFC Tdap, when administered to individuals 7 years or older, for intramuscular use 54000052 90715    
90716 VFC Varicella virus vaccine, live, for subcutaneous use 54000053 90716    
90716 Varicella virus vaccine, live, for subcutaneous use 54000037 90716    
90723 DTaP-HepB-IPV (Pediarix), for intramuscular use 54000019 90723    
90723 VFC DTaP-HepB-IPV (Pediarix), for intramuscular use 54000039 90723    
90732 Pneumococcal polysaccharide vaccine, 23-valent, for subcutaneous or intramuscular use 54000032 90732    
90732 VFC Pneumococcal polysaccharide vaccine, 23-valent, for subcutaneous or intramuscular use 54000050 90732    
90734 Meningococcal conjugate vaccine, quadrivalent, for intramuscular use 54000028 90734    
90734 VFC Meningococcal conjugate vaccine, quadrivalent, for intramuscular use 54000046 90734    
90736 Zoster (shingles) vaccine, live, for subcutaneous injection 54000071 90736    
90744 Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use 54000024 90744    
90744 VFC Hepatitis B vaccine, pediatric/adolescent dosage (3 dose schedule), for intramuscular use 54000042 90744    
90746 Vaccine - Hepatitis B Adult Vaccine 54000023 90746    
90750 Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use 54000060 90750    
92511 Nasopharyngoscopy with endoscope (separate procedure) 50001208 92511    
92551 Screening test, pure tone, air only 50001312 92551    
92586 Auditory evoked potentials for evoked response audiometry and/or testing of the central nervou 50001303 92586    
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 50001209 94640    
95115 Professional services for allergen immunotherapy not including provision of allergenic extract 50001210 95115    
96127 Brief emotional behavioral assessment        
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 50001212 96372    
96523 Irrigation of implanted venous access device for drug delivery systems 50001213 96523    
97597 Debridement, open wound; first 20 sq cm or less 50001214 97597    
97605 Negative pressure wound therapy; total wound(s) surface area less than or equal to 50 sq cm 50001215 97605    
97606 Negative pressure wound therapy; total wound(s) surface area greater than 50 sq cm 50001216 97606    
97802 Medical nutrition therapy; initial assessment and intervention, each 15 minutes 50001313 97802    
97802 Nutrition 45 min PDH Employee 50001336 97802    
97803 Medical nutrition therapy; re-assessment and intervention, each 15 minutes 50001217 97803    
97804 Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes        
98925 Osteopathic manipulative treatment (OMT); 1-2 body regions involved 50001218 98925    
98926 Osteopathic manipulative treatment (OMT); 3-4 body regions involved 50001219 98926    
98927 Osteopathic manipulative treatment (OMT); 5-6 body regions involved 50001220 98927    
98928 Osteopathic manipulative treatment (OMT); 7-8 body regions involved 50001221 98928    
98966 Telephone Assessment 5-10 mins 50001324 98966    
98967 Telephone Assessment 11-20 mins 50001323 98967    
98968 Telephone Assessment 21-30 mins 50001325 98968    
99080 Special reports or insurance forms 50001223 WC002    
Allergy Injection POC - Single 50001210 95115    
Allergy Injection POC - Multi 50001211 95117    
Allergy Injection        
Allergy Injection Multi POC        
Antepartum Visit 50001307      
Ear Irrigation POC 50001194 69209    
G0010 Administration of hepatitis b vaccine 50001257      
G0270 Medical nutrition therapy, individual, face to face, each 15 minutes        
G0271 Medical nutrition therapy, group (2 or more individuals), each 30 minutes        
G0296 Counseling visit (LDCT) 50001327      
G8431 Positive screen for clinical depression 50001265      
G8510 Negative Screen for clinical depression 50001266      
Hearing Screen POC 50001302 92551    
Hemoglobin POC 52899988 85018    
IUD/Nexplanon Prior Auth PDH        
Initial OB Visit 50001306      
J0696 Injection, ceftriaxone sodium, per 250 mg, for 500mg dose 54000003 J0696    
J0696 Injection, ceftriaxone sodium, per 250 mg, for 1g dose 54000002 J0696    
J1050 Injection, medroxyprogesterone acetate, 1 mg 54000066      
J1100 dexamethasone 4 mg/mL Inj Sol 54000067      
J1815 Injection, insulin, per 5 units        
J1885 Injection, ketorolac tromethamine, per 15 mg 54000004 J1885    
J2001 Lidocaine 1% INJ 50ML Vial 54000005 J2001    
J2001 Lidocaine 2% INJ 20ML Vial 54000006      
J2001 Lidocaine/Epi 2% 20ML MDV 54000007 J2001    
J2001 Lidocaine/Epi 1% 20ML 54000008 J2001    
J2405 Injection, ondansetron hydrochloride, per 1 mg 54000011 J2405    
J2550 Injection, promethazine hcl, up to 50 mg 54000067      
J2790 Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.) 54000012      
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 54000009 J2930    
J3030 Injection, sumatriptan succinate, 6 mg 54000013 J3030    
J3301 Injection, triamcinolone acetonide, not otherwise specified, 40 mg 54000068      
J3420 Injection, vitamin b-12, up to 1000mcg 54000055      
J3490 bupivacaine 0.5% 50 ML Vial 54000001 J3490    
J3490 bupivacaine 0.5% 30 ML Vial 54000069      
J7298 Levonorgestrel-releasing intrauterine contraceptive system, 52 mg 54000064      
J7300 Intrauterine copper contraceptive 54000062      
J7301 Levonorgestrel-releasing intrauterine contraceptive system, 13.5 mg 54000063      
J7307 ESTONOGESTREL 68MG SUBDERMA 54000065      
J7324 Hyaluronan Or Derivative Orthovisc 54000015      
J7611 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered throu 54000017 J7611    
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, administered through dme 54000070      
J7644 Ipratropium Bromide Inhalation Solution non compounded        
Legacy 50001304   0.01  
PPD Administration (TB Screen) POC 54000061 86580    
Post Partum Follow-up 50001308 59430    
Q0091 Screening pap smear; obtaining, preparing and conveyance of cervical or vaginal smear to lab 50001267      
Q3014 Telemedicine Site Fee 50001268      
Rapid Strep POC 50001200 87880    
S9449 Weight management classes, non-physician provider, per session        
S9452 Nutrition classes, non-physician provider, per session        
S9470 Nutritional counseling, dietitian visit 50001269      
Vision Testing POC 50001207 92081    
Wet Mount POC 50001199 87210    
CCHD Screening - RT 70001054 99391 180  
Fetal Non-Stress Test        
Newborn Hearing Screening        
Phlebotomy - Therapeutic 85001006 99195 156  
90853 Group psychotherapy Charge 82000105 90853 295  
.DummyCrossmatch        
.Post TR ABO/Rh        
.Post TR Antibody Screen Tube 3        
.Post TR DAT Poly Tube        
.Post TR XM        
.Post TR XM Tube        
.Pre TR ABO/Rh        
.Pre TR Antibody Screen Tube 3        
.Pre TR DAT Poly Tube        
.Pre TR XM        
.Pre TR XM Tube        
.TR Information 1        
.TR Interpretation        
.TR Unit Retype        
ABO/Rh 32001022 86900 79  
ABO/Rh Retype        
Albumin        
Antibody Screen Tube 3 32001023 86850 108  
BB Hold Tube        
Bill Only Miscellaneous 32001024   0  
Bill Only Shipping Unscheduled 32001025 99001 184  
Compatible - XM AHG Tube Interp 32001041 86920 296  
Compatible - XM AHG Gel Interp        
Compatible - REF Crossmatch        
Computer Crossmatch Interp        
Computer XM OK - Computer Crossmatch Interp 32001040 86920 296  
Cord ABO/Rh 32001026 86900 79  
Cord Blood PDH        
Cord DAT 32001027 86880 113  
Corrected - XM AHG Tube Interp        
Crossmatch        
Cryoprecipitate        
DAT Poly Tube 32001028 86880 113  
E0156 Dv RBC CPD 450 LR Irr Open        
E0158 Dv RBC CPD 450 LR Open        
E0162 ARBC CPD 450 LR Irr        
E0162 DRBC CPD 450 LR Irr        
E0162 Dv RBC CPD 450 LR Irr        
E0162 RBC CPD 450 LR Irr        
E0164 ARBC CPD 450 LR        
E0164 DRBC CPD 450 LR        
E0164 Dv RBC CPD 450 LR        
E0164 RBC CPD 450 LR        
E0173 Dv RBC CPD 500 LR Irr Open        
E0175 Dv RBC CPD 500 LR Open        
E0179 ARBC CPD 500 LR Irr        
E0179 DRBC CPD 500 LR Irr        
E0179 Dv RBC CPD 500 LR Irr        
E0179 RBC CPD 500 LR Irr        
E0181 ARBC CPD 500 LR        
E0181 DRBC CPD 500 LR        
E0181 Dv RBC CPD 500 LR        
E0181 RBC CPD 500 LR        
E0201 Dv RBC CPDA1 450 LR Irr Open        
E0203 Dv RBC CPDA1 450 LR Open        
E0207 ARBC CPDA1 450 LR Irr        
E0207 DRBC CPDA1 450 LR Irr        
E0207 Dv RBC CPDA1 450 LR Irr        
E0207 RBC CPDA1 450 LR Irr        
E0209 ARBC CPDA1 450 LR        
E0209 DRBC CPDA1 450 LR        
E0209 Dv RBC CPDA1 450 LR        
E0209 RBC CPDA1 450 LR        
E0218 Dv RBC CPDA1 500 LR Irr Open        
E0220 Dv RBC CPDA1 500 LR Open        
E0224 ARBC CPDA1 500 LR Irr        
E0224 DRBC CPDA1 500 LR Irr        
E0224 Dv RBC CPDA1 500 LR Irr        
E0224 RBC CPDA1 500 LR Irr        
E0226 ARBC CPDA1 500 LR        
E0226 DRBC CPDA1 500 LR        
E0226 Dv RBC CPDA1 500 LR        
E0226 RBC CPDA1 500 LR 32001000   278  
E0251 Dv RBC CP2D 450 LR Irr Open        
E0253 Dv RBC CP2D 450 LR Open        
E0257 ARBC CP2D 450 LR Irr        
E0257 DRBC CP2D 450 LR Irr        
E0257 Dv RBC CP2D 450 LR Irr        
E0257 RBC CP2D 450 LR Irr        
E0259 ARBC CP2D 450 LR        
E0259 DRBC CP2D 450 LR        
E0259 Dv RBC CP2D 450 LR        
E0259 RBC CP2D 450 LR        
E0268 Dv RBC CP2D 500 LR Irr Open        
E0270 Dv RBC CP2D 500 LR Open        
E0274 ARBC CP2D 500 LR Irr        
E0274 DRBC CP2D 500 LR Irr        
E0274 Dv RBC CP2D 500 LR Irr        
E0274 RBC CP2D 500 LR Irr        
E0276 ARBC CP2D 500 LR        
E0276 DRBC CP2D 500 LR        
E0276 Dv RBC CP2D 500 LR        
E0276 RBC CP2D 500 LR        
E0297 Dv RBC CPD AS1 450 LR Irr Open        
E0301 Dv RBC CPD AS1 450 LR Open        
E0307 ARBC CPD AS1 450 LR Irr        
E0307 DRBC CPD AS1 450 LR Irr        
E0307 Dv RBC CPD AS1 450 LR Irr        
E0307 RBC CPD AS1 450 LR Irr        
E0311 ARBC CPD AS1 450 LR        
E0311 DRBC CPD AS1 450 LR        
E0311 Dv RBC CPD AS1 450 LR        
E0311 RBC CPD AS1 450 LR        
E0322 Dv RBC CPD AS1 500 LR Irr Open        
E0326 Dv RBC CPD AS1 500 LR Open        
E0332 ARBC CPD AS1 500 LR Irr        
E0332 DRBC CPD AS1 500 LR Irr        
E0332 Dv RBC CPD AS1 500 LR Irr        
E0332 RBC CPD AS1 500 LR Irr 32001001   278  
E0336 ARBC CPD AS1 500 LR        
E0336 DRBC CPD AS1 500 LR        
E0336 Dv RBC CPD AS1 500 LR        
E0336 RBC CPD AS1 500 LR 32001002   278  
E0347 Dv RBC CP2D AS3 450 LR Irr Open        
E0351 Dv RBC CP2D AS3 450 LR Open        
E0357 ARBC CP2D AS3 450 LR Irr        
E0357 DRBC CP2D AS3 450 LR Irr        
E0357 Dv RBC CP2D AS3 450 LR Irr        
E0357 RBC CP2D AS3 450 LR Irr        
E0361 ARBC CP2D AS3 450 LR        
E0361 DRBC CP2D AS3 450 LR        
E0361 Dv RBC CP2D AS3 450 LR        
E0361 RBC CP2D AS3 450 LR        
E0372 Dv RBC CP2D AS3 500 LR Irr Open        
E0375 Dv RBC CP2D AS3 500 LR Open        
E0379 ARBC CP2D AS3 500 LR Irr        
E0379 DRBC CP2D AS3 500 LR Irr        
E0379 Dv RBC CP2D AS3 500 LR Irr        
E0379 RBC CP2D AS3 500 LR Irr 32001003   278  
E0382 ARBC CP2D AS3 500 LR        
E0382 DRBC CP2D AS3 500 LR        
E0382 Dv RBC CP2D AS3 500 LR        
E0382 RBC CP2D AS3 500 LR 32001004   278  
E0391 Dv RBC CPD AS5 450 LR Irr Open        
E0394 Dv RBC CPD AS5 450 LR Open        
E0398 ARBC CPD AS5 450 LR Irr        
E0398 DRBC CPD AS5 450 LR Irr        
E0398 Dv RBC CPD AS5 450 LR Irr        
E0398 RBC CPD AS5 450 LR Irr        
E0401 ARBC CPD AS5 450 LR        
E0401 DRBC CPD AS5 450 LR        
E0401 Dv RBC CPD AS5 450 LR        
E0401 RBC CPD AS5 450 LR        
E0410 Dv RBC CPD AS5 500 LR Irr Open        
E0414 Dv RBC CPD AS5 500 LR Open        
E0420 ARBC CPD AS5 500 LR Irr        
E0420 DRBC CPD AS5 500 LR Irr        
E0420 Dv RBC CPD AS5 500 LR Irr        
E0420 RBC CPD AS5 500 LR Irr        
E0424 ARBC CPD AS5 500 LR        
E0424 DRBC CPD AS5 500 LR        
E0424 Dv RBC CPD AS5 500 LR        
E0424 RBC CPD AS5 500 LR        
E0626 Aph Dv RBC CP2D AS3 LR Irr Open        
E0633 Aph Dv RBC CP2D AS3 LR Irr 1 Open        
E0634 Aph Dv RBC CP2D AS3 LR Irr 2 Open        
E0643 Aph Dv RBC CP2D AS3 LR Open        
E0650 Aph Dv RBC CP2D AS3 LR 1 Open        
E0651 Aph Dv RBC CP2D AS3 LR 2 Open        
E0661 Aph ARBC CP2D AS3 LR Irr        
E0661 Aph DRBC CP2D AS3 LR Irr        
E0661 Aph Dv RBC CP2D AS3 LR Irr        
E0661 Aph RBC CP2D AS3 LR Irr        
E0668 Aph ARBC CP2D AS3 LR Irr 1        
E0668 Aph DRBC CP2D AS3 LR Irr 1        
E0668 Aph Dv RBC CP2D AS3 LR Irr 1        
E0668 Aph RBC CP2D AS3 LR Irr 1        
E0669 Aph ARBC CP2D AS3 LR Irr 2        
E0669 Aph DRBC CP2D AS3 LR Irr 2        
E0669 Aph Dv RBC CP2D AS3 LR Irr 2        
E0669 Aph RBC CP2D AS3 LR Irr 2        
E0678 Aph ARBC CP2D AS3 LR        
E0678 Aph DRBC CP2D AS3 LR        
E0678 Aph Dv RBC CP2D AS3 LR        
E0678 Aph RBC CP2D AS3 LR        
E0685 Aph ARBC CP2D AS3 LR 1        
E0685 Aph DRBC CP2D AS3 LR 1        
E0685 Aph Dv RBC CP2D AS3 LR 1        
E0685 Aph RBC CP2D AS3 LR 1        
E0686 Aph ARBC CP2D AS3 LR 2        
E0686 Aph DRBC CP2D AS3 LR 2        
E0686 Aph Dv RBC CP2D AS3 LR 2        
E0686 Aph RBC CP2D AS3 LR 2        
E0687 Aph RBC CP2D AS3 Supernat Rem 1        
E0701 FFP CPD        
E0704 FFP CPD Irr        
E0707 FFP CPDA1        
E0710 FFP CPDA1 Irr        
E0713 FFP CP2D        
E0716 FFP CP2D Irr        
E0773 Thawed FFP CPD        
E0782 Thawed FFP CPD Irr        
E0785 Thawed FFP CPDA1        
E0794 Thawed FFP CPDA1 Irr        
E0797 Thawed FFP CP2D        
E0806 Thawed FFP CP2D Irr        
E0869 Aph FFP ACDA        
E0878 Aph FFP ACDA Irr        
E0883 Aph FFP ACDA Irr <200 td>        
E0885 Aph FFP ACDA Irr 200-400 mL        
E0887 Aph FFP ACDA Irr 400-600 mL        
E0889 Aph FFP ACDA Irr >600 mL        
E0898 Aph FFP ACDA <200 td>        
E0900 Aph FFP ACDA 200-400 mL        
E0902 Aph FFP ACDA 400-600 mL        
E0904 Aph FFP ACDA >600 mL        
E0909 Aph FFP NaCitrate        
E0918 Aph FFP Irr NaCitrate        
E1237 Thawed Aph FFP ACDA        
E1286 Thawed Aph FFP ACDA Irr        
E1291 Thawed Aph FFP ACDA Irr <200 td>        
E1295 Thawed Aph FFP ACDA Irr 200-400 mL        
E1299 Thawed Aph FFP ACDA Irr 400-600 mL        
E1301 Thawed Aph FFP ACDA Irr >600 mL        
E1310 Thawed Aph FFP ACDA <200 td>        
E1314 Thawed Aph FFP ACDA 200-400 mL        
E1318 Thawed Aph FFP ACDA 400-600 mL        
E1320 Thawed Aph FFP ACDA >600 mL        
E1325 Thawed Aph FFP NaCitrate        
E1374 Thawed Aph FFP Irr NaCitrate        
E1516 Aph Plasma ACDB <24h< td>        
E1521 Aph Plasma ACDA        
E1558 Aph Plasma ACDA Irr        
E1565 Aph Plasma ACDA Irr <200 td>        
E1571 Aph Plasma ACDA Irr 200-400 mL        
E1577 Aph Plasma ACDA Irr 400-600 mL        
E1583 Aph Plasma ACDA Irr >600 mL        
E1600 Aph Plasma ACDA <200 td>        
E1606 Aph Plasma ACDA 200-400 mL        
E1612 Aph Plasma ACDA 400-600 mL        
E1618 Aph Plasma ACDA >600 mL        
E1624 Aph Plasma ACDA <24h< td>        
E1666 Aph Plasma Irr NaCitrate        
E1732 Aph Plasma NaCitrate <24h< td>        
E2116 Thawed Aph Plasma ACDB <24h< td>        
E2121 Thawed Aph Plasma ACDA        
E2218 Thawed Aph Plasma ACDA Irr        
E2225 Thawed Aph Plasma ACDA Irr <200 td>        
E2231 Thawed Aph Plasma ACDA Irr 200-400        
E2237 Thawed Aph Plasma ACDA Irr 400-600        
E2243 Thawed Aph Plasma ACDA Irr >600 mL        
E2260 Thawed Aph Plasma ACDA <200 td>        
E2266 Thawed Aph Plasma ACDA 200-400 mL        
E2272 Thawed Aph Plasma ACDA 400-600 mL        
E2278 Thawed Aph Plasma ACDA >600 mL        
E2284 Thawed Aph Plasma ACDA <24h< td>        
E2386 Thawed Aph Plasma Irr NaCitrate        
E2454 Thawed Aph Plasma NaCitrate <24h< td>        
E2521 Plasma ACDB CryoRed        
E2528 Plasma CPD        
E2547 Plasma CPD Irr        
E2550 Plasma CPD Irr <24h< td>        
E2553 Plasma CPD Cryo Red        
E2555 Plasma CPD <24h< td>        
E2560 Plasma CPDA1        
E2579 Plasma CPDA1 Irr        
E2582 Plasma CPDA1 Irr <24h< td>        
E2585 Plasma CPDA1 Cryo Red        
E2587 Plasma CPDA1 <24h< td>        
E2592 Plasma CP2D        
E2611 Plasma CP2D Irr        
E2614 Plasma CP2D Irr <24h< td>        
E2617 Plasma CP2D Cryo Red        
E2619 Plasma CP2D <24h< td>        
E2684 Thawed Plasma CPD        
E2697 Thawed Plasma CPD Irr        
E2699 Thawed Plasma CPD Irr <24h< td>        
E2700 Thawed Plasma CPD Cryo Red        
E2701 Thawed Plasma CPD <24h< td>        
E2702 Thawed Plasma CPDA1        
E2715 Thawed Plasma CPDA1 Irr        
E2717 Thawed Plasma CPDA1 Irr <24h< td>        
E2718 Thawed Plasma CPDA1 Cryo Red        
E2719 Thawed Plasma CPDA1 <24h< td>        
E2720 Thawed Plasma CP2D        
E2733 Thawed Plasma CP2D Irr        
E2735 Thawed Plasma CP2D Irr <24h< td>        
E2736 Thawed Plasma CP2D Cryo Red        
E2737 Thawed Plasma CP2D <24h< td>        
E2754 Thawed Plasma ACDB CryoRed        
E2940 Aph Plt ACDA        
E3045 Aph Plt ACDA Irr        
E3046 Aph Plt ACDA LR Irr        
E3047 Aph Plt ACDA LR Irr PlasRed        
E3049 Aph Plt ACDA LR Irr PlasRed 1        
E3050 Aph Plt ACDA LR Irr PlasRed 2        
E3051 Aph Plt ACDA LR Irr PlasRed 3        
E3056 Aph Plt ACDA LR Irr 1 32001013   670  
E3057 Aph Plt ACDA LR Irr 2 32001014   670  
E3058 Aph Plt ACDA LR Irr 3 32001015   670  
E3062 Aph Plt ACDA Irr PlasRed        
E3064 Aph Plt ACDA Irr PlasRed 1        
E3065 Aph Plt ACDA Irr PlasRed 2        
E3066 Aph Plt ACDA Irr PlasRed 3        
E3071 Aph Plt ACDA Irr 1        
E3072 Aph Plt ACDA Irr 2        
E3073 Aph Plt ACDA Irr 3        
E3077 Aph Plt ACDA LR        
E3078 Aph Plt ACDA LR PlasRed        
E3080 Aph Plt ACDA LR PlasRed 1        
E3081 Aph Plt ACDA LR PlasRed 2        
E3082 Aph Plt ACDA LR PlasRed 3        
E3087 Aph Plt ACDA LR 1 32001016   670  
E3088 Aph Plt ACDA LR 2 32001017   670  
E3089 Aph Plt ACDA LR 3 32001018   670  
E3093 Aph Plt ACDA PlasRed        
E3095 Aph Plt ACDA PlasRed 1        
E3096 Aph Plt ACDA PlasRed 2        
E3097 Aph Plt ACDA PlasRed 3        
E3102 Aph Plt ACDA 1        
E3103 Aph Plt ACDA 2        
E3104 Aph Plt ACDA 3        
E3108 Aph Plt ACDB        
E3213 Aph Plt ACDB Irr        
E3214 Aph Plt ACDB LR Irr        
E3215 Aph Plt ACDB LR Irr PlasRed        
E3217 Aph Plt ACDB LR Irr PlasRed 1        
E3218 Aph Plt ACDB LR Irr PlasRed 2        
E3219 Aph Plt ACDB LR Irr PlasRed 3        
E3224 Aph Plt ACDB LR Irr 1        
E3225 Aph Plt ACDB LR Irr 2        
E3226 Aph Plt ACDB LR Irr 3        
E3230 Aph Plt ACDB Irr Plas Red        
E3232 Aph Plt ACDB Irr Plas Red 1        
E3233 Aph Plt ACDB Irr Plas Red 2        
E3234 Aph Plt ACDB Irr Plas Red 3        
E3239 Aph Plt ACDB Irr 1        
E3240 Aph Plt ACDB Irr 2        
E3241 Aph Plt ACDB Irr 3        
E3245 Aph Plt ACDB LR        
E3246 Aph Plt ACDB LR PlasRed        
E3248 Aph Plt ACDB LR PlasRed 1        
E3249 Aph Plt ACDB LR PlasRed 2        
E3250 Aph Plt ACDB LR PlasRed 3        
E3255 Aph Plt ACDB LR 1        
E3256 Aph Plt ACDB LR 2        
E3257 Aph Plt ACDB LR 3        
E3261 Aph Plt ACDB PlasRed        
E3263 Aph Plt ACDB PlasRed 1        
E3264 Aph Plt ACDB PlasRed 2        
E3265 Aph Plt ACDB PlasRed 3        
E3270 Aph Plt ACDB 1        
E3271 Aph Plt ACDB 2        
E3571 Cryo 450        
E3573 Cryo 500        
E3575 Cryo        
E3577 Thawed Cryo 450        
E3579 Thawed Cryo 500        
E3581 Thawed Cryo AHF        
E3582 Thawed Cryo AHF Irr        
E3583 Pooled Cryo <30c< td>        
E3584 Pooled Cryo <30c td>        
E3585 Pooled Cryo <30c irr td>        
E3586 Pooled Cryo <30c td>        
E3587 Pooled Cryo <18c< td>        
E3588 Pooled Cryo <18c td>        
E3589 Pooled Cryo <18c irr td>        
E3590 Pooled Cryo <18c td>        
E3591 Thawed Pooled Cryo        
E3592 Thawed Pooled Cryo Open        
E3593 Thawed Pooled Cryo Irr Open        
E3594 Thawed Pooled Cryo Irr        
E3597 Aph Cryo        
E3599 Thawed Aph Cryo        
E4142 Aph FFP CP2D        
E4237 Aph Dv RBC CP2D LR Irr Open        
E4244 Aph Dv RBC CP2D LR Irr 1 Open        
E4245 Aph Dv RBC CP2D LR Irr 2 Open        
E4254 Aph Dv RBC CP2D LR Open        
E4261 Aph Dv RBC CP2D LR 1 Open        
E4262 Aph Dv RBC CP2D LR 2 Open        
E4272 Aph ARBC CP2D LR Irr        
E4272 Aph DRBC CP2D LR Irr        
E4272 Aph Dv RBC CP2D LR Irr        
E4272 Aph RBC CP2D LR Irr        
E4279 Aph ARBC CP2D LR Irr 1        
E4279 Aph DRBC CP2D LR Irr 1        
E4279 Aph Dv RBC CP2D LR Irr 1        
E4279 Aph RBC CP2D LR Irr 1        
E4280 Aph ARBC CP2D LR Irr 2        
E4280 Aph DRBC CP2D LR Irr 2        
E4280 Aph Dv RBC CP2D LR Irr 2        
E4280 Aph RBC CP2D LR Irr 2        
E4289 Aph ARBC CP2D LR        
E4289 Aph DRBC CP2D LR        
E4289 Aph Dv RBC CP2D LR        
E4289 Aph RBC CP2D LR        
E4296 Aph ARBC CP2D LR 1        
E4296 Aph DRBC CP2D LR 1        
E4296 Aph Dv RBC CP2D LR 1        
E4296 Aph RBC CP2D LR 1        
E4297 Aph ARBC CP2D LR 2        
E4297 Aph DRBC CP2D LR 2        
E4297 Aph Dv RBC CP2D LR 2        
E4297 Aph RBC CP2D LR 2        
E4327 Aph Dv RBC ACDA LR Irr Open        
E4334 Aph Dv RBC ACDA LR Irr 1 Open        
E4335 Aph Dv RBC ACDA LR Irr 2 Open        
E4344 Aph Dv RBC ACDA LR Open        
E4351 Aph Dv RBC ACDA LR 1 Open        
E4352 Aph Dv RBC ACDA LR 2 Open        
E4362 Aph ARBC ACDA LR Irr        
E4362 Aph DRBC ACDA LR Irr        
E4362 Aph Dv RBC ACDA LR Irr        
E4362 Aph RBC ACDA LR Irr        
E4369 Aph ARBC ACDA LR Irr 1        
E4369 Aph DRBC ACDA LR Irr 1        
E4369 Aph Dv RBC ACDA LR Irr 1        
E4369 Aph RBC ACDA LR Irr 1        
E4370 Aph ARBC ACDA LR Irr 2        
E4370 Aph DRBC ACDA LR Irr 2        
E4370 Aph Dv RBC ACDA LR Irr 2        
E4370 Aph RBC ACDA LR Irr 2        
E4379 Aph ARBC ACDA LR        
E4379 Aph DRBC ACDA LR        
E4379 Aph Dv RBC ACDA LR        
E4379 Aph RBC ACDA LR        
E4386 Aph ARBC ACDA LR 1        
E4386 Aph DRBC ACDA LR 1        
E4386 Aph Dv RBC ACDA LR 1        
E4386 Aph RBC ACDA LR 1        
E4387 Aph ARBC ACDA LR 2        
E4387 Aph DRBC ACDA LR 2        
E4387 Aph Dv RBC ACDA LR 2        
E4387 Aph RBC ACDA LR 2        
E4526 Aph ARBC ACDA AS1 LR Irr        
E4526 Aph DRBC ACDA AS1 LR Irr        
E4526 Aph Dv RBC ACDA AS1 LR Irr        
E4526 Aph RBC ACDA AS1 LR Irr        
E4527 Aph ARBC ACDA AS1 LR Irr 1        
E4527 Aph DRBC ACDA AS1 LR Irr 1        
E4527 Aph Dv RBC ACDA AS1 LR Irr 1        
E4527 Aph RBC ACDA AS1 LR Irr 1 32001005   278  
E4528 Aph ARBC ACDA AS1 LR Irr 2        
E4528 Aph DRBC ACDA AS1 LR Irr 2        
E4528 Aph Dv RBC ACDA AS1 LR Irr 2        
E4528 Aph RBC ACDA AS1 LR Irr 2        
E4531 Aph ARBC ACDA AS1 LR        
E4531 Aph DRBC ACDA AS1 LR        
E4531 Aph Dv RBC ACDA AS1 LR        
E4531 Aph RBC ACDA AS1 LR        
E4532 Aph ARBC ACDA AS1 LR 1        
E4532 Aph DRBC ACDA AS1 LR 1        
E4532 Aph Dv RBC ACDA AS1 LR 1        
E4532 Aph RBC ACDA AS1 LR 1 32001006   278  
E4533 Aph ARBC ACDA AS1 LR 2        
E4533 Aph DRBC ACDA AS1 LR 2        
E4533 Aph Dv RBC ACDA AS1 LR 2        
E4533 Aph RBC ACDA AS1 LR 2 32001007   278  
E4538 Aph ARBC ACDA AS3 LR Irr        
E4538 Aph DRBC ACDA AS3 LR Irr        
E4538 Aph Dv RBC ACDA AS3 LR Irr        
E4538 Aph RBC ACDA AS3 LR Irr        
E4539 Aph ARBC ACDA AS3 LR Irr 1        
E4539 Aph DRBC ACDA AS3 LR Irr 1        
E4539 Aph Dv RBC ACDA AS3 LR Irr 1        
E4539 Aph RBC ACDA AS3 LR Irr 1 32001008   278  
E4540 Aph ARBC ACDA AS3 LR Irr 2        
E4540 Aph DRBC ACDA AS3 LR Irr 2        
E4540 Aph Dv RBC ACDA AS3 LR Irr 2        
E4540 Aph RBC ACDA AS3 LR Irr 2 32001009   278  
E4543 Aph ARBC ACDA AS3 LR        
E4543 Aph DRBC ACDA AS3 LR        
E4543 Aph Dv RBC ACDA AS3 LR        
E4543 Aph RBC ACDA AS3 LR 32001010   278  
E4544 Aph ARBC ACDA AS3 LR 1        
E4544 Aph DRBC ACDA AS3 LR 1        
E4544 Aph Dv RBC ACDA AS3 LR 1        
E4544 Aph RBC ACDA AS3 LR 1 32001011   278  
E4545 Aph ARBC ACDA AS3 LR 2        
E4545 Aph DRBC ACDA AS3 LR 2        
E4545 Aph Dv RBC ACDA AS3 LR 2        
E4545 Aph RBC ACDA AS3 LR 2 32001012   278  
E4689 Aph FFP ACDA 1        
E4693 Aph FFP ACDA 2        
E4697 Aph FFP ACDA 3        
E4713 Thawed Aph FFP ACDA 1        
E4717 Thawed Aph FFP ACDA 2        
E4721 Thawed Aph FFP ACDA 3        
E5114 Aph ARBC CPDA1 LR Irr        
E5114 Aph DRBC CPDA1 LR Irr        
E5114 Aph Dv RBC CPDA1 LR Irr        
E5114 Aph RBC CPDA1 LR Irr        
E5115 Aph ARBC CPDA1 LR Irr 1        
E5115 Aph DRBC CPDA1 LR Irr 1        
E5115 Aph Dv RBC CPDA1 LR Irr 1        
E5115 Aph RBC CPDA1 LR Irr 1        
E5116 Aph ARBC CPDA1 LR Irr 2        
E5116 Aph DRBC CPDA1 LR Irr 2        
E5116 Aph Dv RBC CPDA1 LR Irr 2        
E5116 Aph RBC CPDA1 LR Irr 2        
E5117 Aph ARBC CPDA1 LR        
E5117 Aph DRBC CPDA1 LR        
E5117 Aph Dv RBC CPDA1 LR        
E5117 Aph RBC CPDA1 LR        
E5118 Aph ARBC CPDA1 LR 1        
E5118 Aph DRBC CPDA1 LR 1        
E5118 Aph Dv RBC CPDA1 LR 1        
E5118 Aph RBC CPDA1 LR 1        
E5119 Aph ARBC CPDA1 LR 2        
E5119 Aph DRBC CPDA1 LR 2        
E5119 Aph Dv RBC CPDA1 LR 2        
E5119 Aph RBC CPDA1 LR 2        
E5155 ARBC CPDA1 LR LV        
E5155 DRBC CPDA1 LR LV        
E5155 Dv RBC CPDA1 LR LV        
E5155 RBC CPDA1 LR LV        
E5156 ARBC CPDA1 LR LV Acadj        
E5156 DRBC CPDA1 LR LV Acadj        
E5156 Dv RBC CPDA1 LR LV Acadj        
E5156 RBC CPDA1 LR LV Acadj        
E5165 Cryo AHF        
E5166 Cryo AHF Irr        
E5256 Thawed Cryo        
E5273 Thawed Aph FFP CP2D        
E5376 ARBC CPDA1 LR Irr LV        
E5376 DRBC CPDA1 LR Irr LV        
E5376 Dv RBC CPDA1 LR Irr LV        
E5376 RBC CPDA1 LR Irr LV        
E5555 ARBC CPDA1 LR Irr LV Acadj        
E5555 DRBC CPDA1 LR Irr LV Acadj        
E5555 Dv RBC CPDA1 LR Irr LV Acadj        
E5555 RBC CPDA1 LR Irr LV Acadj        
E5700 Aph Dv RBC ACDA AS3 LR 1 Open        
E5701 Aph Dv RBC ACDA AS3 LR Irr 1 Open        
E5704 Aph Dv RBC ACDA AS3 LR Irr Open        
E5708 Aph Dv RBC ACDA AS3 LR Open        
E5778 Aph Dv RBC ACDA AS1 LR 1 Open        
E5783 Aph Dv RBC ACDA AS1 LR Irr 2 Open        
E5784 Aph Dv RBC ACDA AS3 LR 2 Open        
E5787 Aph Dv RBC ACDA AS1 LR 2 Open        
E5793 Aph Dv RBC ACDA AS3 LR Irr 2 Open        
E5812 Aph Dv RBC ACDA AS1 LR Open        
E5813 Aph Dv RBC CPDA1 LR Open        
E5814 Aph Dv RBC CPDA1 LR 1 Open        
E5815 Aph Dv RBC CPDA1 LR 2 Open        
E5816 Aph Dv RBC ACDA AS1 LR Irr Open        
E5817 Aph Dv RBC ACDA AS1 LR Irr 1 Open        
E5818 Aph Dv RBC CPDA1 LR Irr Open        
E5819 Aph Dv RBC CPDA1 LR Irr 1 Open        
E5820 Aph Dv RBC CPDA1 LR Irr 2 Open        
E7001 Aph Plt ACDA PASC LR        
E7002 Aph Plt ACDA PASC LR 1        
E7003 Aph Plt ACDA PASC LR 2        
E7004 Aph Plt ACDA PASC LR 3        
E7005 Aph Plt ACDA PASC LR Irr        
E7006 Aph Plt ACDA PASC LR Irr 1        
E7007 Aph Plt ACDA PASC LR Irr 2        
E7008 Aph Plt ACDA PASC LR Irr 3        
E7576 Dv RBC CPDA1 LR Irr LV Open        
E7577 Dv RBC CPDA1 LR LV Open        
E7731 Thawed Aph Plasma ACDA RT<24fr<24< td>        
E7731 Thawed Aph Plas ACDA RT<24fr<24 td>        
E7750 Thawed Aph Plasma ACDA RT <24fr<24< td> 32001020   92  
E7751 Thawed Aph Plasma RT <24fr<24 td> 32001022   92  
E7753 Thawed Aph Plasma RT <24fr<24 td> 32001021   92  
Emergent Blood Products - Retroactive        
Fresh Frozen Plasma        
Hx ABO/Rh        
Hx Antibody        
Incompatible - XM AHG Tube Interp 32001041 86920 296  
Incompatible - XM AHG Gel Interp        
Incompatible - REF Crossmatch        
Least Incompatible - XM AHG Gel Interp        
Least Incompatible - REF Crossmatch        
Newborn ABO/Rh        
Platelets        
REF Antibody ID 32001029 86870 129  
REF Antibody Titer 32001030 86157 141  
REF Antigen Type 32001031 86905 34  
REF Cold Agglutinin 32001032 86156 60  
REF Crossmatch        
REF Crossmatch        
REF DAT C3 32001033 86880 113  
REF DAT IgG 32001034 86880 113  
REF DAT Poly 32001035 86880 23  
REF Elution 32001036 86860 166  
REF Kleihauer-Betke 32001037 85460 67  
REF Rh Phenotyping 32001038 86906 69  
Red Blood Cells        
Rh Type State Law 32001999   STAT  
RhIG 32001019   781  
RhIG Request        
Rhogam 32001019      
Serological Immediate Spin        
Transfusion Reaction 4        
Transfusion Reaction 5        
Type and Screen PDH        
Type and Screen Tube        
Unit ABO/Rh        
Weak D        
XM AHG Gel Interp        
XM AHG Tube Interp        
36600 ARTERIAL PUNCTURE CHARGE 23001026 36600 226  
36600 ARTERIAL PUNCT BLD DRAW DX (ABG DRAW) CHARGE 21001012 36600 139  
94375 FLOW VOLUME LOOP CHARGE 70001031 94375 292  
94762 OXIMETRY CONT MONITOR 1ST DAY CHARGE 70001045 94762 297  
94762 OXIMETRY CONT MONITOR SUBQ DAY CHARGE 70001046   219  
AIRWAY CLEARANCE CHARGE 70001040 94667 441  
CARBON MONOXIDE DIFF CAP CHARGE 70001042 94729 252  
CARDIOPULMONARY RESUSCITATION CHARGE 70001002 92950 1213  
CV ECG Acquisition 70001003 93005 272  
CV ECG Acquisition 70001062   272  
CV ECG Report 90001393 93010    
CV ECG Report 70001048      
CV Electrocardiogram 12 Lead        
CV Welcome to Medicare ECG        
ECHO DOPPLER COLOR FLOW CHARGE 70001008 93306 1715  
ECHO LIMITED STUDY CHARGE 70001010 93308 533  
ECHOCARDIOGRAM CHARGE 70001009 93307 1011  
Electrocardiogram 12 Lead 70001003 93005 272  
Electrocardiogram 12 Lead 70001003 93005 272  
HOLTER MONITOR 24 HOUR CHARGE        
HOLTER MONITOR HOOK UP CHARGE 70001007 93270 163  
LUNG FUNCTION TEST CHARGE 70001030 94200 102  
OXYGEN INITIAL SET UP CHARGE 70001050   455  
P9612 CATHETERIZE FOR URINE SPECIMEN CHARGE 23001007   156  
PULSE OXIMETRY SINGLE CHARGE 70001043 94760 81  
PULSE OXIMETRY MULTIPLE CHARGE 70001044 94761 198  
RESPIRATORY THERAPY SERVICES CHARGE 70001039 94664 188  
RESPIRATORY THERAPY EDUCATION CHARGE 70001047 99211 198  
RT Echo Doppler Color Flow CHARGE 70001008 93306 1715  
RT Echo Limited Study CHARGE 70001010 93308 533  
RT Echocardiogram CHARGE 70001009 93307 1011  
RT Holter Hook Up CHARGE 70001007 93270 163  
RT Holter Monitor 24 Hrs CHARGE 70001007   163  
RT Holter Monitor 48 Hrs CHARGE 70001007 93270    
RT Stress Echocardiogram CHARGE 70001013 93351 915  
STRESS ECHO COMPLETE CHARGE 70001013 93351 915  
VENT MANAGEMENT IP SUB DAY CHARGE 70001026 94003 1566  
VENT MANAGEMENT IP INITIAL DAY CHARGE 70001025 94002 1566  
VITAL CAPACITY TEST CHARGE 70001029 94150 201  
11111 - Suture Removal   11111 0  
22222 - No Charge   22222 0  
33333 - Left Without Being Seen   33333 0  
44444 - Left Without Treatment   44444 0  
96360 - Hydration, first hour 1001109 96360 443  
96361- Hydration, each additional hour 1001110 96361 246  
96365- IV tx, first hour 1001111 96365 352  
96366- IV tx, each additional hour 1001112 96366 120  
96367- IV tx, sequential infusion 1001113 96367 196  
96368- IV tx, concurrent infusion 1001114 96368 118  
96372- Subq/IM Injection 1001115 96372 74  
96374- IV Injection, single/initial 1001116 96374 207  
96375- IV Injection, add new drug 1001107 96375 85  
96376- IV Injection, add same drug 1001108 96376 74  
99281 - Level 1 10011000 99281 301  
99282 - Level 2 10011001 99282 470  
99283 - Level 3 10011002 99283 788  
99284 - Level 4 10011003 99284 1183  
99285 - Level 5 10011004 99285 1745  
Critical Care Ill/Injured Patient Init 30-74 Min 99291 10011005 99291 2347  
Critical Care Ill/Injured Patient Addl 30 Min 99292 10011006 99292 639  
ED Nursing Charges LRHC        
10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE TechFee 10001000 10060 544  
10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE TechFee 10001001 10120 718  
10121 INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL TechFee 10001002 10121 1298  
11012 DBRDMT FX&/DISLC SUBQ T/M/F BONE TechFee 10001003 11012 3340  
11043 DEBRIDE TISSUE/MUSCLE TechFee 10001041 11043 994  
12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< TechFee 10001004 12001 429  
12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM TechFee 10001005 12002 517  
12005 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM TechFee 10001006 12005 773  
12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< TechFee 10001007 12011 520  
12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM TechFee 10001008 12013 571  
12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM TechFee 10001040 12032 640  
12042 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM TechFee 10001009 12042 1355  
12053 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM TechFee 10001010 12053 1414  
16020 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL TechFee 10001011 16020 381  
20550 INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS TechFee 10001012 20550 271  
20552 INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES TechFee 10001013 20552 258  
23605 CLTX PROX HUMRL FX W/MANJ W/WO SKELETAL TRACJ TechFee 10001014 23605 1947  
29105 APPLICATION LONG ARM SPLINT SHOULDER HAND TechFee 10001015 29105 419  
29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC TechFee 10001016 29125 309  
31500 INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE TechFee 10001017 31500 1372  
36000 INTRODUCTION NEEDLE/INTRACATHETER VEIN TechFee 10001018 36000 147  
36510 CATHJ UMBILICAL VEIN DX/THER NB TechFee 10001019 36510 364  
36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> TechFee 10001020 36556 1111  
36592 COLLECT BLOOD FROM CATHETER VENOUS NOS TechFee 10001021 36592 158  
36680 PLACEMENT NEEDLE INTRAOSSEOUS INFUSION TechFee 10001022 36680 825  
40654 RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLE TechFee 10001023 40654 1850  
42960 CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE TechFee 10001024 42960 302  
45321 PROCTOSGMDSC RIGID DCMPRN VOLVULUS TechFee 10001025 45321 479  
46050 I&D PERIANAL ABSCESS SUPERFICIAL TechFee 10001026 46050 939  
49083 ED ABDOMINAL PARACENTESIS W GUIDE CHARGE 10001027 49083 1038  
51701 INSJ NON-NDWELLG BLADDER CATHETER TechFee 10001028 51701 254  
51702 INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE TechFee 10001029 51702 327  
51703 INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED TechFee 10001030 51703 524  
51705 CHANGE CYSTOSTOMY TUBE SIMPLE TechFee 10001031 51705 419  
51798 MEASUREMENT OF POST-VOIDING RESIDUAL URINE AND/OR BLADDER CAPACITY BY ULTRASOUND, NON- TechFee 10001032 51798 116  
62270 SPINAL PUNCTURE LUMBAR DIAGNOSTIC TechFee 10001033 62270 479  
64402 INJECTION ANESTHETIC AGENT FACIAL NERVE TechFee 10001034 64402 575  
64450 INJECTION ANES OTHER PERIPHERAL NERVE/BRANCH TechFee 10001035 64450 374  
65220 RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP TechFee 10001036 65220 323  
67715 CANTHOTOMY SEPARATE PROCEDURE TechFee 10001037 67715 1656  
69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL TechFee 10001038 69209 49  
92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL TechFee 10001039 92960 1100  
A0225 Neonate 13000009   2850  
A0425 Ground mileage TechFee 13000005   60  
A0426 Als 1 TechFee 13000002   2825  
A0427 Als1-emergency TechFee 13000001   3000  
A0428 Bls TechFee 13000004   2000  
A0429 Bls-emergency TechFee 13000003   2100  
A0429 Cardiac Arrest NonTrans (Medi-Cal Only) 13000008   1838  
A0433 Als 2 TechFee 13000006   3350  
A0434 Specialty care transport TechFee 13000007   3350  
ED Nursing Charges SMMH        
ED Nursing Charges KVMH        
ED Nursing Tech Fees REEV        
ED Procedure Charges PAHC_KS        
46040 Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure). 50001338 46040    
90832 16 - 37 mins. Individual Psychotherapy 82000100 90832 325  
90832 Psychotherapy, 30 minutes with patient and/or family member 52899989 90832    
90834 38 - 52 mins. Individual Psychotherapy 82000101 90834 350  
90834 Psychotherapy, 45 minutes with patient and/or family member 52899991 90834    
90837 53 - 67 mins. Individual Psychotherapy 82000102 90837 375  
90837 Psychotherapy, 60 minutes with patient and/or family member 52899992 90837    
90846 Family psychotherapy w/o patient present 82000103 90846 375  
90847 Family psychotherapy w/ patient present (conjoint) 82000104 90847 375  
92081 Visual field examination, unilateral or bilateral, with interpretation and report; limited exa 50001207 92081    
97169 SPORT/SCHOOL EXAM 50001275 97169    
99024 Post-op f/u visit, global, included in the surgical package 50001222 99024    
99201 Office/Outpatient Visit - New Patient, Level 1 50001224 99201    
99202 Office/Outpatient Visit - New Patient, 15-29 MIN 50001225 99202    
99203 Office/Outpatient Visit - NP 30-44 MIN 50001226 99203    
99204 Office/Outpatient Visit - New Patient, Level 4 45-59 MIN 50001227 99204    
99205 Office/Outpatient Visit - New Patient, Level 5 60-74 MIN 50001228 99205    
99211 Office/Outpatient Visit - Established Patient, Level 1 50001229 99211    
99212 Office/Outpatient Visit - Established Patient, Level 2 10-19 MIN 50001230 99212    
99213 Office/Outpatient Visit - Established Patient, Level 3 20-29 MIN 50001231 99213    
99214 Office/Outpatient Visit - Established Patient, Level 4 30-39 MIN 50001232 99214    
99215 Office/Outpatient Visit - Established Patient, Level 5 40-54 MIN 50001233 99215    
99343 Home Visit, New Patient, Detailed 50001234 99343    
99345 Home Visit, New Patient, Unstable 50001235 99345    
99347 Home Visit, Established Patient, Problem Focused 50001236 99347    
99348 Home Visit, Established Patient, Expanded Problem Focused 50001237 99348    
99349 Home Visit, Established Patient, Detailed 50001238 99349    
99350 Home Visit, Established Patient, Comprehensive 50001239 99350    
99354 Prolonged Services, Direct Contact, Office; First Hour 50001240 99354    
99374 Care Plan Oversight, Home Health Patient; 15-29 Min 50001241 99374    
99381 Preventive Evaluation, New Pt; < 1 Yr 50001242 99381    
99382 Preventive Evaluation, New Pt; 1-4 Yrs 50001243 99382    
99383 Preventive Evaluation, New Pt; 5-11 Yrs 50001244 99383    
99384 Preventive Evaluation, New Pt; 12-17 Yrs 50001245 99384    
99385 Preventive Evaluation, New Pt; 18-39 Yrs 50001246 99385    
99386 Preventive Evaluation, New Pt; 40-64 Yrs 50001247 99386    
99387 Preventive Evaluation, New Pt; 65+ Yrs 50001248 99387    
99391 Preventive Evaluation, Established Pt; < 1 Yr 50001249 99391    
99392 Preventive Evaluation, Established Pt; 1-4 Yrs 50001250 99392    
99393 Preventive Evaluation, Established Pt; 5-11 Yrs 50001274 99393    
99394 PRE EMPLOY/DMV/FOREST SRVC PHY 50001332 99394    
99394 Preventive Evaluation, Established Pt; 12-17 Yrs 50001276 99394    
99394 SPORT/SCHOOL EXAM; 12-17 YEARS        
99395 DMV Physical/Public Works 50001278 99395    
99395 PRE EMPLOY/DMV/FOREST SRVC PHY 50001333 99395    
99395 Preventive Evaluation, Established Pt; 18-39 Yrs 50001279 99395    
99395 REMSA PHYSICAL 18-39 YRS 50001280 99395    
99395 SPI Physical 18-39 yrs 50001326 99395    
99395 SPORT/SCHOOL EXAM; 18-39YR        
99396 DMV Physical/Public Works 50001282 99396    
99396 PRE EMPLOY/DMV/FOREST SRVC PHY 50001288 99396    
99396 Preventive Evaluation, Established Pt; 40-64 Yrs 50001283 99396    
99396 REMSA PHYSICAL 40-64 YRS 50001284 99396    
99396 SPI Physical 40-64 yrs 50001329 99396    
99396 SPORT/SCHOOL EXAM;40-64 YEARS        
99397 PRE EMPLOY/DMV/FOREST SRVC PHY 50001334 99397    
99397 Preventive Evaluation, Established Pt; 65+ Yrs 52899977 99397    
99397 SPI Physical 65+. 50001339 99397    
99397 SPORT/SCHOOL EXAM; 65 + YEARS        
99406 Smoking/Tobacco Cessation Counseling; 3-10 Min 50001251 99406    
99407 Smoking/Tobacco Cessation Counseling; 11+ Min 50001252 99407    
99408 Alcohol/Substance Abuse Structured Screen; 15-30 Min 50001253 99408    
99409 Alcohol/Substance Abuse Structured Screen; 30+ Min 50001254 99409    
99421 Online Digital E&M 5-10 mins 50001291 99421    
99422 Online Digital E&M 11-22 mins 50001292 99422    
99423 Online Digital E&M 21 min or more 50001293 99423    
99441 Telephone Evaluation and Management 5-10 mins 50001295 99441    
99442 Telephone Evaluation and Management 11-20 mins 50001296 99442    
99443 Telephone Evaluation and Management 21-30 mins 50001297 99443    
G0008 Administration of influenza virus vaccine 50001255      
G0009 Administration of pneumococcal vaccine 50001256      
G0071 Virtual Communication Services 50001294      
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination 50001258      
G0108 Diabetes outpatient self-management training services, individual, per 30 mins 50001259      
G0245 Initial eval/management of diabetic patient 50001260      
G0247 Routine foot care of diabetic patient 50001261      
G0248 Demonstration, prior to initiation of home inr monitoring, under the direction of a physician        
G0249 Supplies along with INR monitoring        
G0250 Physician review, interp, and patient management of home inr testing        
G0396 Alcohol and/or substance abuse assessment, intervention; 15 to 30 min        
G0397 Alcohol and/or substance abuse assessment, intervention; 30+ min        
G0402 Initial preventive physical (Welcome to Medicare) 50001262      
G0438 Annual wellness visit; includes a personalized prevention plan of service, initial visit 50001263      
G0439 Annual wellness visit, includes a personalized prevention plan of service, subsequent visit 50001264      
G0442 Annual alcohol misuse screening, 15 minutes        
G0443 Brief face-to-face behavioral counseling for alcohol misuse, 15 min        
G0444 Annual depression screening; 15 min 50001287      
G0447 Obesity Counseling; 15 min        
G0463 Hospital outpatient clinic visit. 82000107   50  
G2010 Remote Evaluation of Images 50001290      
G2012 Brief Virtual Checkin 50001289      
G2025 Telemedicine 50001325      
G8511 Screening for depression documented as positive, F/U plan not documented, reason not given 50001335      
Q3014 Telehealth Facility Fee 82000106   50  
.AFB ID by DNA Probe LC 39001526 87149 109.75  
.AFB ID by DNA Probe Rflx AST LC 39001530 87149 109.75  
.Aerobic Bact ID by Seq LC 39001519 87153 250  
.Aerobic ID by MALDI LC 39001521 87077 250  
.Aerobic Org ID LC 39001520 87158 250  
.Amphet/MDMS MS Bld LC        
.Anaerobic Cult LC        
.Anaerobic Bact ID by Seq LC 39001519 87153 250  
.Anaerobic Org ID LC 39001520 87158 250  
.Anaerobic ID by MALDI LC 39001522 87076 250  
.Anti-Yo Abs (WBlot) LC        
.Blood Cult Rt LC        
.C. trach NAA Conf LC 39001407 87491 17  
.Coag Studies Interp LC        
.Cocaine MS Bld LC 39001510 80353 150  
.Comp BRCA1/2 Analysis LC   81162    
.Dexamethasone, Serum LC 39001636 80375 68.4 68.4
.Differential LC        
.ENA+ Abs LC 39001497 86235 159.49  
.ENA+DNA + LC        
.ENA+DNA/DS+Sjogren's LC        
.Ethyl Alcohol GC Bld LC 39001506 80320 150  
.FANA Staining Patterns LC        
.Fungus Cult LC 39001614 87101 28.5  
.Fungus Stain LC 39001619 87101 28.5  
.GTT 1 HR PP        
.GTT 3 HR        
.Genital Cult LC        
.Glucose Fasting        
.HBV Real-Time PCR Qn LC        
.HBsAg Conf LC        
.HCV Ab Equiv LC        
.HCV Ab NonRea LC        
.HCV Ab Rea LC        
.HCV Ab Verification LC 39001500 86804 99.67  
.HCV NS5A Drug Resistance Assay LC        
.HCV RNA (IU) 551305 LC        
.HCV RNA (International Units) 550352 LC   0    
.HCV RNA (IU) 550323 LC        
.HCV RNA (IU) 550040 LC        
.HCV RNA (IU) 550075 LC        
.HCV RNA IU 550265 LC        
.HCV RT-PCR, Quant (Non-Graph) LC 39001419 87522 126.1  
.HCV Real-Time PCR Qn LC 39001418 87522 126  
.HPV Aptima LC 39001425 87624 54.75  
.HPV, high-risk LC 39001425 87624 54.75  
.HPV, low volume rfx LC        
.HSV Viral Id LC   87253    
.HSV-2 IgG Supplemental LC 39001334 86696 19  
.Hep C Geno LC        
.Hepatitis C Geno LC 39001433 87902 196.96  
.Hepatitis C Genotype LC 39001433 87902 196.96  
.Hex Phase Phospholipid LC 39001534 85598 59.81  
.IGP, Aptima HPV, rfx 16/18,45 LC 39001440 87624 54.75  
.IGP, CtNg, rfx Aptima HPV ASCU LC        
.IGP, rfx Aptima HPV ASCU LC 39001440 88175 54.75  
.IGP,CtNg,AptimaHPV,rfx16/18,45 LC 39001440 87624 187.75  
.IGP,CtNgTv,Apt HPV,rfx16/18,45 LC 39001617 87624 187.75  
.IGP,CtNgTv,rfx Aptima HPV ASCU LC 39001700 87491 187.75  
.Immature Cells LC        
.Immunofixation Interp LC        
.Lyme Western Blot LC 39001312 86617 32  
.M. marinum Susceptibility LC 39001527 87186 173.25  
.MAC Susceptibility Broth LC 39001521 87186 250  
.Manual Differential (PDH) 30001084 85007 0 0
.Manual Diff (CAH)        
.Meconium Amphet Conf LC        
.Meconium Benzo Conf LC        
.Meconium Barb Conf LC        
.Meconium Cocaine Conf LC        
.Meconium Carboxy-THC Conf LC 39001618 80307 137  
.Meconium Methadone Conf LC        
.Meconium Opiate Conf LC        
.Meconium PCP Conf LC        
.Meconium Propoxy Conf LC        
.Mold ID by Seq LC 39001519 87153 250  
.Mold Org ID LC 39001520 87158 250  
.Morphology (PDH)        
.Mtb AST Confirm LC 39001529 87190 130  
.Mtb Susceptibility Broth LC 39001520 87188 250  
.Mycobact ID by Seq LC 39001519 87153 250  
.Mycobact ID by MALDI LC 39001524 87118 250  
.Mycobacteria Org ID LC 39001520 87158 250  
.N. gonorr NAA Conf LC 39001424 87591 118  
.Nocardia ID by Seq LC 39001519 87153 250  
.Nocardia ID by MALDI LC 39001523 87118 250  
.Nocardia Org ID LC 39001520 87158 250  
.Nocardia Susceptibility Broth LC 39001527 87186 173.25  
.Opiates MS Bld LC        
.Org ID Bact LC        
.Org ID by Seq LC 39001519 87153 250  
.Org ID by Sequencing 2 LC        
.Org ID by Sequencing Rflx AST LC 39001519 87153 250  
.Oxycodones MS Bld LC 39001509 80365 150  
.PCP Bld LC 39001507 83992 150  
.PTT-LA Incub Mix LC 39001535 85732 30  
.PTT-LA Mix LC 39001533 85732 30  
.Pap IG (Image Guided) LC        
.Pap IG, Ct-Ng LC        
.Pap IG, Ct-Ng TV LC        
.QFT-TB Gold Plus LC        
.RPR LC 39001304 86592 2.99  
.RPR Qn LC 39001306 86593 4.5  
.RPR Qn+TP Abs LC 39001364 86780 9  
.RPR, Quant LC 39001306 86593 4.5  
.Rapid Grower Broth Suscep LC 39001528 87186 165  
.Slow Grower Broth Suscep LC 39001527 87186 173.25  
.Sputum Culture LC 39001517 87070 12.6  
.Suscept Aer Anaer LC        
.T pallidum Immunoblot LC   86780    
.THS MS Bld LC 39001508 80349 150  
.TT Mix+TTN LC 39001516 85670 90.9  
.Thrombin Neutralization LC 39001499 85670 54.75  
.Thyroglobulin by IMA LC 39001495 84432 4.46  
.Thyroglobulin by LCMS LC 39001496 84432 99  
.Thyroglobulin by RIA LC 39001531 84432 4.45  
.Urine Cult Rt LC        
.Varicella Viral ID LC 39001514 87253 90.5  
.WBC Stool LC 39001612 89055 7.5  
.Yeast ID by Seq LC 39001519 87153 250  
.Yeast ID by MALDI LC 39001525 87106 250  
.Yeast Org ID LC 39001520 87158 250  
.aPTT 1:1 Norm Plas LC 39001498 85732 45.5  
.dRVVT Confirm 117923 LC   85613    
.dRVVT Confirm 117924 LC        
.dRVVT Mix LC        
17-Hydroxypregnenolone, MS LC 39001679 84143 54 54
17-OH Progesterone LCMS LC 39001123 83498 19  
2019 Novel Coronavirus (CoVID-19), NAA LC 39001622 87635 51.34 51.34
25-Hydroxyvitamin D LCMS D2+D3 LC 39001053 82306 93.5  
5-HIAA, Plasma LC 39001546 83497 6  
5-HIAA,Quant.,24 Hr Urine LC 39001121 83497 10.4  
ACTH, Plasma LC 39001035 82024 24.51  
AChR Binding Abs, Serum LC 39001135 83519 28  
AFP with AFP-L3% LC 39001043 82107 257  
AFP, Serum, Tumor Marker LC 39001041 82105 14  
ALA Delta, 24-Hour Urine LC 39001045 82135 25.96  
ANA Comprehensive Panel LC 39001271 86235 58.2  
ANA LC 39001257 86038 4.37  
ANA w/Reflex if Positive LC 39001253 86038 73  
ANA w/Reflex LC 39001253 86038 73  
ANA w/Rfx if Pos-Stain Patterns LC        
ANA+ENA+C3+C4+RA Qn+DNA/DS+... LC 39001615 86038 4.12  
ANCA Panel LC 39001281   0  
API Cardiac        
API Cardiac Markers        
API Chem Endocrine        
API Chemistry Core        
API Chemistry TDM        
API Coagulation        
API General Chemistry        
Acetaminophen Level 30001022 80329 185 185
Acid Fast Smear+Culture LC        
Acid Fast Smear+Culture W/Rflx LC        
Actin (Smooth Muscle) Antibody LC 39001125 83516 30  
Aerobe ID + Suscept LC 39001387 87077 16  
Aerobic Bacterial Culture LC 39001382 87070 11  
Alanine Aminotransferase 30001077 84460 106 106
Albumin Level 30001029 82040 106 106
Alcohol Level 30001021 80320 208 186
Aldolase LC 39001038 82085 3  
Aldosterone LCMS, Serum LC 39001039 82088 17  
Alkaline Phosphatase 30001062 84075 106 106
Allergen Profile, Food-Basic LC 39001252 86003 24  
Allergen Profile, Basic Food LC 39001611 86003 24  
Allergens w/Total IgE Area 13 LC        
Allergens, Perennial LC 39001503 86003 72  
Allergens, Zone 15 LC 39001504 86003 748  
Alpha-1-Antitrypsin, Serum LC 39001040 82103 6.64  
Amino Acid Profile, Qn, Plasma LC 39001486 82139 450  
Ammonia Level 30001032 82140 199 166
Amnisure ROM 30001064 84112 281 281
Amylase Level 30001033 82150 148 112
Amylase, Body Fluid LC 39001673 82150 4.28 4.28
Amylase/ Lipase        
Anaerobic Culture LC 39001385 87075 14  
Anal(Rectal) Cytology, LBP LC 39001538 88112 133  
Angiotensin-Converting Enzyme LC 39001047 82164 6  
Anti-Mullerian Hormone (AMH) LC 39001128 82397 69  
Anti-Smooth Muscle/Mitochond. LC 39001129 83516 18.44  
Anti-Yo Antibodies LC 39001280 86256 26.48  
Anti-dsDNA Antibodies LC 39001270 86225 7  
Antiadrenal Antibodies, Quantitative LC 082024 39001669 86255 37.06 37.06
Anticardiolip Ab IgA/G/M Qn LC 39001613 86147 32.13 32.13
Antiextractable Nuclear Ag LC 39001276 86235 17.95  
Antineutrophil Cytoplasmic Ab LC 39001281 86256 7  
Antinuclear Antibodies Direct LC 39001257 86038 4.37  
Antinuclear Antibodies, IFA LC 39001257 86038 4.37  
Antiphosphatidylserine IgG/M/A LC        
Antiphosphatidylserine IgM LC 39001057 86148 22.82  
Antiphosphatidylserine IgA LC 39001057 86148 22.82  
Antiphosphatidylserine IgG LC 39001057 86148 22.82  
Antiphospholipid Syndrome LC        
Antiproteinase 3 (PR3) Abs 163857 LC 39001620 83520 13.01  
Antistreptolysin O Ab LC 39001460 86060 9.21  
Antithrombin Antigen LC 39001667 85301 18  
Apo E Genotyping: Cardiovascular Risk LC 39001678 81401 325  
Arthritis Panel        
Aspartate Aminotransferase 30001076 84450 106 106
Aspergillus Antibodies, Quantitative, DID LC 39001600 86606 21.57  
Aspergillus niger Antibodies LC 39001541 86606 26.69  
Aspergillus flavus Antibodies LC 39001540 86606 25.65  
Aspergillus Galactomannan Ag LC 39001600 87305 207  
B pertussis, Nasophar Culture LC 39001384 87070 15  
B-hCG Qnt 30001082 84702 207 172
BF Cell Count w/Diff 30001108 89051 189 131
BRCAssure Comprehensive Test LC 39001502 81162 2400  
BUN/ Creatinine/ Lytes        
Bartonella Antibody Panel LC 39001672 86611 5.76 5.76
Basic Metabolic Panel 30001005 80048 148 138
Beta-2 Glycoprotein I Ab,G,A,M LC 39001261 86146 9  
Beta-2 Microglobulin, Serum LC 39001049 82232 8.5  
Bile Acids LC 39001050 82239 12  
Bilirubin Direct 30001035 82248 106 106
Bilirubin Total 30001034 82247 106 106
Bill Only Draw and Process 30001000 36415 50 35
Bill SARS-CoV-2 (COVID-19) 30001196 87635 75  
Bill SARS-CoV-2 (COVID-19) Lyra 30001198 87635 100  
Blood Culture, Routine LC 39001511 87040 11  
Blood Culture ID (BioFire) 30001700 87150 436 218
Blood Gas Arterial RT 30001178 82805 258 198
Blood Gas Capillary RT 30001176 82805 258 198
Blood Gas Cord Arterial RT 30001180 82805 258 198
Blood Gas Cord Venous RT 30001185 82805 258 198
Blood Gas Venous RT 30001175 82805 258 198
Blood Urea Nitrogen 30001080 84520 106 106
C difficile Toxins A+B, EIA LC 39001398 87324 15  
C difficile Toxin Gene NAA LC 39001409 87493 83  
C-Peptide, Serum LC 39001224 84681 6.5  
C-Reactive Protein, Quant LC 39001259 86140 4.75  
C-Reactive Protein, Cardiac LC 39001260 86141 6  
C-Telopeptide (Endocrine Sciences) LC 39001652 82523 92  
C. Diff Tox A (Solana) 30001103 87493 207 207
C1 Esterase Inhibitor, Serum LC 39001264 86160 9.68  
C1 Esterase Inhibitor, Func LC 39001478 86161 51  
CA 125 in the Presence of HAMA LC 39001287 86304 50  
CA 125, Serum (Serial) LC 39001302 86304 4.61  
CA 19-9 LC 39001285 86301 68.53  
CA 27.29 LC 39001284 86300 11  
CBC w/ Differential 30001086 85025 144 132
CBC w/ Diff        
CBC w/ Diff        
CBC w/ Manual Differential 30001133 85007 139 100
CBC without Differential 30001087 85027 128 91
CCP Antibodies IgG/IgA LC 39001268 86200 20  
CD4/CD8 Ratio Profile LC 39001298 86360 46.08  
CEA (Serial Monitor) LC 39001060 82378 17.34  
CEA LC 39001061 82378 7.88  
CK-MB Iso 30001041 82553 240 188
CMP 30001008 80053 208 162
CMP/ CK/ Lipid/ MG        
CMV PCR LC 39001490 87496 127.67  
CMV Quant DNA PCR (Plasma) LC 39001410 87497 207  
COLLECTION: Venous Draw 30001003 36415 50 35
CSF Cell Count w/Diff 30001108 89051 189 131
Ca+PTH Intact LC 054601 39001655   0  
Calcitriol(1,25 di-OH Vit D) LC 39001086 82652 18  
Calcium Ionized & Total        
Calcium Level Total 30001037 82310 108 106
Calcium, 24Hr Urine LC 39001487 82340 5.9  
Calcium, Ionized, Serum LC 39001056 82330 83.33  
Calcium, Random Urine LC 39001471 82340 112  
Calculi, Urinary LC 39001059 82360 14  
Calculi, Urinary, with Photo LC 39001059 82360 14  
Calprotectin, Fecal LC 39001175 83993 200  
Cancer Antigen (CA) 125 LC 39001287 86304 50  
Cancer Antigen (CA) 15-3 LC 39001283 86300 12.26  
Candida Ab, IgA, IgG, IgM, ELISA 163135 LC        
Candida Antibodies IgG LC 39001054 86628 51.67  
Candida Antibodies IgM LC 39001054 86628 51.67  
Candida Antibodies IgA LC 39001054 86628 51.66  
Carbamazepine Level 30001013 80156 242 168
Carbon Dioxide Level 30001038 82374 38 38
Cardiac Panel (ER) 30001190   0  
Cardiac Profile 30001124   0 0
Carnitine, Total and Free LC 39001062 82379 26.57  
Carotene, Beta LC 39001641 82380 12.38 12.38
Catecholamines,Ur.,Free,24 Hr LC 39001668 82384 19.75  
Celiac Ab tTG DGP TIgA LC 39001126 83516 41  
Celiac Disease Comprehensive LC 39001126 83516 41  
Celiac Disease Panel LC 165142   0  
Cell Count w/ Diff CSF 30001107 89051 189 131
Ceruloplasmin LC 39001065 82390 6.36  
Chlamydia Antigen 30001105 87810 171 118
Chlamydia NAA: LC 39001645 87491 67  
Chlamydia/GC Amplification LC 39001407 87491 32  
Chlamydia/GC NAA, Confirmation LC 39001544   0  
Chlamydia/Gonococcus, Rectal Swab, NAA 188672 LC 39001646   0  
Chloride Level 30001135 82435 72 36
Chol 30001039 82465 85 59
Cholinesterase, RBC 007286 LC 39001067 82482 12.8 12.8
Citric Acid (Citrate), 24-Hour Urine LC 39001674 82507 17.99 17.99
Clobazam (ONFI) LC 39001068 80339 71.75  
Clomipramine, Serum LC 39001023 80335 16.65  
Clozapine (Clozaril), Serum LC 39001005 80159 17.51  
Co-Ox Ven        
Co-Oximetry Arterial 30001112 82375 103 79
Co-Oximetry Cord Ven        
Co-Oximetry Capillary        
Coccidioides CF Antibody LC 39001539 86635 48.75  
Comp panel: Leukemia/Lymphoma LC        
Complement C4, Serum LC 39001264 86160 9.68  
Complement C3, Serum LC 39001264 86160 9.68  
Complement, Total (CH50) LC 39001267 86162 5.53  
Comprehensive Thyroglobulin LC 39001372 86800 57 57
Connective Tissue Disease Cascade 165590 LC 39001103 86038 0  
Copper, Serum LC 39001072 82525 16.59  
Copper, Urine LC        
Cortisol - AM LC 39001078 82533 6.13  
Cortisol LC 39001074 82533 94  
Cortisol, AM/PM LC 39001076 82533 12.26  
Cortisol, Urinary Free LC 39001073 82530 11.49  
Creatine Kinase 30001040 82550 136 106
Creatinine Urine 30001043 82570 132 106
Creatinine 30001042 82565 106 106
Creatinine Clearance w/o BSA 30001045 82575 204 202
Creatinine, Body Fluid LC 39001080 82570 4.21  
Cryptosporidium EIA LC 39001399 87328 122.75  
Crystal,Synovial/Joint Fl LC 39001460 89060 9.21 9.21
Ct/GC NAA, Pharyngeal LC 39001647   0  
Cyclosporine, Blood LC-MS/MS LC 39001003 80158 16.47  
Cyclosporine, Blood IA LC 39001004 80158 16  
Cystic Fibrosis Profile LC 39001485 81220 113.73  
Cytokine Panel 820202 LC   83520 315  
Cytomegalovirus (CMV) Ab, IgG LC 39001322 86644 6.13  
Cytomegalovirus (CMV) Ab, IgM LC 39001323 86645 8  
D-Dimer 30001089 85379 220 153
DHEA, Serum LC 39001084 82626 9  
DHEA-Sulfate LC 39001085 82627 11  
DLDL 30001059 83721 75 72
Delta Aminolevulinic Acid, Random Urine LC 39001644 82135 25.96  
Digoxin Level 30001014 80162 242 168
Dihydrotestosterone LC 39001022 82642 68.4  
Direct Health Screening        
Drug Screen Urine 30001020 80307 223 223
Drug Screen- Collection Only 30001110 99001 69 66
Drug Screen 7 w/Conf, WB LC 39001505 80307 210  
E coli Shiga Toxin EIA LC 39001404 87427 33.13  
E. Coli 0157 Shiga Toxin 30001101 87335 162 128
EBV Ab VCA, IgG LC 39001324 86665 13.13  
EBV Ab VCA, IgM LC 39001325 86665 13  
EBV Antibody Profile LC 39001687 86664 13.13  
Electrolyte Panel 30001007 80051 143 99
Employee Needle Stick        
Enterovirus RT-PCR LC 39001411 87498 314  
Epstein-Barr Virus PCR LC 39001428 87798 214.02  
Erythropoietin (EPO), Serum LC 39001088 82668 6.5  
Estradiol LC 39001089 82670 29.77  
Estradiol, Sensitive LC 39001089 82670 29.77  
Estrogens, Total LC 39001091 82672 19.25  
Estrone, Serum LC 39001661 82679 28.5 28.5
Extrinsic Pathway Coagulation Factor Profile LC 39001677 85210 217.25 217.25
FISH Microdeletion LC 0   0  
FSH and LH LC 39001110   0  
FSH, Serum LC 39001109 83001 79.5  
Factor II, DNA Analysis LC 39001481 81240 99.85  
Factor IX Activity LC 39001231 85250 67.9  
Factor V Leiden Mutation LC 39001609 81241 61.78  
Factor X Activity 086306 LC 39001002 85260 63.89  
Fecal Fat, Qualitative LC 39001093 82705 9  
Fecal WBC 30001098 87205 104 79
Felbamate (Felbatol(R)), Serum LC 39001680 80299 16.65 16.65
Ferritin, Serum LC 39001095 82728 4.75  
Fetal Cell LC 39001236 85460 67  
Fetal Fibronectin LC 39001096 82731 155  
Fetal, Fibronectin 30001193 82731 1448 724
Folate (Folic Acid), Serum LC 39001097 82746 5.26  
Folate, RBC LC        
Free K+L Lt Chains,Qn,S LC 39001164 83883 40  
Free T4 Level 30001074 84439 218 151
Fructosamine LC 39001108 82985 6.31  
Fungus (Mycology) Culture LC 39001389 87101 15.25  
Fungus Stain LC 39001393 87206 13.25  
GAD-65 Autoantibody LC 39001137 86341 30  
GI Panel (BioFire) 30001701 87507 11296 5648
GI Profile, Stool, PCR LC 39001494 87507 210  
Gamma Glutamyl Transferase 30001051 82977 152 152
General Health Panel 30001006 80050 649 450
Genital Culture, Routine LC 39001383 87070 13.25  
GenoSure(R) Integrase LC 39001662   0  
Gentamicin Lvl Peak   80170 242 168
Gentamicin Lvl Trough 30001076 80170 242 168
Gentamicin Lvl 30001016 80170 242 168
Gentamicin Trough, Serum LC 39001008 80170 85.36  
Giardia Antigen Qualitative 30001100 87329 136 112
Giardia lamblia Ag, EIA LC 39001400 87329 15  
Glucose CSF 30001046 82945 153 120
Glucose Lvl 30001047 82947 84 84
Glucose POCT     84 84
Glucose Tolerance 2 Hour 30001049 82951 269 269
Glucose Tolerance 3 Hour 30001117 82952 93 84
Glucose Tolerance (Gest) 1 Hr 50gm        
Glucose Tolerance 2 Hour        
Glucose, Body Fluid LC 39001107 82945 3.6  
Gluten Sensitivity Screen LC 39001663 83516 220 220
Gonococcus NAA: LC 39001645 87591 67  
Gram Stain w/Sputum Cult Rflx LC 39001515 87205 7.75  
Group B Strep (Solana)        
Growth Hormone, Serum LC 39001113 83003 8.98  
Guaiac Gast 30001115 82271 61 61
H pylori, IgM, IgG, IgA Ab LC 39001329 86677 41.82  
H. Pylori Antibody 30001095 86677 149 149
H. pylori Stool Ag, EIA LC 39001401 87338 37.5  
HAV/HBV (Profile VII) LC        
HAV/HBV Immune Status (Pro IV) LC 39001341   5  
HBV RT PCR, Quant (Graph) LC 39001413 87517 230  
HBsAg Screen LC 39001532 87340 3.62 3.62
HCV Ab w/Rflx to Verification LC 39001378 86803 6  
HCV Antibody LC 39001379 86803 6.05  
HCV Antibody RFX to Quant PCR LC 39001376 86803 6  
HCV Antibody Cascade to Quant PCR and Genotyping 144127 LC 39001630 86803 24.2 24.2
HCV FibroSure LC 39001488 81596 145.5  
HCV Genotyping Non Reflex LC 39001434 87902 197  
HCV NAA Qualitative (rfx Geno) LC 39001414 87521 88  
HCV NS5A Drug Resistance Assay LC        
HCV RNA NAA Qualitative LC 39001415 87521 88  
HCV RNA NAA Qual rfx to Quant LC 39001414 87521 88  
HCV RNA PCR Qn(Graph) Rfx NS5A LC 39001417 87522 126  
HCV RNA by PCR, Qn Rfx Geno LC 39001417 87522 126  
HCV RNA by PCR, Qn Rfx Geno GRAPH LC 39001417 87522 126  
HCV RT-PCR, Quant (Graph) LC 39001418 87522 126  
HCV RT-PCR, Quant (Non-Graph) LC 39001419 87522 126.1  
HCV RealTime Abbott LC 39001501 87522 647.75  
HDL Cholesterol 30001058 83718 136 112
HIV 1/0/2 LC 39001007 87389 6.19  
HIV 1/2 Antibody Screen 30001096 86703 138 114
HIV-1, Quant, RT PCR (Nongraphical), w/Rflx to GenoType LC 550655 39001635 87536 386 386
HLA B 27 Disease Association LC 39001030 81374 23.64  
HNK1 (CD57) Panel LC        
HPV 16 LC 39001645 87624 67  
HSV 1 NAA: LC 39001645 87529 67  
HSV 1 and 2-Spec Ab, IgG w/Rfx LC 39001542   0  
HSV 1/2 PCR LC 39001420 87529 108.64  
HSV 2 NAA: LC 39001645 87529 67  
HSV Culture and Typing LC 39001397 87255 22  
HSV type 1-Specific Ab, IgG LC 39001333 86695 14.3  
Haemophilus influenzae B, IgG LC 39001606 86317 92.99  
Haptoglobin LC 39001065 82390 6.36  
Health Fair PDH        
Heavy Metals Profile, Urine LC        
Heavy Metals Profile I, Blood LC 12000113 82175 20.5  
Hematocrit (Spun) 30001085 85013 74 74
Hematocrit 30001182 85014 64 32
Hemoglobin and Hematocrit 30001122 85014 82 41
Hemoglobin A1c 30001052 83036 233 162
Hep A Ab, Total LC 39001346 86708 5.79  
Hep B Core Ab, Tot LC 39001339 86704 7.1  
Hep B Core Ab, IgM LC 39001340 86705 6  
Hep B Surface Ab LC 39001341 86706 5.38  
Hep Be Ag LC 39001403 87350 6  
Hep Fnct Pnl 30001012 80076 160 125
Hepatitis B Surf Ab Quant LC 39001291 86317 26.76  
Hepatitis B Surface Antigen        
Hepatitis Panel (4) LC 39001001 80074 21.29  
Hepatitis Profile VI (Hepatitis B profile) 058545 LC 39001649   0  
Hered.Hemochromatosis, DNA LC 39001681 81256 94.01 94.01
Hgb A1c with eAG Estimation LC 39001117 83036 6.31  
Hgb Solubility LC 39001238 85660 4.53  
Histamine Determination, Plasma LC 39001648 83088 6.29  
Histoplasma Abs, Qn, DID LC 39001335 86698 73  
Homocyst(e)ine LC 39001120 83090 29  
Human Immunodeficiency Virus 1, Quant, RT PCR (Graph) LC 39001423 87536 87.54  
IFE+Protein Electro, 24-Hr Ur LC        
IFE, PE and FLC, Serum LC        
IGF-1 LC 39001198 84305 15  
IGF-BP1 LC 39001143 83520 45  
IGF-BP3 LC 39001624 83520 23.67  
IGP,Aptima HPV,Age Gdln LC 39001701 87624 187.75  
IgG, Subclasses(1-4) LC 39001605 1-82784|2-82787|3-82787|4-82787|5-82787 58.07  
IgVH Somatic Hypermutation LC 39001684 81263 577.68 577.68
Immunofixation, Serum LC 39001626   0  
Immunofixation, Urine LC 39001603 86335 23.31  
Immunoglobulin G, Qn, Serum LC 39001099 82784 4.84  
Immunoglobulin A, Qn, Serum LC 39001099 82784 4.84  
Immunoglobulin E, Total LC 39001104 82785 7  
Immunoglobulins A/G/M, Qn, Ser LC 39001102 82784 14.52  
Immunoglobulins A/E/G/M, Serum LC 39001104   5.38  
Immunoglobulin M, Qn, Serum LC 39001604 82784 4.55  
Infliximab (IFX) Conc+ IFX Ab LC     0  
Infliximab and Anti-Infliximab Antibody (Serial Monitor), DoseASSURE™ IFX LC 503870 39001651   0  
Influenza A/B (ID NOW) 30001104 87502 380 190
Insulin Antibodies LC 39001294 86337 27  
Insulin LC 39001144 83525 70  
Insulin and C-Peptide, Serum LC 39001224   0  
Intrinsic Factor Abs, Serum LC 39001295 86340 11.06  
Iodine, Random Urine LC 39001545 39001545 61.5  
Iron Level 30001053 83540 132 126
Iron Panel 30001123   0 0
JAK2 Mutation Analysis, Qual LC 39001659 81270 194.4  
Ketones Serum 30001028 82010 171 146
Kidney Stone, w/ Urine/Saturation Calc LC 306266 LC 39001623   94.73 94.73
LA Ven 30001055 83605 164 114
LD, Body Fluid LC 39001462 83615 124  
Lactate Dehydrogenase 30001056 83615 85 60
Lactoferrin, Fecal, Quant. LC 39001150 83631 132.75  
Lamotrigine (Lamictal), Serum LC 39001549 80175 30.35  
Lead, Blood (Pediatric) LC 39001152 83655 3.5  
Lead, Blood (Adult) LC 39001151 83655 3.5  
Levetiracetam (Keppra), S LC 39001011 80177 20  
Lipase Level 30001057 83690 172 144
Lipid Pnl 30001010 80061 224 158
Lipoprotein (a) LC 39001153 83695 10.94  
Lithium (Eskalith(R)), Serum LC 39001012 80178 5.2  
Liver-Kidney Microsomal Ab LC 39001299 86376 5  
Lupus Anticoagulant Reflex LC        
Lupus Anticoagulant Comp LC 117054   0  
Luteinizing Hormone(LH), S LC 39001111 83002 30  
Lyme (B. burgdorferi) PCR LC 39001406 87476 118  
Lyme Ab/Western Blot Reflex LC 39001316 86618 38  
Lyme, Total Ab Test/Reflex LC 39001315 86618 18  
MRSA Screening Culture LC 39001480 87081 27  
MTHFR LC 39001029 81291 85.36  
Magnesium Level 30001060 83735 144 106
Maternal Cell Contamination 511402 LC 39001683 81265 387  
Measles/Mumps/Rubella Immunity LC 39001358   0  
Meconium 9 Panel LC 39001019 80307 91  
Metanephrines, Frac., Pl. Free LC 39001161 83835 35  
Metanephrines, Frac, Qn, 24-Hr LC 39001162 83835 23.04  
Methylmalonic Acid, Serum LC 39001168 83921 20  
Microalbumin Level 24 Hour Urine 30001030 82043 199 138
Microalbumin Level Urine 30001031 82043 171 130
Microalbumin/Creatinine Ratio Urine 30001111   0 0
Miscellaneous Testing LC 39001477   0 0
Mitochondrial (M2) Antibody LC 39001129 83516 18.44  
Mono Scrn 30001093 86308 108 108
Mumps Antibodies, IgG LC 39001350 86735 7  
Myasthenia Gravis Panel I LC 39001484 83519 301  
N-Methylhistamine, 24hr Urine 813653 LC 39001633 82542 246.16 246.16
NMR LipoProfile LC 39001625   0  
NT-Pro BNP 30001061 83880 238 238
Needlestick 1-3        
Needlestick 4        
Needlestick 5&6        
Neonatal Direct Bilirubin 30001035 82248 106  
Neonatal Total Bilirubin 30001034 82247 106  
Nicotine/Cotinine, Screen & Confirmation, Urine LC 39001670 80307 120 120
Norovirus, RT-PCR LC 39001482 87798 171  
OB No Prenatal History        
OB Profile PCMH        
Obstetric Panel        
Occult Bld Stl Screen 1-3 30001114 82270 68 34
Occult Blood Screen 2        
Occult Blood Screen 3        
Occult Blood Diagnostic 1st Spec 30001134 82272 64 32
Occult Blood Diagnostic 2nd Spec        
Occult Blood Diagnostic 3rd Spec        
Occult Blood, Fecal, IA LC 39001052 82274 68  
Organic Acid Analysis, Urine LC 39001167 83919 96.76  
Organism ID, Bacteria LC 39001386 87077 14  
Organism ID by Sequencing LC   87153    
Organism ID by MALDI LC        
Osmolality LC 39001169 83930 5.53  
Osmolality, Urine LC 39001170 83935 5.76  
Osteocalcin LC 39001548 39001548 21.68  
Ova + Parasite Exam LC 39001391   0  
Oxalate, Quant, 24-Hour Urine LC 39001172 83945 10.51  
Oxcarbazepine (Trileptal),S LC 39001013 80183 9  
PKU 30001004 36416 10 10
PSA Diag 30001067 84153 276 194
PSA Screen 30001067 84153 276 194
PSA Total+% Free LC 39001479   0  
PSA, Ultrasensitive W/O Serial LC 39001188 84153 30.21  
PT/ PTT 30001121   0 0
PTH, Intact LC 39001173 83970 5  
PTHrP (PTH-Related Peptide) LC 39001066 82397 23.68  
PTT 30001092 85730 180 131
PTT-LA LC 12000111 85732 28  
Paliperidone, Serum LC 39001493 80342 100.8  
Pancreatic Elastase, Fecal LC 39001087 82656 245  
Pap IG, Ct-Ng, rfx HPV all LC        
Pap IG, CtNgTvHSV, hr HPV, Rfx 16/18 198305 LC        
Pap IG, w/Rflx hr HPV on ASCUS, SIL, AGUS LC 39001637 88175 20  
PapIG, CtNgTvHSV,HPV,rfx16/18 LC 39001645 88175 67.03  
Parasite Exam, Blood LC 39001394 87207 17  
Pathology Request AUR 39001100   0  
Phenobarb Lvl 30001017 80184 242 168
Phenytoin 30001018 80185 242 168
Phenytoin (Dilantin), Serum LC 39001489 80185 10.42  
Phosphorus Level 30001063 84100 84 59
Phosphorus, Random Urine LC 39001469 84105 128  
Pinworm Prep - Enterobius LC 39001665 87172 6.25 6.25
Porphobilinogen, Qn, 24-Hr Ur LC 39001179 84110 10.07  
Porphobilinogen (PBG), Quantitative, Random Urine LC 003053 39001643 84110 9.47 9.47
Porphyrins, Qn, 24 Hr Ur. LC 39001181 84120 26.25  
Porphyrins, Quantitative, Random Urine LC 120980 39001642 84120 12.31 12.31
Post Vas 30001109 89321 130 104
Potassium Level 30001065 84132 91 91
Potassium, Urine LC 39001466 84133 101  
Prealbumin 30001066 84134 65 65
Pregnancy Test Serum Qual 30001083 84703 155 108
Pregnancy Test Urine 30001027 81025 108 108
Pregnancy-Induced Hypertension        
Pregnenolone, Mass Spectrometry (Endocrine Sciences) LC 39001691 84140 30.12  
Prenatal 28 Weeks Panel 30001009 80055 507 434
Prenatal Panel Complete PDH        
Prenatal Panel 30001191 80055 390  
Procalcitonin LC 39001186 84145 261  
Progesterone LC 39001185 84144 9.2  
Prolactin LC 39001187 84146 7.88  
Prolonged Activated Partial Thromboplastin Time (aPTT) LC 39001675      
Prostaglandins D2 Urine LC 39001632 84150 300 300
Prot Electro+Interp, 24-Hr Ur LC        
Prot,U24 Calculated LC 39001658 84166 17.38 17.38
Protein C-Functional LC 39001233 85303 27.65  
Protein Cerebrospinal Fluid 30001071 84157 160 112
Protein Electro.,S LC 39001020   0  
Protein Electro, Random Urine LC        
Protein Elec + Interp, Serum LC 39001653 84155 37.12  
Protein Level 24 Hour Urine 30001070 84156 152 112
Protein S Panel LC 39001500   0  
Protein Total 30001068 84155 106 106
Protein Urine 30001069 84156 149 103
Protein, Body Fluid LC 39001190 84157 3.6  
Protein,Ttl,U LC 39001658 84156 17.37 17.37
Protein/Creatinine Ratio Urine 30001120   0 0
Prothrombin Time and INR 30001090 85610 110 99
QuantiFERON-TB Plus(Client Incubated) LC 39001303 86480 55  
Quetiapine, Serum or Plasma 808404 LC 39001654 80342 272 272
QunatiFERON-TB Gold Plus LC 39001303 86480 55  
RNA, Real Time PCR (Non-Graph) LC 39001421 87536    
RNP Antibodies LC 39001275 86235 13  
RPR, Rfx Qn RPR/Confirm TP LC 39001304 86592 2.99  
RSV 30001102 87420 162 112
RSV (ID NOW) 30001102 87420 224 112
Rainbow Tube        
Rapid Plasma Reagin 30001094 86592 130 90
Rapid Plasma Reagin, Quant LC 39001306 86593 4.5  
Renal Pnl 30001011 80069 168 134
Renin Activity, Plasma LC 39001195 84244 14.88  
Renin Activity and Aldosterone LC 39001195      
Resp Pnl 2.1 (BioFire) 30001202 87631 1188 594
Resp Virus Panel (RVP) PCR LC 39001426 87633 490  
Respiratory Panel 2 (BioFire) 30001205 87633 1802  
Retic Count Absolute 30001192 85044 117 59
Reticulocyte Count Automated 30001088 85044 120 106
Reticulocyte Count LC 39001226 85045 3.5  
Reverse T3, Serum LC 39001217 84482 23.04  
Rheumatoid Arthritis Factor LC 39001464 86431 138  
Rheumatoid Arthritis Profile LC 39001302   0  
Rollet Brothers Wellness Profile        
Rubella Antibodies, IgG LC 39001356 86762 10.51  
Rubella Antibodies, IgM LC 39001356 86762 10.51  
Rubella Antibodies, IgG LC        
Rubella IgG Ab 30001097 86762 168 142
Rubeola Antibodies, IgG LC 39001358 86765 7.88  
SARS-CoV-2 (COVID-19) RNA (ID Now) 30001201 87635 168 84
SARS-CoV-2 Antibody, IgM LC 39001639 86769 42.13 42.13
SARS-CoV-2 Antibody, IgG LC 39001016 86769 42.13 42.13
SARS-CoV-2 Antibody, IgA LC 39001638 86769 42.13 42.13
SARS-CoV-2 (COVID-19) Antibody, IgG LC        
SARS-CoV-2 Total Antibody 30001195 86769 169 84
SARS-CoV-2 (COVID-19) RNA (Lyra) 30001194 87635 168 84
Salicylate Level 30001023 80329 185 185
Salicylate & Acetaminophen        
Salivary Cortisol,MS LC 39001075 82533 47  
Sedimentation Rate (ESR) 30001091 85651 106 106
Selenium, Blood LC 39001196 84255 38.93  
Semen Presence 30001109 89321 130 104
Sex Horm Binding Glob, Serum LC 39001197 84270 18.43  
Sjogren's Ab, Anti-SS-A/-SS-B LC 39001278 86235 17  
Smith Antibodies LC 39001277 86235 58.2  
Sodium Level 30001072 84295 100 91
Sodium Level 24 Hour Urine 30001132 84300 101 50
Sodium Level Urine 30001073 84300 92 91
Stool Culture LC 39001380 87045 33.5  
Stool Panel PDH        
Strep A (ID NOW) 30001106 87880 206 103
Strep A Scrn 30001106 87880 140 103
Susceptibility, Anaerobic, MIC LC 39001392   14  
Susceptibility, Aer + Anaerob LC 39001392 87186 14  
Susceptibility, Gram Pos Rods LC 39001518 87186 72.25  
Systemic Lupus Profile A LC 39001275 86235 13  
T pallidum Ab (FTA-Ab) LC 39001363 86780 8.75  
T pallidum Screening Cascade LC 39001363 86780 8.75  
T3 Uptake LC 39001214 84479 3.5  
T4, Free(Direct) LC 39001660 84439 4.75  
TSH LC 39001660 84443 4.58  
Tacrolimus (FK506), Blood LC 39001015 80197 55.29  
Tacrolimus by Immunoassay LC 39001492 80197 43  
Testosterone, Serum LC 39001203 84403 28  
Testosterone, Total, Women, Children, and Hypogonadal Males, LC/MS-MS LC 39001203 84403 28  
Testosterone, Free, Direct LC 39001202 84402 25  
Testosterone, Free+Total LC/MS LC 39001202   0  
Testosterone,F/WklyBd+T LC/MS LC 39001205 84410 27.65  
Testosterone, Free/Tot Equilib LC 39001202   13  
Testosterone,Free and Total LC 39001202   0  
Testosterone,Free+Weakly Bound LC 39001205 84410 27.65  
Tetanus Toxin Antibodies LC 39001601 86317 15.4  
TgAb+Thyroglobulin,IMA or LCMS LC 39001373 86800 8.53  
TgAb+Thyroglobulin,IMA or RIA LC 042060 39001374 86800 8.53 8.53
Thyroglobulin Antibody LC 39001373 86800 8.53  
Thyroglobulin (TG-RIA) LC 39001491 84432 55.25  
Thyroid Antibodies LC 39001543   0  
Thyroid Panel LC 39001209   0  
Thyroid Panel With TSH LC 39001209   0  
Thyroid Peroxidase (TPO) Ab LC 39001301 86376 5.5  
Thyroid Profile 30001125   0 0
Thyroid Stimulating Hormone 30001075 84443 260 184
Thyroid Stim Immunoglobulin LC 39001211 84445 52  
Thyroid Stimulating Hormone        
Thyroid-stimulating Hormone (TSH) and Free T4 LC        
Thyrotropin Receptor Ab, Serum LC 39001136 83520 17  
Thyroxine (T4) LC 39001209 84436 3.7  
Thyroxine (T4), Free, Direct LC 39001608 84439 4.95  
Total Parenteral Nutrition        
Toxoplasma gondii Ab, IgG, Qn LC 39001671 86777 8.23 8.23
Transferrin LC 39001213 84466 7.74  
Treponema pallidum Antibodies LC 39001364 86780 9  
Treponema pallidum Antibodies LC        
Trich vag NAA LC 39001645 87661 67  
Triglycerides 30001078 84478 85 60
Triiodothyronine (T3) LC 39001215 84480 6  
Triiodothyronine (T3), Free LC 39001216 84481 5  
Troponin-I 30001079 84484 271 262
Trypanosoma Cruzi Ab IgG LC 39001353 86753 32  
Tryptase LC 39001138 83520 13.82  
U Electrolytes        
U24 Creat 30001044 82570 132 106
UA w Culture if Ind 30001130 81003 56 51
UA w Micro if Ind 30001024 81001 104 99
Uric A+CBC/D/Plt+ESR-Wes+AN...LC        
Uric Acid 30001081 84550 85 59
Uric Acid, 24 hr Urine LC 003418 39001640 84560 3.7 3.7
Urinalysis Microscopic 30001026 81015 72 57
Urinalysis Dipstick 30001025 81003 56 51
Urine Culture, Routine LC 39001513 87086 8  
VDRL, CSF LC 39001304 86592 2.99  
Valproic Acid 30001015 80165 242 232
Valproic Acid (Depakote)(R),S LC 39001621 80164 4.95  
Vanco 30001019 80202 75 75
Vanco Pk 30001128 80202 75 75
Vanco Tr 30001129 80202 75 75
Varicella-Zoster V Ab, IgG LC 39001367 86787 9  
Varicella-Zoster Ab, IgM LC 39001366 86787 16.59  
Viral Culture, General LC 39001395 87252 37.71  
Viral Culture,Rapid,Lesion LC 186056 39001098   0  
Vit D 25 OH Lvl 30001036 82306 260 260
Vitamin A, Serum LC 39001219 84590 14  
Vitamin B1 (Thiamine), Blood LC 39001207 84425 16  
Vitamin B12 LC 39001083 82607 4.5  
Vitamin B12 and Folate LC 39001528   0  
Vitamin B2, Whole Blood LC 39001479 84252 11  
Vitamin B3 (Niacin+Metabolite) LC 39001483 84591 310  
Vitamin B6, Plasma LC 39001194 84207 23.04  
Vitamin C LC 39001048 82180 13  
Vitamin K1 LC 39001676 84597 175 175
West Nile Virus Antibody, CSF LC 39001209 86788 0  
Wet Mount 30001099 87210 90 90
White Blood Cells (WBC), Stool LC 39001512 89055 7.5  
Zinc, Plasma or Serum LC 39001221 84630 62.75  
Zinc, Whole Blood LC 39001221 84630 62.75  
dRVVT LC 12000110 85613 28  
i-Stat BMP        
t-Transglutaminase (tTG) IgA LC 39001127 83516 18  
t-Transglutaminase (tTG) IgG LC 39001131 83516 13  
von Willebrand Factor (vWF) Ag LC 39001230 85246 65.03  
von Willebrand Profile LC        
zzGlucose Tolerance Post Prandial 1 Hour 30001048 82950 136 112
96360 IV INF,HYDRATION,1ST HR. CHARGE 63001002 96360 399  
96361 IV INFUSION HYDRATION ADDTL HR CHARGE 63001003 96361 222  
96365 IV INFUSION; MEDICINE;1ST HR. CHARGE 63001004 96365 458  
96366 IV INFUSION MEDICINE ADDTL HOU CHARGE 63001005 96366 156  
96367 ADDTL SEQUENTIAL INFUSION CHARGE 63001006 96367 255  
96368 CONCURRENT INFUSION CHARGE 63001007 96368 154  
96372 THER/PROPH/DX INJ IM/SQ CHARGE 63001008 96372 97  
96374 IV PUSH, SINGLE/INITIAL DRUG CHARGE 63001009 96374 270  
96375 IV PUSH; EA ADDTL NEW DRUG/SUB CHARGE 63001000 96375 111  
96376 IV PUSH; EA ADDTL SAME DRUG >3 CHARGE 63001001 96376 97  
96401 CHEMO,ANTI-NEOPLASM,SQ/IM CHARGE 33000001 96401 270  
96402 Chemo Hormonal Anti-Neoplastic SQ/IM 33000004 96402 171  
96413 CHEMO ADM IV INF 1 HR, INITIAL CHARGE 33000002 96413 721  
96415 CHEMO ADM IV INF, EA ADDTL HR CHARGE 33000003 96415 150  
Chemo Charges PDH        
Infusion Charges PDH_CA        
Infusion, Injection and Vaccine Charges HHSC        
31500 EMERGENCY INTUBATION ENDO TRACHEAL CHARGE 23001014 31500 665  
32554 THORACENTESIS PLEURAL ASP W/O GUIDANCE CHARGE 23001019 32554 2334  
36510 NEWBORN UMBILICAL VEIN CATH CHARGE 23001022 36510 312  
36591 BLD DRAW FROM IMPLANTED PORT CHARGE 21001011 36591 140  
36660 NEWBORN UMBILICAL ARTERY CATH CHARGE 23001021 36660 224  
41010 INCISION OF LINGUAL FRENUM CHARGE 23001017 41010 3542  
43753 TX GASTRIC INTUBATION ASPIRATION LAVAGE CHARGE 23001012 43753 794  
51703 INSERT BLADDER CATH INDWELLING, COMPLEX CHARGE 23001010 51703 435  
54150 CIRCUMCISION CLAMP OTH DEV W/BLOCK CHARGE 23001008 54150 602  
54160 CIRCUMCISION CLAMP OTH DEV W/O BLOCK CHARGE 23001009 54160    
59412 EXTERNAL CEPHALIC VERSION CHARGE 21001005 59412 2119  
59412 UNSUCCESSFUL EXTERNAL CEPHALIC VERSION CHARGE 21001006 59412 2119  
81002 URINALYSIS NON AURO W/O MIRCO (DIPSTICK) CHARGE 23001023 81002 38  
82271 URINALYSIS NON AUTO W/O MICRO (DIPSTICK) CHARGE 21001014 82271 75  
83986 POC PH BODY FLUID (NITRAZINE TEST) CHARGE 21001015 83986 40  
87210 WET MOUNT TRICHOMONAS VAG SMEAR CHARGE 21001013 87210 75  
90460 ADMIN VAC/TOX THRU 18 YRS 1ST COMPONENT CHARGE 21001009 90460 77  
90461 ADMIN VAC/TOX THRU 18 YRS EA ADD COMPONENT CHARGE 21001010 90461 30  
92586 NEWBORN HEARING SCREEN ABR CHARGE        
94780 CARSEAT CHALLENGE (60 MINS) CHARGE 23001024 94780 97  
94781 CARSEAT CHALLENGE (EA ADDL FULL 30 MINS) CHARGE 23001025 94781 54  
96900 PHOTOTHERAPY DAILY CHARGE 23001011 96900 660  
99212 L&D LEVEL l (TRIAGE) 0-6 HRS CHARGE 21001000 99212 385  
99212 L&D LEVEL l (TRIAGE) 6-12 HRS CHARGE 21001001 99212 660  
99213 L&D LEVEL ll (TRIAGE) 0-6 HRS CHARGE 21001002 99213 440  
99213 L&D LEVEL ll (TRIAGE) 6-12 HRS CHARGE 21001003 99213 825  
AMNIOCENTESIS, DIAGNOSTIC CHARGE 22001031   922  
AMNIOINFUSION CHARGE 22001040   520  
BLADDER IRRIGATION SIMPLE LAVAGE CHARGE 22001032   274  
BLOOD/BLD PRODUCTS TRANSFUSION PER DAY CHARGE 22001033   985  
CARE HIGHT RISK ANTENATAL/POSTPARTAL CHARGE 22001034      
CATHETERRIZE FOR URINE SPECIMEN CHARGE 22001018   156  
COLLECT CAPILLARY BLOOD SPECIMEN CHARGE 22001019   20  
DELIVERY FORCEPS OR VACUUM (VAGINAL ONLY) CHARGE 22001035   715  
EPIDURAL INTRATHECAL CARE (PER EPIDURAL) CHARGE 22001020   385  
EXTERNAL CEPHALIC VERSION CHARGE 22001036   2119  
FETAL NON STRESS TEST CHARGE 22001021 59025 503  
FETAL SCALP ELECTRODE APPLICATION CHARGE 22001022   198  
HIGH RISK TRANSPORT (WITHIN FACILITY) CHARGE 22001037      
INJ EPIDRAL/BLD/CLOT PATCH (BLOOD PATCH) CHARGE 22001038   1731  
INSERT CERVICAL DILATOR (e.g. Cytotec, Cervidil, foley balloon) CHARGE 22001039 59200 488  
IUPC APPLICATION CHARGE 22001023   520  
L&D LEVEL V, 0-6 HRS CHARGE 22001008   4620  
L&D LEVEL V, 6-12 HRS CHARGE 22001009   5172  
L&D LEVEL V, 12-18 HRS CHARGE 22001010   5720  
L&D LEVEL V, 19-24 HRS CHARGE 22001011   6270  
L&D LEVEL Vl, 0-6 HRS CHARGE 22001012   4950  
L&D LEVEL Vl, 6-12 HRS CHARGE 22001013   5500  
L&D LEVEL Vl, 12-18 HRS CHARGE 22001014   6050  
L&D LEVEL Vl, 18-24 HRS CHARGE 22001015   6600  
L&D LEVEL iV, 6-12 HRS CHARGE 22001005   4620  
L&D LEVEL lll, 0-6 HRS CHARGE 22001000   3850  
L&D LEVEL lll, 6-12 HRS CHARGE 22001001   4400  
L&D LEVEL lll, 12-18 HRS CHARGE 22001002   4950  
L&D LEVEL lll, 18-24 HRS CHARGE 22001003   5500  
L&D LEVEL lV, 0-6 HRS CHARGE 22001004   4180  
L&D LEVEL lV, 12-18 HRS CHARGE 22001006   5170  
L&D LEVEL lV, 18-24 HRS CHARGE 22001007   5720  
MEAS POST VOID BLADDER RESID (BLADDER SCAN) CHARGE 22001024   153  
NEWBORN HEARING SCREENING CHARGE 20010003 92588 43  
NEWBORN TRANSITIONAL CARE (__HR) CHARGE 23001018   94  
Newborn Resuscitation Charge 20010005 99465 747  
Nursery Charges PDH_CA        
OB Antepartum/C-Section/L&D Charges PDH_CA        
OB Triage/Observation Charges PDH_CA        
PLACENTA DELIVERY (DELIVERED INFANT AT HOME OR ON ROUTE) CHARGE 22001041   4624  
PUDENDAL BLOCK CHARGE 22001025   2420  
RECOVERY VAG DELIV 1ST HR CHARGE 22001016   275  
RECOVERY VAG DELIV EA ADDL HR CHARGE 22001017   138  
REGIONAL EPIDURAL (INSERT/PLACE ASSIST) CHARGE 22001026   2420  
URETHRAL CATH INSERTION INDWELL SIMPLE CHARGE 22001027   83  
URETHRAL CATH INSERTION INDWELL COMPLEX CHARGE 22001028   435  
URETHRAL CATH INSERTION (NON INDWELLING) CHARGE 22001029   195  
URETHRAL CATH INSERTOPM (NON INDWELL FOR SPECIMEN) CHARGE 22001030   156  
VAGINAL DELIVERY LEVEL 1 CHARGE 20010001   1470  
VAGINAL DELIVERY LVL 1 CHARGE 23001042 59409 1070  
Anaerobic Culture 30001140 87075 172  
Bacitracin Disk 30001146 87147 19  
Beta Lysin Disk 30001149 87158 19  
Blood Culture 30001119 87040 188  
Blood Unit Culture 30001119 87040 188  
Body Fluid Culture 30001125 87070 208  
Cerebrospinal Fluid Culture 30001125 87070 208  
Ear Culture 30001127 87070 172  
Eye Culture 30001139 87070 186  
GROUP B STREP CULTURE 30001141 87081 90  
Genital Culture 30001126 87070 186  
Gram Stain Report 30001154 87205 100  
Group B Strep Culture 30001141 87081 90  
Kirby-Bauer 30001138 87184 104  
MRSA Screen Culture 30001144 87081 45  
Minimum Inhibitory Concentration 30001153 87186 124  
Nasal Culture 30001152 87070 172  
Neiserria gonorrhea Culture 45001106 87070 63  
Nisseria/Haemophilus rapid ID 30001150 87158 19  
Slide coagulase 30001145 87147 19  
Sputum Culture 30001132 87070 186  
Strep A latex 30001147 87147 19  
Strep B latex 30001148 87147 19  
Strep Confirmation 30001124 87070 124  
Throat Culture 30001136 87070 172  
Urine Culture 30001137 87086 124  
Wound Culture 30001151 87070 186  
0001A Pfizer-Biontech Covid-19 Vaccine - 1st Dose        
0001A Pfizer-Biontech Covid-19 Vaccine - First Dose        
0001A Pfizer-Biontech Covid-19 Vaccine - First Dose        
0002A Pfizer-Biontech Covid-19 Vaccine - 2nd Dose        
0002A Pfizer-Biontech Covid-19 Vaccine - Second Dose        
0002A Pfizer-Biontech Covid-19 Vaccine - Second Dose        
10005 FNA BX w/ultrasound 80001022 10005 610  
19083 BREAST BX W/LOCALIZATION CLIP CHARGE 80001003 19083 3115  
19084 BREAST BX EA ADDTL LESION CHARGE 80001004 19084 1922  
19084 PLACEMENT OF BREAST CATHETER CHARGE        
19296 PLACEMENT OF BREAST CATHETER CHARGE 80001005 19296 11067  
1:1 INCR NURSING CARE CHARGE 85001000   177  
23700 SHOULDER MANIP UNDER ANESTH CHARGE 80001006 23700 917  
24201 REMOVAL FOREIGN BODY/UPPER ARM CHARGE 80001007 24201 3778  
27570 MANIPULATION KNEE; GEN ANESTH CHARGE 80001008 27570 705  
32551 INSERTION OF CHEST TUBE BILAT CHARGE 23001020 32551 2978  
32555 THORACENTESIS ASP W/IMAGING CHARGE 80001009 32555 1159  
33285 IMPLANT PT-ACT EVENT RECORDER CHARGE 80001010 33285 1063  
36416 COLLECTION OF CAPILLARY BLOOD SPECIMEN CHARGE 23001006 36416 20  
36430 BLOOD ADMINISTRATION CHARGE 21001016 36430 985  
36475 ENDOVENOUS ABLATION CHARGE 80001011 36475 6604  
36593 Declotting by Thrombolytic Agent of Implanted Vascular Access Device or Catheter Tech 80001024 36593 309.6  
38505 BIOPSY LYMPH NODE SF NEEDLE CHARGE 80001012 38505 561  
43762 REPLACEMENT OF GASTROSTOMY TUBE Charge 90001489 43762    
47000 LIVER BX; PERCUTANEOUS CHARGE 80001013 47000 1736  
49083 ABD PARACENTESIS W/IMAGING CHARGE 80001014 49083 1499  
49180 BX ABD/RETROPERITONEAL MASS CHARGE 80001015 49180 718  
51102 DRAIN BL W/CATH INSERTION 80001023 51102 1771.55  
55700 BX,PROSTATE;NEEDLE/PUNCH CHARGE 80001016 55700 1557  
58300 Insertion of Intrauterine Device 80001025 58300 316  
59025 FETAL NON STRESS TEST CHARGE 21001004 59025 503  
66821 YAG LASER CHARGE 80001017 66821 1241  
90471 ADM VACCINE SINGLE CHARGE 21001007 90471 77  
90471 IMMUNIZATION ADMIN VAC INITIAL CHARGE 85001002 90471 54  
90472 IMMUNIZATION ADMIN VAC EA ADDITIONAL CHARGE 85001003 90472 41  
90472 IMMUNIZATION ADMIN ADDL CHARGE 21001008 90472 30  
91300 Pfizer SARSCOV2 VAC 30 mcg/0.3ML IM        
91300 Pfizer SARSCOV2 VAC 30 mcg/0.3ML IM        
92960 CARDIOVERSION EXTERNAL CHARGE 80001018 92960 1386  
96523 IRRIGATE IMPLANTED VAD CHARGE 80001019 96523 115  
99024 POST-OP F/U VISIT CHARGE 80001020 99024 0  
99195 THERAPEUTIC PHLEBOTOMY CHARGE 85001006 99195 156  
99203 MODERATE COMPLEX EXAM;NEW PT CHARGE 80001000 99203 497  
99211 OP VISIT EST; NURSING VISIT CHARGE 80001021 99211 56  
99211 TRIAGE LEVEL 1; EST PATIENT CHARGE 80001001 99211 91  
99212 TRIAGE LEVEL 2; EST PATIENT CHARGE 80001002 99212 200  
G0008 ADMIN OF INFLUENZA VACCINE CHARGE 85001004   81  
G0009 ADMIN OF PNEUMOCOCCAL VACCINE CHARGE 85001005   81  
Moderna COVID-19 Vaccine CareSet        
Nursing Charges PDH_CA        
Pfizer COVID-19 Vaccine CareSet        
Pfizer-BioNTech COVID-19 Vaccine        
Treatment Room Charges PDH        
Circumcision Care        
Blood Glucose Monitoring POC 50001198 82962    
CARDIOPULMONARY RESUSCITATION        
Urine Dipstick POC 50001196 81003    
Urine Pregnancy Test POC 50001197 81025    
Gait Training Charges 77001002 97116 96  
Neuromuscular Reeducation Charges 77001001 97112 112  
PT High Complex Units 77001005 97163 314  
PT Low Complex Units 77001003 97161 251  
PT Moderate Complex Units 77001004 97162 282  
Physical Therapy Evaluation and Treatment        
Physical Therapy Evaluation and Treatment Pediatric        
Physical Therapy Treatment Swingbed        
Physical Therapy Evaluation and Treatment Observation        
Physical Therapy Evaluation and Treatment Acute        
Therapeutic Activities Charge 77001006 97530 116  
Therapeutic Exercise Charges 77001000 97110 106  
D0120 EXAMINATION-PERIODIC 52900126      
D0140 LIMITED ORAL EVAL-PROBLEM 52900125      
D0145 ORAL EVAL > 3 YEARS 52900124      
D0150 EXAMINATION-INITIAL 52900123      
D0170 Limited re-evaluation 52900137      
D0180 COMP PERIO EVAL 52900122      
D0210 FMX-COMPLETE SERIES 52900121      
D0220 SINGLE FILM 52900120      
D0230 ADDITIONAL FILM X 52900119      
D0270 SINGLE BITEWING 52900118      
D0272 BITEWINGS 2 52900117      
D0274 BITEWINGS 4 52900116      
D0330 PANO 52900115      
D0460 Pulp vitality test 52900138      
D0470 DIAGNOSTIC CASTS 52900114      
D1110 PROPHYLAXIS-ADULT (>12 YRS) 52900112      
D1110 PROPHYLAXIS < 10 TEETH-ADULT 52900144      
D1120 PROPHYLAXIS CHILD < 12 YRS 52900109      
D1120 PROPHYLAXIS CHILD <12 td> 52900111      
D1206 TOPICAL FLOURIDE VARNISH 52900107      
D1351 SEALANTS X 52900106      
D1352 PREVENTIVE RESIN REST (<21yrs)< td> 52900105      
D1354 Caries arresting meds-per tooth 52900129      
D1510 UNILATERAL FIXED SPACE MAINT. 52900104      
D1515 BILATERAL FIXED SPACE MAINT. 52900103      
D1550 SPACE MAINT RECEMENT 52900102      
D1555 SPACE MAINT REMOVAL 52900101      
D2140 AMALGAM 1 SURF 52900100      
D2150 AMALGAM 2 SURF 52900099      
D2160 AMALGAM 3 SURF 52900098      
D2161 AMALGA 4 SURF 52900097      
D2330 COMP 1 SURF ANT OR CLASS II 52900096      
D2331 COMP 2 SURF ANT 52900095      
D2332 COMP 3 SURF ANT 52900094      
D2335 COMP 4 SURF ANT/INCISAL 52900093      
D2390 COMP CROWN ANT 52900092      
D2391 COMP 1 SURF POST 52900091      
D2392 COMP 2 SURF POST 52900090      
D2393 COMP 3 SURF POST 52900089      
D2394 COMP 4+ SURF POST 52900088      
D2740 Crown porcelian/ceramic 52900128      
D2750 PFM 52900087      
D2751 PORCL FUSED-METAL 52900086      
D2752 PORCL FUSED-NOBLE 52900085      
D2790 ALL GOLD CROWN 52900084      
D2792 FULL CAST METAL CROWN 52900083      
D2799 TEMP CROWN 52900082      
D2910 Recement bnd inlay/onlay/vr/prt 52900150      
D2920 RECEMENT CROWN 52900081      
D2930 SSC PRIMARY TOOTH 52900080      
D2931 SSC PERMANENT TOOTH 52900079      
D2940 SEDATIVE FILLING 52900078      
D2950 CORE BUILD UP 52900076      
D2952 POSTING CORE-INDIRECT 52900075      
D2954 PRE-FAB STEEL POST & CORE 52900074      
D2961 VENEER-RESIN LAMINATE 52900073      
D2962 VENEER-PORCELAIN LAMINATE 52900072      
D2970 TEMPORARY CROWN 52900071      
D2983 VENEER REPLACEMENT 52900070      
D3110 DIRECT PULP CAP 52900069      
D3120 INDIRECT PULP CAM 52900068      
D3220 VITAL PULPOTOMY 52900067      
D3221 PULPAL DEBRID PULPECTOMY 52900066      
D3310 ROOT CANAL ANTERIOR 52900065      
D3320 ROOT CANAL BICUSPID 52900064      
D3330 ROOT CANAL MOLAR 52900063      
D3920 HEMISECTION OF TOOTH 52900062      
D3999 UNSPEC ENDODONTIC PROC 52900061      
D4210 GINGIVECTOMY/PLASTY/QUAD 52900060      
D4211 GINGIVECTOMY/PLASTY/TOOTH 52900059      
D4321 PROVISIONAL SPLINTING 52900058      
D4341 ROOT PLANNING PER QUAD 52900057      
D4342 ROOT PLANNING, 1-3 TEETH PER Q 52900056      
D4355 FULL MOUTH DEBRIDEMENT 52900055      
D4355 Full mouth debridement to enable a comprehensive oral evaluation and diagnosis on subsequent v 52900147      
D4381 ARESTIN 52900054      
D4910 PERIODONTAL MAINTENANCE 52900053      
D5110 COMPLETE MAXILLARY DENTURE 52900052      
D5120 COMPLETE MANDIBULAR DENTURE 52900051      
D5130 IMMED FUD 52900050      
D5140 IMMED FLD 52900049      
D5211 UPPER STAYPLATE 52900048      
D5212 LOWER STAYPLATE 52900047      
D5213 MAX PART DENT METAL FRAME 52900046      
D5214 MAND PART DENT METAL FRAME 52900045      
D5282 Removable unilateral partial denture 52900127      
D5410 ADJUST COMPLETE DENT-MAX 52900043      
D5411 ADJUST COMPLETE DENT-MAND 52900041      
D5421 ADJUST PARTIAL DENT-MAX 52900039      
D5422 ADJUST PARTIAL DENT-MAND 52900037      
D5510 REPAIR BRKN DENTURE BASE ONLY 52900036      
D5520 REPLACE DENTURE TOOTH EA 52900035      
D5611 Repair resin partial dental base, mandibular 52900135      
D5612 Repair Res Part Dent Base, Max 52900141      
D5640 REPLACE BROKEN TOOTH W CHG 52900034      
D5650 ADD TOOTH EXIST PARTIAL 52900033      
D5730 RELINE MAX DENTURE COLD 52900032      
D5751 RELINE COMPLETE MAN DENTURE 52900031      
D5761 Reline mandibular partial 52900149      
D5821 INTERIM PARTIAL DENTURE (MANDIBULAR) 52900146      
D5850 TISSUE CONDITION MAXILLARY 52900030      
D5851 Tissue Condition, Mandibular 52900142      
D5899 DELIVERY 52900029      
D5899 FINAL IMPRESSION 52900025      
D5899 JAW RECORD OR BITE RIMS 52900026      
D5899 PRELIMINARY IMPRESSION 52900024      
D5899 UNSPEC REMOV PROSTHODONTIC TX 52900023      
D5899 Unspecified removal of prosthodontic procedure 52900140      
D5899 WAX TRY-IN W/ANTERIOR 6 52900027      
D5899 WAX TRY-IN W/ALL TEETH 52900028      
D5986 FLORIDE GELL CARRIER 52900022      
D6210 Pontic; High Noble Metal 52900130      
D6512 Repair resin partial dental base, maxillary 52900136      
D6740 CROWN CEMENTING 52900021      
D6750 Crown-porc fused to hi-noble metal 52900143      
D6790 Retainer Crown; Full Cast High Noble Metal. 52900131      
D6999 UNSPEC FIXED PROSTHO PROC 52900020      
D7111 EXT. CORONAL REMNANTS 52900019      
D7140 EXT. SIMPLE 52900018      
D7210 SURG. EXTRACTION X 52900017      
D7250 SURG REM RESIDUAL ROOTS 52900016      
D7270 REIMP/STABLIZATION TOOTH 52900015      
D7310 ALVEOPLASTY W/EXT PER QUAD 52900014      
D7320 ALVEOPLASTY W/O EXT PER QUAD 52900013      
D7471 Removal of Lateral Exostosis (maxilla or mandible) 52900148      
D7510 I & D ABSCESS-INTRAORAL 52900012      
D7880 Occlusal orthotic device/BR 52900139      
D7910 SUTURE SMALL WOUND <5cm< td> 52900011      
D7970 EXCISION, HYPERPLAST TISS-ARCH 52900010      
D7971 EXCISION-PERICORONAL GING/ARCH 52900009      
D7999 Unspecified Oral Surgery 52900132      
D8220 Fixed Appliance Therapy 52900134      
D9110 EMERGENCY PALLIATIVE TREATMENT 52900008      
D9210 LOCAL ANESTHESIA NOT OP/SURG. 52900007      
D9215 LOCAL ANESTHESIA 52900006      
D9430 OFFICE VISIT-REGULAR HOURS 52900005      
D9630 PERIDEX/MI PASTE 52900004      
D9910 DESENSITIZING 52900003      
D9930 DRY SOCKET 52900002      
D9940 Nightguard 52900001      
D9945 Occlusal guard 52900133      
D9951 Occlusal Adjusted-Limited 52900000      
PONTIC-PORCELAIN FUSED TO HI NOBLE BCE 52900145      
PreOp Clinic Orders HHSC        
TRANSFUSE Fresh Frozen Plasma        
TRANSFUSE Platelet Product        
TRANSFUSE Red Blood Cells Leukoreduced        
TRANSFUSE Red Blood Cells        
ROOM/BED: Anti Partum        
ROOM/BED: Adult Inpatient 15001000   3050  
ROOM/BED: High Risk Neonate 15001004   3050  
ROOM/BED: Labor and Delivery 15001001   3050  
ROOM/BED: Newborn        
ROOM/BED: Neonate 15001005   3050  
ROOM/BED: Observation 15001006   71  
ROOM/BED: Post Partum 15001008   1649  
ROOM/BED: Peds 15001002   3050  
ROOM/BED: Peds Inpatient 15001002   3050  
ROOM/BED: Swingbed 15001003   2562  
ROOM/BED: Sick Baby        
00002-3240-30 - DULoxetine 30 mg Cap [PDH]        
00002-7510-01 - insulin lispro 100 units/mL [PDH]        
00002-7510-17 - insulin lispro 100 units/mL 3 ml vial [PDH]        
00002-8215-17 - insulin regular human recombinant 100 units/mL Inj Sol [PDH]        
00003-0293-05 - triamcinolone acetonide 40 mg/mL Inj Susp [PDH]        
00003-2187-10 - abatacept 250 mg IV Inj [PDH]        
00004-0188-09 - ibandronate 1 mg/mL IV Sol [PDH]        
00004-0801-85 - oseltamivir 45 mg Cap [PDH]        
00004-0822-05 - oseltamivir 6 mg/mL Pow [PDH]        
00005-1971-02 - pneumococcal 13-valent conjugate vaccine - Sus UD [PDH]        
00006-0032-20 - ivermectin 3 mg Tab [PDH}        
00006-0227-61 - raltegravir 400 mg oral tablet [PDH]        
00006-3843-71 - ertapenem 1 g Inj [PDH]        
00006-4119-03 - HPV 9-valent Sus IM [PDH}        
00006-4171-00 - measles/mumps/rubella/varicella virus vaccine SC Inj [PDH]        
00006-4681-00 - measles/mumps/rubella virus vaccine [PDH]        
00006-4827-00 - Varicella Virus Vaccine Pow SQ [PDH]        
00006-4837-03 - pneumococcal 23-valent vaccine Inj Sol 0 mL [PDH]        
00006-4943-00 - pneumococcal 23-valent vaccine Inj Sol 0 mL [PDH]        
00006-5423-12 - sugammadex 200mg/2ml sol [PDH]        
00008-0923-51 - pantoprazole 40 mg IV Inj [PDH]        
00008-4001-01 - pantoprazole 40 mg IV Inj [PDH]        
00009-0011-04 - hydrocortisone 100 mg preservative-free Pow [PDH]        
00009-0039-28 - methylPREDNISolone 40 mg preservative-free Pow [PDH]        
00009-0039-06 - methylPREDNISolone 40 mg preservative-free Pow [PDH]        
00009-0047-22 - methylPREDNISolone 125 mg preservative-free Pow [PDH]        
00009-0047-04 - methylPREDNISolone 125 mg preservative-free Pow [PDH]        
00009-0241-01 - bacitracin 50,000 units IM Inj [PDH]        
00009-0271-01 - estradiol cypionate 5 mg/mL IM Sol [PDH]        
00009-0520-01 - testosterone cypionate 200 mg/mL IM Sol [PDH]        
00009-0856-05 - carboprost 250 mcg/mL Inj Sol [PDH]        
00009-0901-25 - clindamycin 150 mg/mL IV Sol [PDH]        
00009-3169-06 - alprostadil 0.5 mg/mL Inj Sol [PDH]        
00009-7376-04 - medroxyPROGESTERone 150 mg/mL IM Susp [PDH]        
00025-1520-34 - celecoxib 100 mg Cap [PDH]        
00049-0014-83 - Ampicillin-sulbactam 3g [PDH]        
00049-0420-10 - Penicillin G Potassium 5,000,000 units Pow [PDH]        
00049-0520-83 - Penicillin G Potassium 5,000,000 units Pow [PDH]        
00049-0530-28 - Penicillin G Potassium 20,000,000 units Pow [PDH]        
00049-1203-10 - ziprasidone 20 mg Pow-Inj [PDH]        
00052-0450-15 - rocuronium 10 mg/mL IV Sol [PDH]        
00052-4330-01 - etonogestrel 68 mg Imp[PDH]        
00054-0017-20 - predniSONE 10 mg Tab UD[PDH]        
00054-0018-20 - predniSONE 20 mg Tab [PDH]        
00054-0019-20 - predniSONE 50 mg Tab UD [PDH]        
00054-0107-20 - ramipril 2.5 mg Cap [PDH]        
00054-0189-13 - buprenorphine-naloxone 8 mg-2 mg sublingual Dis Tab [PDH]        
00054-0259-22 - montelukast 10 mg Tab [PDH]        
00054-3270-99 - fluticasone Nasal 0.05 mg/inh Spry [PDH]        
00054-3505-47 - lidocaine Top 4% Sol [PDH]        
00054-4146-22 - clotrimazole 10 mg Loz [PDH]        
00054-8175-25 - dexamethasone 4 mg Tab [PDH]        
00054-8297-25 - furosemide 20 mg Tab [PDH]        
00054-8527-25 - lithium 300 mg Cap [PDH]        
00056-0169-75 - warfarin 1 mg Tab [PDH]        
00056-0170-75 - warfarin 2 mg Tab [PDH]        
00056-0172-75 - warfarin 5 mg Tab [PDH]        
00065-0648-35 - dexamethasone-tobramycin Ophth 0.1%-0.3% Oint [PDH]        
00067-4345-04 - scopolamine 1.5 mg Transderm ER Film [PDH]        
00067-5125-14 - nicotine 14 mg/24 hr Transderm ER Film [PDH]        
00071-0418-13 - nitroglycerin 0.4 mg sublingual Tab [PDH]        
00071-1013-68 - pregabalin 50 mg oral capsule [PDH]        
00074-3346-03 - leuprolide 22.5 mg/3 months Kit [PDH]        
00074-3683-03 - leuprolide 30 mg/4 months Kit [PDH]        
00074-3826-11 - divalproex sodium 250 mg ER Tab [PDH]        
00074-6346-20 - erythromycin stearate 250 mg Tab [PDH]        
00074-6624-11 - levothyroxine 100 mcg (0.1 mg) Tab [PDH]        
00075-0620-40 - enoxaparin 40 mg/0.4 mL SC Sol [PDH]        
00075-0623-00 - enoxaparin 100 mg/mL SubQ Sol [PDH]        
00075-8013-10 - enoxaparin 30 mg/0.3 mL SC Sol [PDH]        
00075-8014-10 - enoxaparin 40 mg/0.4 mL SC Sol [PDH]        
00075-8020-10 - enoxaparin 100 mg/mL SubQ Sol [PDH]        
00078-0053-03 - methylergonovine 0.2 mg/mL Inj Sol [PDH]        
00078-0341-61 - octreotide 20 mg IM Inj [PDH]        
00078-0387-25 - zoledronic acid 4 mg/5 mL IV Sol [PDH]        
00078-0648-81 - octreotide 30 mg IM Inj [PDH]        
00081-0798-88 - bacitracin-polymyxin B topical 500 units-10000 units/g Oin        
00085-4320-01 - betamethasone 30 mg/5mL Sus [PDH]        
00088-2219-05 - insulin glargine 100 units/mL 3 mL Pen [PDH]        
00093-0135-01 - carvedilol 6.25 mg Tab [PDH]        
00093-0318-01 - diltiazem 30 mg Tab [PDH]        
00093-0576-93 - lovastatin 20 mg Tab [PDH]        
00093-1048-93 - metFORMIN 500 mg Tab [PDH]        
00093-2026-20 - Azithromycin 200mg/5ml SUSP 80mL [PDH]        
00093-2026-20-THPs - THP Azithromycin 200mg/5ml SUSP 80mL [PDH]        
00093-2026-23 - THP azithromycin 200 mg/5 mL 15mL [PDH]        
00093-2275-34 - amoxicillin-clavulanate 875 mg-125 mg Tab [PDH]        
00093-3107-93 - amoxicillin 250 mg Cap [PDH]        
00093-3109-53 - amoxicillin 500 mg Cap [PDH]        
00093-3145-01 - cephalexin 250 mg Cap [PDH]        
00093-3147-01 - cephalexin 500 mg Cap [PDH]        
00093-3174-31 - albuterol 90 mcg/inh Aer 8g [PDH]        
00093-4125-74 - Penicillin V Potassium 125 mg/5 mL Pow [PDH]        
00093-4127-74 - Penicillin V Potassium 250 mg/5 mL Pow [PDH]        
00093-4127-73 - Penicillin V Potassium 250 mg/5 mL 100 mL [PDH]        
00093-4127-73-THPs - THP Penicillin VK 250mg/5ml SUSP 100mL [PDH]        
00093-4155-79 - amoxicillin 250 mg/5 mL Oral Liq 80 mL [PDH]        
00093-4155-79-THPs - THP Amoxicillin 250mg/5ml SUSP 80mL [PDH]        
00093-4175-74 - cephalexin 125 mg/5 mL Oral Liq [PDH]        
00093-4177-73 - cephalexin 250 mg/5 mL Oral Liq [PDH]        
00093-4233-01 - bumetanide 1 mg Tab [PDH]        
00093-6815-73 - budesonide 0.25 mg/2 mL Inh Susp [PDH]        
00115-1468-45 - lidocaine-prilocaine Top 2.5%-2.5% Crm [PDH]        
00115-1468-60 - lidocaine-prilocaine Top 2.5%-2.5% Crm [PDH]        
00115-9811-01 - digoxin 125 mcg (0.125 mg) Tab [PDH]        
00116-2001-15 - chlorhexidine mouthwash 0.12% Liq[PDH]        
00121-0431-30 - magnesium hydroxide 8% Oral Susp 30 mL [PDH]        
00121-0489-10 - diphenhydrAMINE 12.5 mg/5 mL Oral Liq [PDH]        
00121-0544-10 - Docusate Liquid Soln 100mg/10mL [PDH]        
00121-0638-05 - dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Oral Liq 5 mL [PDH]        
00121-0853-40 - sulfamethoxazole-trimethoprim 200 mg-40 mg/5 mL Oral Susp 20 mL [PDH]        
00121-0868-40 - nystatin 100,000 units/mL Oral Susp [PDH]        
00121-0978-10 - diphenhydrAMINE 12.5 mg/5 mL Oral Liq [PDH]        
00121-1008-00 - acetaminophen-codeine 120 mg-12 mg/5 mL Oral Liq 12 mL [PDH]        
00121-1008-00 - acetaminophen-codeine 120 mg-12 mg/5 mL Liq UD[PDH]        
00121-1154-40 - lactulose 10 g/15 mL Oral Syrup [PDH]        
00121-1744-05 - guaiFENesin 100 mg/5 mL Liq [PDH]        
00121-1761-30 - Al hydroxide/Mg hydroxide/simethicone 200 mg-200 mg-20 mg/5 mL Oral Susp 30 mL [PDH]        
00121-1775-10 - codeine-guaiFENesin 10 mg-100 mg/5 mL Oral Syrup 10 mL [PDH]        
00121-1775-05 - codeine-guaiFENesin 10 mg-100 mg/5 mL Oral Syrup 10 mL [PDH]        
00121-4776-10 - megestrol 40 mg/mL Oral Susp [PDH]        
00132-0081-12 - glycerin pediatric Supp [PDH]        
00132-0201-40 - sodium biphosphate-sodium phosphate 19 g-7 g Rectal Enema 133 mL [PDH]        
00132-0301-40 - mineral oil 100% Rectal Enema 133 mL [PDH]        
00135-0071-27 - calcium carbonate 500 mg Chew Tab [PDH]        
00143-9250-10 - rocuronium 10 mg/mL IV Sol [PDH]        
00143-9284-10 - pantoprazole 40 mg IV Inj [PDH]        
00143-9501-25 - haloperidol 5 mg/mL Inj Sol [PDH]        
00143-9509-10 - ketamine 500 mg/5 mL Sol[PDH]        
00143-9542-01 - niCARdipine 2.5 mg/mL Inj Sol [PDH]        
00143-9622-01 - labetalol 100 mg/ 20mL IV Sol [PDH]        
00143-9660-10 - metoprolol 1 mg/mL Inj Sol [PDH]        
00143-9673-10 - Levetiracetam 500mg/5mL [PDH]        
00143-9673-10 - levETIRAcetam 100 mg/mL IV Sol [PDH]        
00143-9784-10 - flumazenil 0.1 mg/mL IV Sol [PDH]        
00143-9786-10 - enalapril 1.25 mg/mL IV Sol [PDH]        
00143-9787-10 - enalapril 1.25 mg/mL IV Sol [PDH]        
00143-9872-01 - propranolol 1 mg/mL IV Sol [PDH]        
00143-9875-10 - amiodarone 150 mg/3mL IV Sol [PDH]        
00143-9889-01 - amoxicillin 250 mg/5 mL Pow 100ml [pDH]        
00143-9899-91 - fluconazole 200 mg/100 mL-NS IV Sol [PDH]        
00143-9924-90 - ceFAZolin 1 g Inj [PDH]        
00168-0062-31 - zinc oxide Top 20% Oint [PDH]        
00168-0099-15 - ketoconazole Top 2% Crm [PDH]        
00168-0111-09 - bacitracin topical zinc 500 units/g Oin UD [PDH]        
00168-0133-15 - clotrimazole Top 1% Crm [PDH]        
00168-0346-46 - terconazole 0.4% Vag Crm [PDH]        
00168-0357-56 - lidocaine-prilocaine Top 2.5%-2.5% kit [PDH]        
00172-2083-10 - hydrochlorothiazide 25 mg Tab [PDH]        
00172-3649-10 - glipiZIDE 5 mg Tab [PDH]        
00172-3926-60 - diazepam 5 mg Tab [PDH]        
00172-5663-10 - busPIRone 5 mg Tab [PDH]        
00173-0260-10 - digoxin 250 mcg/mL (0.25 mg/mL) Inj Sol [PDH]        
00173-0682-20 - albuterol CFC free 90 mcg/inh Inh Aer w/Adapt 18g [PDH]        
00173-0682-21 - albuterol 90 mcg/inh Aer 8g [PDH]        
00173-0682-24 - albuterol 90 mcg/inh Aer 8g [PDH]        
00173-0682-21-THPs - THP Ventolin HFA Inhaler 8gm [PDH]        
00173-0695-04 - fluticasone-salmeterol 100 mcg-50 mcg Inh Pwdr [PDH]        
00173-0696-04 - fluticasone-salmeterol 250 mcg-50 mcg Inh Pwdr [PDH]        
00173-0697-04 - fluticasone-salmeterol 500 mcg-50 mcg Inh Pwdr [PDH]        
00185-0415-60 - buPROPion 150 mg ER Tab [PDH]        
00185-7322-60 - albuterol-ipratropium Inh Sol 3 mL [PDH]        
00207-0149-57 - Cystografin [PDH]        
00223-1721-01 - sodium bicarbonate 650 mg Tab [PDH]        
00223-1760-01 - sodium chloride 1 g Tab [PDH]        
00228-2076-10 - temazepam 15 mg Cap [PDH]        
00228-2497-10 - NIFEdipine 10 mg Cap [PDH]        
00245-0040-01 - potassium chloride 8 mEq ER Tab [PDH]        
00245-0063-11 - niacin 500 mg ER Tab [PDH]        
00245-0108-01 - ferrous sulfate 325 mg Oral EC Tab [PDH]        
00245-0147-01 - amiodarone 200 mg Tab [PDH]        
00264-1510-31 - Dextrose 5% in Water 50mL [PDH]        
00264-1510-32 - Dextrose 5% in Water IV Solution 100mL [PDH]        
00264-1800-31 - Sodium Chloride 0.9% IV Sol 50 mL [PDH]        
00264-2101-50 - sterile water Irr Sol 2000 mL [PDH]        
00264-2101-10 - sterile water Irr Sol 500 mL [PDH]        
00264-3153-11 - cefTRIAXone 1 g Pow UD [PDH]        
00264-7510-00 - Dextrose 5% in Water IV Sol 1000 mL [PDH]        
00264-7510-10 - Dextrose 5% in Water IV Solution 500mL [PDH]        
00264-7635-00 - Dextrose 5% with 0.45% NaCl and KCl 20 mEq/l IV Sol 1000 mL [PDH]        
00264-7750-00 - Lactated Ringers IV Sol 1000 mL [PDH]        
00264-7780-00 - Ringers IV Sol 1000 mL [PDH]        
00264-7800-20 - Sodium Chloride 0.9% IV Solution 250mL [PDH]        
00264-7800-10 - Sodium Chloride 0.9% IV Solution 500mL [PDH]        
00264-7802-00 - Sodium Chloride 0.45% IV Sol 1000 mL [PDH]        
00264-7805-10 - Sodium Chloride 3% IV Sol 500 mL [PDH]        
00264-7865-00 - Sodium Chloride 0.9% with KCl 20 mEq/l IV Sol 1000 mL [PDH]        
00264-9587-20 - heparin 25,000 units/250 mL-D5W IV Sol [PDH]        
00270-0445-40 - diatrizoate meglumine-diatrizoate sodium 66%-10% oral and rectal Sol [PDH]        
00270-1111-03 - gadoteridol 279.3 mg/mL [PDH]        
00270-1316-04 - iopamidol 76% Inj Sol 125 mL [PDH]        
00270-1316-41 - iopamidol 76% Inj Sol 200 mL [PDH]        
00270-1316-35 - iopamidol 76% Sol Isovue-370 100ml [PDH]        
00281-0326-30 - nitroglycerin 2% Top Oint [PDH]        
00283-0679-02 - benzocaine Top 20% mucous membrane spray [PDH]        
00310-0402-60 - zafirlukast 20 mg Tab [PDH]        
00310-1970-30 - naloxegol 25 mg Tab [PDH]        
00338-0003-47 - sterile water Irr Sol 3000 mL [PDH]        
00338-0017-02 - Dextrose 5% in Water IV Sol 250 mL [PDH]        
00338-0017-03 - Dextrose 5% in Water IV Solution 500mL [PDH]        
00338-0017-48 - Dextrose 5% in Water IV Solution 100mL [PDH]        
00338-0023-02 - Dextrose 10% in Water IV Sol 250 mL [PDH]        
00338-0047-27 - sodium chloride 0.9% Irr Sol 3000 mL [PDH]        
00338-0049-04 - Sodium Chloride 0.9% IV Sol 1000 mL [PDH]        
00338-0049-02 - Sodium Chloride 0.9% IV Solution 250mL [PDH]        
00338-0049-41 - Sodium Chloride 0.9% IV Sol 50 mL [PDH]        
00338-0049-48 - Sodium Chloride 0.9% IV Sol 100 mL [PDH]        
00338-0049-03 - Sodium Chloride 0.9% IV Solution 500mL [PDH]        
00338-0054-03 - Sodium Chloride 3% IV Sol 500 mL [PDH]        
00338-0085-04 - Dextrose 5% with 0.45% NaCl IV Sol 1000 mL [PDH]        
00338-0089-04 - Dextrose 5% with 0.9% NS IV Sol 1000 mL [PDH]        
00338-0117-04 - Lactated Ringers IV Sol 1000 mL [PDH]        
00338-0125-04 - Dextrose 5% in Lactated Ringers IV Sol 1000 mL [PDH]        
00338-0137-27 - Lactated Ringers Irr Sol 3000 mL [PDH]        
00338-0409-03 - Lidocaine 2000mg/500mL IVSol [PDH]        
00338-0519-02 - Fat Emul, 20% IV 250 mL [PDH]        
00338-0553-18 - Sodium Chloride 0.9% IV Sol 100 mL [PDH]        
00338-0553-11 - Sodium Chloride 0.9% IV Sol 50 mL [PDH]        
00338-0671-04 - Dextrose 5% with 0.45% NaCl and KCl 20 mEq/l IV Sol 1000 mL [PDH]        
00338-0691-04 - Sodium Chloride 0.9% with KCl 20 mEq/l IV Sol 1000 mL [PDH]        
00338-0705-41 - potassium chloride 10 mEq/50 mL IV Sol [PDH]        
00338-1007-02 - DOPamine 1.6 mg/mL-D5W intravenous solution [PDH]        
00338-1047-02 - nitroglycerin 10 mg/100 mL-D5W IV Sol [PDH]        
00338-1073-02 - DOBUTamine 1 mg/mL-D5W intravenous solution [PDH]        
00338-1113-04 - Amino Acids 4.25% with 5% Dextrose and Electrolytes (Clinimix E Sulfite-Free) intravenous solution [PDH]        
00338-1144-03 - Amino Acids 4.25% with 5% Dextrose and Electrolytes (Clinimix E Sulfite-Free) intrav        
00338-1146-03 - Amino Acids 4.25% with 25% Dextrose and Electrolytes (Clinimix E Sulfite-Free) IV Sol 1000 mL [PDH]        
00338-5197-41 - famotidine 20 mg/50 mL IV Sol [PDH]        
00338-9541-24 - metroNIDAZOLE 500 mg/100 mL IV Sol [PDH]        
00378-0208-01 - furosemide 20 mg Tab [PDH]        
00378-0415-01 - atropine-diphenoxylate 0.025 mg-2.5 mg Tab [PDH]        
00378-1066-01 - meloxicam 7.5 mg Tab [PDH]        
00378-1811-77 - levothyroxine 112 mcg Tab [PDH]        
00378-6989-64 - ipratropium 0.02% Inh Sol 2 mL [PDH]        
00378-6993-93 - levalbuterol 1.25 mg/0.5 mL Inh Sol [PDH]        
00378-9102-16 - nitroglycerin 0.1 mg/hr Transderm ER Film [PDH]        
00378-9119-16 - fentaNYL 12 mcg/hr Trans. Patch [PDH]        
00378-9122-98 - fentaNYL 50 mcg/hr Transderm ER Film [PDH]        
00378-9320-32 - fluticasone-salmeterol 100 mcg-50 mcg Inh Pwdr [PDH]        
00386-0001-11 - ethyl chloride Top 100% Spry [PDH]        
00406-0123-62 - acetaminophen-HYDROcodone 325 mg-5 mg Tab [PDH]        
00406-0125-62 - acetaminophen-HYDROcodone 325 mg-10 mg Tab [PDH]        
00406-0484-62 - acetaminophen-codeine 300 mg-30 mg Tab [PDH]        
00406-0512-62 - acetaminophen-oxyCODONE 325 mg-5 mg Tab [PDH]        
00406-3243-01 - HYDROmorphone 2 mg Tab [PDH]        
00406-5771-62 - methadone 10 mg Tab [PDH]        
00406-8315-62 - morphine 15 mg/8 to 12 hr UD [PDH]        
00406-9050-76 - fentaNYL 50 mcg/hr Transderm ER Film [PDH]        
00407-1414-76 - iohexol 350 mg/mL Inj Sol [PDH]        
00409-1144-02 - verapamil 2.5 mg/mL IV Sol [PDH]        
00409-1159-02 - bupivacaine 0.25% PF Inj Sol 30 mL [PDH]        
00409-1273-32 - diazepam 5 mg/mL Inj Sol [PDH]        
00409-1559-10 - bupivacaine 0.25% PF Inj Sol 10 mL [PDH]        
00409-1630-10 - atropine 0.1 mg/mL Inj Sol [PDH]        
00409-1775-10 - Dextrose 25% Inj 250mg/ml 10mL [PDH]        
00409-1966-07 - sodium chloride bacteriostatic 0.9% Inj Sol 30 mL [PDH]        
00409-2029-02 - morphine 1 mg/mL preservative-free [PDH]        
00409-2267-54 - labetalol 200 mg/ 40mL IV Sol [PDH]        
00409-2339-34 - labetalol 20 mg/4mL IV Sol [PDH]        
00409-2344-02 - DOBUTamine 12.5 mg/mL IV Sol [PDH]        
00409-2346-32 - DOBUTamine 1 mg/mL-D5W intravenous solution [PDH]        
00409-2987-23 - Ampicillin/Sulbactam 3 gms [PDH]        
00409-3365-01 - HYDROmorphone 2 mg/mL Inj Sol [PDH]        
00409-3375-04 - norEPINEPHrine 1 mg/mL IV Sol [PDH]        
00409-3390-04 - piperacillin-tazobactam 4 g-0.5 g IV Inj [PDH]        
00409-3414-01 - metoclopramide 5 mg/mL Inj Sol [PDH]        
00409-3613-01 - bupivacaine 0.75% intrathecal Sol 2 mL [PDH]        
00409-3796-01 - ketorolac 60 mg/2 mL [PDH]        
00409-4011-01 - verapamil 2.5 mg/mL IV Sol [PDH]        
00409-4282-01 - lidocaine 2% PF Inj Sol 2 mL [PDH]        
00409-4283-01 - lidocaine 4% PF Inj Sol 5 mL [PDH]        
00409-4332-01 - vancomycin 500 mg IV Inj [PDH]        
00409-4346-73 - aminocaproic acid 250 mg/mL IV Sol [PDH]        
00409-4712-01 - lidocaine 5%-D7.5% Inj Sol 2 mL [PDH]        
00409-4713-02 - lidocaine 1% PF Inj Sol 5 mL [PDH]        
00409-4755-03 - ondansetron 2 mg/mL Inj Sol [PDH]        
00409-4887-99 - Sterile Water 100mL [PDH]        
00409-4888-10 - sodium chloride 0.9% Inj Sol 10 mL [PDH]        
00409-4900-34 - sodium bicarbonate 8.4% IV Sol 10 mL [PDH]        
00409-4921-34 - EPINEPHrine 0.1 mg/mL Inj Sol [PDH]        
00409-5534-34 - sodium bicarbonate 4.2% IV Sol 10 mL [PDH]        
00409-5684-23 - methylPREDNISolone 40 mg Inj [PDH]        
00409-5820-01 - DOPamine 40 mg/mL IV Sol [PDH]        
00409-6533-01 - vancomycin 1 g IV Inj [PDH]        
00409-6609-02 - sodium bicarbonate 4% IV Sol 5 mL [PDH]        
00409-6625-02 - sodium bicarbonate 8.4% IV Sol 50 mL [PDH]        
00409-6625-02 - sodium bicarbonate 8.4% Sol SDV 50ml [PDH]        
00409-6629-02 - succinylcholine 20 mg/mL Inj Sol [PDH]        
00409-6637-34 - sodium bicarbonate 8.4% IV Sol 50 mL [PDH]        
00409-6648-02 - glucose 50% IV Sol 50 mL [PDH]        
00409-6695-01 - etomidate 2 mg/mL IV Sol [PDH]        
00409-6727-23 - DO NOT USE-magnesium sulfate 1 g/100 mL-D5W IVPB [PDH]        
00409-6729-03 - magnesium sulfate 20 g/500mL-sterile water [PDH]        
00409-6729-23 - magnesium sulfate 4 g/100 mL-sterile water [PDH]        
00409-7074-26 - potassium chloride 10 mEq/100 mL IV Sol [PDH]        
00409-7295-01 - potassium phosphate 3 mmol/mL Sol        
00409-7332-01 - cefTRIAXone 1 g Inj [PDH]        
00409-7335-03 - cefTRIAXone 2 g Inj [PDH]        
00409-7338-01 - cefTRIAXone 500 mg Inj [PDH]        
00409-7391-72 - sodium phosphate 3 mmol/mL Inj Sol [PDH]        
00409-7517-16 - glucose 50% IV Sol 50 mL [PDH]        
00409-7715-03 - mannitol 20% IV Sol 500 mL [PDH]        
00409-7715-03 - Mannitol 100g/500mL [PDH]        
00409-7793-62 - heparin 25,000 units/250 mL-D5W IV Sol [PDH]        
00409-7811-24 - metroNIDAZOLE 500 mg/100 mL IV Sol [PDH]        
00409-9094-22 - fentaNYL 100 mcg/2mL Inj Sol [PDH]        
00409-9094-25 - fentaNYL 50 mcg/mL Sol 5ml [PDH]        
00409-9158-01 - phytonadione 10 mg/mL Inj Sol [PDH]        
00409-9558-05 - rocuronium 10 mg/mL IV Sol [PDH]        
00456-2010-63 - escitalopram 10 mg Tab [PDH]        
00472-0339-56 - hydrocortisone Top 1% Crm [PDH]        
00472-0730-41 - miconazole 2% Vag Crm w/Appl [PDH]        
00472-0730-63 - miconazole 2% Vag Crm w/Appl [PDH]        
00472-0735-14 - miconazole Top 2% Crm [PDH]        
00472-1105-56 - bacitracin topical zinc 500 units/g Oin [PDH]        
00487-0201-01 - albuterol-ipratropium Inh Sol 3 mL [PDH]        
00487-5901-99 - racepinephrine 2.25% UD [PDH]        
00487-9007-60 - sodium chloride 7% Inh Sol 4 mL [PDH]        
00487-9301-03 - sodium chloride 0.9% Sol 3ml UD [PDH]        
00487-9501-60 - albuterol 2.5mg/3ml Inh Sol [PDH]        
00487-9501-01 - albuterol 2.5mg/3ml Inh Sol [PDH]        
00517-0031-25 - cyanocobalamin 1000 mcg/mL Inj Sol [PDH]        
00517-0374-05 - methylene blue 5 mg/mL Sol 10ml [PDH]   Q9968    
00517-0401-25 - atropine 0.4 mg/mL Inj Sol [PDH]        
00517-0650-01 - ferric carboxymaltose (as elemental iron) 50 mg/mL [PDH]        
00517-0720-01 - betamethasone 30 mg/5mL Sus [PDH]        
00517-0960-10 - tranexamic acid 100 mg/mL IV Sol [PDH]        
00517-2340-99 - iron sucrose 20 mg/mL IV Sol [PDH]        
00517-4601-25 - glycopyrrolate 0.2 mg/mL Inj Sol [PDH]        
00517-7504-25 - acetylcysteine 10% Inh Sol 4 mL [PDH]        
00517-7610-03 - acetylcysteine 20% Inh Sol 10 mL [PDH]        
00527-1728-74 - cocaine Top 40 mg/mL Sol [PDH]        
00536-1018-01 - meclizine 25 mg Chew Tab [PDH]        
00536-1018-01-THPs - THP Meclizine 25 mg Chew Tabs (#10) [PDH]        
00536-1084-94 - ocular lubricant preserved Sol [PDH]        
00536-3556-01 - cyanocobalamin 1000 mcg Tab [PDH]        
00536-5894-53 - nicotine 7 mg/24 hr Transderm ER Film [PDH]        
00536-5895-88 - nicotine 14 mg/24 hr Transderm ER Film [PDH]        
00548-1240-00 - phytonadione 1 mg/0.5 mL Inj Sol [PDH]        
00548-5400-00 - medroxyPROGESTERone 150 mg/mL IM Susp [PDH]        
00548-5900-00 - cosyntropin 0.25 mg Inj [PDH]        
00548-9061-00 - EPINEPHrine 1 mg/mL Inj Sol [PDH]        
00555-0899-02 - estradiol 0.5 mg Tab[PDH]        
00562-7805-05 - RHo (D) immune globulin 300 mcg/mL IM Sol [PDH]        
00574-0069-30 - glucose 40% Oral gel [PDH]        
00574-0120-04 - charcoal-sorbitol 25 g Oral Susp 120 mL [PDH]        
00574-0121-04 - charcoal 25 g Oral Susp 120 mL [PDH]        
00574-0601-15 - podophyllum resin Top 25% Sol [PDH]        
00574-2008-15 - nystatin Top 100,000 units/g Pwdr [PDH]        
00574-4024-11 - erythromycin Ophth 0.5% Oint [PDH]        
00574-7034-12 - aspirin 300 mg Supp [PDH]        
00574-7050-50 - bisacodyl 10 mg Supp [PDH]        
00591-0582-01 - propafenone 150 mg Tab [PDH]        
00591-0794-01 - dicyclomine 10 mg Cap [PDH]        
00591-3797-30 - albuterol 2.5mg/3ml Inh Sol [PDH]        
00591-5658-01 - cyclobenzaprine 10 mg Tab [PDH]        
00597-0031-34 - cloNIDine 0.1 mg/24 hr Transderm ER Film [PDH]        
00597-0053-45 - glucagon 1 mg Inj [PDH]        
00597-0075-75 - tiotropium 18 mcg Inh Cap [PDH]        
00603-0024-36 - aspirin 81 mg Chew Tab [PDH]        
00603-0599-50 - povidone iodine Top 10% Oint [PDH]        
00603-0894-50 - simethicone 40 mg/0.6 mL Oral Liq [PDH]        
00603-2338-32-THPs - THP APAP/ Codeine 300 - 30 mg Tab (#10) [PDH        
00603-3079-32 - cyclobenzaprine 10 mg Tab [PDH]        
00603-3079-32-THPs - THP Cyclobenzaprine 10 mg Tab (#5) [PDH]        
00603-3890-02 - acetaminophen-HYDROcodone 325 mg-5 mg Tab [PDH]        
00603-3890-02-THPs - THP Hydrocodone/APAP/ 5-325 mg Tab (#5) [PDH]        
00603-5339-21-THPs - THP Prednisone 20 mg Tab (#8) [PDH]        
00603-5339-21 - predniSONE 20 mg Tab [PDH]        
00641-0376-25 - diphenhydrAMINE 50 mg/mL Inj Sol [PDH]        
00641-0376-21 - diphenhydrAMINE 50 mg/mL Inj Sol [PDH]        
00641-0400-12 - heparin 5000 units/mL Inj Sol [PDH]        
00641-0476-25 - PHENobarbital 65 mg/mL Inj Sol [PDH]        
00641-0928-21 - promethazine 25 mg/mL Inj Sol [PDH]        
00641-0929-21 - promethazine 50 mg/mL Inj Sol [PDH]        
00641-1496-35 - promethazine 50 mg/mL Inj Sol [PDH]        
00641-2555-45 - phenytoin 50 mg/mL Inj Sol [PDH]        
00641-6001-25 - LORazepam 2 mg/mL Inj Sol [PDH]        
00641-6008-10 - bumetanide 0.25 mg/mL Inj Sol [PDH]        
00641-6015-10 - diltiazem 125 mg/ 25mL IV Sol [PDH]        
00641-6019-10 - morphine 10 mg/10 mL preservative-free Sol[PDH]        
00641-6027-25 - fentaNYL 100 mcg/2mL Sol[PDH]        
00641-6027-25 - fentaNYL 100 mcg/2mL Inj Sol [PDH]        
00641-6044-25 - LORazepam 2 mg/mL Inj Sol [PDH]        
00641-6052-25 - meperidine 25 mg/mL Inj Sol [PDH]        
00641-6059-10 - midazolam 5 mg/5mL [PDH]        
00641-6125-25 - morphine 4 mg/mL preservative-free [PDH]        
00641-6127-25 - morphine 10 mg/mL preservative-free [PDH]        
00641-6142-25 - phenylephrine 10 mg/mL Inj Sol [PDH]        
00641-6151-25 - HYDROmorphone 2 mg/mL Inj Sol [PDH]        
00641-6207-25 - LORazepam 2 mg/mL Inj Sol [PDH]        
00641-6208-25 - promethazine 25 mg/mL Inj Sol [PDH]        
00641-6209-25 - midazolam 2 mg/2 mL Sol[PDH]        
00641-6210-10 - midazolam 5 mg/5mL [PDH]        
00641-6229-25 - phenylephrine 10 mg/mL Inj Sol [PDH]        
00703-1271-04 - terbutaline 1 mg/mL Inj Sol [PDH]        
00703-3333-01 - Octreotide 200mcg/ml 5mL vial [PDH]        
00703-4502-84 - metoclopramide 5 mg/mL Inj Sol [PDH]        
00703-9503-03 - sulfamethoxazole-trimethoprim 80 mg-16 mg/mL IV Sol 5 mL [PDH]        
00713-0101-09 - glycerin adult Supp [PDH]        
00713-0102-09 - glycerin pediatric Supp [PDH]        
00713-0118-12 - acetaminophen 120 mg Supp [PDH]        
00713-0135-12 - prochlorperazine 25 mg Supp [PDH]        
00713-0164-12 - acetaminophen 325 mg Supp [PDH]        
00713-0503-24 - hydrocortisone 25 mg Supp [PDH]        
00713-0503-12 - hydrocortisone 25 mg Supp [PDH]        
00713-0526-12 - promethazine 25 mg Supp [PDH]        
00713-0536-12 - promethazine 12.5 mg Supp [PDH]        
00781-1205-01 - Penicillin V Potassium 250 mg Tab [PDH]        
00781-1392-13 - haloperidol 1 mg Tab [PDH]        
00781-1655-01 - Penicillin V Potassium 500 mg Tab [PDH]        
00781-2048-01 - amantadine 100 mg Cap [PDH]        
00781-3040-95 - pyridostigmine 5 mg/mL Inj Sol [PDH]        
00781-3059-95 - digoxin 250 mcg/mL (0.25 mg/mL) Inj Sol [PDH]        
00781-3114-95 - piperacillin-tazobactam 4 g-0.5 g IV Inj [PDH]        
00781-3125-85 - nafcillin 2 g Inj [PDH]        
00781-3159-72 - OLANZapine 10 mg Powder-Inj [PDH]        
00781-3174-14 - SUMAtriptan 6 mg/0.5 mL SubQ Sol [PDH]        
00781-3209-95 - cefTRIAXone 2 g Pow        
00781-3404-95 - ampicillin 1 g Inj [PDH]        
00781-5238-64 - Ondansetron 4mg ODT [PDH]        
00781-5238-64-THPs - THP Ondansetron 4mg ODT Tab (#6) [PDH]        
00781-6039-55 - amoxicillin 125 mg/5 mL Oral Liq [PDH]        
00781-6041-55 - amoxicillin 250 mg/5 mL Oral Liq [PDH]        
00781-6041-46 - amoxicillin 250 mg/5 mL Pow 100ml [pDH]        
00781-6104-46 - amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 100 mL [PDH]        
00781-9261-95 - ampicillin 1 g Inj [PDH]        
00799-0001-05 - lanolin/menthol/petrolatum/Zn oxide top 15.7%-0.44%-24%-20.6% Oin [PDH]        
00799-0001-02 - lanolin/menthol/petrolatum/Zn oxide top ointment 71gm [PDH]        
00799-0001-03 - lanolin/menthol/petrolatum/Zn oxide top ointment 71gm [PDH]        
00832-0465-15 - nystatin Top 100,000 units/g Pwdr [PDH]        
00832-0510-00 - bethanechol 5 mg Tab [PDH]        
00832-1211-01 - warfarin 1 mg Tab [PDH]        
00869-0164-38 - magnesium citrate 8.85% Oral Liq 296 mL [PDH]        
00904-0201-61 - amitriptyline 25 mg Tab [PDH]        
00904-0411-61 - propranolol 10 mg Tab [PDH]        
00904-0430-04 - doxycycline hyclate 100 mg Tab [PDH]        
00904-0523-61 - ascorbic acid 500 mg Tab [PDH]        
00904-0544-60 - thiamine 100 mg Tab [PDH]        
00904-1056-61 - benztropine 1 mg Tab [PDH]        
00904-1453-61 - metroNIDAZOLE 250 mg Tab [PDH]        
00904-2013-60 - aspirin 325 mg Oral EC Tab [PDH]        
00904-2725-61 - sulfamethoxazole-trimethoprim 800 mg-160 mg Tab [PDH]        
00904-2821-61 - oxybutynin 5 mg Tab [PDH]        
00904-2920-61 - verapamil 80 mg Tab [PDH]        
00904-2924-61 - verapamil 120 mg Tab [PDH]        
00904-3865-75 - sodium chloride Nasal 0.65% Spry [PDH]        
00904-5165-61 - senna 8.6 mg Tab [PDH]        
00904-5306-61 - diphenhydrAMINE 25 mg Cap [PDH]        
00904-5313-60 - Prenatal Multivitamins with Folic Acid 0.8 mg Tab [PDH]        
00904-5332-60 - zinc sulfate 220 mg Cap [PDH]        
00904-5448-61 - pentoxifylline 400 mg ER Tab [PDH]        
00904-5492-61 - Therapeutic Multiple Vitamins with Minerals Tab [PDH]        
00904-5502-61 - enalapril 5 mg Tab [PDH]        
00904-5523-61 - doxazosin 2 mg Tab [PDH]        
00904-5577-20 - ibuprofen 100 mg/5 mL Oral Susp 118mL [PDH]        
00904-5656-61 - cloNIDine 0.1 mg Tab [PDH]        
00904-5677-61 - PARoxetine 20 mg Tab [PDH]        
00904-5684-61 - omeprazole 20 mg Oral EC Cap [PDH]        
00904-5711-35 - oxymetazoline Nasal 0.05% Spry [PDH]        
00904-5780-17 - famotidine 20 mg Tab [PDH]        
00904-5785-61 - FLUoxetine 20 mg Cap [PDH]        
00904-5789-61 - acyclovir 200 mg Cap [PDH]        
00904-5809-61 - lisinopril 20 mg Tab [PDH]        
00904-5824-61 - cholecalciferol 1000 intl units oral tablet [PDH]        
00904-5852-61 - cetirizine 10 mg Tab [PDH]        
00904-5854-61 - ibuprofen 600 mg Tab [PDH]        
00904-5855-61 - ibuprofen 800 mg Tab [PDH]        
00904-5859-61 - ALPRAZolam 0.5 mg Tab [PDH]        
00904-5880-61 - diazepam 5 mg Tab [PDH]        
00904-5894-30 - simethicone 40 mg/0.6 mL Oral Liq [PDH]        
00904-5921-61 - digoxin 125 mcg (0.125 mg) Tab [PDH]        
00904-5959-61 - clindamycin 150 mg Cap [PDH]        
00904-6007-61 - LORazepam 0.5 mg Tab [PDH]        
00904-6008-61 - LORazepam 1 mg Tab UD [PDH]        
00904-6052-61 - levETIRAcetam 500 mg Tab [PDH]        
00904-6068-61 - potassium chloride 10 mEq ERCap [PDH]        
00904-6082-61 - zolpidem 5 mg Tab [PDH]        
00904-6085-61 - citalopram 20 mg Tab [PDH]        
00904-6089-61 - sertraline 100 mg Tab [PDH]        
00904-6126-61 - terazosin 1 mg Cap [PDH]        
00904-6156-61 - tamsulosin 0.4 mg Oral Cap [PDH]        
00904-6172-61 - carBAMazepine 200 mg Tab [PDH]        
00904-6187-61 - phenytoin 100 mg ERCap [PDH]        
00904-6237-61 - carbidopa-levodopa 25 mg-100 mg Tab [PDH]        
00904-6255-49 - benzocaine-menthol topical 15 mg-3.6 mg Loz [PDH]        
00904-6279-61 - QUEtiapine 100 mg Tab [PDH]        
00904-6291-61 - atorvastatin 20 mg Tab [PDH]        
00904-6294-61 - clopidogrel 75 mg Tab [PDH]        
00904-6301-61 - carvedilol 6.25 mg Tab [PDH]        
00904-6305-21 - phenol Top 1.4% Spry [PDH]        
00904-6340-61 - metoprolol Tartrate 25 mg Tab [PDH]        
00904-6341-61 - metoprolol Tartrate 50 mg Tab [PDH]        
00904-6351-61 - levofloxacin 250 mg Tab [PDH]        
00904-6359-61 - risperiDONE 1 mg Tab [PDH]        
00904-6363-61 - divalproex sodium 250 mg ER Tab [PDH]        
00904-6365-61 - traMADol 50 mg Tab [PDH]        
00904-6370-61 - amLODIPine 5 mg Tab [PDH]        
00904-6376-61 - OLANZapine 10 mg Tab [PDH]        
00904-6378-61 - ciprofloxacin 500 mg Tab [PDH]        
00904-6390-61 - losartan 50 mg Tab [PDH]        
00904-6401-61 - tamsulosin 0.4 mg Oral Cap [PDH]        
00904-6407-61 - bisacodyl 5 mg Oral EC Tab [PDH]        
00904-6419-61 - acetaminophen-HYDROcodone 325 mg-5 mg Tab [PDH]        
00904-6421-61 - acetaminophen-HYDROcodone 325 mg-10 mg Tab [PDH]        
00904-6426-61 - escitalopram 10 mg Tab [PDH]        
00904-6437-61 - acetaminophen-oxyCODONE 325 mg-5 mg Tab [PDH]        
00904-6440-61 - hydrALAZINE 10 mg Tab [PDH]        
00904-6441-61 - hydrALAZINE 25 mg Tab [PDH]        
00904-6444-61 - oxyCODONE 5 mg Tab [PDH]        
00904-6452-61 - DULoxetine 20 mg Cap [PDH]        
00904-6453-61 - DULoxetine 30 mg Cap [PDH]        
00904-6455-61 - docusate sodium 100 mg Cap [PDH]        
00904-6461-61 - promethazine 25 mg Tab [PDH]        
00904-6469-61 - Venlafaxine ER Cap 75mg [PDH]        
00904-6474-61 - pantoprazole 40 mg Oral EC Tab [PDH]        
00904-6475-61 - baclofen 10 mg Tab [PDH]        
00904-6477-61 - donepezil 5 mg Tab [PDH]        
00904-6485-61 - lisinopril 10 mg Tab [PDH]        
00904-6488-38 - Lubricant Eye Ointment PF 3.5g [PDH]        
00904-6522-61 - senna 8.6 mg Tab [PDH]        
00904-6550-61 - propranolol 10 mg Tab [PDH]        
00904-6554-61 - traZODone 50 mg Tab [PDH]        
00904-6556-61 - amiodarone 200 mg Tab [PDH]        
00904-6557-61 - morphine 15 mg/8 to 12 hr UD [PDH]        
00904-6571-61 - allopurinol 100 mg Tab [PDH]        
00904-6575-61 - PHENobarbital 32.4 mg Tab [PDH]        
00904-6585-61 - buPROPion 150 mg ER Tab [PDH]        
00904-6620-61 - isosorbide dinitrate 20 mg Tab [PDH]        
00904-6637-61 - glipiZIDE 5 mg Tab [PDH]        
00904-6640-61 - QUEtiapine 100 mg Tab [PDH]        
00904-6665-61 - gabapentin 100 mg Cap [PDH]        
00904-6666-61 - gabapentin 300 mg Cap [PDH]        
00904-6667-61 - gabapentin 400 mg Cap UD [PDH]        
00904-6689-61 - metFORMIN 500 mg Tab [PDH]        
00904-6704-61 - pramipexole 0.25 mg Tab [PDH]        
00904-6708-06 - azithromycin 250 mg Tab [PDH]        
00904-6773-61 - acetaminophen 325 mg Tab [PDH]        
00904-6797-61 - lisinopril 5 mg Tab [PDH]        
00904-6799-61 - lisinopril 20 mg Tab [PDH]        
00904-6824-61 - acetaminophen-HYDROcodone 325 mg-5 mg Tab [PDH]        
00904-6825-61 - acetaminophen-HYDROcodone 325 mg-10 mg Tab [PDH]        
00904-6844-70 - dextromethorphan-guaiFENesin 10 mg-100 mg/5 mL Oral Liq 5 mL [PDH]        
00904-6915-61 - metolazone 5 mg Tab [PDH]        
00904-6923-61 - predniSONE 10 mg Tab UD[PDH]        
00904-6927-61 - spironolactone 25 mg Tab [PDH]        
00904-6930-61 - potassium chloride 10 mEq ERCap [PDH]        
00904-6951-61 - levothyroxine 75 mcg (0.075 mg) Tab [PDH]        
00904-6952-61 - levothyroxine 88 mcg (0.088 mg) Tab [PDH]        
00904-6966-61 - oxyCODONE 5 mg Tab [PDH]        
00904-6987-61 - dicyclomine 10 mg Cap [PDH]        
00904-7006-35 - oxymetazoline Nasal 0.05% Spry [PDH]        
00904-7809-61 - cyclobenzaprine 10 mg Tab [PDH]        
00904-7914-61 - ibuprofen 200 mg Tab [PDH]        
00904-7927-61 - bisacodyl 5 mg Oral EC Tab [PDH]        
00944-2700-05 - immune globulin intravenous and subcutaneous 10% [PDH]        
10006-0700-28 - magnesium oxide 400 mg (240 mg elemental magnesium) Tab UD        
10006-0700-28 - magnesium oxide 400 mg Tab [PDH]        
10019-0037-30 - fentaNYL 0.05 mg/mL Inj Sol [PDH]        
10019-0651-64 - sevoflurane Inh Liq 250 mL [PDH]        
10119-0002-52 - Ophth irrigation, extraocular Sol [PDH]        
11523-7204-01 - vitamin A & D Top Oint [PDH]        
11523-7268-08 - polyethylene glycol 3350 - Pow UD [PDH]        
12870-0001-01 - silver nitrate Top Stick [PDH]        
13533-0131-01 - tetanus-diphth toxoids (Td) adult/adol 2 IU-2 IU/0.5 mL IM [PDH]        
13533-0318-05 - Rabies Immune Globulin (HyperRAB) 300iu/ml 5ml vial [PDH]   90375    
13533-0318-03 - Rabies Immune Globulin (HyperRAB) 900iu/ml 3ml vial [PDH]        
13533-0618-02 - rabies immune globulin, human 150 intl units/mL IM Sol [PDH]        
13533-0634-02 - tetanus immune globulin 250 units IM Sol 1 EA [PDH]        
13533-0800-40 - immune globulin intravenous 10% Sol 400ML [PDH]        
13533-0800-20 - immune globulin intravenous 10% 50ml [PDH]        
13533-0800-71 - immune globulin intravenous and subcutaneous 10% [PDH]        
13533-0800-12 - immune globulin IVIG 10% 1gm/10ml [pdh]        
13533-0800-24 - immune globulin IV 10% Sol 20GM/200ml[PDH]        
13925-0166-04 - prednisoLONE (as sodium phosphate) 5 mg/5 mL Liq [PDH]        
16571-0412-10 - ciprofloxacin 500 mg Tab [PDH]        
16571-0412-10-THPs - THP Ciprofloxacin 500mg Tab (#6) [PDH]        
16714-0585-01 - pramipexole 0.25 mg Tab [PDH]        
17238-0900-11 - fluorescein ophthalmic 1 mg Test [PDH]        
17478-0045-32 - tetracaine 1% Inj Sol 2 mL [PDH]        
17478-0060-12 - Lubricant Eye Drops 15ml [PDH}        
17478-0062-35 - Lubricant Eye Ointment PF 3.5g [PDH]        
17478-0097-02 - cyclopentolate Ophth 2% Sol [PDH]        
17478-0102-12 - tropicamide Ophth 1% Sol [PDH]        
17478-0201-02 - phenylephrine Ophth 2.5% Sol [PDH]        
17478-0283-10 - gentamicin Ophth 0.3% Sol [PDH]        
17478-0284-35 - gentamicin Ophth 0.3% Oint [PDH]        
17478-0284-35-THPs - THP gentamicin ophthalmic 0.3% Oint. 3.5gm [PDH]        
17478-0404-01 - fluorescein ophthalmic 1 mg Test [PDH]        
17478-0420-20 - labetalol 100 mg/ 20mL IV Sol [PDH]        
17478-0504-10 - methylene blue 10 mg/mL Inj Sol [PDH]        
17478-0510-02 - physostigmine 1 mg/mL Inj Sol [PDH]        
17478-0515-00 - ePHEDrine 50 mg/mL Inj Sol [PDH]        
17478-0542-02 - adenosine 3 mg/mL IV Sol [PDH]        
17478-0542-02 - adenosine 3 mg/mL Sol 2ml [PDH]        
17478-0711-10 - lidocaine topical 2% Gel [PDH]        
17478-0817-05 - dilTIAZem 25 mg/5mL Sol[PDH]        
17478-0827-35 - gentamicin Ophth 0.3% Oint [PDH]        
17478-0840-30 - lidocaine Top 2% Gel w/Appl [PDH]        
17478-0934-15 - hydrALAZINE 20 mg/mL Inj Sol [PDH]        
17478-0937-05 - dilTIAZem 25 mg/5mL Sol[PDH]        
19515-0816-52 - influenza virus vaccine, inactivated preservative-free quadrivalent Sus        
19515-0906-52 - Influenza vaccine, PF quadrivalent IM (6mths and older) Sus [PDH]   90686    
23155-0548-42 - ondansetron 2 mg/mL Inj Sol [PDH]        
23155-0600-41 - midazolam 2 mg/2 mL Sol[PDH]        
24208-0585-64 - tropicamide Ophth 1% Sol [PDH]        
24208-0635-62 - Neomycin/Polymyxin/Hydrocortisone Otic Susp.10mL [PDH]        
24208-0670-04 - sodium sulfacetamide Ophth 10% Sol [PDH]        
24208-0910-19 - erythromycin Ophth 0.5% Oint [PDH]        
24338-0104-13 - erythromycin 500 mg Tab [PDH]        
25021-0101-67 - ceFAZolin 1 g Inj [PDH]        
25021-0106-67 - cefTRIAXone 1 g Inj [PDH]        
25021-0121-20 - cefepime 1 g Inj [PDH]        
25021-0121-66 - cefepime 1 g Inj [PDH]        
25021-0127-66 - cefTAZidime 1 g Inj [PDH]        
25021-0132-68 - levofloxacin 750 mg/150 mL IV Sol [PDH]        
25021-0132-67 - levofloxacin 500 mg/100 mL IV Sol [PDH]        
25021-0132-82 - levoFLOXacin 500 mg/100 mL [PDH]        
25021-0165-30 - piperacillin-tazobactam 3 g-0.375 g IV Inj [PDH]        
25021-0184-82 - fluconazole 200 mg/100 mL-NS IV Sol [PDH]        
25021-0301-68 - adenosine 3 mg/mL IV Sol [PDH]        
25021-0402-66 - heparin 5000 units/mL Inj Sol [PDH]        
25021-0659-05 - atracurium 10 mg/mL IV Sol [PDH]        
25021-0830-82 - zoledronic acid 5 mg/100 mL IV Sol [PDH]        
32909-0711-03 - Barium Sulfate 2% Suspension [PDH]        
32909-0764-01 - barium sulfate 98% [PDH]        
33342-0021-08 - levofloxacin 250 mg Tab [PDH]        
33342-0021-08-THPs - THP Levofloxacin 250 mg Tab (#3) [PDH]        
36000-0009-24 - ciprofloxacin 400 mg/200 mL IV Sol [PDH]        
36000-0033-10 - metoprolol 1 mg/mL Inj Sol [PDH]        
36000-0162-10 - norEPINEPHrine 1 mg/mL IV Sol [PDH]        
36000-0296-24 - levofloxacin 750 mg/150 mL IV Sol [PDH]        
37000-0023-04 - psyllium 3.4 g/12 g oral Pwdr [PDH]        
37000-0024-04 - psyllium 3.4 g/5.8 g Powder [PDH]        
37205-0119-10 - simethicone 40 mg/0.6 mL Oral Liq [PDH]        
39328-0062-50 - sodium hypochlorite topical 0.5% Sol[PDH]        
39328-0063-25 - sodium hypochlorite Top 0.25% Sol [PDH]        
39423-0005-00 - Florajen Probiotic Supplement Cap [PDH]        
39822-0190-09 - acetaZOLAMIDE 500 mg Pow [PDH]        
39822-4000-01 - levETIRAcetam 100 mg/mL IV Sol [PDH]        
41616-0931-44 - vecuronium 10 mg IV Inj [PDH]        
42023-0104-05 - tuberculin purified protein derivative 5 TU/0.1 mL ID Sol 5mL [PDH]        
42023-0123-06 - dantrolene 20 mg IV Inj [PDH]        
42023-0140-25 - oxytocin 10 intl units/mL Inj Sol [PDH]        
42023-0216-25 - ePHEDrine 50 mg/mL Sol [PDH]        
42023-0221-85 - ertapenem 1 g Inj [PDH]        
42023-0221-10 - ertapenem 1 g Inj [PDH]        
42043-0143-38 - cephalexin 250 mg/5 mL Oral Liq [PDH]        
42043-0143-38-THPs - THP Cephalexin 250mg/5ml SUSP 100mL [PDH]        
42292-0038-20 - levothyroxine 88 mcg (0.088 mg) Tab [PDH]        
42799-0806-01 - ivermectin 3 mg Tab [PDH}        
42806-0149-32 - azithromycin 200 mg/5 mL 15mL [PDH]        
42858-0301-25 - HYDROmorphone 2 mg Tab [PDH]        
43547-0407-10 - clonazePAM 1 mg Tab [PDH]        
43598-0446-74 - nicotine 7 mg/24 hr Transderm ER Film [PDH]        
43598-0447-70 - nicotine 14 mg/24 hr Transderm ER Film [PDH]        
43598-0448-28 - nicotine 21 mg/24 hr Transderm ER Film [PDH]        
43825-0102-01 - acetaminophen 1000 mg/ 100 mL Sol [PDH]        
43825-0606-41 - thrombin topical recombinant 5000 intl units [PDH]        
44206-0251-05 - albumin human 25% IV Sol 50 mL [PDH]        
44567-0707-25 - ceFAZolin 1 g Inj [PDH]        
44677-0102-02 - lanolin topical Cream [PDH]        
45802-0004-03 - hydrocortisone Top 2.5% Crm [PDH]        
45802-0059-11 - nystatin Top 100,000 units/g Crm [PDH]        
45802-0060-03 - bacitracin Top 500 units/g Oint [PDH]        
45802-0060-70 - bacitracin Top 500 units/g Oint [PDH]        
45802-0112-22 - mupirocin Top 2% Oint [PDH]        
45802-0357-58 - sodium chloride Nasal 0.65% Spry [PDH]        
45802-0432-62 - pseudoephedrine 30 mg Tab [PDH]        
45802-0730-00 - acetaminophen 650 mg Supp [PDH]        
45802-0840-54 - levonorgestrel 0.75 mg Tab [PDH]        
46287-0006-60 - sodium polystyrene sulfonate 15 g/60 mL Sus UD [PDH]        
47335-0931-44 - vecuronium 10 mg IV Inj [PDH]        
47781-0209-04 - estradiol 0.1 mg/24 hours weekly Transderm ER Film [PDH]        
47781-0296-03 - nitroglycerin 0.1 mg/hr Transderm ER Film [PDH]        
47781-0586-29 - labetalol 100 mg/ 20mL IV Sol [PDH]        
47781-0588-68 - midazolam 2 mg/2 mL Sol[PDH]        
48102-0047-20 - dexamethasone 4 mg Tab [PDH]        
48433-0101-01 - docusate sodium 250 mg Oral Cap [PDH]        
48783-0112-08 - ferric subsulfate Top Sol [PDH]        
49281-0120-65 - influenza virus vaccine, inactivated high-dose preservative-free quadrivalent Sus        
49281-0215-15 - tetanus-diphth toxoids (Td) adult/adol 5 units-2 units/0.5 mL PF Sus UD [PDH]        
49281-0405-65 - Influenza vaccine, inactivated high-dose PF Sus [PDH}   90662    
49281-0489-01 - meningococcal polysaccharide vaccine group A/C/Y/W 50 mcg SubQ Inj [PDH]        
49281-0752-21 - tuberculin purified protein derivative 5 TU/0.1 mL ID Sol [PDH]        
49281-0860-55 - poliovirus vaccine, inactivated - Sus IM UD [PDH]        
49702-0213-26 - zidovudine 200mg/20mL IV Soln [PDH]        
49884-0600-36 - silver sulfADIAZINE Top 1% Crm [PDH]        
49884-0764-78 - fentaNYL 100 mcg/hr Transderm ER Film [PDH]        
50111-0788-55 - Azithromycin 500 mg Tab [PDH]        
50111-0788-55-THPs - THP Azithromycin 500mg Tab (1 Card) [PDH]         
50242-0038-61 - tenecteplase 50 mg IV Inj [PDH]        
50242-0041-64 - alteplase 2 mg IV Inj [PDH]        
50242-0051-21 - riTUXimab 100mg/10ml Sol [PDH]        
50242-0053-06 - riTUXimab 500mg/50ml IV Sol [PDH]        
50242-0085-27 - alteplase 100 mg IV Inj [PDH]        
50242-0137-01 - tocilizumab 20 mg/mL [PDH]        
50242-0150-01 - ocrelizumab 300 mg/10 mL Sol[PDH]     STAT  
50268-0069-15 - amantadine 100 mg Cap [PDH]        
50268-0084-15 - amLODIPine 5 mg Tab [PDH]        
50268-0098-15 - azithromycin 250 mg Tab [PDH]        
50268-0110-15 - benazepril 10 mg Tab [PDH]        
50268-0145-15 - buprenorphine-naloxone 8 mg-2 mg sublingual Dis Tab [PDH]        
50268-0149-11 - calcium carbonate 500 mg Chew Tab [PDH]        
50268-0151-15 - cephalexin 250 mg Cap [PDH]        
50268-0268-15 - docusate sodium 250 mg Oral Cap [PDH]        
50268-0337-15 - fluconazole 100 mg Tab [PDH]        
50268-0350-15 - gemfibrozil 600 mg Tab [PDH]        
50268-0430-15 - indomethacin 25 mg Cap [PDH]        
50268-0449-15 - isosorbide dinitrate 20 mg Tab [PDH]        
50268-0451-15 - isosorbide mononitrate 30 mg ER Tab [PDH]        
50268-0488-15 - loratadine 10 mg Tab [PDH]        
50268-0540-15 - metoprolol Succinate 25 mg ER Tab [PDH]        
50268-0575-15 - montelukast 10 mg Tab [PDH]        
50268-0594-15 - naproxen 250 mg Tab [PDH]        
50268-0597-15 - NIFEdipine 30 mg ER Tab [PDH]        
50268-0624-15 - nitrofurantoin macrocrystals 100 mg Cap [PDH]        
50268-0636-15 - pantoprazole 20 mg Oral EC Tab [PDH]        
50268-0764-15 - terazosin 1 mg Cap [PDH]        
50268-0801-15 - venlafaxine 75 mg Tab [PDH]        
50268-0851-15 - thiamine 100 mg Tab [PDH]        
50268-0855-15 - cyanocobalamin 1000 mcg Tab [PDH]        
50268-0859-15 - pyridoxine 100 mg Tab [PDH]        
50268-0865-15 - cholecalciferol 2000 intl units Tab [PDH]        
50268-0868-15 - cholecalciferol 5000 units Cap [PDH}        
50323-0006-04 - phenylephrine nasal 1% spray [PDH]        
50383-0042-24 - prednisoLONE 15 mg/5 mL Oral Syrup [PDH]        
50383-0087-07 - codeine-guaifenesin 10 mg-100 mg/5 mL Syr [PDH]        
50383-0741-20 - albuterol 0.5% Inh Sol [PDH]        
50383-0771-11 - docusate sodium 150 mg/15 mL Oral Liq [PDH]        
50383-0775-17 - lidocaine Top 2% Sol 15 mL [PDH]        
50383-0779-31 - lactulose 10 g/15 mL Oral Syrup [PDH]        
50419-0421-01 - levonorgestrel 52 mg intrauteral Dev [PDH]        
50419-0422-01 - levonorgestrel 13.5 mg IUD [PDH]        
50419-0423-01 - levonorgestrel 52 mg Dev[PDH}        
50458-0168-01 - levofloxacin 500 mg/100 mL IV Sol [PDH]        
50458-0578-10 - rivaroxaban 15 mg Tab UD [PDH]        
50458-0580-10 - rivaroxaban 10 mg Tab UD [PDH]        
50458-0592-10 - risperiDONE 1 mg Tab [PDH]        
50580-0601-22 - ibuprofen 100 mg/5 mL Oral Susp 30mL [PDH]        
50633-0110-12 - Crotalidae Immune Fab (Crofab) 1 vial [PDH]        
50633-0120-11 - digoxin immune FAB 40 mg Inj [PDH]        
51079-0024-20 - metolazone 5 mg Tab [PDH]        
51079-0051-20 - pantoprazole 40 mg Oral EC Tab [PDH]        
51079-0072-19 - furosemide 20 mg Tab [PDH]        
51079-0073-20 - furosemide 40 mg Tab [PDH]        
51079-0077-20 - hydrOXYzine pamoate 25 mg Cap [PDH]        
51079-0087-20 - mirtazapine 30 mg Tab [PDH]        
51079-0105-20 - folic acid 1 mg Tab [PDH]        
51079-0128-20 - sulfamethoxazole-trimethoprim 800 mg-160 mg Tab [PDH]        
51079-0131-20 - amitriptyline 10 mg Tab [PDH]        
51079-0141-20 - chlordiazePOXIDE 25 mg Cap [PDH]        
51079-0145-20 - benazepril 10 mg Tab [PDH]        
51079-0209-20 - atorvastatin 20 mg Tab [PDH]        
51079-0255-20 - metoprolol Tartrate 25 mg Tab [PDH]        
51079-0386-20 - LORazepam 1 mg Tab [PDH]        
51079-0418-20 - temazepam 15 mg Cap [PDH]        
51079-0425-20 - glimepiride 2 mg Tab [PDH]        
51079-0440-20 - levothyroxine 50 mcg (0.05 mg) Tab [PDH]        
51079-0441-20 - levothyroxine 75 mcg (0.075 mg) Tab [PDH]        
51079-0442-20 - levothyroxine 100 mcg (0.1 mg) Tab [PDH]        
51079-0444-20 - levothyroxine 25 mcg (0.025 mg) Tab [PDH]        
51079-0455-20 - simvastatin 20 mg Tab [PDH]        
51079-0474-08 - divalproex sodium 250 mg Oral EC Tab [PDH]        
51079-0513-20 - pioglitazone 15 mg Tab [PDH]        
51079-0524-20 - ondansetron 4 mg Tab [PDH]        
51079-0541-20 - prochlorperazine 5 mg Tab [PDH]        
51079-0557-20 - clopidogrel 75 mg Tab [PDH]        
51079-0584-20 - nitrofurantoin macrocrystals 50 mg Cap [PDH]        
51079-0597-20 - cetirizine 10 mg Tab [PDH]        
51079-0630-20 - prazosin 1 mg Cap [PDH]        
51079-0690-20 - loperamide 2 mg Cap [PDH]        
51079-0734-20 - haloperidol 1 mg Tab [PDH]        
51079-0746-20 - diltiazem 60 mg Tab [PDH]        
51079-0759-20 - atenolol 25 mg Tab [PDH]        
51079-0801-20 - metoprolol Tartrate 50 mg Tab [PDH]        
51079-0882-20 - clonazePAM 1 mg Tab [PDH]        
51079-0889-20 - pentoxifylline 400 mg ER Tab [PDH]        
51079-0894-20 - verapamil 120 mg ER Tab [PDH]        
51079-0917-20 - verapamil 120 mg/24 hours Cap UD[PDH]        
51079-0935-20 - hydrochlorothiazide-triamterene 25 mg-37.5 mg Cap [PDH]        
51079-0985-20 - busPIRone 5 mg Tab [PDH]        
51224-0013-10 - levETIRAcetam 100 mg/mL IV Sol [PDH]        
51285-0146-19 - levonorgestrel 1.5 mg Tab [PDH]        
51552-1536-01 - epi/lido/tetracaine topical 6 mg-121 mg-15 mg/3 mL Sol [PDH]        
51645-0905-99 - thiamine 100 mg Tab [PDH]        
51672-1282-02 - triamcinolone Top 0.1% Crm [PDH]        
51672-1304-06 - terconazole 0.4% Vag Crm [PDH]        
51672-1312-00 - mupirocin Top 2% Oint [PDH]        
51672-2116-00 - acetaminophen 325 mg Supp [PDH]        
51991-0738-01 - neomycin 500 mg Tab [PDH]        
52268-0100-01 - polyethylene glycol 3350 with electrolytes Oral Pwdr for Sol 4000 mL [PDH]        
52268-0101-01 - polyethylene glycol 3350 with electrolytes Oral Pwdr for Sol 4000 mL [PDH]        
52544-0931-02 - iron dextran 50 mg/mL Inj Sol [PDH]        
53002-0058-06-THP - ondansetron 4 mg Tab-Dis        
54162-0000-02 - vitamin A & D Top Oint [PDH]        
54162-0185-25 - emollients, Top oil [PDH]        
54288-0103-10 - EPINEPHrine 1 mg/mL Inj Sol [PDH]        
54643-5649-01 - Multiple Vitamins IV Sol 10 mL [PDH]        
54643-7862-01 - Multiple Vitamins IV Sol 10 mL [PDH]        
55150-0120-30 - piperacillin-tazobactam 3 g-0.375 g IV Inj [PDH]        
55150-0167-10 - bupivacaine 0.25% PF Inj Sol 10 mL [PDH]        
55150-0168-30 - bupivacaine 0.25% PF Inj Sol 30 mL [PDH]        
55150-0169-10 - bupivacaine 0.5% PF Inj Sol 10 mL [PDH]        
55150-0170-30 - bupivacaine 0.5% PF Inj Sol 30 mL [PDH]        
55150-0173-01 - SUMAtriptan 6 mg/0.5 mL SubQ Sol [PDH]        
55150-0202-10 - pantoprazole 40 mg IV Inj [PDH]        
55150-0225-05 - rocuronium 10 mg/mL IV Sol [PDH]        
55150-0254-10 - lidocaine 2% Inj Sol 10 mL [PDH]        
55390-0004-10 - glucagon 1 mg Inj [PDH]        
55390-0092-10 - flumazenil 0.1 mg/mL IV Sol [PDH]        
55390-0103-10 - atracurium 10 mg/mL IV Sol [PDH]        
55390-0113-01 - phentolamine 5 mg Inj [PDH]        
55390-0500-05 - bumetanide 0.25 mg/mL Inj Sol [PDH]        
55513-0025-04 - darbepoetin alfa 100 mcg/0.5 mL Inj Sol [PDH]        
55513-0190-01 - pegfilgrastim 6 mg/0.6 mL SubQ Inj [PDH]        
55513-0209-91 - filgrastim 480 mcg/0.8 mL Inj Sol [PDH]        
55513-0478-10 - epoetin alfa 20,000 units/mL Inj Sol [PDH]        
55513-0530-10 - filgrastim 300 mcg/mL Inj Sol [PDH]        
55513-0546-10 - filgrastim 480 mcg/1.6 mL Inj Sol [PDH]        
55513-0710-01 - denosumab 60 mg/mL [PDH]        
55513-0730-01 - denosumab 120 mg/1.7 mL [PDH]        
55513-0924-91 - filgrastim 300 mcg/0.5 mL Inj Sol [PDH]        
57237-0041-01 - Penicillin V Potassium 500 mg Tab [PDH]        
57237-0041-01-THPs - THP Penicillin VK 500 mg Tab (#10) [PDH]        
57894-0030-01 - inFLIXimab 100 mg IV Inj [PDH]        
58160-0810-52 - diphtheria/tetanus/pertussis (DTaP) ped 25 units-10 units-58 mcg/0.5 mL Sus [PDH]        
58160-0811-52 - DTAP/HepB/IPV IM 0.5ml [PDH]        
58160-0812-11 - DTAP/IPV IM Susp 0.5 mL [PDH]   90696    
58160-0818-11 - haemophilus b (HIB) conjugate (PRP-T) vaccine - Pow IM [PDH]        
58160-0820-11 - hepatitis B Ped vaccine 10 mcg/0.5mL IM Sus [PDH]        
58160-0821-11 - hepatitis B adult vaccine 20 mcg/mL IM Sus [PDH]   90746    
58160-0825-52 - hepatitis A pediatric vaccine 720 units/0.5 mL PF IM Susp [PDH]        
58160-0826-48 - hepatitis A adult vaccine 1440 units/mL PF IM Susp [PDH]        
58160-0842-52 - tetanus/diphtheria/pertussis, acel (Tdap) 5 units-2.5 units-18.5 mcg/0.5 mL IM Susp 0 mL [PDH]   90715    
58160-0854-52 - rotavirus vaccine Oral {PDH]        
58160-0955-09 - Meningococal ACY W-135 Pow IM [PDH]        
58160-0964-12 - rabies vaccine, purified chick embyro cell 2.5 intl units IM Inj [PDH]   90675    
59365-5128-01 - Copper IUD Device 1 each [PDH}        
59365-6065-00 - ferric subsulfate Top Sol [PDH]        
59676-0310-01 - epoetin alfa 10,000 units/mL preservative-free [PDH]        
59676-0340-01 - epoetin alfa 40,000 units/mL preservative-free [PDH]        
59676-0360-01 - hyaluronan 30 mg/2 mL intra-articular Sol [PDH]        
59730-4202-01 - hepatitis B immune globulin IM Sol 1 mL [PDH]        
59730-4203-01 - hepatitis B immune globulin IM Sol 5 mL [PDH]        
59746-0175-09 - predniSONE 20 mg Tab        
59746-0383-06 - terazosin 1 mg Cap [PDH]        
59762-0104-01 - sulfaSALAzine 500 mg Oral EC Tab [PDH]        
59762-1061-01 - atropine-diphenoxylate 0.025 mg-2.5 mg Tab [PDH]        
59762-1530-05 - amLODIPine 5 mg Tab [PDH]        
59762-3130-01 - azithromycin 200 mg/5 mL Oral Liq [PDH]        
59762-4537-01 - medroxyPROGESTERone 150 mg/mL IM Susp [PDH]        
60258-0006-01 - potassium phosphate-sodium phosphate 250 mg-280 mg-160 mg Pow UD [PDH]        
60267-0311-10 - sodium nitrite 3% IV Sol 10 mL [PDH]        
60267-0705-50 - sodium thiosulfate 25% IV Sol 50 mL [PDH]        
60432-0131-08 - phenytoin 125 mg/5 mL Oral Susp [PDH]        
60432-0606-16 - codeine-promethazine 10 mg-6.25 mg/5 mL Oral Syrup 473 mL [PDH]        
60505-0034-00 - gemfibrozil 600 mg Tab [PDH]        
60505-0791-00 - enoxaparin 30 mg/0.3 mL SC Sol [PDH]        
60505-0792-04 - enoxaparin 40 mg/0.4 mL Sol        
60505-0795-04 - enoxaparin 100 mg/mL SubQ Sol [PDH]        
60505-0829-01 - fluticasone Nasal 0.05 mg/inh Spry [PDH]        
60505-2653-00 - traZODone 50 mg Tab [PDH]        
60505-7006-02 - fentaNYL 25 mcg/hr Transderm ER Film [PDH]        
60687-0105-21 - medroxyPROGESTERone 10 mg Tab [PDH]        
60687-0105-21 - medroxyPROGESTERone 10 mg Tab [PDH]        
60687-0113-01 - cloNIDine 0.1 mg Tab [PDH]        
60687-0114-01 - Labetalol Hydrochloride 100mg tablet [PDH]        
60687-0128-01 - valsartan 80 mg Tab [PDH]        
60687-0129-01 - docusate sodium 100 mg Cap [PDH]        
60687-0165-01 - cetirizine 10 mg Tab [PDH]        
60687-0195-01 - diltiazem 120 mg/24 hours ERCap [PDH]        
60687-0206-01 - diltiazem 180 mg/24 hours ERCap [PDH]        
60687-0229-01 - loperamide 2 mg Cap [PDH]        
60687-0231-01 - sertraline 25 mg Tab [PDH]        
60687-0242-01 - sertraline 50 mg Tab [PDH]        
60687-0253-01 - sertraline 100 mg Tab [PDH]        
60687-0282-01 - azithromycin 250 mg Tab [PDH]        
60687-0320-21 - colchicine 0.6 mg Tab [PDH]        
60687-0333-01 - lisinopril 20 mg Tab [PDH]        
60687-0369-01 - dicyclomine 10 mg Cap [PDH]        
60687-0384-25 - bumetanide 1 mg Tab [PDH]        
60687-0389-21 - colchicine 0.6 mg Tab [PDH]        
60687-0391-01 - pioglitazone 15 mg Tab [PDH]        
60687-0417-44 - acetaminophen-hydrocodone 325 mg-7.5 mg/15 mL Sol UD [PDH]        
60687-0425-01 - NIFEdipine 10 mg Cap [PDH]        
60687-0437-01 - amiodarone 200 mg Tab [PDH]        
60687-0453-01 - levothyroxine 25 mcg (0.025 mg) Tab [PDH]        
60687-0465-01 - spironolactone 25 mg Tab [PDH]        
60687-0562-01 - diltiazem 30 mg Tab [PDH]        
60687-0568-01 - methocarbamol 750 mg Tab [PDH]        
60758-0801-05 - timolol Ophth 0.5% Sol [PDH]        
60793-0215-05 - thrombin topical bovine 5000 intl units Pow [PDH]        
60793-0701-10 - penicillin G benzathine 1,200,000 units/2 mL Sus [PDH]        
60977-0141-01 - pralidoxime 1 g IV Inj [PDH]        
61314-0016-01 - proparacaine Ophth 0.5% Sol [PDH]        
61314-0226-10 - timolol Ophth 0.25% Sol [PDH]        
61314-0227-05 - timolol Ophth 0.5% Sol [PDH]        
61314-0303-02 - atropine Ophth 1% Sol [PDH]        
61314-0355-01 - tropicamide ophthalmic 1% Sol 3ml [pdh]        
61314-0633-05 - gentamicin Ophth 0.3% Sol [PDH]        
61314-0637-05 - prednisoLONE Ophth acetate 1% Susp [PDH]        
61442-0451-01 - carisoprodol 350 mg Tab [PDH]        
61570-0131-25 - Silvadene Sulfadiazine 1% 25G (Silvadene) [PDH]        
61958-0701-01 - emtricitabine-tenofovir 200 mg-300 mg Tab [PDH]        
61958-2901-01 - remdesivir 100 mg Vial[PDH]        
61971-0120-05 - sulfamethoxazole-trimethoprim 800 mg-160 mg Tab [PDH]        
61971-0120-05-THPs - THP Trimeth Sulfa DS Tab (#6) [PDH]        
62175-0118-37 - omeprazole 20 mg Oral EC Cap [PDH]        
62584-0266-01 - metoprolol Tartrate 50 mg Tab [PDH]        
62584-0713-01 - allopurinol 300 mg Tab [PDH]        
62584-0897-01 - folic acid 1 mg Tab [PDH]        
62584-0984-01 - warfarin 2 mg Tab [PDH]        
62584-0988-01 - allopurinol 100 mg Tab [PDH]        
62584-0994-01 - warfarin 5 mg Tab [PDH]        
62756-0218-40 - ibandronate 3 mg/3 mL [PDH]        
62856-0245-41 - donepezil 5 mg Tab [PDH]        
63304-0692-01 - clindamycin 150 mg Cap [PDH]        
63304-0692-01-THPs - THP Clindamycin 150 mg Cap (#8) [PDH]        
63323-0010-94 - gentamicin 40 mg/mL Inj Sol [PDH]        
63323-0012-01 - oxytocin 10 intl units/mL Inj Sol [PDH]        
63323-0013-02 - thiamine 100 mg/mL Inj Sol [PDH]        
63323-0013-26 - thiamine 100 mg/mL Inj Sol [PDH]        
63323-0064-02 - magnesium sulfate 50% Inj Sol 2 mL [PDH]        
63323-0064-03 - magnesium sulfate 50% Inj Sol 2 mL [PDH]        
63323-0064-41 - Magnesium Sulfate 1GM/2mL IV [PDH]        
63323-0086-05 - potassium phosphate 3 mmol/mL IV Sol [PDH]        
63323-0089-50 - sodium bicarbonate 8.4% IV Sol 50 mL [PDH]        
63323-0108-01 - DO NOT USE-magnesium sulfate 1 g/100 mL-D5W IVPB [PDH]        
63323-0108-26 - DO NOT USE-magnesium sulfate 1 g/100 mL-D5W IVPB [PDH]        
63323-0130-13 - doxycycline 100 mg IV Inj [PDH]        
63323-0130-17 - doxycycline 100 mg IV Inj [PDH]        
63323-0162-16 - ketorolac 30 mg/mL Inj Sol [PDH]        
63323-0162-02 - ketorolac 60 mg/2 mL [PDH]        
63323-0165-01 - dexamethasone 4 mg/mL Inj Sol [PDH]        
63323-0165-16 - dexamethasone 4 mg/mL Inj Sol [PDH]        
63323-0173-94 - gentamicin 10 mg/mL Inj Sol [PDH]        
63323-0173-02 - gentamicin 10 mg/mL Inj Sol [PDH]        
63323-0184-10 - folic acid 5 mg/mL Inj Sol [PDH]        
63323-0185-10 - Sterile Water 10mL [PDH]        
63323-0186-10 - sodium chloride 0.9% Inj Sol 10 mL [PDH]        
63323-0208-05 - lidocaine 2% preservative-free Sol 100mg/5ml PFS[PDH]        
63323-0221-10 - vancomycin 500 mg IV Inj [PDH]        
63323-0221-48 - vancomycin 500 mg IV Inj [PDH]        
63323-0229-95 - protamine 10 mg/mL Inj Sol [PDH]        
63323-0269-29 - Propofol 10 mg/mL IV Emul [PDH]        
63323-0269-94 - Propofol 10 mg/mL IV Emul [PDH]        
63323-0280-26 - furosemide 10 mg/mL Inj Sol [PDH]        
63323-0284-20 - vancomycin 1 g IV Inj [PDH]        
63323-0284-45 - vancomycin 1 g IV Inj [PDH]        
63323-0285-65 - ropivacaine 0.2% Inj Sol 100 mL [PDH]        
63323-0285-20 - ropivacaine 0.2% Inj Sol 20 mL [PDH]        
63323-0285-64 - ropivacaine 0.2% Inj Sol 200 mL [PDH]        
63323-0285-61 - ropivacaine 0.2% Inj Sol 100 mL [PDH]        
63323-0286-20 - ropivacaine 0.5% Inj Sol 20 mL [PDH]        
63323-0300-36 - piperacillin-tazobactam 3 g-0.375 g IV Inj [PDH]        
63323-0311-19 - calcium gluconate 100 mg/mL Inj Sol [PDH]        
63323-0320-56 - piperacillin-tazobactam 4 g-0.5 g IV Inj [PDH]        
63323-0322-94 - imipenem-cilastatin 500 mg Inj [PDH]        
63323-0325-14 - acyclovir 50 mg/mL IV Sol [PDH]        
63323-0328-22 - nafcillin 2 g Inj [PDH]        
63323-0346-10 - cefTRIAXone 1 g Inj [PDH]        
63323-0360-19 - calcium gluconate 100 mg/mL Inj Sol [PDH]        
63323-0386-20 - cefoTEtan 2 g Inj [PDH]        
63323-0389-10 - ampicillin 1 g Inj [PDH]        
63323-0398-10 - azithromycin 500 mg IV Inj [PDH]        
63323-0400-41 - levETIRAcetam 100 mg/mL IV Sol [PDH]        
63323-0411-18 - midazolam 5 mg/5mL [PDH]        
63323-0411-12 - midazolam 2 mg/2 mL Sol[PDH]        
63323-0412-02 - midazolam 5 mg/mL Inj Sol [PDH]        
63323-0415-36 - neostigmine 1 mg/mL [PDH]        
63323-0415-10 - neostigmine 1 mg/mL [PDH]        
63323-0461-57 - bupivacaine 0.25%-EPINEPHrine 1:200,000 Inj Sol 50 mL [PDH]        
63323-0462-17 - bupivacaine-EPINEPHrine 0.5%-1:200,000 PF Inj Sol 10 mL [PDH]        
63323-0462-37 - bupivacaine-EPINEPHrine 0.5%-1:200,000 PF Inj Sol 30 mL [PDH]        
63323-0463-50 - bupivacaine 0.5%-EPINEPHrine 1:200,000 Inj Sol 50 mL [PDH]        
63323-0466-17 - bupivacaine 0.5% PF Inj Sol 10 mL [PDH]        
63323-0467-57 - bupivacaine 0.5% Inj Sol 50 mL [PDH]        
63323-0468-17 - bupivacaine-epinephrine 0.25%-1:200,000 pf Sol 10ml [PDH]        
63323-0474-01 - haloperidol 5 mg/mL Inj Sol [PDH]        
63323-0482-26 - EPINEPHrine-lidocaine 1:100,000-1% Inj Sol 20 mL [PDH]        
63323-0482-17 - epinephrine-lidocaine 1:100000-1% Sol 10ml [PDH]        
63323-0483-20 - EPINEPHrine-lidocaine 1:100,000-2% Inj Sol 20 mL [PDH]        
63323-0486-17 - lidocaine 2% Inj Sol 10 mL [PDH]        
63323-0486-26 - lidocaine 2% Inj Sol 20 mL [PDH]        
63323-0492-80 - lidocaine 1% PF Inj Sol 2 mL [PDH]        
63323-0492-31 - lidocaine 1% PF Inj Sol 30 mL [PDH]        
63323-0492-36 - lidocaine 1% PF Inj Sol 5 mL [PDH]        
63323-0492-16 - lidocaine 1% PF Inj Sol 2 mL [PDH]        
63323-0494-05 - valproic acid 100 mg/mL [PDH]        
63323-0495-26 - lidocaine 2% PF Inj Sol 5 mL [PDH]        
63323-0508-25 - meropenem 1 g IV Inj [PDH]        
63323-0530-75 - Sodium Chloride 3% IV Sol 500 mL [PDH]        
63323-0578-11 - glycopyrrolate 0.2 mg/mL Inj Sol [PDH]        
63323-0578-01 - glycopyrrolate 0.2 mg/mL Inj Sol [PDH]        
63323-0614-01 - hydrALAZINE 20 mg/mL Inj Sol [PDH]        
63323-0614-16 - hydrALAZINE 20 mg/mL Inj Sol [PDH]        
63323-0616-03 - amiodarone 50 mg/mL IV Sol [PDH]        
63323-0616-09 - Amiodarone 450mg/9mL [PDH]        
63323-0649-94 - levothyroxine 100 mcg (0.1 mg) Pow [PDH]        
63323-0664-16 - diphenhydrAMINE 50 mg/mL Inj Sol [PDH]        
63323-0690-30 - acetylcysteine 20% Inh Sol 30 mL [PDH]        
63323-0695-04 - acetylcysteine 10% Inh Sol 4 mL [PDH]        
63323-0806-05 - fentaNYL 50 mcg/mL Sol 5ml [PDH]        
63323-0853-25 - HYDROmorphone 2 mg/mL Inj Sol [PDH]        
63323-0963-21 - acetylcysteine 20% Inh Sol 30 mL [PDH]        
63323-0963-21 - Acetylcysteine 20% 30mL IV Sol [PDH]        
63323-0983-53 - piperacillin-tazobactam 3 g-0.375 g IV Inj [PDH]        
63739-0031-10 - baclofen 10 mg Tab [PDH]        
63739-0049-10 - carisoprodol 350 mg Tab [PDH]        
63739-0073-10 - diazepam 5 mg Tab [PDH]        
63739-0079-10 - diltiazem 30 mg Tab [PDH]        
63739-0112-10 - furosemide 40 mg Tab [PDH]        
63739-0119-10 - glyBURIDE 5 mg Tab [PDH]        
63739-0126-10 - hydrALAZINE 25 mg Tab [PDH]        
63739-0128-10 - hydrochlorothiazide 25 mg Tab [PDH]        
63739-0201-10 - PHENobarbital 32.4 mg Tab [PDH]        
63739-0225-10 - simethicone 80 mg Chew Tab [PDH]        
63739-0226-10 - spironolactone 25 mg Tab [PDH]        
63739-0236-10 - gabapentin 300 mg Cap [PDH]        
63739-0283-10 - diltiazem 120 mg/24 hours ERCap [PDH]        
63739-0293-10 - metoclopramide 10 mg Tab [PDH]        
63739-0354-01 - magnesium oxide 400 mg Tab [PDH]        
63739-0367-10 - isosorbide dinitrate 20 mg Tab [PDH]        
63739-0410-10 - allopurinol 100 mg Tab [PDH]        
63739-0434-01 - aspirin 81 mg Chew Tab [PDH]        
63739-0440-01 - acetaminophen 325 mg Tab [PDH]        
63739-0482-10 - metoclopramide 10 mg Tab [PDH]        
63739-0483-10 - hydrOXYzine hydrochloride 10 mg Tab [PDH]        
63739-0484-10 - famotidine 20 mg Tab [PDH]        
63739-0518-10 - predniSONE 5 mg Tab [PDH]        
63739-0523-01 - aspirin 325 mg Oral EC Tab [PDH]        
63739-0537-10 - folic acid 1 mg Tab [PDH]        
63739-0541-10 - furosemide 20 mg Tab [PDH]        
63739-0544-10 - spironolactone 25 mg Tab [PDH]        
63739-0559-10 - ciprofloxacin 500 mg Tab [PDH]        
63739-0572-10 - simvastatin 20 mg Tab [PDH]        
63739-0588-10 - predniSONE 20 mg Tab [PDH]        
63739-0591-10 - gabapentin 100 mg Cap [PDH]        
63739-0645-10 - famotidine 20 mg Tab [PDH]        
63739-0684-10 - ibuprofen 600 mg Tab [PDH]        
63739-0691-10 - ibuprofen 800 mg Tab [PDH]        
63739-0701-10 - meloxicam 7.5 mg Tab [PDH]        
63739-0877-10 - temazepam 15 mg Cap [PDH]        
63824-0008-32 - guaiFENesin 600 mg ER Tab [PDH]        
63824-0713-16 - benzocaine-menthol topical 15 mg-3.6 mg Loz [PDH]        
63824-0780-75 - benzocaine Top 5% Spry [PDH]        
63833-0387-02 - prothrombin complex - Pow[PDH]        
63851-0501-02 - rabies vaccine, purified chick embyro cell 2.5 intl units IM Inj [PDH]   90675    
64253-0333-35 - Heparin Lock Flush 500units/5mL [PDH]        
64679-0728-01 - SUMAtriptan 6 mg/0.5 mL SubQ Sol [PDH]        
65162-0627-50 - traMADol 50 mg Tab [PDH]        
65162-0627-11 - traMADol 50 mg Tab [PDH]        
65162-0627-11-THPs - THP Tramadol 50 mg Tab (#10) [PDH]        
65162-0833-66 - diclofenac Top 1% gel [PDH]        
65250-0266-04 - bupivacaine liposome 1.3% (13.3 mg/mL) Susp-inj [PDH]        
65862-0177-60 - cefdinir 300 mg Cap [PDH]        
65862-0202-30 - losartan 50 mg Tab [PDH]        
65862-0534-01 - amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 100 mL [PDH]        
65862-0676-01 - ALPRAZolam 0.25 mg Tab [pdh]        
66424-0020-01 - diphenhydrAMINE 25 mg Cap [PDH]        
66553-0002-01 - aspirin 81 mg Chew Tab [PDH]        
66553-0008-01 - sodium bicarbonate 650 mg Tab [PDH]        
66685-1001-00 - amoxicillin-clavulanate 875 mg-125 mg Tab [PDH]        
66685-1001-01-THPs - THP Amox/POT Clav 875-125 mg Tab (#6) [PDH]        
66685-1012-00 - amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL [PDH]        
66685-1012-00 - amoxicillin-clavulanate 400 mg-57 mg/5 mL Oral Liq 50 mL [PDH]        
66685-1012-00-THPs - THP Amox/POT CLAV 400-57mg SUSP 50mL [PDH]        
66689-0036-50 - phenytoin 100 mg/4mL Sus [PDH]        
66689-0037-50 - nystatin 100,000 units/mL Oral Susp [PDH]        
66689-0063-10 - atropine/hyoscyamine/PB/scopolamine 5 mL Elix UD[PDH]        
66689-0790-01 - sucralfate 1 g/10 mL Oral Susp [PDH]        
66758-0110-13 - potassium chloride 8 mEq ER Tab [PDH]        
67457-0001-10 - ketamine 50 mg/mL Inj Sol [PDH]        
67457-0162-02 - sodium tetradecyl sulfate 1% Inj Sol 2 mL [PDH]        
67457-0182-10 - esmolol 10 mg/mL IV Sol [PDH]        
67457-0211-02 - fomepizole 1 g/mL IV Sol [PDH]        
67457-0228-05 - rocuronium 10 mg/mL IV Sol [PDH]        
67457-0292-02 - naloxone 0.4 mg/mL Inj Sol [PDH]        
67457-0599-02 - naloxone 0.4 mg/mL Inj Sol [PDH]        
67457-0852-04 - norEPINEPHrine 1 mg/mL IV Sol [PDH]        
67457-0949-01 - heparin 5000 units/mL Sol        
67877-0219-01 - Cephalexin 500 mg Cap [PDH]        
67877-0219-01-THPs - THP Cephalexin 500 mg Cap (#10) [PDH]        
67877-0251-15 - triamcinolone Top 0.1% Crm [PDH]        
67919-0011-01 - DAPTOmycin 500 mg IV Inj [PDH]        
68084-0019-01 - ALPRAZolam 0.5 mg Tab [PDH]        
68084-0022-01 - NIFEdipine 10 mg Cap [PDH]        
68084-0040-01 - misoprostol 100 mcg Tab [PDH]        
68084-0045-01 - PARoxetine 20 mg Tab [PDH]        
68084-0053-01 - diltiazem 180 mg/24 hours ERCap [PDH]        
68084-0070-01 - ciprofloxacin 500 mg Tab [PDH]        
68084-0120-01 - mirtazapine 30 mg Tab [PDH]        
68084-0128-01 - omeprazole 20 mg Oral EC Cap [PDH]        
68084-0157-01 - morphine 15 mg/8 to 12 hr UD [PDH]        
68084-0196-01 - lisinopril 5 mg Tab [PDH]        
68084-0248-01 - loratadine 10 mg Tab [PDH]        
68084-0278-01 - azithromycin 250 mg Tab [PDH]        
68084-0292-01 - phenazopyridine 100 mg Tab [PDH]        
68084-0326-01 - glimepiride 2 mg Tab [PDH]        
68084-0342-01 - topiramate 25 mg Tab [PDH]        
68084-0354-01 - oxyCODONE 5 mg Tab [PDH]        
68084-0355-01 - acetaminophen-oxyCODONE 325 mg-5 mg Tab [PDH]        
68084-0361-01 - propafenone 150 mg Tab [PDH]        
68084-0381-01 - Benztropine 0.5mg tablet [PDH]        
68084-0440-01 - pramipexole 0.25 mg Tab [PDH]        
68084-0572-01 - guaiFENesin 600 mg ER Tab [PDH]        
68084-0605-01 - FLUoxetine 20 mg Cap [PDH]        
68084-0651-25 - clarithromycin 500 mg Tab [PDH]        
68084-0659-01 - metoprolol 25 mg ER Tab [PDH]        
68084-0659-01 - metoprolol Succinate 25 mg ER Tab [PDH]        
68084-0675-21 - DULoxetine 20 mg Cap [PDH]        
68084-0676-01 - metoclopramide 10 mg Tab [PDH]        
68084-0703-01 - ibuprofen 600 mg Tab [PDH]        
68084-0776-01 - divalproex sodium 250 mg DR Tab UD [PDH]        
68084-0783-01 - gabapentin 100 mg Cap [PDH]        
68084-0847-01 - hydrOXYzine pamoate 25 mg Cap [PDH]        
68084-0870-01 - levETIRAcetam 500 mg Tab [PDH]        
68084-0878-01 - pioglitazone 15 mg Tab [PDH]        
68084-0996-01 - prazosin 1 mg Cap [PDH]        
68094-0171-59 - sucralfate 1 g/10 mL Oral Susp [PDH]        
68094-0193-62 - valproic acid 250 mg/5 mL Oral Syrup [PDH]        
68094-0503-61 - ibuprofen 200 mg/10 mL Susp [PDH]        
68094-0587-59 - acetaminophen 160mg/5ml Oral Susp [PDH]        
68094-0599-62 - nystatin 100,000 units/mL Oral Susp [PDH]        
68094-0754-58 - morphine 10mg/0.5ml Con UD [PDH]        
68094-0853-62 - naltrexone 50 mg Tab [PDH]        
68180-0166-13 - vancomycin 125 mg Cap [PDH]        
68180-0513-01 - lisinopril 5 mg Tab [PDH]        
68180-0677-11 - oseltamivir 75 mg Cap [PDH]        
68180-0711-60-THPs - Cefdinir 300 mg Cap        
68462-0102-30 - fluconazole 100 mg Tab [PDH]        
68462-0157-13 - Ondansetron 4mg ODT [PDH]        
68516-5216-01 - albumin human 25% IV Sol 50 mL [PDH]        
68585-0005-75 - calcium carbonate-magnesium chloride 112 mg-64 mg Tab [PDH]        
68585-0006-41 - magnesium oxide 400 mg Tab [PDH]        
69097-0807-37 - DAPTOmycin 500 mg IV Inj [PDH]        
69097-0846-07 - cyclobenzaprine 10 mg Tab [PDH]        
69315-0905-10 - LORazepam 1 mg Tab [PDH]        
69315-0905-10-THPs - THP Lorazepam 1mg Tab (#10) [PDH]        
69918-0700-25 - succinylcholine 20 mg/mL Inj Sol [PDH]        
69918-0899-10 - desmopressin 4 mcg/mL IV Sol [PDH]        
70000-0035-01 - aspirin 325 mg Oral EC Tab [PDH]        
70000-0243-01 - phenazopyridine 95 mg Tab[PDH]        
70000-0318-01 - magnesium citrate 1.745 g/30 mL Liq 296ml[PDH]        
70000-0424-01 - magnesium citrate 1.745 g/30 mL Liq 296ml[PDH]        
70069-0301-25 - succinylcholine 20 mg/mL Inj Sol [PDH]        
70074-0560-91 - electrolyte replacement Sols, Oral Pwdr [PDH]        
70074-5609-15 - electrolyte replacement Sols, Oral Pwdr [PDH]        
70092-1068-07 - Pitocin 30 units / Ns 500 mL IV Sol Premix [PDH]        
70121-1657-01 - triamcinolone acetonide 40 mg/mL Inj Susp [PDH]        
70461-0320-03 - influenza vaccine, inactivated PF mdck cell derived quad Sus [PDH]        
70710-1010-02 - oseltamivir 75 mg Cap [PDH]        
70710-1377-02 - succinylcholine 20 mg/mL Inj Sol [PDH]        
70710-1458-02 - azithromycin 200 mg/5 mL 15mL [PDH]        
70860-0651-05 - rocuronium 10 mg/mL Sol        
70860-0801-01 - terbutaline 1 mg/mL Inj Sol [PDH]        
71288-0006-30 - Ampicillin-sulbactam 3g [PDH]        
75834-0170-01 - zinc oxide Top 20% Oint [PDH]        
76329-1240-01 - phytonadione 1 mg/0.5 mL Inj Sol [PDH]        
76329-3301-01 - glucose 50% IV Sol 50 mL [PDH]        
76329-3304-01 - calcium chloride 100 mg/mL Inj Sol [PDH]        
76329-3316-01 - EPINEPHrine 0.1 mg/mL Inj Sol [PDH]        
76329-3339-01 - atropine 0.1 mg/mL Inj Sol [PDH]        
76329-3352-01 - sodium bicarbonate 8.4% IV Sol 50 mL PFS [PDH]        
76329-3369-01 - naloxone 1 mg/mL Inj Sol [PDH]        
76329-3390-01 - lidocaine 2% preservative-free Sol 100mg/5ml PFS[PDH]        
76329-3469-01 - naloxone 1 mg/mL Inj Sol [PDH]        
76439-0104-10 - amoxicillin 500 mg Cap [PDH]        
76439-0104-10-THPs - THP Amoxicillin 500mg Cap (#9) [PDH]        
77333-0715-10 - Prenatal Multivitamins with Folic Acid 0.8 mg Tab [PDH]        
77333-0983-10 - zinc sulfate 220 mg Cap [PDH]        
89130-4444-01 - sodium hyaluronate 10 mg/mL intra-articular Sol [PDH]        
92771-0590-07 - lanolin topical Cream [PDH]        
99999-9999-99 - Patch Removal [PDH]        
99999-9999-98 - Template Non-Formulary Medication [PDH]        
99999-9999-97 - Template Non-Formulary Patient's Own Medication [PDH]        
99999-9999-95 - Pharmacy to Dose - Vancomycin [PDH]        
99999-9999-94 - Pharmacy to Dose - Gentamicin [PDH]        
99999-9999-96 - Do Not Use - DOBUTamine Additive [PDH]        
99999-9999-92 - Do Not Use - DOPamine Additive [PDH]        
99999-9999-91 - Do Not Use - Magnesium Sulfate Additive [PDH]        
99999-9999-90 - Do Not Use - Sterile Water [PDH]        
99999-9999-89 - Do Not Use - Nitroglycerin Additive [PDH]        
99999-9999-88 - Do Not Use - Premix Diluent [PDH]        
99999-9999-87 - Do Not Use - Mannitol Additive [PDH]        
99999-9999-86 - Do Not Use - Immune Globulin Additive [PDH]        
99999-9999-72 - Do Not Use - Alteplase Additive [PDH]        
99999-9999-70 - Do not use Premix Oxytocin 30 units Additive [PDH]        
99999-9999-71 - Do not Use Sodium Chloride 0.9 % Premix Diluent [PDH]        
99999-9999-82 - Do Not Use - Lidocaine Additive [PDH]        
99999-9999-93 - Do Not Use - Dextrose 5% in Water [PDH]        
TNF MED        
influenza virus vaccine, inactivated        
LRHC Hospitalist ProFees        
Newborn Professional Fees HHSC_HI        
OB Physician Procedure Charges HHSC_HI        
ZZPhysical Charges        
Physician Excision/Biopsy/Nail Procedure Charges HHSC_HI        
10005 U/S guided FNA 90001473 10005    
10006 FNA w/US Guidance ea. add'l lesion 90001485 10006    
10021 FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE ProFee 90001000 10021    
10060 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS O ProFee 90001001 10060    
10061 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, CUTANEOUS O ProFee 90001002 10061    
10120 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE ProFee 90001003 10120    
10121 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED ProFee 90001004 10121    
10140 INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION ProFee 90001005 10140    
10180 INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION ProFee 90001006 10180    
11000 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; UP TO 10% OF BODY SURFACE ProFee 90001007 11000    
11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); FIRST ProFee 90001008 11042    
11043 DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE ProFee 90001009 11043    
11044 DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/OR FASC ProFee 90001010 11044    
11045 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); EACH A ProFee 90001011 11045    
11046 DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS TISSUE ProFee 90001012 11046    
11200 REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDING 15 L ProFee 90001013 11200    
11401 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee 90001014 11401    
11403 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee 90001015 11403    
11406 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee 90001016 11406    
11421 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee 90001017 11421    
11422 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee 90001018 11422    
11423 Excision benign lesion scalp 2.1-3.0 cm 90001484 11423    
11424 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee 90001019 11424    
11426 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWHERE), ProFee 90001020 11426    
11441 Excision benign skin lesion 90001474 11441    
11442 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWH ProFee 90001021 11442    
11443 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWH ProFee 90001022 11443    
11602 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 1 ProFee 90001023 11602    
11603 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER 2 ProFee 90001024 11603    
11606 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAMETER O ProFee 90001025 11606    
11624 Excision malignant lesion scalp 3.1-4.0 cm 90001497 11624    
11641 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee 90001026 11641    
11642 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee 90001027 11642    
11643 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee 90001028 11643    
11646 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED ProFee 90001029 11646    
11721 DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); 6 OR MORE ProFee 90001030 11721    
11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE (EG, INGROWN OR DEFORMED NAIL), ProFee 90001031 11750    
11770 EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE ProFee 90001032 11770    
11772 EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED ProFee 90001033 11772    
11982 REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT ProFee 90001034 11982    
12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee 90001035 12001    
12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee 90001036 12002    
12005 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, TRUNK ProFee 90001037 12005    
12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS M ProFee 90001038 12011    
12013 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS M ProFee 90001039 12013    
12020 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE ProFee 90001040 12020    
12031 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee 90001041 12031    
12032 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee 90001042 12032    
12034 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee 90001043 12034    
12035 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee 90001044 12035    
12036 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee 90001490 12036    
12037 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/OR EXTREMITIES (EXCLUDING HA ProFee 90001045 12037    
12042 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.6 CM TO ProFee 90001046 12042    
12045 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 12.6 CM T ProFee 90001047 12045    
12051 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANE ProFee 90001048 12051    
12052 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANE ProFee 90001049 12052    
12053 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS MEMBRANE ProFee 90001050 12053    
13121 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM ProFee 90001051 13121    
13122 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATE ProFee 90001052 13122    
14001 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM ProFee 90001053 14001    
14021 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 SQ CM ProFee 90001054 14021    
14060 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 ProFee 90001055 14060    
15002 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ES ProFee 90001056 15002    
15003 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, BURN ES ProFee 90001057 15003    
15100 SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR 1% OF BODY A ProFee 90001058 15100    
15220 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, AND/O ProFee 90001059 15220    
15830 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ABDOMEN, INFRAU ProFee 90001060 15830    
15940 EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUTURE; ProFee 90001061 15940    
17250 CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (PROUD FLESH, SINUS OR FISTULA) ProFee 90001062 17250    
19083 BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PE ProFee 90001063 19083    
19084 BIOPSY, BREAST, WITH PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PE ProFee 90001064 19084    
19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BREAST TI ProFee 90001065 19120    
19125 EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL MARKER, ProFee 90001066 19125    
19281 PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RA ProFee 90001067 19281    
19285 PLACEMENT OF BREAST LOCALIZATION DEVICE(S) (EG, CLIP, METALLIC PELLET, WIRE/NEEDLE, RA ProFee 90001068 19285    
19296 PLACEMENT OF RADIOTHERAPY AFTERLOADING EXPANDABLE CATHETER (SINGLE OR MULTICHANNEL) IN ProFee 90001069 19296    
19298 Plmt radthx brachytx following pril mast 90001480 19298    
19301 MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); ProFee 90001070 19301    
19302 MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); WITH A ProFee 90001071 19302    
19303 MASTECTOMY, SIMPLE, COMPLETE ProFee 90001072 19303    
19307 MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PECTORAL ProFee 90001073 19307    
20525 REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED ProFee 90001074 20525    
20550 INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR FASCIA) ProFee 90001075 20550    
20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), 1 OR 2 MUSCLE(S) ProFee 90001076 20552    
20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION, MAJOR JOINT OR BURSA (EG, SHOULDER, HIP, ProFee 90001077 20610    
20670 REMOVAL OF IMPLANT; SUPERFICIAL (EG, BURIED WIRE, PIN OR ROD) (SEPARATE PROCEDURE) ProFee 90001078 20670    
20680 REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR PLATE) ProFee 90001079 20680    
20690 APPLICATION OF A UNIPLANE (PINS OR WIRES IN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SY ProFee 90001080 20690    
21012 EXCISION, TUMOR, SOFT TISSUE OF FACE OR SCALP, SUBCUTANEOUS; 2 CM OR GREATER ProFee 90001081 21012    
21073 MANIPULATION OF TEMPOROMANDIBULAR JOINT(S) (TMJ), THERAPEUTIC, REQUIRING AN ANESTHESIA ProFee 90001082 21073    
21501 I & D deep abscess/hematoma, soft tissue/neck/thorax 90001476 21501    
21552 EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; 3 CM OR GREATER ProFee 90001083 21552    
21554 EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMUSCULAR ProFee 90001084 21554    
21931 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; 3 CM OR GREATER ProFee 90001085 21931    
21932 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); LESS TH ProFee 90001495 21932    
21933 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBFASCIAL (EG, INTRAMUSCULAR); 5 CM OR ProFee 90001086 21933    
22900 Excision, tumor, soft tissue of Ab wall 90001462 22900    
22902 EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; LESS THAN 3 CM ProFee 90001087 22902    
22903 EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBCUTANEOUS; 3 CM OR GREATER ProFee 90001088 22903    
23071 EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; 3 CM OR GREATER ProFee 90001089 23071    
23410 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE ProFee 90001090 23410    
23412 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC ProFee 90001091 23412    
23430 TENODESIS OF LONG TENDON OF BICEPS ProFee 90001092 23430    
23515 OPEN TREATMENT OF CLAVICULAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED ProFee 90001093 23515    
23605 CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; WITH MANI ProFee 90001094 23605    
23700 MANIPULATION UNDER ANESTHESIA, SHOULDER JOINT, INCLUDING APPLICATION OF FIXATION APPAR ProFee 90001095 23700    
24071 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; 3 CM OR GREATER ProFee 90001096 24071    
24073 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMUSCULAR ProFee 90001097 24073    
24105 EXCISION, OLECRANON BURSA ProFee 90001098 24105    
24200 Removal foreign body/upper arm/subcutaneous 90001477 24200    
24201 REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) ProFee 90001099 24201    
24357 TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); ProFee 90001100 24357    
24358 TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S ELBOW); ProFee 90001101 24358    
25111 EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY ProFee 90001102 25111    
25565 CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION ProFee 90001103 25565    
25574 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN PERFO ProFee 90001104 25574    
25605 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYSEAL SE ProFee 90001105 25605    
26011 DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON) ProFee 90001106 26011    
26055 TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER) ProFee 90001107 26055    
26111 EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTANEOUS; ProFee 90001108 26111    
26113 EXCISION, TUMOR, SOFT TISSUE, OR VASCULAR MALFORMATION, OF HAND OR FINGER, SUBFASCIAL ProFee 90001109 26113    
26160 EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR GANGLI ProFee 90001110 26160    
26418 REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH TENDON ProFee 90001111 26418    
26426 REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); USING ProFee 90001112 26426    
26516 CAPSULODESIS, METACARPOPHALANGEAL JOINT; SINGLE DIGIT ProFee 90001113 26516    
26608 PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACTURE, EACH BONE ProFee 90001114 26608    
26615 OPEN TREATMENT OF METACARPAL FRACTURE, SINGLE, INCLUDES INTERNAL FIXATION, WHEN PERFOR ProFee 90001115 26615    
26727 PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDD ProFee 90001116 26727    
26735 OPEN TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER OR THU ProFee 90001117 26735    
26755 CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITH MANIPULATION, EA ProFee 90001118 26755    
27301 INCISION AND DRAINAGE, DEEP ABSCESS, BURSA, OR HEMATOMA, THIGH OR KNEE REGION ProFee 90001119 27301    
27303 INCISION, DEEP, WITH OPENING OF BONE CORTEX, FEMUR OR KNEE (EG, OSTEOMYELITIS OR BONE ProFee 90001120 27303    
27323 BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFICIAL ProFee 90001121 27323    
27337 EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; 3 CM OR GREATER ProFee 90001122 27337    
27340 EXCISION, PREPATELLAR BURSA ProFee 90001123 27340    
27418 ANTERIOR TIBIAL TUBERCLEPLASTY (EG, MAQUET TYPE PROCEDURE) ProFee 90001124 27418    
27530 CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITHOUT MANIPULATION ProFee 90001125 27530    
27570 MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRACTION ProFee 90001126 27570    
27618 EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; LESS THAN 3 CM ProFee 90001127 27618    
27632 EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; 3 CM OR GREATER ProFee 90001128 27632    
27687 GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE) ProFee 90001129 27687    
27768 CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; WITH MANIPULATION ProFee 90001130 27768    
27792 OPEN TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS), INCLUDES INTERNAL FIXAT ProFee 90001131 27792    
27814 OPEN TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, OR LATE ProFee 90001132 27814    
27822 OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFOR ProFee 90001133 27822    
27829 OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDESMOSIS) DISRUPTION, INCLUDES INTERNA ProFee 90001134 27829    
27884 AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; SECONDARY CLOSURE OR SCAR REVISION ProFee 90001135 27884    
27886 AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; RE-AMPUTATION ProFee 90001136 27886    
28003 INCISION AND DRAINAGE BELOW FASCIA, WITH OR WITHOUT TENDON SHEATH INVOLVEMENT, FOOT; M ProFee 90001137 28003    
28039 EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBCUTANEOUS; 1.5 CM OR GREATER ProFee 90001138 28039    
28060 FASCIECTOMY, PLANTAR FASCIA; PARTIAL (SEPARATE PROCEDURE) ProFee 90001139 28060    
28080 EXCISION, INTERDIGITAL (MORTON) NEUROMA, SINGLE, EACH ProFee 90001140 28080    
28092 EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) (EG, CYS ProFee 90001492 28092    
28119 OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PLANTAR FASCIAL RELEASE ProFee 90001141 28119    
28120 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE ProFee 90001142 28120    
28122 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR DIAPHYSECTOMY) BONE ProFee 90001143 28122    
28270 Capsulotomy, Metatarsophalangeal Joint 90001486 28270    
28285 CORRECTION, HAMMERTOE (EG, INTERPHALANGEAL FUSION, PARTIAL OR TOTAL PHALANGECTOMY) ProFee 90001144 28285    
28289 HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF THE FI ProFee 90001499 28289    
28291 HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF THE FI ProFee 90001145 28291    
28292 CORRECTION, HALLUX VALGUS (BUNIONECTOMY), WITH SESAMOIDECTOMY, WHEN PERFORMED; WITH RE ProFee 90001146 28292    
28296 CORRECTION, HALLUX VALGUS (BUNIONECTOMY), WITH SESAMOIDECTOMY, WHEN PERFORMED; WITH DI ProFee 90001147 28296    
28299 CORRECTION, HALLUX VALGUS (BUNIONECTOMY), WITH SESAMOIDECTOMY, WHEN PERFORMED; WITH DO ProFee 90001148 28299    
28505 OPEN TREATMENT OF FRACTURE, GREAT TOE, PHALANX OR PHALANGES, INCLUDES INTERNAL FIXATIO ProFee 90001149 28505    
28755 ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT ProFee 90001150 28755    
28810 AMPUTATION, METATARSAL, WITH TOE, SINGLE ProFee 90001151 28810    
28820 AMPUTATION, TOE; METATARSOPHALANGEAL JOINT ProFee 90001152 28820    
28825 AMPUTATION, TOE; INTERPHALANGEAL JOINT ProFee 90001153 28825    
29105 APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND) ProFee 90001154 29105    
29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC ProFee 90001155 29125    
29806 ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY ProFee 90001156 29806    
29807 ARTHROSCOPY, SHOULDER, SURGICAL; REPAIR OF SLAP LESION ProFee 90001157 29807    
29822 ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, LIMITED ProFee 90001158 29822    
29823 ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, EXTENSIVE ProFee 90001159 29823    
29824 ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL CLAVICULECTOMY INCLUDING DISTAL ARTICULAR SURF ProFee 90001160 29824    
29826 ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH PARTIAL ACROM ProFee 90001161 29826    
29827 ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR ProFee 90001162 29827    
29828 ARTHROSCOPY, SHOULDER, SURGICAL; BICEPS TENODESIS ProFee 90001163 29828    
29875 ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, LIMITED (EG, PLICA OR SHELF RESECTION) (SEPA ProFee 90001164 29875    
29879 ARTHROSCOPY, KNEE, SURGICAL; ABRASION ARTHROPLASTY (INCLUDES CHONDROPLASTY WHERE NECES ProFee 90001165 29879    
29880 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL AND LATERAL, INCLUDING ANY MENI ProFee 90001166 29880    
29881 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING ANY MENIS ProFee 90001167 29881    
29884 ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF ADHESIONS, WITH OR WITHOUT MANIPULATION (SE ProFee 90001168 29884    
29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR RECONSTRUCTIO ProFee 90001169 29888    
31500 INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE ProFee 90001170 31500    
31623 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ProFee 90001171 31623    
31625 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ProFee 90001172 31625    
31629 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED; WITH ProFee 90001173 31629    
32405 BX lung or mediastinum, percutaneous needle 90001472 32405    
32550 INSERTION OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF ProFee 90001174 32550    
32551 TUBE THORACOSTOMY, INCLUDES CONNECTION TO DRAINAGE SYSTEM (EG, WATER SEAL), WHEN PERFO ProFee 90001175 32551    
32554 THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITHOUT IMAGING GU ProFee 90001176 32554    
32555 THORACENTESIS, NEEDLE OR CATHETER, ASPIRATION OF THE PLEURAL SPACE; WITH IMAGING GUIDA ProFee 90001177 32555    
33208 INSERTION OF NEW OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); ProFee 90001178 33208    
33227 REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT OF PACEMAKER PULSE GEN ProFee 90001179 33227    
33228 REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR WITH REPLACEMENT OF PACEMAKER PULSE GEN ProFee 90001180 33228    
33249 INSERTION OR REPLACEMENT OF PERMANENT IMPLANTABLE DEFIBRILLATOR SYSTEM, WITH TRANSVENO ProFee 90001181 33249    
33285 INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG ProFee 90001182 33285    
36405 VENIPUNCTURE, YOUNGER THAN AGE 3 YEARS, NECESSITATING THE SKILL OF A PHYSICIAN OR OTHE ProFee 90001183 36405    
36475 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL IMAGING G ProFee 90001184 36475    
36510 CATHJ UMBILICAL VEIN DX/THER NB ProFee 90001185 36510    
36556 INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 YEARS OR O ProFee 90001186 36556    
36558 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS ProFee 90001187 36558    
36561 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEO ProFee 90001188 36561    
36590 REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENT ProFee 90001189 36590    
36660 CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY ProFee 90001190 36660    
37609 LIGATION OR BIOPSY, TEMPORAL ARTERY ProFee 90001481 37609    
38500 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL ProFee 90001191 38500    
38505 BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL (EG, CERVICAL, INGUINAL, A ProFee 90001192 38505    
38510 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S) ProFee 90001193 38510    
38525 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP AXILLARY NODE(S) ProFee 90001194 38525    
38745 AXILLARY LYMPHADENECTOMY; COMPLETE BCE 90001488 38745    
38770 PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR NODES (SE ProFee 90001195 38770    
38900 INTRAOPERATIVE IDENTIFICATION (EG, MAPPING) OF SENTINEL LYMPH NODE(S) INCLUDES INJECTI ProFee 90001196 38900    
40654 REPAIR LIP, FULL THICKNESS; OVER ONE-HALF VERTICAL HEIGHT, OR COMPLEX ProFee 90001197 40654    
40812 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH SIMPLE REPAIR ProFee 90001198 40812    
40819 EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY, FRENULECTOMY, FRENECTOMY) ProFee 90001199 40819    
42104 EXCISION, LESION OF PALATE, UVULA; WITHOUT CLOSURE ProFee 90001482 42104    
42700 INCISION AND DRAINAGE ABSCESS; PERITONSILLAR ProFee 90001200 42700    
42820 TONSILLECTOMY AND ADENOIDECTOMY; YOUNGER THAN AGE 12 ProFee 90001201 42820    
42821 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER ProFee 90001202 42821    
42826 TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER ProFee 90001203 42826    
42960 CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, POST-TONSILLECTOMY); SIMPL ProFee 90001204 42960    
43200 ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY ProFee 90001205 43200    
43215 ESOPHAGOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S) ProFee 90001206 43215    
43235 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; DIAGNOSTIC, INCLUDING COLLECTION OF S ProFee 90001207 43235    
43236 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DIRECTED SUBMUCOSAL INJECTION(S) ProFee 90001208 43236    
43239 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BIOPSY, SINGLE OR MULTIPLE ProFee 90001209 43239    
43244 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH BAND LIGATION OF ESOPHAGEAL/GAST ProFee 90001210 43244    
43245 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH DILATION OF GASTRIC/DUODENAL STR ProFee 90001211 43245    
43247 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF FOREIGN BODY(S) ProFee 90001212 43247    
43249 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH TRANSENDOSCOPIC BALLOON DILATION ProFee 90001213 43249    
43251 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH REMOVAL OF TUMOR(S), POLYP(S), O ProFee 90001214 43251    
43255 ESOPHAGOGASTRODUODENOSCOPY, FLEXIBLE, TRANSORAL; WITH CONTROL OF BLEEDING, ANY METHOD ProFee 90001215 43255    
43280 LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURES) ProFee 90001216 43280    
43281 LAPAROSCOPY, SURGICAL, REPAIR OF PARAESOPHAGEAL HERNIA, INCLUDES FUNDOPLASTY, WHEN PER ProFee 90001217 43281    
43659 UNLISTED LAPAROSCOPY PROCEDURE, STOMACH ProFee 90001218 43659    
43774 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GASTRIC RE ProFee 90001219 43774    
43800 PYLOROPLASTY ProFee 90001220 43800    
44005 ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE) ProFee 90001221 44005    
44015 TUBE OR NEEDLE CATHETER JEJUNOSTOMY FOR ENTERAL ALIMENTATION, INTRAOPERATIVE, ANY METH ProFee 90001222 44015    
44050 REDUCTION OF VOLVULUS, INTUSSUSCEPTION, INTERNAL HERNIA, BY LAPAROTOMY ProFee 90001502 44050    
44120 ENTERECTOMY, RESECTION OF SMALL INTESTINE; SINGLE RESECTION AND ANASTOMOSIS ProFee 90001223 44120    
44140 COLECTOMY, PARTIAL; WITH ANASTOMOSIS ProFee 90001224 44140    
44143 COLECTOMY, PARTIAL; WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN TYPE PR ProFee 90001225 44143    
44145 COLECTOMY, PARTIAL; WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) ProFee 90001226 44145    
44180 LAPAROSCOPY, SURGICAL, ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDUR ProFee 90001227 44180    
44188 LAPAROSCOPY, SURGICAL, COLOSTOMY OR SKIN LEVEL CECOSTOMY ProFee 90001228 44188    
44204 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS ProFee 90001229 44204    
44205 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOL ProFee 90001230 44205    
44207 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH COLOPROCTOSTOMY (LOW ProFee 90001231 44207    
44213 LAPAROSCOPY, SURGICAL, MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUN ProFee 90001232 44213    
44227 LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RESECTIO ProFee 90001233 44227    
44345 REVISION OF COLOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE PROCEDURE) ProFee 90001234 44345    
44382 ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE ProFee 90001498 44382    
44388 COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING ProFee 90001235 44388    
44389 COLONOSCOPY THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE ProFee 90001236 44389    
44392 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY H ProFee 90001237 44392    
44394 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY S ProFee 90001238 44394    
44602 SUTURE OF SMALL INTESTINE (ENTERORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WOUND, I ProFee 90001239 44602    
44625 CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND ANASTOMOSIS OTHER ProFee 90001240 44625    
44626 CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND COLORECTAL ANASTO ProFee 90001241 44626    
44955 APPENDECTOMY; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE (NOT AS ProFee 90001242 44955    
44970 LAPAROSCOPY, SURGICAL, APPENDECTOMY ProFee 90001243 44970    
45171 EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; NOT INCLUDING MUSCULARIS PROPRIA (IE, PA ProFee 90001244 45171    
45172 EXCISION OF RECTAL TUMOR, TRANSANAL APPROACH; INCLUDING MUSCULARIS PROPRIA (IE, FULL T ProFee 90001245 45172    
45300 PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY B ProFee 90001246 45300    
45321 PROCTOSIGMOIDOSCOPY, RIGID; WITH DECOMPRESSION OF VOLVULUS ProFee 90001247 45321    
45330 SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING O ProFee 90001248 45330    
45331 SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ProFee 90001249 45331    
45333 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY HOT ProFee 90001250 45333    
45334 SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD ProFee 90001251 45334    
45335 SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE ProFee 90001252 45335    
45338 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNA ProFee 90001253 45338    
45346 SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCL ProFee 90001254 45346    
45350 Flex sigmoidoscopy w/band ligation 90001475 45350    
45350 Flex sigmoidoscopy w/band ligation. 90001478 45350    
45378 COLONOSCOPY, FLEXIBLE; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR ProFee 90001255 45378    
45380 COLONOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE ProFee 90001256 45380    
45381 COLONOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE ProFee 90001257 45381    
45382 COLONOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING, ANY METHOD ProFee 90001258 45382    
45385 COLONOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) BY SNARE ProFee 90001259 45385    
45386 COLONOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC BALLOON DILATION ProFee 90001260 45386    
45388 COLONOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) (INCLUD ProFee 90001261 45388    
45390 COLONOSCOPY, FLEXIBLE; WITH ENDOSCOPIC MUCOSAL RESECTION ProFee 90001501 45390    
45395 LAPAROSCOPY, SURGICAL; PROCTECTOMY, COMPLETE, COMBINED ABDOMINOPERINEAL, WITH COLOSTOM ProFee 90001262 45395    
45398 COLONOSCOPY, FLEXIBLE; WITH BAND LIGATION(S) (EG, HEMORRHOIDS) ProFee 90001263 45398    
45990 ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOS ProFee 90001264 45990    
46040 INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE PROCEDURE) ProFee 90001265 46040    
46050 INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL ProFee 90001266 46050    
46060 INCISION AND DRAINAGE OF ISCHIORECTAL OR INTRAMURAL ABSCESS, WITH FISTULECTOMY OR FIST ProFee 90001267 46060    
46220 EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG, ANUS ProFee 90001483 46220    
46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) ProFee 90001268 46221    
46255 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; ProFee 90001269 46255    
46260 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; ProFee 90001270 46260    
46270 SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS ProFee 90001271 46270    
46275 SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); INTERSPHINCTERIC ProFee 90001272 46275    
46320 EXCISION OF THROMBOSED HEMORRHOID, EXTERNAL ProFee 90001273 46320    
46600 ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN ProFee 90001274 46600    
46606 ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE ProFee 90001275 46606    
47000 BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS ProFee 90001276 47000    
47001 BIOPSY OF LIVER, NEEDLE; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCED ProFee 90001277 47001    
47100 BIOPSY OF LIVER, WEDGE ProFee 90001278 47100    
47120 HEPATECTOMY, RESECTION OF LIVER; PARTIAL LOBECTOMY ProFee 90001279 47120    
47300 MARSUPIALIZATION OF CYST OR ABSCESS OF LIVER ProFee 90001280 47300    
47379 UNLISTED LAPAROSCOPIC PROCEDURE, LIVER ProFee 90001281 47379    
47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY ProFee 90001282 47562    
47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY ProFee 90001283 47563    
47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT ProFee 90001284 47564    
49000 EXPLORATORY LAPAROTOMY, EXPLORATORY CELIOTOMY WITH OR WITHOUT BIOPSY(S) (SEPARATE PROC ProFee 90001285 49000    
49082 ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITHOUT IMAGING GUIDANCE ProFee 90001286 49082    
49083 ABDOMINAL PARACENTESIS (DIAGNOSTIC OR THERAPEUTIC); WITH IMAGING GUIDANCE ProFee 90001287 49083    
49180 BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE ProFee 90001288 49180    
49250 UMBILECTOMY, OMPHALECTOMY, EXCISION OF UMBILICUS (SEPARATE PROCEDURE) ProFee 90001289 49250    
49320 LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLECTION ProFee 90001290 49320    
49321 LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE) ProFee 90001291 49321    
49500 REPAIR INITIAL INGUINAL HERNIA, AGE 6 MONTHS TO YOUNGER THAN 5 YEARS, WITH OR WITHOUT ProFee 90001292 49500    
49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ProFee 90001293 49505    
49507 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ProFee 90001294 49507    
49520 REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; REDUCIBLE ProFee 90001295 49520    
49521 REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED ProFee 90001296 49521    
49525 REPAIR INGUINAL HERNIA, SLIDING, ANY AGE ProFee 90001297 49525    
49560 REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE ProFee 90001298 49560    
49561 REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ProFee 90001299 49561    
49566 REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED ProFee 90001300 49566    
49568 IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA REPAIR ProFee 90001301 49568    
49585 REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; REDUCIBLE ProFee 90001302 49585    
49587 REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OLDER; INCARCERATED OR STRANGULATED ProFee 90001303 49587    
49650 LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA ProFee 90001304 49650    
49651 LAPAROSCOPY, SURGICAL; REPAIR RECURRENT INGUINAL HERNIA ProFee 90001305 49651    
49652 LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INC ProFee 90001306 49652    
49653 LAPAROSCOPY, SURGICAL, REPAIR, VENTRAL, UMBILICAL, SPIGELIAN OR EPIGASTRIC HERNIA (INC ProFee 90001307 49653    
49654 LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFOR ProFee 90001308 49654    
49655 LAPAROSCOPY, SURGICAL, REPAIR, INCISIONAL HERNIA (INCLUDES MESH INSERTION, WHEN PERFOR ProFee 90001309 49655    
49656 LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, W ProFee 90001310 49656    
49657 LAPAROSCOPY, SURGICAL, REPAIR, RECURRENT INCISIONAL HERNIA (INCLUDES MESH INSERTION, W ProFee 90001311 49657    
49659 UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY ProFee 90001312 49659    
49999 UNLISTED PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM ProFee 90001313 49999    
51050 CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF CALCULUS, WITHOUT VESICAL NECK RESECTION ProFee 90001314 51050    
51102 ASPIRATION OF BLADDER; WITH INSERTION OF SUPRAPUBIC CATHETER ProFee 90001315 51102    
51701 INSERTION OF NON-INDWELLING BLADDER CATHETER (EG, STRAIGHT CATHETERIZATION FOR RESIDUA ProFee 90001316 51701    
51703 INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED ANATOMY, ProFee 90001317 51703    
51705 Change of cystectomy tube, simple 90001471 51705    
51710 CHANGE OF CYSTOSTOMY TUBE; COMPLICATED ProFee 90001318 51710    
51860 CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; SIMPLE ProFee 90001319 51860    
51865 CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; COMPLICATED ProFee 90001320 51865    
52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE) ProFee 90001321 52000    
52224 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OR TREATM ProFee 90001322 52224    
52281 CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR DILATION OF URETHRAL STRICTURE OR STENOSIS, ProFee 90001323 52281    
53265 EXCISION OR FULGURATION; URETHRAL CARUNCLE ProFee 90001324 53265    
54150 Excision Procedures on the Penis 90001325 54150    
54161 CIRCUMCISION, SURGICAL EXCISION OTHER THAN CLAMP, DEVICE, OR DORSAL SLIT; OLDER THAN 2 ProFee 90001326 54161    
54163 REPAIR INCOMPLETE CIRCUMCISION ProFee 90001327 54163    
54840 EXCISION OF SPERMATOCELE, WITH OR WITHOUT EPIDIDYMECTOMY ProFee 90001328 54840    
55040 EXCISION OF HYDROCELE; UNILATERAL ProFee 90001329 55040    
55041 EXCISION OF HYDROCELE; BILATERAL ProFee 90001330 55041    
55120 REMOVAL OF FOREIGN BODY IN SCROTUM ProFee 90001331 55120    
55520 EXCISION OF LESION OF SPERMATIC CORD (SEPARATE PROCEDURE) ProFee 90001332 55520    
55559 UNLISTED LAPAROSCOPY PROCEDURE, SPERMATIC CORD ProFee 90001333 55559    
55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH ProFee 90001334 55700    
55899 UNLISTED PROCEDURE, MALE GENITAL SYSTEM ProFee 90001335 55899    
56405 INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS ProFee 90001336 56405    
56440 MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST ProFee 90001337 56440    
56740 EXCISION OF BARTHOLIN'S GLAND OR CYST ProFee 90001338 56740    
57200 COLPORRHAPHY, SUTURE OF INJURY OF VAGINA (NONOBSTETRICAL) ProFee 90001491 57200    
57240 ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE ProFee 90001339 57240    
57250 POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY ProFee 90001340 57250    
57260 COMBINED ANTEROPOSTERIOR COLPORRHAPHY; ProFee 90001341 57260    
57282 COLPOPEXY, VAGINAL; EXTRA-PERITONEAL APPROACH (SACROSPINOUS, ILIOCOCCYGEUS) ProFee 90001342 57282    
57288 SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) ProFee 90001343 57288    
57410 PELVIC EXAMINATION UNDER ANESTHESIA (OTHER THAN LOCAL) ProFee 90001344 57410    
57415 REMOVAL OF IMPACTED VAGINAL FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA (OTHER ProFee 90001345 57415    
58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) ProFee 90001346 58120    
58150 TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF TUBE(S), ProFee 90001347 58150    
58260 VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; ProFee 90001348 58260    
58300 Insertion of Intrauterine Device. 90001494 58300    
58301 REMOVAL OF INTRAUTERINE DEVICE (IUD) ProFee 90001349 58301    
58542 LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMO ProFee 90001350 58542    
58545 LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL WEIGH ProFee 90001351 58545    
58552 LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH REMOV ProFee 90001352 58552    
58554 LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; WITH ProFee 90001353 58554    
58570 LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; ProFee 90001354 58570    
58578 Unlisted Lap Proc/Uterus 90001479 58578    
58611 LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S) WHEN DONE AT THE TIME OF CESAREAN DELIVER ProFee 90001355 58611    
58660 LAPAROSCOPY, SURGICAL; WITH LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) (SEPARATE ProFee 90001493 58660    
58661 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL OOPHORECTO ProFee 90001356 58661    
58662 LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, PELVIC VI ProFee 90001357 58662    
58670 LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT TRANSECTION) ProFee 90001358 58670    
58720 SALPINGO-OOPHORECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDUR ProFee 90001359 58720    
58940 OOPHORECTOMY, PARTIAL OR TOTAL, UNILATERAL OR BILATERAL; ProFee 90001360 58940    
59025 FETAL NONSTRESS ProFee 90001361 59025    
59070 TRANSABDOMINAL AMNIOINFUSION, INCLUDING ULTRASOUND GUIDANCE ProFee 90001362 59070    
59150 LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITHOUT SALPINGECTOMY AND/OR OOPHORECTOMY ProFee 90001363 59150    
59151 LAPAROSCOPIC TREATMENT OF ECTOPIC PREGNANCY; WITH SALPINGECTOMY AND/OR OOPHORECTOMY ProFee 90001364 59151    
59160 CURETTAGE, POSTPARTUM ProFee 90001365 59160    
59200 INTRODUCTION PROCEDURES FOR MATERNITY CARE AND DELIVERY 90001366 59200    
59300 EPISIOTOMY OR VAGINAL REPAIR, BY OTHER THAN ATTENDING ProFee 90001367 59300    
59409 VAGINAL DELIVERY ONLY (WITH OR WITHOUT EPISIOTOMY AND/OR FORCEPS); ProFee 90001368 59409    
59414 DELIVERY OF PLACENTA (SEPARATE PROCEDURE) ProFee 90001369 59414    
59514 CESAREAN DELIVERY ONLY; ProFee 90001370 59514    
59812 TREATMENT OF INCOMPLETE ABORTION, ANY TRIMESTER, COMPLETED SURGICALLY ProFee 90001371 59812    
59820 TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; FIRST TRIMESTER ProFee 90001372 59820    
59821 TREATMENT OF MISSED ABORTION, COMPLETED SURGICALLY; SECOND TRIMESTER ProFee 90001373 59821    
60220 TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY ProFee 90001374 60220    
60240 THYROIDECTOMY, TOTAL OR COMPLETE ProFee 90001375 60240    
60260 THYROIDECTOMY, REMOVAL OF ALL REMAINING THYROID TISSUE FOLLOWING PREVIOUS REMOVAL OF A ProFee 90001376 60260    
60500 PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); ProFee 90001377 60500    
62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC ProFee 90001378 62270    
64402 INJECTION, ANESTHETIC AGENT; FACIAL NERVE ProFee 90001379 64402    
64450 INJECTION, ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH ProFee 90001380 64450    
64718 NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT ELBOW ProFee 90001381 64718    
64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL ProFee 90001382 64721    
65220 REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITHOUT SLIT LAMP ProFee 90001383 65220    
67715 CANTHOTOMY (SEPARATE PROCEDURE) ProFee 90001384 67715    
69209 REMOVAL IMPACTED CERUMEN USING IRRIGATION/LAVAGE, UNILATERAL ProFee 90001385 69209    
75820 VENOGRAPHY EXTREMITY UNILATERAL RS&I ProFee 90001386 75820    
76000 OTHER DIAGNOSTIC RADIOLOGY (DIAGNOSTIC IMAGING) RELATED PROCEDURES 90001387 76000    
76872 US ECHO TRANSRECTAL ProFee 90001388 76872    
76937 ULTRASOUND GUIDANCE PICC PLCMT ProFee 90001389 76937    
76942 US GUIDED NEEDLE PLACMENT ProFee 90001390 76942    
77001 FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT ProFee 90001391 77001    
92960 PHY CARDIOVERSION EXTERNAL ProFee 90001392 92960    
93010 EKG INTERPRETATION & REPORT ProFee 90001393 93010    
93016 STRESS TEST SUPERVISION ProFee 90001394 93016    
93018 STRESS TEST INTERPRETATION ProFee 90001395 93018    
93272 EKG EVENT MONITOR INTERP ProFee 90001396 93272    
93306 ECHOCARDIOGRAPHY 2-D W/DOPP ProFee 90001397 93306    
93308 ECHOCARDIOGRAM FOLLOW UP ProFee 90001398 93308    
93320 DOPPLER ECHO COMPLETE ProFee 90001399 93320    
93325 DOP ECHOCARD COLOR FLOW VELOCITY MAPPING ProFee 90001400 93325    
93351 ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG ProFee 90001401 93351    
93880 CAROTID ULTRASND COMP BI ProFee 90001402 93880    
93922 PHYS STUDY EXTR ARTERY UP OR L ProFee 90001403 93922    
93925 DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY ProFee 90001404 93925    
93926 ARTERIAL LOWER EXT DOPP UNILAT ProFee 90001405 93926    
93930 DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY ProFee 90001406 93930    
93931 ARTERIAL UPPER EXT DOPP UNILAT ProFee 90001407 93931    
93970 BILATERAL DOPPLER EXAMINATION \\ ProFee 90001408 93970    
93971 UNILATERAL DOPPLER EXAMINATION ProFee 90001409 93971    
93975 DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM ProFee 90001410 93975    
93978 DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE ProFee 90001411 93978    
93979 DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD ProFee 90001412 93979    
97605 NEG PRES WND TX PER SESSN ProFee 90001413 97605    
99152 CONS SEDATE >5 YO 1ST 15M SAME PROV ProFee 90001414 99152    
99202 LEVEL 2 VISIT NEW PT ProFee 15-29 MIN 90001415 99202    
99203 LEVEL 3 VISIT NEW PT ProFee 30-44 MIN 90001416 99203    
99204 VST NEW PAT COMPRE/MOD/COMPL ProFee 45-59 MIN 90001417 99204    
99205 VST NEW PAT COMPRE/HIGH/COMPL ProFee 60-74 MIN 90001418 99205    
99212 VST EST PAT FOCUSED/STRGHTFWD ProFee 10-19 MIN 90001419 99212    
99213 VST EST PAT EXPANDED/STRGHTFWD ProFee 20-29 MIN 90001420 99213    
99214 VST EST PAT DET/LOW/MOD/COMPL ProFee 30-39 MIN 90001421 99214    
99215 VST EST PAT COMPRE/HIGH/COMPLX ProFee 40-54 MIN 90001422 99215    
99217 OBSERVATION CARE DISCHARGE MANAGEMENT ProFee 90001423 99217    
99218 LEVEL 1: DETAILED HX/EXAM: STRAIGHTFORWARD 30 MIN ProFee 90001424 99218    
99219 LEVEL 2: COMP HX/EXAM: MODERATE 50 MIN ProFee 90001425 99219    
99220 LEVEL 3: COMP HX/EXAM: HIGH 70 MIN ProFee 90001426 99220    
99221 LEVEL 1 ADMIT STRAIGHTFORWARD 30 MIN ProFee 90001427 99221    
99222 LEVEL 2 ADMIT MODERATE 50 MIN ProFee 90001428 99222    
99223 LEVEL 3 HIGHLY COMPLEX 70 MIN ProFee 90001429 99223    
99225 SUBSEQUENT OBSERVATION CARE ProFee 90001430 99225    
99226 SBSQ OBS STAY 25 MIN ProFee 90001431 99226    
99231 LEVEL 1 VISIT STABLE IMPROVING 15 MIN ProFee 90001432 99231    
99232 LEVEL 2 VISIT MINOR COMPLICATION 25 MIN ProFee 90001433 99232    
99233 LEVEL 3 VISIT UNSTABLE MAJOR COMPLICATION 35 MIN ProFee 90001434 99233    
99234 LEVEL 1: DETAILED HX/EXAM: STRAIGHTFORWARD SAME DAY 40 MIN ProFee 90001435 99234    
99235 LEVEL 2: COMP HX/EXAM: MODERATE SAME DAY 50 MIN ProFee 90001436 99235    
99236 LEVEL 3: COMP HX/EXAM: HIGH SAME DAY 55 MIN ProFee 90001437 99236    
99238 HSP DISCH DAY MGMT 30 MIN ProFee 90001438 99238    
99239 INPT DSCHRG >30 MIN ProFee 90001439 99239    
99281 BRIEF SERVICE ProFee 90001440 99281    
99282 LIMITED SERVICE ProFee 90001441 99282    
99283 INTERMEDIATE SERVICE ProFee 90001442 99283    
99284 EXTENDED SERVICE ProFee 90001443 99284    
99285 COMPREHENS. SERVICE ProFee 90001444 99285    
99291 CRITICAL CARE E&M-UNSTABL ProFee 90001445 99291    
99292 CRITICAL CARE E&M-UNSTABL ProFee 90001446 99292    
99304 ADMIT LOW 25 MIN ProFee 90001462 99304    
99305 ADMIT MODERATE 35 MIN ProFee 90001463 99305    
99306 ADMIT HIGH 45 MIN ProFee 90001464 99306    
99307 VISIT LOW 10 MIN ProFee 90001465 99307    
99308 VISIT MODERATE 15 MIN ProFee 90001466 99308    
99309 VISIT MOD/HIGH 25 MIN ProFee 90001467 99309    
99310 VISIT HIGH 35 MIN ProFee 90001468 99310    
99315 SWINGBED DIS <30 mins td> 90001469 99315    
99316 SWINGBED DIS >30 MINS ProFee 90001470 99316    
99354 PROGD DIRECT CNTCT 1ST HR ProFee 90001447 99354    
99356 IF OVER A FULL HOUR ADD TO THE ADMIT CODE ProFee 90001448 99356    
99357 EACH ADDITIONAL ½ HOUR AFTER 1ST HOUR ProFee 90001449 99357    
99406 SMOKING CESSATION COUNESLING 3 TO 10 MIN ProFee 90001450 99406    
99460 INITAL NEWBORN E/M ProFee 90001451 99460    
99462 SBSQ NB EM PER DAY HOSP ProFee 90001452 99462    
99463 INI CARE,ADM/DS SAME DY ProFee 90001453 99463    
99465 NEWBORN RESUSCITATION CHARGE ProFee 90001454 99465    
99468 INT IP NEONAT CC<28d td> 90001455 99468    
99469 SUB NEONAT CRIT CARE EA D ProFee 90001456 99469    
99471 PED CRITICAL CARE INITIAL 29 D-24MO ProFee 90001457 99471    
99477 INI HOSP CARE OBS =28DY ProFee 90001458 99477    
ANESTHESIA PRO FEE CHARGE 95001000      
CLEV ED Pro Fee Charges        
CLEV Hospitalist Pro Fee Charges        
ED Professional Fees PAHC_KS        
ED Professional Fees PDH_CA        
G0105 COLONOSCOPY SCREEN, HIGH RISK ProFee 90001459      
G0289 ARTHRO LOOSE BODY & CHONDRO ProFee 90001460      
G0405 Ekg interpret & report preve ProFee 90001461      
Inpatient Professional Fees HHSC_HI        
JPH ED ProFee        
JPH Hospitalist ProFee        
MED Hospitalist Professional Fees PAHC_KS        
MED Hospitalist Professional Fees PDH_CA        
MED Swingbed Professional Fees PDH_CA        
NUR Newborn Professional Fees PDH_CA        
Removal foreign body foot; deep BCE 90001487 28192    
Body plethysmography (throacic gas volume) - RT CHARGE PFT   94726    
Bronchoprovocation - RT CHARGE PFT        
Diffusion (DLCO) - RT CHARGE PFT        
Flow volume loop pediatric - RT CHARGE PFT        
Gas dilution - RT CHARGE PFT        
MIP/MEP - RT CHARGE PFT        
Maximum breathing capacity, Maximal voluntary ventilation (M - RT CHARGE PFT        
Non-invasive continuous ear/pulse oximetry - RT CHARGE PFT        
Oxygen w/CO2 output - RT CHARGE PFT        
PFT-Stress test/complex - RT CHARGE PFT        
PFT-Stress test/simple - RT CHARGE PFT        
Pulmonary Function Test Complete 70001060   0  
Pulmonary Function Test - Complete 70001060   0  
Pulmonary Function Test w/ Bronchodilator 70001061   0  
Pulmonary Function Test w/o Bronchodilator        
RT CHARGE PFT        
Spirometry        
Spirometry before & after - RT CHARGE PFT        
Spirometry - RT CHARGE PFT        
Total vital capacity - RT CHARGE PFT        
73503 X RAY EXAM HIP UNI 4/ VIEWS RT 40001270 73503 112.08  
73503 X-RAY EXAM HIP UNI 4 W/ VIEWS LT 40001269 73503 112.08  
BD Bone Density DEXA App Skeleton        
BD Bone Density DEXA Axial Skeleton 40001000 77080 790 593
BD Bone Density DEXA App Skeleton 40001001 77081 243 182
BD Bone Density DEXA Axial Skeleton 40001000 77080 790 593
CT Abdomen w/ + w/o Contrast        
CT Abdomen w/ Contrast        
CT Abdomen w/o Contrast        
CT Abdomen w/ + w/o Contrast 40001004 74170 2452 1839
CT Abdomen w/ Contrast 40001005 74160 1976 1482
CT Abdomen w/o Contrast 40001006 74150 1614 1211
CT Abdomen and Pelvis w/ + w/o Contrast 40001002 74178 2303 1728
CT Abdomen and Pelvis w/ Contrast        
CT Abdomen and Pelvis w/o Contrast 40001003 74176 1053 0
CT Abdomen and Pelvis w/ + w/o Contrast 40001002 74178 2303 1728
CT Abdomen and Pelvis w/ Contrast 40001162 74177 1345  
CT Abdomen and Pelvis w/o Contrast 40001003 74176 1053 790
CT Angio Abdomen Aorta + Iliofemoral 40001007 75635 4199 3150
CT Angio Abdomen        
CT Angio Abdomen Aorta + Iliofemoral 40001007 75635 4199 3150
CT Angio Abdomen 40001163 74175 2869  
CT Angio Brain/Head        
CT Angio Brain/Head 40001008 70496 2912 2184
CT Angio Chest        
CT Angio Chest w/contrast 40001238 71275 2750  
CT Angio Head/Neck        
CT Angio Head/Neck 40001164 70496 4852  
CT Angio Lower Extremity Left        
CT Angio Lower Extremity Right        
CT Angio Lower Extremity Left 40001009 73706 3220 2415
CT Angio Lower Extremity Right 40001165 73706 3220 2415
CT Angio Neck        
CT Angio Neck 40001010 70498 2912 2184
CT Angio Upper Extremity Left        
CT Angio Upper Extremity Right        
CT Angio Upper Extremity Left 40001166 73206 2659  
CT Angio Upper Extremity Right 40001167 73206 2659  
CT Brain/Head w/ + w/o Contrast        
CT Brain/Head w/ Contrast        
CT Brain/Head w/o Contrast        
CT Brain/Head w/ + w/o Contrast 40001011 70470 2816 2112
CT Brain/Head w/ Contrast 40001012 70460 1768 1326
CT Brain/Head w/o Contrast 40001013 70450 1458 1094
CT Brain/Head w/ + w/o and Chest w/ Cont        
CT Brain/Head w/ + w/o and Neck ST w/Con        
CT Brain/Head w/ + w/o and Chest w/ Cont        
CT Brain/Head w/ + w/o and Neck ST w/Con 40001258 70460    
CT Chest w/ Contrast        
CT Chest w/o Contrast 40001015 71250 1630 1223
CT Chest w/ Contrast 40001014 71260 2378 1783
CT Chest w/o Contrast 40001015 71250 1630 1223
CT Chest/Abd/Pelvis w/ Contrast 40001016 74177 1869 1402
CT Chest/Abd/Pelvis w/o Contrast 40001168      
CT Chest/Abd/Pelvis w/ Contrast 40001016 74177 1869 1402
CT Chest/Abd/Pelvis w/o Contrast 40001168      
CT Fistula or Sinus Tract Abscess Study        
CT Fistula or Sinus Tract Abscess Study 40001169 76080    
CT Lower Extremity w/ Contrast Left        
CT Lower Extremity w/ Contrast Right 40001170 73701    
CT Lower Extremity w/o Contrast Left 40001171 73700    
CT Lower Extremity w/o Contrast Right        
CT Lower Extremity w/ Contrast Left 40001017 73701 1743 1743
CT Lower Extremity w/ Contrast Right 40001170 73701 1743 1743
CT Lower Extremity w/o Contrast Left 40001018 73700 1704 1278
CT Lower Extremity w/o Contrast Right 40001171 73700 1704 1278
CT Maxillofacial w/o Contrast 40001019 70486 924 693
CT Maxillofacial w/o Contrast 40001019 70486 924 693
CT Neck Soft Tissue w/ Contrast 40001020 70491 2691 2018
CT Neck Soft Tissue w/o Contrast        
CT Neck Soft Tissue w/ Contrast 40001020 70491 2691 2018
CT Neck Soft Tissue w/o Contrast 40001021 70490 1700 1275
CT Orbits Sella w/ Contrast        
CT Orbits Sella w/o Contrast        
CT Orbits Sella w/ Contrast 40001022 70481 2211 1658
CT Orbits Sella w/o Contrast 40001023 70480 1367 1026
CT Pelvis w/ + w/o Contrast 40001172 72194 1998  
CT Pelvis w/ Contrast        
CT Pelvis w/o Contrast        
CT Pelvis w/ + w/o Contrast 40001172 72194 1998  
CT Pelvis w/ Contrast 40001024 72193 2256 1692
CT Pelvis w/o Contrast 40001025 72192 1766 1324
CT Sinus w/o Contrast        
CT Sinus w/o Contrast 40001173 70487 770  
CT Sinus w/ Contrast        
CT Sinus w/ Contrast 40001233 70457 1507  
CT Spine Cervical w/ Contrast        
CT Spine Cervical w/o Contrast        
CT Spine Cervical w/ Contrast 40001174 72126 1735  
CT Spine Cervical w/o Contrast 40001026 72125 1755 1316
CT Spine Lumbar w/ + w/o Contrast 40001272 72133 182.22  
CT Spine Lumbar w/ Contrast        
CT Spine Lumbar w/o Contrast        
CT Spine Lumbar w/ + w/o Contrast 40001272 72133 182.22  
CT Spine Lumbar w/ Contrast 40001027 72132 2068 1551
CT Spine Lumbar w/o Contrast 40001028 72131 1746 1310
CT Spine Thoracic w/ Contrast        
CT Spine Thoracic w/o Contrast        
CT Spine Thoracic w/ Contrast 40001175 72129 1723  
CT Spine Thoracic w/o Contrast 40001029 72128 1761 1321
CT Upper Extremity w/ Contrast Left        
CT Upper Extremity w/ Contrast Right        
CT Upper Extremity w/o Contrast Left        
CT Upper Extremity w/o Contrast Right        
CT Upper Extremity w/ Contrast Left 40001030 73201 2009 1507
CT Upper Extremity w/ Contrast Right 40001176 73201 2009 1507
CT Upper Extremity w/o Contrast Left 40001031 73200 1599 1199
CT Upper Extremity w/o Contrast Right 40001177 73200 1599 1199
MG Breast Tissue Specimen Surgical Left        
MG Breast Tissue Specimen Surgical Right        
MG Breast Tissue Specimen Surgical Left 40001032 76098 1599 1199
MG Breast Tissue Specimen Surgical Rt.        
MG Breast Tissue Specimen Surgical Right 40001178 76098 178 134
MG Mammo Digital Diagnostic Bilat        
MG Mammo Digital Diagnostic Left        
MG Mammo Digital Diagnostic Right        
MG Mammo Digital Screening Bilateral 40001036 77067 458 343
MG Mammo Digital Diagnostic Bilat 40001033 77066 458 343
MG Mammo Digital Diagnostic Left 40001034 77065 432 324
MG Mammo Digital Diagnostic Right 40001035 77065 432 324
MG Mammo Digital Screening Bilateral 40001036 77067 458 343
MG Mammo Digital Screening Left        
MG Mammo Digital Screening Right        
MG Mammo Digital Screening Left 40001037 77067 432 324
MG Mammo Digital Screening Right 40001179 77067 432 324
MG Mammo Digital Diagnostic Bilat.        
MG Mammo Digital Diagnostic Left.        
MG Mammo Digital Diagnostic Right.        
MG Mammo Digital Screening Bilateral.        
MG Mammo Digital Screening Left.        
MG Mammo Digital Screening Right.        
MG Mammo Digital Diagnostic Bilat. 40001033 77066 458 343
MG Mammo Digital Diagnostic Left. 40001034 77065 432 324
MG Mammo Digital Diagnostic Right. 40001035 77065 432 324
MG Mammo Digital Screening Bilateral. 40001036 77067 458 343
MG Mammo Digital Screening Left. 40001037 77067 432 324
MG Mammo Digital Screening Right. 40001242 77067 432 324
MG Mammo Implant Digital Diag Bilateral 40001180 77067 458 343
MG Mammo Implant Digital Diag Left        
MG Mammo Implant Digital Diag Right        
MG Mammo Implant Digital Screening Bilat        
MG Mammo Implant Digital Screening Left        
MG Mammo Implant Digital Screening Right        
MG Mammo Implant Digital Diag Bilateral 40001180 77067 458 343
MG Mammo Implant Digital Diag Left 40001181 77067 381  
MG Mammo Implant Digital Diag Right 40001182 77067    
MG Mammo Implant Digital Screening Bil. 40001235 77067 381 381
MG Mammo Implant Digital Screening Left 40001236 77067    
MG Mammo Implant Digital Screening Rt. 40001237 77067    
MG Mammo Implant Digital Diag Bilateral. 40001180 77067 458 343
MG Mammo Implant Digital Diag Left. 40001181 77067    
MG Mammo Implant Digital Diag Right.        
MG Mammo Implant Digital Screening Lt.        
MG Mammo Implant Digital Diag Bilateral. 40001180 77067 458 343
MG Mammo Implant Digital Diag Left. 40001181 77067 381 191
MG Mammo Implant Digital Diag Right. 40001182 77067    
MG Mammo Implant Digital Screening Lt. 40001236 77067    
MRA Brain/Head w/o Contrast        
MRA Brain/Head w/o Contrast 40001038 70544 2230 2230
MRA Neck w/o Contrast        
MRA Neck w/o Contrast 40001240 70547 2330 1165
MRI Abdomen w/ + w/o Contrast 40001273 74183 381.85  
MRI Abdomen w/ Contrast        
MRI Abdomen w/o Contrast        
MRI Abdomen w/ + w/o Contrast 40001273 74183 381.85  
MRI Abdomen w/ Contrast 40001183 74182 2500 2500
MRI Abdomen w/o Contrast 40001039 74181 2277 2277
MRI Brain w/ + w/o Contrast        
MRI Brain w/o Contrast        
MRI Brain w/ + w/o Contrast 40001040 70553 2230 2230
MRI Brain w/o Contrast 40001184 70551 2230 2230
MRI Chest w/ + w/o Contrast        
MRI Chest w/o Contrast        
MRI Chest w/ + w/o Contrast 40001185 71552    
MRI Chest w/o Contrast 40001041 71550 2277 2277
MRI Face Neck Orbit w/ + w/o Contrast        
MRI Face Neck Orbit w/o Contrast        
MRI Face Neck Orbit w/ + w/o Contrast 40001042 70543 3499 3499
MRI Face Neck Orbit w/o Contrast 40001043 70540 2948 2948
MRI LE Joint w/ + w/o Contrast Lt        
MRI LE Joint w/ + w/o Contrast Rt        
MRI LE Joint w/o Contrast Lt        
MRI LE Joint w/o Contrast Rt        
MRI LE Joint w/ + w/o Contrast Lt 40001044 73723 2316 2316
MRI LE Joint w/ + w/o Contrast Rt 40001186 73723 2896 2896
MRI LE Joint w/o Contrast Lt 40001045 73721 2526 2526
MRI LE Joint w/o Contrast Rt 40001187 73721 2067 2067
MRI LE Non Joint w/ + w/o Contrast Bil        
MRI LE Non Joint w/o Contrast Lt        
MRI LE Non Joint w/o Contrast Rt        
MRI LE Non Joint w/ + w/o Contrast Bil 40001188 73723 2896 2896
MRI LE Non Joint w/o Contrast Lt 40001046 73718 2896 2896
MRI LE Non Joint w/o Contrast Rt 40001189 73718 2129 2129
MRI Pelvis w/ + w/o Contrast        
MRI Pelvis w/o Contrast        
MRI Pelvis w/ + w/o Contrast 40001047 72197 2067 2067
MRI Pelvis w/o Contrast 40001048 72195 2129 2129
MRI Spine Cervical w/ + w/o Contrast        
MRI Spine Cervical w/o Contrast        
MRI Spine Cervical w/ + w/o Contrast 40001049 72156 4674 4674
MRI Spine Cervical w/o Contrast 40001050 72141 2208 2208
MRI Spine Lumbar w/ + w/o Contrast        
MRI Spine Lumbar w/o Contrast 40001052 72148 2237 2237
MRI Spine Lumbar w/ + w/o Contrast 40001051 72158 4674 4674
MRI Spine Lumbar w/o Contrast 40001052 72148 2237 2237
MRI Spine Thoracic w/ + w/o Contrast        
MRI Spine Thoracic w/o Contrast        
MRI Spine Thoracic w/ + w/o Contrast 40001053 72157 4430 4430
MRI Spine Thoracic w/o Contrast 40001054 72146 2352 2352
MRI UE Joint w/o Contrast Lt        
MRI UE Joint w/o Contrast Rt        
MRI UE Joint w/ Contrast Lt        
MRI UE Joint w/ Contrast Rt        
MRI UE Joint w/ Contrast Lt 40001055 73222 4430 4430
MRI UE Joint w/ Contrast Rt 40001190 73222 2374 2374
MRI UE Joint w/o Contrast Lt 40001056 73221 2272 2272
MRI UE Joint w/o Contrast Rt 40001191 73221 2042 2042
MRI UE Non Joint w/ + w/o Contrast Lt        
MRI UE Non Joint w/ + w/o Contrast Rt        
MRI UE Non Joint w/o Contrast Lt        
MRI UE Non Joint w/o Contrast Rt        
MRI UE Non Joint w/ + w/o Contrast Lt 40001192 73220 2091  
MRI UE Non Joint w/ + w/o Contrast Rt 40001193 73220 2091  
MRI UE Non Joint w/o Contrast Lt 40001194 73718 2129 2129
MRI UE Non Joint w/o Contrast Rt 40001195 73718 2129 2129
PDH US GUIDED NEEDLE PLACEMENT 41000001 76942 1072 965
PDH US TRANSVAGINAL OB 41000002 76817 539 405
PDH US TRANSVAGINAL NON OB 41000003 76830 429 322
US Abdomen Complete 40001057 76700 2374 1187
US Abdomen Limited 40001058 76705 2042 2042
US Abdomen Complete 40001057 76700 2374 1187
US Abdomen Limited 40001058 76705 2042 2042
US Amniocentesis        
US Amniocentesis 40001196 76946 487  
US Aorta        
US Aorta IVC Iliac Duplex Complete 70001023 93978 789  
US Aorta IVC Iliac Duplex Limited        
US Aorta IVC Iliac Duplex Complete 70001023 93978 789  
US Aorta IVC Iliac Duplex Limited 70001024 93979 566  
US Appendix        
US Appendix 40001197 76857 498 374
US Breast Complete 40001059 76641 756 567
US Breast Complete 40001059 76641 756 567
US Breast Limited Left        
US Breast Limited Right 40001199 76642 615 461
US Breast Limited Left 40001060 76642 615 461
US Breast Limited Right 40001199 76642 615 461
US Breast Limited Left. 40001198 76642 615 461
US Breast Limited Right.        
US Breast Limited Left. 40001198 76642    
US Breast Limited Right. 40001200 76642 615 461
US Breast Limited Bilat 40001281 76642 923 692
US Breast Limited Bilat 40001281 76642 923 692
US Carotid Duplex Bilateral 70001014 93880 1038  
US Carotid Duplex Bilateral 70001014 93880 1038  
US Chest 40001061 76604 682 512
US Chest 40001061 76604 682 512
US Echo 2D Limited        
US Echo 2D Complete        
US Echo 2D Complete   93307    
US Echo 2D Comp w/ Color Flow Doppler 70001008 93306 1715  
US Echo 2D Comp w/ Color Flow Doppler 70001008 93306 1715  
US Echo Doppler Complete        
US Echo Doppler Complete   93320    
US Echocardiogram Complete w/ Color        
US Echocardiogram Complete w/ Color   93320    
US Extremity Nonvascular Complete Left        
US Extremity Nonvascular Complete Right 40001201 76881 1139 855
US Extremity Nonvascular Complete Left 40001062 76881 1139 855
US Extremity Nonvascular Complete Right 40001201 76881 1139 855
US Fetal Biophysical Profile w/ N-Str        
US Fetal Biophysical Profile w/ N-Str 40001063 76818 239 352
US Guided Needle Placement        
US Guided Needle Placement 40001064 76942 1287 965
US Guided Vascular Access        
US Guided Vascular Access 40001065 76937 1139 855
US Lower Ext Venous Duplex Right        
US Lower Ext Venous Duplex Left        
US Lower Ext Venous Duplex Bilateral 40001066 93970 1287 965
US Lower Ext Arterial Duplex Right        
US Lower Ext Arterial Duplex Left        
US Lower Ext Arterial Duplex Bilateral 70001016 93925 1368  
US Lower Ext Arterial Duplex Bilateral 70001016 93925 1368  
US Lower Ext Arterial Duplex Left 70001017 93926 670  
US Lower Ext Arterial Duplex Right 70001022 93926 670  
US Lower Ext Venous Duplex Bilateral 40001066 93970 1287 965
US Lower Ext Venous Duplex Left 40001263 93971 754  
US Lower Ext Venous Duplex Right 40001264 93971 754 679
US OB < 14 weeks w/ TVS if indicated 40001068 76801 123 92
US OB < 14 weeks w/ TVS if indicated 40001068 76801 616 313
US OB < 14 Weeks Multi        
US OB < 14 Weeks Multi 40001203 76802 502  
US OB > 14 Weeks Limited        
US OB > 14 Weeks Limited 40001069 76805 1356 1017
US OB Detailed Multi        
US OB Detailed Multi 70010088 76812 849  
US OB Greater Than 14 Weeks        
US OB Greater Than 14 Weeks 40001243 76805 502  
US OB Greater Than 14 Weeks Multi        
US OB Greater Than 14 Weeks Multi 40001071 76810 740 555
US OB Limited 40001072 76815 603 452
US OB Limited 40001072 76815 603 452
US OB Transvaginal 40001073 76817 554 415
US OB Transvaginal 40001073 76817 554 415
US Pelvic Complete 40001234 76856 502 251
US Pelvic Complete 40001234 76856 502 251
US Pelvic Ltd        
US Pelvic Ltd 40001074 76856 603 452
US Pelvic Non OB        
US Pelvic Non OB 40001075 76857 498 374
US Pelvic Non OB Comp 40001259 76856    
US Pelvic Non OB Ltd        
US Pelvic Non OB Comp 40001259 76856 502 251
US Pelvic Non OB Comp        
US Pelvic Non OB Ltd 40001260 76857 415  
US Pelvis Comp w/Transvag if indicated        
US Pelvis Comp w/Transvag if indicated 40001265 76830 536 357
US Prostate Transrectal        
US Prostate Transrectal 40001076 76872 651 488
US Renal Artery Duplex Bilateral 70001022 93975 1583  
US Renal Artery Duplex Bilateral 70001022 93975 1583  
US Retroperitoneal Limited        
US Retroperitoneal Complete 40001077 76770 479 360
US Retroperitoneal Complete 40001077 76770 479 360
US Retroperitoneal Limited 40001078 76775 407 306
US Scrotum (Contents) w/ Doppler if ind 40001079 76870 512 384
US Scrotum (Contents) w/ Doppler if ind 40001079 76870 512 384
US Segmental Pressures LE 1-2 Lvls Bilat 70001015 93922 503  
US Segmental Pressures LE 1-2 Lvls Bilat 70001015 93922 503  
US Stress Echo        
US Stress Echo   93351    
US Thyroid 40001080 76536    
US Thyroid 40001080 76536 512 384
US Transvaginal Non-OB 41000003 76830 429 322
US Transvaginal Non-OB 40001081 76830 429 322
US Umbilical Doppler        
US Umbilical Doppler 40001204 76820    
US Upper Ext Venous Duplex Right        
US Upper Ext Venous Duplex Left        
US Upper Ext Venous Duplex Bilateral 70001021 93971 754  
US Upper Ext Arterial Duplex Right        
US Upper Ext Arterial Duplex Left        
US Upper Ext Arterial Duplex Bilateral        
US Upper Ext Arterial Duplex Bilateral 70001018 93930 660  
US Upper Ext Arterial Duplex Left 70001019 93931 443  
US Upper Ext Arterial Duplex Right 70001020 93931 1130  
US Upper Ext Venous Duplex Bilateral 70001021 93971 754  
US Upper Ext Venous Duplex Left 70001024 93990    
US Upper Ext Venous Duplex Right 70001025 93990    
XR AC Joints Bilateral        
XR AC Joints Bilateral 40001084 73050 275 207
XR Abdomen Series + Chest 1 View        
XR Abdomen Series + Chest 1 View 40001083 74022 537 403
XR Abdomen 1 View        
XR Abdomen 2 Views        
XR Abdomen 1 View 40001082 74018 242 181
XR Abdomen 2 Views 40001205 74019 265  
XR Ankle 2 Views Bilateral        
XR Ankle 2 Views Left 40001085 73600 255 191
XR Ankle 2 Views Right        
XR Ankle 2 Views Bilateral 40001206 73600 383 287
XR Ankle 2 Views Left 40001085 73600 255 191
XR Ankle 2 Views Right 40001086 73600 472 354
XR Ankle Complete 3+ Views Bilateral        
XR Ankle Complete 3+ Views Left        
XR Ankle Complete 3+ Views Right 40001088 73610 327 245
XR Ankle Complete 3+ Views Bilateral 40001121 73610 272  
XR Ankle Complete 3+ Views Left 40001087 73610 327 245
XR Ankle Complete 3+ Views Right 40001088 73610 327 245
XR Bone Age Studies        
XR Bone Age Studies 40001089 77072 228 171
XR Bone Length Studies Scanograms        
XR Bone Length Studies Scanograms 40001207 77073    
XR Calcaneous Bilateral        
XR Calcaneous Left        
XR Calcaneous Right        
XR Calcaneous Bilateral 40001229      
XR Calcaneous Left 40001090 73650 270 203
XR Calcaneous Right 40001091 73650 270 203
XR Chest 1 View        
XR Chest 1 View 40001092 71045 254 190
XR Chest 2 Views 40001093 71046 356 267
XR Chest 2 Views 40001093 71046 356 267
XR Chest 3 Views        
XR Chest 3 Views 40001094 71047 664 498
XR Clavicle Left        
XR Clavicle Right        
XR Clavicle Left 40001095 73000 230 172
XR Clavicle Right 40001096 73000 230 172
XR Clavicle Bilat        
XR Clavicle Bilat 40001230 73000 345 258
XR Cystogram        
XR Elbow 2 Views Right        
XR Elbow 2 Views Left        
XR Elbow 2 Views Bilateral        
XR Elbow 2 Views Bilateral 40001231 73070    
XR Elbow 2 Views Left 40001098 73070 236 177
XR Elbow 2 Views Right 40001099 73070 236 177
XR Elbow Complete 3+ Views Right 40001101 73080 268 201
XR Elbow Complete 3+ Views Left        
XR Elbow Complete 3+ Views Bilateral        
XR Elbow Complete 3+ Views Bilateral 40001232 73080    
XR Elbow Complete 3+ Views Left 40001100 73080 268 201
XR Elbow Complete 3+ Views Right 40001101 73080 268 201
XR Esophagus        
XR Esophagus 40001208 74220 472 354
XR Facial Bones 3+ Views        
XR Facial Bones < 3 Views        
XR Facial Bones < 3 Views 40001209 70140    
XR Facial Bones 3+ Views 40001210 70150    
XR Femur 2 Views Left        
XR Femur 2 Views Right        
XR Femur 2 Views Left 40001211 73552 280 233
XR Femur 2 Views Right 40001102 73552 280 233
XR Femur 2 Views Bilat   73552 349  
XR Finger(1st Digit) 2+ Views Left        
XR Finger(1st Digit) 2+ Views Right        
XR Finger(1st Digit) 2+ Views Left 40001103 73140 178 134
XR Finger(1st Digit) 2+ Views Right 40001239 73140 178 134
XR Finger(2nd Digit) 2+ Views Left        
XR Finger(2nd Digit) 2+ Views Right        
XR Finger(2nd Digit) 2+ Views Left 40001268 73140 178 134
XR Finger(2nd Digit) 2+ Views Right 40001241 73140 178 134
XR Finger(3rd Digit) 2+ Views Left        
XR Finger(3rd Digit) 2+ Views Right        
XR Finger(3rd Digit) 2+ Views Left 40001280 73140 178 134
XR Finger(3rd Digit) 2+ Views Right 40001270 73140 178 134
XR Finger(4th Digit) 2+ Views Left        
XR Finger(4th Digit) 2+ Views Right        
XR Finger(4th Digit) 2+ Views Left 40001244 73140 178 134
XR Finger(4th Digit) 2+ Views Right 40001245 73140 178 134
XR Finger(5th Digit) 2+ Views Left        
XR Finger(5th Digit) 2+ Views Right        
XR Finger(5th Digit) 2+ Views Left 40001246 73140 178 134
XR Finger(5th Digit) 2+ Views Right 40001247 73140 178 134
XR Finger(s) 2+ Views Right        
XR Finger(s) 2+ Views Left        
XR Finger(s) 2+ Views Left        
XR Finger(s) 2+ Views Right        
XR Finger(s) 2+ Views Left        
XR Finger(s) 2+ Views Right        
XR Finger(s) 2+ Views Bilat        
XR Finger(s) 2+ Views Bilat        
XR Foot 2 Views Right        
XR Foot 2 Views Left        
XR Foot 2 Views Bilateral        
XR Foot 2 Views Bilateral 40001223 73620 383 287
XR Foot 2 Views Left 40001104 73620 215 162
XR Foot 2 Views Right 40001105 73620 215 162
XR Foot Complete 3+ Views Right 40001107 73630 321 241
XR Foot Complete 3+ Views Left        
XR Foot Complete 3+ Views Bilateral        
XR Foot Complete 3+ Views Bilateral 40001224 73630 533  
XR Foot Complete 3+ Views Left 40001106 73630 321 241
XR Foot Complete 3+ Views Right 40001107 73630 321 241
XR Forearm 2 Views Right        
XR Forearm 2 Views Left        
XR Forearm 2 Views Bilateral        
XR Forearm 2 Views Bilateral 40001225   227 171
XR Forearm 2 Views Left 40001108 73090 227 171
XR Forearm 2 Views Right 40001109 73090 227 171
XR Hand 2 Views Right 40001111 73120 206 154
XR Hand 2 Views Left 40001110 73120 206 154
XR Hand 2 Views Bilateral        
XR Hand 2 Views Bilateral 40001226 73120 231  
XR Hand 2 Views Left 40001110 73120 206 154
XR Hand 2 Views Right 40001111 73120 206 154
XR Hand Complete 3+ Views Right        
XR Hand Complete 3+ Views Left        
XR Hand Complete 3+ Views Bilateral        
XR Hand Complete 3+ Views Bilateral 40001227 73130 494 371
XR Hand Complete 3+ Views Left 40001112 73130 329 247
XR Hand Complete 3+ Views Right 40001113 73130 329 247
XR Hip 1 View Right        
XR Hip 1 View Left        
XR Hip 1 View Left 40001114 73501 352 264
XR Hip 1 View Right 40001115 73501 352 264
XR Hip 2-3 Views Left        
XR Hip 2-3 Views Right        
XR Hip 2-3 Views Left 40001116 73502 328 246
XR Hip 2-3 Views Right 40001117 73502 328 246
XR Hips 2 Views w/AP Pelvis Bilat 40001118 73521    
XR Hips 2 Views w/AP Pelvis Bilat 40001118 73521 281 211
XR Hips 3-4 Views Bilat        
XR Hips 3-4 Views Bilat 40001271 73522 112.08  
XR Humerus Right        
XR Humerus Left        
XR Humerus Left 40001119 73060 597 448
XR Humerus Right 40001120 73060 597 448
XR Humerus Bilat 40001267 73060 895 672
XR IVP        
XR IVP 40001218 74400    
XR Knee 1 or 2 Views Right 40001122 73560 236 177
XR Knee 1 or 2 Views Left 40001141 73560    
XR Knee 1 or 2 Views Bilateral        
XR Knee 1 or 2 Views Bilateral 40001219 73560 392  
XR Knee 1 or 2 Views Left 40001141 73560 236 177
XR Knee 1 or 2 Views Right 40001122 73560 236 177
XR Knee Complete 4+ Views Right        
XR Knee Complete 4+ Views Left        
XR Knee Complete 4+ Views Bilateral 40001220 73564 743  
XR Knee Complete 4+ Views Bilateral 40001220 73564 743  
XR Knee Complete 4+ Views Left 40001123 73564 447 335
XR Knee Complete 4+ Views Right 40001124 73564 447 335
XR Mandible Complete 4+ Views        
XR Mandible Complete 4+ Views 40001125 70110 372 279
XR Nasal Bones 3+ Views        
XR Nasal Bones 3+ Views 40001126 70160 287 216
XR Neck Soft Tissue     246 185
XR Neck Soft Tissue 40001127 70360 246 185
XR Orbits Complete        
XR Orbits Complete 40001212 70200    
XR Osseous Survey Complete        
XR Osseous Survey Complete 40001128 77075 676 507
XR Pelvis 1 or 2 Views 40001129 72170 202 152
XR Pelvis 1 or 2 Views 40001129 72170 202 152
XR Ribs 2 Views Right        
XR Ribs 2 Views Left        
XR Ribs 2 Views Left 40001130 71100 393 295
XR Ribs 2 Views Right 40001131 71100 393 295
XR Sacroiliac Joints 1 or 2 Views        
XR Sacroiliac Joints 1 or 2 Views 40001132 72202 326 244
XR Sacrum/Coccyx 2+ Views        
XR Sacrum/Coccyx 2+ Views 40001133 72220 299 225
XR Scapula Right        
XR Scapula Left        
XR Scapula Left 40001134 73010 263 198
XR Scapula Right 40001135 73010 263 198
XR Scapula Bilat        
XR Scapula Bilat 40001261   439  
XR Shoulder Complete 2+ Views Right        
XR Shoulder Complete 2+ Views Left 40001138 73030 328 246
XR Shoulder 1 View Right        
XR Shoulder 1 View Left        
XR Shoulder 1 View Left 40001136 73020 242 181
XR Shoulder 1 View Right 40001137 73020 242 181
XR Shoulder Complete 2+ Views Left 40001138 73030 328 246
XR Shoulder Complete 2+ Views Right 40001139 73030 328 246
XR Shoulder Complete 2+ Views Bilat 40001221 73030 547 369
XR Shoulder Complete 2+ Views Bilat 40001221 73030 547 369
XR Shoulder 1 View Bilat        
XR Shoulder 1 View Bilat 40001262   401  
XR Sinuses Paranasal Complete        
XR Sinuses Paranasal Complete 40001140 70220 419 315
XR Skull < 4 Views        
XR Skull < 4 Views 40001213 70250 520  
XR Skull Complete        
XR Skull Complete 40001141 70260 624 468
XR Small Bowel w/ Multiple Series        
XR Small Bowel w/ Multiple Series 40001142 74250 538 404
XR Spine 1 View Specify Level        
XR Spine 1 View Specify Level 40001143 72020 183 137
XR Spine Cervical 2 or 3 Views        
XR Spine Cervical 4 or 5 Views        
XR Spine Cervical 6+ Views        
XR Spine Cervical 2 or 3 Views 40001144 72040 360 270
XR Spine Cervical 4 or 5 Views 40001145 72050 495 371
XR Spine Cervical 6+ Views 40001146 72052 633 475
XR Spine Lumbosacral 4+ Views        
XR Spine Lumbosacral w/ Bending 6+ Views        
XR Spine Lumbosacral Bending 2-3 Views        
XR Spine Lumbosacral 2 or 3 Views        
XR Spine Lumbosacral 2 or 3 Views 40001147 72100 374 280
XR Spine Lumbosacral Bending 2-3 Views 40001149 72120 341 256
XR Spine Lumbosacral w/ Bending 6+ Views 40001150 72114 803 603
XR Spine Lumbosacral 4+ Views 40001148 72110 576 432
XR Spine Scoliosis 1 View        
XR Spine Scoliosis 1 View 40001151 72081 323 243
XR Spine Thoracolumbar 2+ Views        
XR Spine Thoracic 2 Views        
XR Spine Thoracic 2 Views 40001152 72070 281 211
XR Spine Thoracolumbar 2+ Views 40001153 72080 287 216
XR Sternum 2+ Views        
XR Sternum 2+ Views 40001154 71120 280 210
XR TMJ Open and Closed Bilateral        
XR TMJ Open and Closed Bilateral 40001214 70330    
XR Tibia/Fibula Right 40001156 73590    
XR Tibia/Fibula Left 40001155 73590    
XR Tibia/Fibula Bilateral        
XR Tibia/Fibula Bilateral 40001222 73590 445  
XR Tibia/Fibula Left 40001155 73590 268 201
XR Tibia/Fibula Right 40001156 73590 268 201
XR Toe(1st Digit) 2+ Views Left        
XR Toe(1st Digit) 2+ Views Right        
XR Toe(1st Digit) 2+ Views Left 40001248 73660 167 126
XR Toe(1st Digit) 2+ Views Right 40001249 73660 167 126
XR Toe(2nd Digit) 2+ Views Left        
XR Toe(2nd Digit) 2+ Views Right        
XR Toe(2nd Digit) 2+ Views Left 40001250 73660 167 126
XR Toe(2nd Digit) 2+ Views Right 40001251 73660 167 126
XR Toe(3rd Digit) 2+ Views Left        
XR Toe(3rd Digit) 2+ Views Right        
XR Toe(3rd Digit) 2+ Views Left 40001252 73660 167 126
XR Toe(3rd Digit) 2+ Views Right 40001253 73660 167 126
XR Toe(4th Digit) 2+ Views Left        
XR Toe(4th Digit) 2+ Views Right        
XR Toe(4th Digit) 2+ Views Left 40001254 73660 167 126
XR Toe(4th Digit) 2+ Views Right 40001255 73660 167 126
XR Toe(5th Digit) 2+ Views Left        
XR Toe(5th Digit) 2+ Views Right        
XR Toe(5th Digit) 2+ Views Left 40001256 73660 167 126
XR Toe(5th Digit) 2+ Views Right 40001257 73660 167 126
XR Toe(s) 2+ Views Right        
XR Toe(s) 2+ Views Left        
XR Toe(s) 2+ Views Left        
XR Toe(s) 2+ Views Right        
XR Toe(s) 2+ Views Right        
XR Toe(s) 2+ Views Bilat        
XR Toe(s) 2+ Views Bilat        
XR Voiding Urethrocystography        
XR Voiding Urethrocystography 40001215 74455 1198  
XR Wrist 2 Views Bilateral        
XR Wrist 2 Views Left        
XR Wrist 2 Views Right        
XR Wrist 2 Views Bilateral 40001216 73100 354 266
XR Wrist 2 Views Left 40001158 73100 236 177
XR Wrist 2 Views Right 40001159 73100 236 177
XR Wrist Complete 3+ Views Right        
XR Wrist Complete 3+ Views Left 40001160 73110 291 218
XR Wrist Complete 3+ Views Bilateral        
XR Wrist Complete 3+ Views Bilateral 40001217 73110 437 327
XR Wrist Complete 3+ Views Left 40001160 73110 291 218
XR Wrist Complete 3+ Views Right 40001161 73110 291 218
31720 CATHETER ASPIRATION (SEP PROC); NASOTRACHEAL CHARGE 70001001 31720 251  
93017 STRESS TEST TRACING ONLY CHARGE 70001004 93017 223  
93225 LIFEWATCH HOLT MONITOR CHARGE        
94010 PULMONARY/SPIROMETRY SCREEN CHARGE 70001027 94010 207  
AEROSOL INITIAL CHARGE 70001052 94644 250  
AEROSOL SUBSEQUENT CHARGE 70001053 94645 88  
CONT INHALATION TX; 1ST HOUR CHARGE 70001035 94644 250  
CONT INHALATION TX; EA HOUR CHARGE 70001036 94645 115  
CPAP/ BiPAP INITIAL CHARGE 70001038 94660 1566  
CPAP/ BiPAP SUBSEQUENT CHARGE 70001037 94660 1566  
ECG 12 LEAD M/C WELCOME CHARGE 70001048   272  
ECHO STRESS TEST CHARGE        
FUNCTIONAL RESIDUAL CAPACTITY CHARGE 70001041 94727 183  
HHN TX, INITIAL CHARGE 70001032 94640 230  
HHN TX, SUBSEQUENT CHARGE 70001033 94640 230  
INTUBATION CHARGE RT 70001000 31500 745  
MDI SUBSEQUENT CHARGE 70001051 94640 255  
MDI TX, INITIAL CHARGE 70001034 94640 157  
OXYGEN THERAPY CHARGE DAILY 70001049   419  
PEAK FLOW CHARGE 70001028 94060 365  
RT Aerosol Initial CHARGE 70001052 94644 250  
RT Aerosol Subsequent CHARGE 70001051 94645 115  
RT Airway Suction CHARGE 70001040 94667 441  
RT CPAP Initial CHARGE 70001038 94660 1566  
RT CPAP Subsequent CHARGE 70001037 94660 1566  
RT Carbon Monoxide Diffusion DLC CHARGE 70001042 94729 252  
RT Cardiopulmonary Resuscitation CHARGE 70001002 92950 1213  
RT Continuous Neb Initial CHARGE 70001035 94644 250  
RT Continuous Neb Subsequent CHARGE 70001036 94645 115  
RT Education/Instruction CHARGE 70001047 99211 198  
RT Evaluation, Respiratory CHARGE 70001039 94664 188  
RT Functional Residual Capacity CHARGE 70001041 94727 183  
RT Intubation Assist CHARGE 70001000 31500 745  
RT Lung Volumes CHARGE 70001030 94200 102  
RT Meter Dose Inhaler Initial CHARGE 70001034 94640 157  
RT Meter Dose Inhaler Subsequent CHARGE 70001051 94640 59  
RT Mini-Neb Initial CHARGE 70001032 94640 230  
RT Mini-Neb Subsequent CHARGE 70001033 94640 230  
RT Oxygen Therapy Initial CHARGE 70001050   455  
RT Oxygen Therapy Subsequent CHARGE 70001049   419  
RT POX, Multiple Determination CHARGE 70001044 94761 198  
RT POX, Single Determination CHARGE 70001043 94760 81  
RT Peak Flow Procedure CHARGE 70001028 94060 365  
RT Ventilator Services Initial CHARGE 70001025 94002 1566  
RT Ventilator Services Subsequent CHARGE 70001026 94003 1566  
RT Vital Capacity, Total CHARGE 70001029 94150 201  
Respiratory Therapy Charges PDH_CA        
A LATEX UNIV. GROUPING KIT CDM      
'L' MIXING BAR AU480 CDM      
1 HOLE PUNCH CDM      
1.0 NORMAL HCL, 1 LITER CDM      
1/3 TUBE PLATE 5 HOLE FOLEY 12884   696  
1/3 TUBE PLATE 7 HOLE FOLEY 12885   711  
1/3 TUBE PLATE 6 HOLE 12865   747  
1/3 TUBULAR 7 HOLE PLATE 13063   762  
1/3 TUBULAR LCP PLATE FOLEY 12948   750  
10ML PLASTIC SERO. PIPETTE CDM      
11 X 17 X-RAY JOURNAL CDM      
111MM LCP PLATE FOLEY 12883   1407  
12MM LOCKING SCREW FOLEY 12862   558  
14MM LOCKING SCREW FOLEY 12863   558  
16MM LOCLING SCREW FOLEY 12879   558  
18MM LOCKING SCREW FOLEY 12864   558  
2 TRAY MODULE CDM      
2000 CC BRACKET W/ VALVE CDM      
2016 GUIDELINES FOR PERIOP CDM      
20MM LOCKING SCREW FOLEY 12880   519  
25 OH VITAMIN D CALIBRATOR CDM      
25 OH VITAMIN D REAGENT CDM      
25'CV-160/180/190 DIGI FILE CDM      
28 GUAGE WIRE CDM      
2ML SAMPLE CUPS CDM      
3 ORTHOGLASS 3 X 15' CDM      
3.5ML GOLD CDM      
3.5MM CORTEX SCREW FOLEY 820 12947   108.75  
4 & 6 PRONG RAKES CDM      
4 YEAR STANDING ORDER SERVICE CDM      
4.5MM CORTEX SCREW FOLEY 12946   79.5  
40 SAMSUNG LED TV CDM      
5 HOLE FIBER OPTIC GASKET CDM      
5% BLEACH (NA HYPOCHLORITE) CDM      
5.8MM PUMP CANNULA CDM      
6V 20W HALOGEN 7388 CDM      
777 WALL DIAGNOSTIC SYSTEM CDM      
777 WALL MOUNT KIT CDM      
85MM LCP PLATE FOLEY 12881   1287  
90 ADJ ELBOW CDM      
98MM LCP PLATE FOLEY 12882   1338  
A1C NOW+ SYSTEM 20 TEST CDM      
A1C PERF VERIF 1 CDM      
A1C PERF VERIF 2 CDM      
A1C REAGENT CDM      
ABD BINDER DJ MED CDM      
ABD BINDER DJ SM CDM      
ABD BINDER DJ LARGE CDM      
ABD BINDER XL DJ CDM      
ABR Y CABLE CDM      
ABSORBER MULTI MEDISORB CDM      
ABX BASOLYSE CDM      
ABX CLEANER CDM      
ABX EOSINOFIX CDM      
ABX FLUOCYTE CDM      
ABX FLUOCYTE REAGENT CDM      
ABX LYSEBIO CDM      
ABX MINOCLEAR CDM      
ABX PENTADIL CDM      
AC ADAPTER FOR LAPTOP CDM      
ACC-SED NORMAL ESR CONTROL CDM      
ACCESS ASPIRATE PROBE CDM      
ACCESS CHECK SOLUTION CDM      
ACCESS CONTROL KEYPAD RFID CDM      
ACCESS SUBSTRATE CDM      
ACCESS WASH BUFFER CDM      
ACCESS WASTE BAGS CDM      
ACCORDION FILE FOLDER CDM      
ACCU-SED PLUS ESR CONTROL WITH PEER REVIEW SET CDM      
ACCUTORR7 CDM      
ACER KG270 CDM      
ACETAMINOPHEN REAGENT CDM      
ACETEST KETONE TABLETS CDM      
ACHALASIA PNUMATIC HAND PUMP CDM      
ACL KIT 13225      
ACRYLIC NEEDLE DISPENSER CDM      
ACRYLIC SHELF CDM      
ACTM REAGENT CDM      
ADAPTER CHEMETRON CDM      
ADAPTER LUER VACUTAINER CDM      
ADAPTER SPIKE CDM      
ADAPTER SWIVEL CDM      
ADAPTER Y SET CDM      
ADDING MACHINE CDM      
ADDIPAK 3ML RED SALINE BULLET CDM      
ADSON BROWN FORCEP 8.75 IN CDM      
ADSON FORCEP, SMOOTH CDM      
ADSON FORCEP, TOOTHED CDM      
ADULT CANNULA HIGH FLOW CDM      
ADULT TOOTHBRUSHES CDM      
ADVANTAGE FIT SYSTEM CDM      
AEROSOL POCKET CHAMBER CDM      
AGRI-FAB 43830 CDM      
AIR CAN CDM      
AIR COMPRESSOR CDM      
AIR CONDITIONING UNIT CDM      
AIR CONDYLE COVER KIT CDM      
AIR FILTER CDM      
AIR FRESHENER VANILLA CDM      
AIR WATER VALVE CDM      
AIRONE PRESSURE PAD CDM      
AIRONE PRESSURE PUMP CDM      
AIRSPORT XL RIGHT CDM      
AIRWAY 100MM LARGE CDM      
AIRWAY 40 MM CDM      
AIRWAY 50 MM CDM      
AIRWAY 60MM CDM      
AIRWAY 70MM CDM      
AIRWAY 80MM CDM      
AIRWAY 90MM TELEFLEX CDM      
AIRWAY ADAPTER DRYLINE CDM      
AIRWAY I-GEL SUPRA 1 13869   27.66  
AIRWAY I-GEL SUPRA 2 13870   27.66  
AIRWAY I-GEL SUPRA 3 13871   27.66  
AIRWAY I-GEL SUPRA 4 13872   27.66  
AIRWAY I-GEL SUPRA 5 13873   30.22  
AIRWAY I-GEL SUPRA 1.5 13874   27.66  
AIRWAY I-GEL SUPRA 2.5 13875   27.66  
AIRWAY INTUBATOR 9CM 14497   11.37  
AIRWAY INTUBATOR 10CM 14498   11.37  
AIRWAY LMA SUPREME SIZE 4 CDM      
AIRWAY LMA SUPREME SIZE 5 CDM      
AIRWAY LMA SUPREME SIZE 3 CDM      
AIRWAY LMA SUPREME SIZE 2 CDM      
AIRWAY NASO 28F CDM      
AIRWAY NASO 30 FR CDM      
AIRWAY NASO 32 FR CDM      
AIRWAY NASO 22F CDM      
AIRWAY NASO 14FR CDM      
AIRWAY NASO 18FR CDM      
AIRWAY NASO 20FR CDM      
AIRWAY NASO 24 FR CDM      
AIRWAY NASO 26 FR CDM      
AIRWAY SUPRAGLOTTIC #5 L CDM      
AIRWAY SUPRAGLOTTIC SZ 3 CDM      
AJAX CDM      
ALARM BED SENSORMAT CDM      
ALARM CHAIR SENSORMAT CDM      
ALBUMIN REAGENT CDM      
ALCOHOL ANHYDROUS J.T. BAKER CDM      
ALCOHOL ISOPROPYL 70% GALLON CDM      
ALCOHOL REAGENT CDM      
ALCOHOL/AMMONIA CONTROLS CDM      
ALERE RF LATEX KIT CDM      
ALISTRAP 3 INCH CDM      
ALK PHOSPHATASE REAGENT CDM      
ALLIGATOR FORCEPS CDM      
ALLIS CALMPS, LONG 10 INCHES CDM      
ALLIS CLAMPS, SHORT CDM      
ALLIS CLAMPS, CURVED LONG, 9.75 INCHES CDM      
ALP REAGENT CDM      
ALPHA NAPTHOL VP2 30ML CDM      
ALPHA TEX WIPE SWABS CDM      
ALTV REAGENT CDM      
ALUMINUM FINGER SPLINT SET CDM      
AMBER PLASTIC ORAL MEDICINE CDM      
AMBU BAG ADULT 10036   20.94  
AMBU BAG INFANT CDM      
AMBU BAG PEDI 10995   22.24  
AMMONIA REAGENT CDM      
AMNIHOOK STRAIGHT 10227   6.46  
AMNISURE 10 TESTS CDM      
AMNISURE POS NEG CONTROLS CDM      
AMNISURE ROM CDM      
AMOXY/CLAVULANIC ACID (AML) CDM      
AMPICILLIN (AMP) CDM      
AMPICILLIN/SULBACTAM (SAM) CDM      
AMPR-5 CDM      
AMYLASE REAGAENT CDM      
ANAEROBE INDICATOR CDM      
ANDREW PYNCHON SUCTION TIP CDM      
ANESTHESIA UNIVERSAL SET CDM      
ANKLE BRACE LRG RT AIRSPORT 10043   58.35  
ANKLE BRACE MED RT AIRSPORT CDM      
ANKLE BRACE MED LEFT AIRSPORT 10045   58.35  
ANKLE BRACE LRG LEFT AIRSPORT 10046   58.35  
ANKLE BRACE SM LEFT AIRSPORT CDM      
ANKLE BRACE SMALL RT AIRSPORT CDM      
ANKLE BRACE XS LEFT AIRSPORT CDM      
ANKLE BRACE XS RIGHT AIRSPORT CDM   58.35  
ANKLE BRACE LACEUP DJ SM 12163   24.45  
ANKLE BRACE LACEUP MED 12164   21.51  
ANKLE BRACE LACEUP LRG 12164   21.51  
ANKLE BRACE LACE UP XL CDM      
ANKLE BRACE QFM SMALL 12421      
ANKLE BRACE QFM MED CDM      
ANKLE BRACE STABILIZING XL CDM      
ANKLE BRACE AIR XS CDM      
ANKLE BRACE QFM XL CDM      
ANKLE LACE UP UNIVERSAL L1902 CDM      
ANOSCOPE DISPO CDM      
ANTI D BIOCLONE CDM      
ANTI FOG CLEANER CDM      
ANTI HUMAN GLOBULIN BIOCLONE GREEN CDM      
ANTISARSCOV2 CALIBRATOR VITROS CDM      
ANTISEPTIC HANDRUB STERIS CDM      
APD-80 HEADSET ADAPTER CDM      
APPL COTTON 6 INCH WOOD SHAFT CDM      
APPL COTTON NS 6 MINI CDM      
APPLICATOR COTTON TIP ST CDM      
APPLICATOR CHLORAPREP 26ML CDM      
APPLICATOR FOAM TIPPED CDM      
APPLICATOR STICK WOOD CDM      
APPLICATOR DACRON ST CDM      
APPLICATOR DACRON ER CDM      
APPLICATOR 3 INCH COTTON WOOD CDM      
APPLICATOR SEALING TAPE CDM      
APPLICATOR, COTTON TIPPED 6 CDM      
AQC CARTRIDGE KIT CDM      
AQUACEL PRO FOAM 9X8 SACRAL CDM      
AQUADOULA DISPOSABLE LINERS CDM      
ARM SLING LARGE 10614   5.55  
ARM SLING MEDIUM 10587   5.55  
ARM SLING SMALL 10615   5.55  
ARM SLING XL 12483   5.55  
ARMBAND DJO TENNIS ELBOW CDM      
ARMBOARD 1X4 CDM      
ARMBOARD 2X6 CDM      
ARMORED DOOR CORD CDM      
ARMS UP CT POSITIONER CDM      
ARMY NAVY RETRACTORS CDM      
ART HINGED RACKED TIPS 200 CDM      
ARTICULATING PAPER CDM      
ASA SAL REAGENT CDM      
ASDON BROWN FORCEP, LONG CDM      
ASPIRATION NEEDLE CDM      
ASPIRATOR MERCONIUM CDM      
ASPIRATOR NASAL TIP 3.25 CDM      
ASSY STRAP CDM      
AST REAGENT CDM      
AT-A-GLANCE CALENDAR CDM      
ATCC 10211 CDM      
ATCC 10231 C. ALBICANS CDM      
ATCC 11437 CDM      
ATCC 12453 CDM      
ATCC 13090 N. MENINGITIDIS CDM      
ATCC 13124 C. PERFRINGENS CDM      
ATCC 14028 CDM      
ATCC 19401 C. HISTOLLYTICUM CDM      
ATCC 19418 H. INFLUENZAE CDM      
ATCC 25238 CDM      
ATCC 25285 B. FRAGILIS CDM      
ATCC 25586 CDM      
ATCC 25845 CDM      
ATCC 27337 CDM      
ATCC 49981 CDM      
ATCC 6305 S. PNEUMONIAE CDM      
ATCC 6538 CDM      
ATCC 66032 GLABRATA CDM      
ATCC 7646 CDM      
ATCC 8750 FAECALIS CDM      
ATCC 9027 CDM      
ATCC 9341 CDM      
ATOMIZATION DEVICE MUCOSAL CDM      
ATTEST LOG BOOK FOR STEAM CDM      
AU480 ROLLER PUMP TUBING CDM      
AU480 WASH SOLUTION CDM      
AUXILLARY CHANNEL ADAPTER CDM      
AVAGARD SCRUB CDM   116.47  
AVERY 5979 COLOR NEON CDM      
AVERY BUS CARD 5871 CDM      
AVERY SEE-THRU REMOVEABLE DOTS CDM      
AWARD PLAQUE BLACK CDM      
AZITHROMYCIN (AZM) CDM      
AZTREONAM (ATM) CDM      
B LATEX UNIV GROUPING KIT CDM      
BABCOCK 6.25 INCHES CDM      
BABCOK GRASPER INSERT CDM      
BACITRACIN A DISCS CDM      
BACITRACIN B10 DISCS CDM      
BACK SUPP INDUS XL CDM      
BACK SUPP INDUS XXL CDM      
BACK SUPPORT XL CDM      
BACK SUPPORT W/O SUSPEND CDM      
BACK SUPPORT CDM      
BACTEC FX40 AEROBIC BOTTLES CDM      
BACTEC FX40 ANAEROBIC BOTTLES CDM      
BACTEC FX40 PEDS BOTTLES CDM      
BAG BEDSIDE PLASTIC CDM      
BAG EMESIS VOMIT CDM      
BAG HYPERINFLATION 0.5 LITRE 10988   26.21  
BAG ICE PERSONAL CDM      
BAG INFECTIOUS LINEN YELLOW CDM      
BAG LEG LG 32 OZ LF 10314   2.98  
BAG PERSONAL BELONGING M CDM      
BAG PINK 13X18 CDM      
BAG PRESSURE INFUSER CDM      
BAG SET FEEDING PUMP 924 10939   8.04  
BAG SPECIMEN BIOHAZARD 1 CDM      
BAG SPONGE COUNTER CDM      
BAG URINE DRAIN 2000ML 10290   7.47  
BAG VACUUM #5300 PROSENS CDM      
BAG VACUUM SPECTRUM CDM      
BAIR HUGGER LOWER CDM      
BAIR HUGGER CDM      
BALFOR RETRACTOR SET CDM      
BALLAST T12 CDM      
BALLENTINE PETERSON CLAMP CDM      
BALLOON BAKRI POSTPARTUM 12413   699  
BALLOON DILATATION 18 19 20 MM 12230   527.62  
BALLOON DILATATION 12 13.5 15 MM 12231   486.93  
BALLOON DILATATION 10 11 12 MM 13038   560.52  
BALLOON DILATION 13569   639.6  
BALLOON DILATATION 15 16.5 18     527.62  
BALLOON SPACEMAKER EXTRA VIEW 11951   1604.87  
BALLOON,POSTPARTUM,BAKRI 12951   1046.52  
BALM LIP MOISTURIZER CDM      
BANDAGE TUBULAR 9 CDM      
BANDAGE ACE 2 10163   1.66  
BANDAGE ACE 3 10164   2.22  
BANDAGE ACE 4 10165   3.17  
BANDAGE ACE 6 10166   3.27  
BANDAGE COVERLET 3 INCH 4-WING CDM      
BANDAGE COVERLET 2X3 CDM      
BANDAGE COVERLET KNUCKLE CDM      
BANDAGE ESMARK 4X9 CDM      
BANDAGE ESMARK 6X9 CDM      
BANDAGE KLING 2 IN CDM      
BANDAGE KLING 3 IN CDM      
BANDAGE KLING 4 IN CDM      
BANDAGE KLING 6 INCH STERILE     3.19  
BANDAGE PASTE CALAMINE 4 IN 11001   12.99  
BANDAGE PLASTER EXTRA FAST 2 CDM      
BANDAGE PLASTER EXTRA FAST 3 CDM      
BANDAGE PLASTER EXTRA FAST 6 CDM      
BANDAGE PROFORELITE 10960   23.2  
BANDAGE STRETCH 1 CDM      
BANDAGE STRETCH 2 CDM      
BANDAGE STRETCH 3 CDM      
BANDAGE STRETCH 4 10170   0.79  
BANDAGE STRETCH 6 CDM      
BANDAGE TUBULAR 4 CDM      
BANDAGE TUBULAR 3 CDM      
BANDAGE TUBULAR 2 CDM      
BANDAGE TUBULAR 1 FINGER TOE CDM      
BANDAGE TUBULAR GAUZE 3 5/8 #5 CDM      
BANDAID 1X3 CURAD CDM      
BANDAID 3/4 INCH CDM      
BANDAID SNOOPY CDM      
BANDAID SPOT CDM      
BAOFENG UV-5R CDM      
BAR CODE LABELS CDM      
BARCODE SCANNER CDM      
BARD 3D MAX MESH LEFT LARGE 13040   861.6  
BARON SUCTION TUBE 5FR CDM      
BARON SUCTION TUBE 7FR CDM      
BASIN EMESIS DISP CDM      
BASIN SET CDM      
BASIN WASH CDM      
BASKET WEB EXTRACTION 12205   498  
BATH TOWEL 24X50 CDM      
BATHROOM SINK CDM      
BATTERY 12V CDM      
BATTERY 2032 3V CDM      
BATTERY 2V 5 AMP CDM      
BATTERY 9V DURACELL CDM      
BATTERY AA CDM      
BATTERY AAA CDM      
BATTERY C CDM      
BATTERY D CDM      
BATTERY LITHIUM CR2450 CDM      
BATTERY M3863A FR2 FOR AED CDM      
BATTERY PLANTRONICS CS70 CDM      
BATTERY RECHARGEABLE AA CDM      
BATTERY W/A 72200 CDM      
BATTERY W/A 72300 CDM      
BCID2 VERIFICATION KIT CDM      
BD BIO BAG ENVIRONMENTAL CHAMBERS CDM      
BEAKER 30ML GRIFFIN LOW-FORM CDM      
BEAKER 600ML PYREX CDM      
BEDPAN CDM      
BELT FETAL MONITORING CDM      
BENZ-ALL CDM      
BERKELEY DISPOSA-TOP CDM      
BES MASTER ATTACH KIT CDM      
BEST BOWEL CLAMP SET 1.375IN, 2.375 IN, 3 IN, JAW LENGTH CDM      
BETA LACTAMASE DISCS CDM      
BETA LYSINE DISCS-R/O GRP B CDM      
BETADINE SOLUTION 16OZ CDM      
BHI BROTH CDM      
BILIBLANKET VEST CDM      
BILICAL CALIBRATION TIPS CDM      
BILICHEK SYSTEM CDM      
BILIRUBIN CONTROL CDM      
BINDER 1 INCH VIEW WHITE CDM      
BINDER 2 INCH VIEW CDM      
BINDER ABDONIMAL STRETCH OB CDM      
BINDER CHART CDM      
BINDER CLIP MED CDM      
BINDER CLIP LRG CDM      
BINDER CLIP SMALL CDM      
BINDER ZIPPER POCKET CDM      
BIOFIRE RP2.1 PANEL CDM      
BIOHAZARD STEP CAN CDM      
BIOLOGICAL 3M 1292 ATTEST CDM      
BIOLOGICAL 3M 1291 ATTEST CDM      
BIOLOGICAL 3M 1491 ATTEST CDM      
BIOLOGICAL 1496V SMART PACK CDM      
BIOPSY VALVE CDM      
BIRTH CERT GOLD FOIL BURST CDM      
BIRTH CERTIFICATE CDM      
BISR250 TERMINAL CDM      
BITE BLOCK CDM      
BITE BLOCK SMALL GIS-1 CDM      
BITE BLOCK LARGE GIS-11D CDM      
BLADDER BLADE BALFOUR CDM      
BLADE CLIPPER 9660 CDM      
BLADE ELECTRODE PADDLE 1IN 13265   19.34  
BLADE FOR BOX CUTTER CDM      
BLADE FOR SURG CLIPPER CDM      
BLADE MAC #2 CDM      
BLADE SURGICAL #10 10187   1.02  
BLADE SURGICAL #11 10188   1.03  
BLADE SURGICAL #15 10189   1.04  
BLANKET BABY 34X40 FOOT CDM      
BLANKET BABY CHICK PRINT CDM      
BLANKET BATH CDM      
BLANKET WARMING UPPER BODY CDM      
BLANKET WARMING FULL BODY CDM      
BLANKET WHITE CDM      
BLEACH 1 GAL CDM      
BLOCK 66 CDM      
BLOOD AGAR PLATES CDM      
BLOOD BANK GLASS TUBES CDM      
BLOOD BANK SALINE CDM      
BLOOD BANK RECORD CDM      
BLOOD CULTURE BOTTLES CDM      
BLOOD PACK UNIT CDM      
BLOWER MOTOR CDM      
BLOWER WHEEL CDM      
BLUE TIP EAR PROBE CDM      
BLUTAB WATERLINE TABS CDM      
BNP CALIBRATORS CDM      
BNP CONTOLS CDM      
BNP REAGENT CDM      
BONNEY THUMB FORCEPS CDM      
BOOK EDUCATIONAL CDM      
BOOK RAPID ATTEST LOG 12 CDM      
BOOK WALTER SET CDM      
BOOKLET UNDERSTANDING VASECTOM CDM      
BOOKLET, HEADACHES CDM      
BOOST GLUCOSE CONTROL STRAWBER CDM      
BOOST GLUCOSE CONTROL CHOCOLATE CDM      
BOOST GLUCOSE CONTROL VANILLA CDM      
BOOST PLUS RICH CHOLCOLATE 8OZ CDM      
BOOST PLUS STRAWBERRY CDM      
BOOST PLUS VERY VANILLA 8OZ CDM      
BOTTLE PERI CDM      
BOTTLE SPRAY 32 OZ BOTTLE ONLY CDM      
BOVIE BLADE COATED CDM      
BOVIE HANDLE TEFLON CDM      
BOWEL SIZERS, 25MM, 29MM, 33MM SET CDM      
BOWL BLUE STERILE CDM      
BOX STORAGE BANKER CDM      
BP FLEXIPORT FITTING1-TUBE CDM      
BRACE ANKLE DJ RT LG CDM      
BRACE ANKLE DJ LT LG CDM      
BRACE ANKLE STABILIZING XS CDM      
BRACE ANKLE AIR GEL UNIV 13146   34.2  
BRACE ANKLE DJ LT M CDM      
BRACE DEFIANCE III CUSTOM CDM      
BRAVO 53606 4100 PRINTER INK CDM      
BREAK GLASS EMERGENCY EXIT CDM      
BREAST PUMP 10847   88.02  
BREAST SHIELD 20MM N/S CDM      
BRIEF ADULT MED CDM      
BRIEF ADULT LARGE CDM      
BRIEF STRETCH XL CDM      
BRIEF STRETCH XXXL CDM      
BRIGHT ORANGE CARDSTOCK CDM      
BRIO BEDSIDE CABINET CDM      
BRONCHOSCOPE GLIDESCOPE BFLEX 5.0 14503   840  
BROOM W/HANDLE CDM      
BROTHER 4750E TN460 CDM      
BROTHER TONER TN450 CDM      
BRUCELLA AGAR CDM      
BRUCELLA AGAR MEDIA CDM      
BRUSH CERVEX CDM      
BRUSH COLONOSCOPE CDM      
BRUSH CYTOLOGY 3.0MM 1.8 CDM      
BRUSH ENDO CLEANING CDM      
BRUSH HAIR CDM      
BRUSH SCRUB EZ408 HEX CDM      
BRUSH SONOSURG MM-362 CDM      
BRUSHING TIMER CDM      
BSC-CERT CDM      
BUBC REAGENT 90 SLIDES CDM      
BUCKET 5 GALLON CDM      
BUCKET ENEMA 10278   2.73  
BUCKET MOP WITH HANDLE CDM      
BUIE BIOPSY FORCEPS/IUD REMOVAL GRASPER CDM      
BULB 07800 WA LAMP CDM      
BULB 25W CDM      
BULB CFL 9W CDM      
BULB DIAG 04900 WA CDM      
BULB F15T8/CW CDM      
BULB F34 T12 CW CDM      
BULB F34CW CDM      
BULB FLB17 CDM      
BULB HELIPORT 3VA69 P/N CDM      
BULB LED T8 4FT CDM      
BULB MICROSCOPE CDM      
BULB SKYTRON 24V 50W CDM      
BULB STRYKER LIGHT SOURC CDM      
BULB W/A 03100 CDM      
BULB W/A 03000 CDM      
BULB W/A 06500-U CDM      
BUN REAGENT CDM      
BUSH BUSINESS DESK WC24436 CDM      
BUSH BUSINESS FILE WC24452 CDM      
BUSH BUSINESS RETURN WC24418 CDM      
BUSHING CDM      
BUSINESS CARD HOLDER CDM      
BUSINESS CARDS, AVERY CDM      
BUTYL CHEMICAL GLOVES CDM      
BVI 9400 REPAIR SERVICE CDM      
BX41 DISPLAY BOARD CDM      
BX41 LAMP HOUSING CDM      
C-ARM REPAIR CDM      
C-SECTION BACK UP INSTRUEMENTS TO GO WITH MAJOR SET CDM      
C-SECTION INSTRUMENT SET CDM      
C. JEJUNI # 33291 CDM      
C.DIFF TOXIN A/B QUIK CHEK CDM      
C02 AIRWAY ADAPTER CAPNOSTAT CDM      
CA RECYCLING FEE CDM      
CABINET DOOR CATCH CDM      
CABINET FLAMMABLE CDM      
CABLE BIPOLAR CDM      
CABLE EKG 3LEAD 10FT CDM      
CABLE HDMI CDM      
CABLE LOCK CDM      
CABLE S-VIDEO CDM      
CABLE TIE VELCRO CDM      
CABLE TS-TSF Y CDM      
CADD ACCIDENTAL DAMAGE CDM      
CADD ADMIN EPIDURAL YELLOW CDM      
CADD ANNUAL MAINTENANCE CDM      
CADD MED SAFETY LICENSE CDM      
CADD POLEMOUNT ADAPTER CDM      
CADD POLEMOUNT BRACKET CDM      
CADD SOLIS PUMP 2110 CDM      
CADD SOLIS LOCKBOX CDM      
CADD SOLIS IMPLEMENTATION CDM      
CADD WARRANTY CDM      
CAL GAS SENSORMEDICS CDM      
CALCIUM REAGENT CDM      
CALCULATOR CDM      
CALCULATOR SHARP EL-1197P CDM      
CALCULATOR INK ROLLER PR42 CDM      
CALENDAR E919-50 2-7/ SMALL CDM      
CALENDAR PAYROLL CDM      
CALENDAR WALL CDM      
CALENDAR, DESK, MONTH CDM      
CALIBRATE ECHO SCREENER CDM      
CALIBRATION PLASMA CDM      
CALIBRATOR KIT 4 CDM      
CALIBRATOR KIT 8 ETOH CDM      
CALIBRATOR KIT 1 CDM      
CALIBRATOR KIT 9 CDM      
CALIBRATOR KIT 3 CDM      
CALIBRATOR KIT 2 CDM      
CALIBRATOR KIT 11 CDM      
CALIBRATOR KIT 24 CDM      
CALIBRATOR KIT 19 CDM      
CALIBRATOR KIT 12 CDM      
CALIBRATOR KIT 13 CDM      
CALIBRATOR KIT 5 CDM      
CAMCO QUIK STAIN CDM      
CAMERA DIGITAL CDM      
CAMPY BLOOD AGAR 10/PK CDM      
CANNULA PEDS CO2/O2 DEFIB CDM      
CANNULA ADULT CO2/O2 DEFIB CDM      
CANNULA INFANT 02 7' 10528   4.29  
CANNULA NASAL 7' 10522   1.11  
CANNULA NASAL 02/C02 7FT 10523   14.85  
CANNULA NASAL PED 02/C02 7FT 10524   11.91  
CANNULA NASAL 14' 10588   2.67  
CANNULA PEDI NASAL 10568   2.72  
CANNULA SOFTECH ADULT W/7 STAR 14011   1.34  
CANNULA TRACH SINGLE 9 SCT 12619   141  
CANTHARONE PLUS CDM      
CAP BOUFFANT LARGE CDM      
CAP BOUFFANT MEDIUM CDM      
CAP EZ ADULT C02 DETECTOR CDM      
CAP GRAD U FEED CDM      
CAP IV STERILE CDM      
CAP RED END LUER CDM      
CAP SHAMPOO CDM      
CAP SURGEON CDM      
CAP URINE CENTRIFUGE TUBE CDM      
CAPACITOR 5MF CDM      
CAPYLOBACTER AGAR CDM      
CAR REAGENT CDM      
CARBAMAZEPINE CALIBRATOR CDM      
CARBEMAZEPINE REAGENT CDM      
CARD CONTROL RECORDING PROCESS CDM      
CARD DIET REGULAR CDM      
CARD ENTRY ACCESS TK4100 CDM      
CARD STOCK, WHITE 110 LB CDM      
CARD THANK YOU NOTE PDH CDM      
CARD WISHING YOU WELL CDM      
CARDIAC CREATINE KINASE REAGENT CDM      
CARDIOIMMUNE XL LVL 3 3ML CDM      
CARDIOIMMUNE XL LVL L 3ML CDM      
CARDSTOCK GREEN CDM      
CARMALT CLAMPS CDM      
CARPET CLEANER SOLUTION EXPERT CDM      
CARTRIDGE ISTAT CHEM8+ CDM      
CARTRIDGE I STAT CG4+ CDM      
CARTRIDGE MEASURMENT 250 CDM      
CARTRIDGE RIBBON CASTLE CDM      
CARTRIDGE RIBBON STERIS CDM      
CASCADE DISH SOAP CDM      
CASE PILLOW CDM      
CAST PADDING 2 10074   1.88  
CAST PADDING 4 10200   3.22  
CAST PADDING 6 10202   3.29  
CAST PADDING 4 INCH SYNTHET 10672   9.61  
CAST PADDING 3 SYNTHETIC 10975   1.91  
CASTER 1 7/8 X 3 X 7/16' CDM      
CASTROVIEJO NEEDLE HOLDER CDM      
CAT6 CABLE CDM      
CAT6 CONNECTOR PLUG CDM      
CATH COUDE 18 FR 5CC 11007   37.88  
CATH 16FR MALE PLASTIC 10993   4.7  
CATH ACUVANCE 14G (ER) 11015   5.82  
CATH CHOLANGIAGRAM 4FR. CDM      
CATH COUDE 14 FR 5CC 10560   37.88  
CATH COUDE 12FR 5CC 10561   37.88  
CATH COUDE 16FR 5CC 10759   42.17  
CATH DELEE SUCT 8FR. 10205   3.9  
CATH EMBO SINGLE LUMEN 4FR. CDM      
CATH EPISTAXIS 10686   14.12  
CATH FOLEY 8 FR PEDI 10207   27.89  
CATH FOLEY 12FR 5CC 10208   16.76  
CATH FOLEY 14 FR 5CC 10209   11.77  
CATH FOLEY 16 FR 5CC 10210   27.05  
CATH FOLEY 18 FR 5CC 10211   12.84  
CATH FOLEY 20 FR 5CC 10212   11.77  
CATH FOLEY 24 FR 5CC 10214   11.77  
CATH FOLEY 26 FR 5CC 10215   11.77  
CATH FOLEY 14 FR 30CC 10216   13.55  
CATH FOLEY 16 FR 30CC 10217   14.13  
CATH FOLEY 18 FR 30CC 10218   13.78  
CATH FOLEY 26 FR 30CC 3 WAY 10219   29.67  
CATH FOLEY 28 FR 30CC 10221   13.55  
CATH FOLEY 22FR 30CC 3 WAY 10222   22.98  
CATH FOLEY 24FR 30CC 3 WAY 10223   22.98  
CATH FOLEY 22FR 5CC 10574   11.09  
CATH FOLEY 10FR 5CC 10774   27.89  
CATH GROSHONG KIT 8FR 11790   1943.7  
CATH IV 14G AUTOGARD 10159   5.31  
CATH IV 16G AUTOGARD 10592   5.03  
CATH IV 18G AUTOGARD INS 10589   5.03  
CATH IV 20G AUTOGARD INS 10565   5.03  
CATH IV 22G AUTOGARD 10591   5.03  
CATH IV AUTOGARD 24X.75 10002   5.04  
CATH ROB NEL 14FR 10225   1.87  
CATH ROB NEL 16FR 10226   1.26  
CATH ROB NEL 10FR 10816   1.13  
CATH SUCT 10 FR 10229   2.23  
CATH SUCT 14FR W/GLOVE 10230   1.11  
CATH SUCT WITH GLOVE 18F 10231   1.4  
CATH SUCTION 8FR 10228   1.74  
CATH SUCTION REPLOGLE 10 10878   24.73  
CATH SUCTION REPLOGLE 8F 10891   24.73  
CATH SUCTION REPLOGLE 8 12270   26.9  
CATH T TUBE DEAVER 10FR 10937   23.3  
CATH T TUBE DEAVER 8FR 10938   40.23  
CATH THORACIC 10FR 12266   15.48  
CATH THORACIC 12FR 12267   15.47  
CATH THORACIC 16FR 12268   15.47  
CATH THORACIC 20FR 12269   15.47  
CATH THORACIC 24FR 12502   14.34  
CATH THORACIC 28FR 12503   14.62  
CATH THORACIC 32FR 14501   15.47  
CATH UMBILICAL 5FR SINGL 10232   45.46  
CATH UMBILICAL 3.5FR SIL 10814   48.05  
CATH URETERAL 136405 12123   367.8  
CATHETER CLOSUREFAST 7FR RFA     1377  
CATHETER CONDOM 11042   1.84  
CATHETER EMBOLECTOMY 3 12473   207  
CATHETER KOALA IUP 11143   87.17  
CATHETER MALE SELF 10994   2.62  
CATHETER NEXIVA 24GA X 0.75 CDM      
CATHETER NEXIVA 22GA X 1 CDM      
CATHETER NEXIVA 20GA X 1 CDM      
CATHETER SAVI GAMMA 8 13668   8250  
CATHETER SAVI GAMMA 10     8250  
CATHETER SUPRAPUBIC BLADDER DRAINAGE 10194   190.37  
CATHETER SWAN NECK PERITONEAL CDM      
CAUTERY HIGH TEMP LOOP CDM      
CCMI MARK III CDM      
CD-R WHITE CDM      
CDT PLUS CDM      
CE CERTIFICATES CDM      
CE254A WASTE TONER CDM      
CEATININE REAGENT CDM      
CEC30 CEFACLOR CDM      
CEFIXIME (CFM) CDM      
CEFOTETAN (CTT) CDM      
CEFTAZIDIME (CAZ) CDM      
CEFTRIAXONE (CRO) CDM      
CEFUROXIME CXM30 CDM      
CELERO BIOPSY INTRODUCER 14070      
CELERO BREAST BIOPSY DEIVCE 14069      
CELL CHEX CONTROL CDM      
CENTRIFUGE CDM      
CEPHAZOLIN (KZ) CDM      
CERUMEN MANAGEMENT CART CDM      
CERVICAL BIOPSY PUNCH FORCEP CDM      
CERVICAL DILATOR SET CDM      
CERVICAL DILATORS (3) DR. THOMPSON CDM      
CERVICAL DILATORS, STEEL CDM      
CERVICAL RIPENING BALLOON 11047   118.5  
CHAIR CDM      
CHAIR BIG AND TALL CDM      
CHAIR ECHELON TASK CDM      
CHAIR MAT 44X43 CARPE CDM      
CHAIR MAT 48X530 MEDIUM CDM      
CHAMELEON COOLER CDM      
CHANNEL CHECK UCC-222 CDM      
CHANNEL CLEANING ADAPTER CDM      
CHANNEL PLUG CDM      
CHARGER FOR SURGICAL CLI CDM      
CHARGER FOR ILLUMINATOR ONLY CDM      
CHARGER OTOSCOPE DESK CDM      
CHEM 1 CALIBRATOR CDM      
CHEM 2 CALIBRATOR CDM      
CHIBA NEEDLE DCHN-20-20.0 U CDM      
CHIBA PROSTATE BIOPSY NEEDLE CDM      
CHLAMYDIA QUICK VUE CDM      
CHLAMYDIA SWAB PACK CDM      
CHLORIDE REAGENT SLIDES CDM      
CHOCOLATE AGAR CDM      
CHOCOLATE THAYER MARTIN CDM      
CHOLESTEROL REAGENT CDM      
CHROM MRSA CDM      
CIDEX INSTRUMENT TRAY CDM      
CIDEX OPA GAL METRACIDE CDM      
CIDEX OPA TEST STRIPS CDM      
CIPROFLOXACIN (CIP) CDM      
CIRCUIT ADULT LTV CDM      
CIRCUIT ANES W/MASK CDM      
CIRCUIT ANESTHESIA PEDS. CDM      
CIRCUIT BI PAP CDM      
CIRCUIT BREAKER CDM      
CIRCUIT HIGH FLOW PATIENT CDM      
CIRCUIT VENT NEONATAL CDM      
CIRCUMCISION DRAPE CDM      
CITRONOX CDM      
CKMB CALIBRATOR CDM      
CKMB REAGENT CDM      
CLAMP CORD CDM      
CLAMP DISP BLUE CDM      
CLARITHROMYCIN (CLR) CDM      
CLASSIC BED CHECK CDM      
CLAVICLE PADDED LARGE CDM      
CLAVICLE STRAP XL CDM      
CLAVICLE STRAP MEDIUM CDM      
CLAVICLE STRAP SMALL CDM      
CLAVICLE SUPP XS CDM      
CLAVICLE SUPP SMALL CDM      
CLAVICLE XS CDM      
CLEAN A CDM      
CLEANER BLITZ INSTRUMENT CDM      
CLEANER CARPET SHAMPOO GALLON CDM      
CLEANER STAINLESS STEEL CDM      
CLEANING AGENT (CLEAN B) CDM      
CLEANING WIRE CDM      
CLEANROOM MAT CDM      
CLEANSER SENSICARE PERINEAL CDM      
CLEAR FRONT 3 PRONG FOLDERS CDM      
CLEAR LABEL PROTECTORS CDM      
CLIENT ACCESS LICENSE CDM      
CLINICAL MICROBIOLOGY CDM      
CLINITEK PRINTER PAPER CDM      
CLINITEK STATUS ANALYZER CDM      
CLINITEK UPGRADE CDM      
CLINITEST TABLETS CDM      
CLIP APPLIERS, SMALL BLUE HANDLE CDM      
CLIP APPLIERS, MEDIUM SILVER SHORT CDM      
CLIP APPLIERS, MEDIUM/LRG WHITE LONG CDM      
CLIP APPLIERS, LARGE YELLOW LONG CDM      
CLIP BOARD BLACK ECONOMY CDM      
CLIPBOARD CDM      
CLIPBOARD PLASTIC CDM      
CLIPPER SURGICAL CDM      
CLOCK ATOMIC CDM      
CLOSTRIDIUM ATCC 9689 CDM      
CLOUD SERVICE 3YR CDM      
CO2 CALIBRATORS CDM      
CO2 LEVEL 20 CALIBRATOR CDM      
CO2 LEVEL 40 CALIBRATOR CDM      
CO2 REAGENT CDM      
COBAN 1 INCH 10034   1.25  
COBAN 2 INCH 10449   3.25  
COBAN 3 INCH 10017   4.44  
COBAN 4 INCH 10089   3.98  
CODER DESK REFERENCE PROCEDURE CDM      
CODER DESK REFERENCE HCPCS CDM      
CODERS DESK REFERENCE 2016 CDM      
COLLAR CERV DJ XS CDM      
COLLAR CERV DJ LRG CDM      
COLLAR CERV DJ SMALL 10710   9.06  
COLLAR CERVICAL MED 10714   9.06  
COLLAR CERV DJ XL CDM      
COLLAR LOW CONTOUR MED CDM      
COLLAR STIFFNECK SELECT ADULT 11886   29.7  
COLLAR STIFFNECK SELECT PEDI 12265      
COLLECTION UA SURE INF CDM      
COLLECTION BUTTERFLY 23G CDM      
COLLECTION BLOOD BUTTERFLY 21G CDM      
COLLECTION BUTTERFLY 25G CDM      
COLLECTOR SHARPS 9 GAL RED CDM      
COLLIER FORCEPS 9 INCHES CDM      
COLONOSCOPE 2900136 CDM      
COLONOSCOPE 2600911 CDM      
COLONOSCOPE 2005565 CDM      
COLUMBIA CNA W/5%SB/MAC BIP CDM      
COMB CDM      
COMBI CABLE SPACE CDM      
COMMON DUCT DILATOR SET (BAKES) 3MM, 4MM, 5MM CDM      
COMPLIANCE STERILANT GALLON CDM      
COMPRESSION PADDLE BLADDER CDM      
COMPUTER POWER SUPPLY CDM      
CONDITIONER 2OZ CDM      
CONDUIT CONNECTOR FLEX CDM      
CONDUIT CONNECTOR 90 ELBOW CDM      
CONDUIT FLEX HOSPITAL GRADE CDM      
CONICAL ANCHOR CDM      
CONNECTOR CLAVE INJECTION SITE CDM      
CONNECTOR 5 IN 1 N/S CDM      
CONNECTOR ADDEASE N7995 CDM      
CONNECTOR CHRISTMAS TREE CDM      
CONNECTOR LUER LOCK MALE CDM      
CONNECTOR O2 CDM      
CONNECTOR TUBING O2 CDM      
CONNECTOR VENTED SPIKE 14204   4.65  
CONNECTOR Y WITH ELBOW 22MM CDM      
CONSTRUCTION FILM FIRE RATED CDM      
CONTACTOR 24VAC CDM      
CONTAINER EVACUATED 1000ML 10547   37.61  
CONTAINER 24 HOUR URINE CDM      
CONTAINER PHARM WASTE 5.4 BLUE CDM      
CONTAINER PHARM WASTE 9 CDM      
CONTAINER PHARM WASTE 3 GAL CDM      
CONTAINER SPECIMEN NON-S CDM      
CONTAINER SPECIMEN STERILE CDM      
CONTAINER SPEC HAT CDM      
CONTAINER SHARPS 1 QUART CDM      
CONTAINER SHARPS 5.4 QT CDM      
CONTAINER SHARPS 3 GAL 305423 CDM      
CONTAINER STEP-ON WHITE CDM      
CONTRAD CDM      
CONTROL CARDIAC MARKER PLUS 1 CDM      
CONTROL CARDIAC MARKER PLUS 2 CDM      
CONTROL CARDIAC MARKER PLUS 3 CDM      
CONTROL CPR L2 BIORAD CDM      
CONTROL CPR L1 BIORAD CDM      
CONTROL GLUCOSE LEVEL 1 NOVA CDM      
CONTROL GLUCOSE LEVEL 3 NOVA CDM      
CONTROL IA PREMIUM 1 CDM      
CONTROL IA PREMIUM L2 CDM      
CONTROL IA PREMIUM 3 CDM      
CONTROL LEVEL-1 NORMAL CDM      
CONTROL LIQUID ASSAY MULTI 1 CDM      
CONTROL LIQUICK ASSAYED MULTI L3 CDM      
CONTROL LIQUID ASSAYED MULTI 1 CDM      
CONTROL LIQUID ASSAYED MULTI L2 CDM      
CONTROL RAPID FFN CDM      
COOLEY PARTIAL OCCLUSION CDM      
COPPER PIPE CDM      
COPPER REDUCER CDM      
COPY PAPER, 3 HOLE WHITE REAM CDM      
COPYHOLDER, DESKTOP CDM      
CORD CLIPPER CDM      
CORK BOARD 2X3 WOOD CDM      
CORRECTION TAPE CDM      
COTTON BALL LG CDM      
COTTON BALL MED CDM      
COTTON PELLETS SIZE 4 CDM      
COUPLER OHMEDA CDM      
COVER BOOT XL CDM      
COVER CASSETTE STERILE CDM      
COVER MAINTENANCE TSM 16X22 CDM      
COVER MATTRESS NATUS CDM      
COVER NURSE WHITE LG CDM      
COVER NURSE WHITE LRG CDM      
COVER OTOSCOPE 4MM LARGE CDM      
COVER OTOSCOPE 2.5MM NS CDM      
COVER OTOSCOPE 4MM SMALL CDM      
COVER OTOSCOPE 3MM CDM      
COVER PROBE W/A CDM      
COVER PROBE MINDRAY CDM      
COVER PROBE UTX 610836 CDM      
COVER PROBE ECLIPSE STERILE CDM      
COVER ROLL CDM      
COVER SHOE XL CDM      
COVER SLIP GLASS REGULAR CDM      
COVERALL SUIT CDM      
CPAP KIT #4 INFANT CDM      
CPT CHANGES CDM      
CPT CODING GENERAL SURGERY CDM      
CPT CODING ORTHOPEDICS LOWER CDM      
CPT ORHTOPEDICS UPPER CDM      
CPT PLUS EBOOK CDM      
CPT PROFESSIONAL CDM      
CRASH CART CDM      
CRASH CART ACCESSORY CDM      
CRASH CART SHARPS BKT CDM      
CREATINE IDMS CDM      
CREST TOOTHPASTE CDM      
CRICOTHYROTOMY SET CDM      
CRILE CDM      
CROCHET HOOK CDM      
CRUCIAL 8GB CDM      
CRUTCHES 4-0 INCH TO 4-6 CDM      
CRUTCHES 4-6 INCH TO 5-2 CDM      
CRUTCHES ADULT CDM      
CRUTCHES TALL CDM      
CRYO TIP T-0200 CDM      
CRYOGUN CRY-AC-3 B-800 CDM      
CRYOTIP SHIELD CDM      
CS540 HEADSET AND LIFTER CDM      
CT INJECTOR SYRINGES CDM      
CT STATUS CONNECT CDM      
CUBE PESSARY 11949   180  
CUBICLE CURTAIN 72X96 PEARL CDM      
CUFF ADULT REGULAR CDM      
CUFF ADULT ANEROID WALL CDM      
CUFF BLOOD PRESSURE CDM      
CUFF BP ADULT STRESS TEST CDM      
CUFF BP ADULT PLUS STRESS TEST CDM      
CUFF BP CHILD CDM      
CUFF BP LARGE ADULT SYS. CDM      
CUFF DISP ADULT CDM      
CUFF DISP ADULT LARGE CDM      
CUFF DISP ADULT SMALL CDM      
CUFF DISP ADULT LONG CDM      
CUFF DISP INFANT CDM      
CUFF DISP PEDI CDM      
CUFF DISP SMALL INFANT CDM      
CUFF DISP SMALL CHILD CDM      
CUFF NEONATE W/A #1 CDM      
CUFF NEONATE W/A #2 CDM      
CUFF NEONATE W/A #3 CDM      
CUFF NEONATE W/A #4 CDM      
CUFF NEONATE W/A #5 CDM      
CUFF REUSABLE 11 SINGLE TUBE CDM      
CUP DENTURE CDM      
CUP DISPENSE #450 SOLO CDM      
CUP MEDICINE PLASTIC 1OZ CDM      
CUP MEDICINE PAPER 3/4 OZ CDM      
CUP NESTING 13MM 127001300 CDM      
CURASORB CALCIUM ALGINATE 4X4 11088   6.93  
CURETTE BIONIX PURPLE 4111 CDM      
CURETTE BIONIX GREEN 1222 CDM      
CURETTE BIONIX WHITE 9555 CDM      
CURETTE BIONIX RED 3444 CDM      
CURETTE EAR SCOOP YELLOW CDM      
CURETTE ENDOMETRIAL 3MM CDM      
CURETTE INFANT BLUE CDM      
CURETTE KEVORKIAN ENDOCE CDM      
CUROS STRIPS CDM      
CURT 52022 BATTERY BOX CDM      
CUSHING VEIN RETRACTOR CDM      
CUTTER BOX CDM      
CUTTER ENDOPATH RELO TSW35 CDM      
CUVETTE 5MM X 5MM CDM      
CUVETTES FS CDM      
CVM CDM      
CW3 ROTOR CDM      
CYSTIC DUCT CLAMP 4F, (BORGE) CDM      
CYSTIC DUCT CLAMP 6F, (BORGE) CDM      
CYSTO LIGHT CORD CDM      
CYSTOGRAFIN 300ML 30% CDM      
CYSTOSCOPE 286 CDM      
CYSTOSCOPE 548 CDM      
CYSTOSCOPE CYF-5 CDM      
D & C INSTRUMENT SET CDM      
D-DIMER CONTROL CDM      
D-DIMER REAGENT CDM      
DATA INTERFACE CABLE CDM      
DATE STAMP O/D RECEIVED CDM      
DATE STAMP CDM      
DATE/ENTERED/RCVD STAMP CDM      
DATEX CONNECTOR ANEST CDM      
DBILI REAGENT CDM      
DEAVERS, NARROW RETRACTORS CDM      
DEAVERS, SMALL RETRACTORS CDM      
DEAVERS, WIDE RETRACTORS CDM      
DEBAKEY FINE TIP THUMB FORCEPS 7.75 INCHES CDM      
DEBAKEY FINE TIP THUMBFORCEP LONG 12 INCHES CDM      
DEBAKEY THUMB FORCEP, LONG 9.5 INCHES CDM      
DEBAKEY THUMB FORCEPS, FINE TIP LONG 9.5 INCHES CDM      
DEBAKEY THUMB FORCEPS, THICK TIP LONG 9.5 INCHES CDM      
DEBAKEY TISSUE FORCEP CDM      
DEFENDO OLYMPUS KIT CDM      
DEFIB PAD 4.5 X 6 CDM      
DEFROST TIMER CDM      
DEGREASER CONCENTRATE CDM      
DEIONIZED WATER 1 GAL CDM      
DELTA DRY STOCKINETTE 2 CDM      
DELTA DRY STOCKINETTE 3 CDM      
DELTRA DRY STOCKINETTE 4 CDM      
DEODORANT CDM      
DEPRECIABLE ASSETS CDM      
DEPRESSOR TONGUE CDM      
DEPRESSOR TONGUE NON-STE CDM      
DEPUY 5.5MM CANNULA OBURATOR 13037   522  
DERMABLADE 720001 CDM      
DERMABOND DNX12 12557   68.21  
DERMACARRIES 3 TO 1 CDM      
DERMLITE CDM      
DERMOPLAST SPRAY 2OZ 10983   26.01  
DESICCANT PACKS CDM      
DESK UPLIFT 48X30 CHERRY GREENGUARD LAMINATE V2 FRAME BLACK CDM      
DETECTOR CO2 PEDICAP CDM      
DEVELOPER HEMOCCULT 15ML CDM      
DEVICE ABSORBATACK FIXATION 5MM CDM      
DEVICE BLOOD TRANSFER CDM      
DEVICE CAPIO SLIM SUTURE CAPTURING 12587   825  
DEVICE FOLEY STABILIZATION STATLOCK 10792   10.69  
DEVICE IV STABILIZATION STATLOCK CDM      
DEVICE PEP THERAPY OSCILLATORY CDM      
DEVICE POINT LOK SHARPS SAFETY CDM      
DEVICE SUTURE GRASPING CLOSURE 13135   123.28  
DHDL DIRECT HDL REAGENT CDM      
DI WATER FILTER AU480 CDM      
DIAGNOSTIC MICROBIOLOGY CDM      
DIAPER NEWBORN 0-10LB CDM      
DIAPER PULL UP MEDICHOICE MED CDM      
DIAPERS #1 8-14 LBS CDM      
DIAPERS #2 12-18LBS CDM      
DIAPERS #3 MED 16-28LBS CDM      
DIAPERS #4 PAMPERS CDM      
DIAPHRAM OMNIFLEX CDM      
DIAPHRAM REPAIR KIT CDM      
DIFF-SAFE BLOOD DISPENSER CDM      
DIFFTROL TRI LEVEL W/DISK 12 X 3ML CDM      
DIGOXIN CALIBRATOR CDM      
DIGOXIN REAGENT SLIDES CDM      
DILATOR BALLOON WIREGUIDE EPC 15-16.5-18 14039   639.6  
DILUENT PACK 3 CDM      
DILUENT PACK 4 CDM      
DILUENT PACK 1 CDM      
DIMETHYLALPHANAPTHYLAMINE NIT2 CDM      
DIMETHYLALPHANAPHTHYLAM CDM      
DIN RAIL CDM      
DIRECT BILIRUBIN L-4 CONTOL CDM      
DISCLOSING TABLETS CDM      
DISINFECTANT CLEANER NEUTRAL CDM      
DISINFECTANT CLEANER TRUSHOT CDM      
DISPENCER SOAP IVMC CDM      
DISPENSER CUBE CDM      
DISPENSER PAPER TOWEL CDM      
DISPENSER TAPE CDM      
DISPENSER WALL CDM      
DIVERTICULAR DISEASE CDM      
DIVERTICULOSIS PAMPHLET CDM      
DIVIDER 8 TAB CLEAR CDM      
DIVIDER CLEAR BIG TABS CDM      
DIVIDER TABS BLANK CDM      
DIVIDER, A TO Z CDM      
DIVIDERS MONTHLY CDM      
DOCKING STATION CDM      
DOLPHIN W/SPOON INSERT CDM      
DOODLE BUG HEAD CDM      
DOODLE BUG PAD CDM      
DOOR ACCESS CDM      
DOOR CLOSER, ALUM, NONHANDED CDM      
DOOR CONTACT SENSOR CDM      
DOOR CONTROL BOARD WITH POWER CDM      
DOOR HANDLE CDM      
DOOR HOLDER CDM      
DOOR LATCH ASSEMBLY CDM      
DOOR STRIKE CDM      
DOPPLER CDM      
DOSAGE STRENGTH LABEL CDM      
DOSE BY GROWTH TAPE CDM      
DOUBLE PRONG MICRO SKIN HOOKS CDM      
DOUBLE PRONG SKIN HOOKS CDM      
DOUBLE SIDE TAPE CDM      
DOXYCYCLINE (DO) CDM      
DRAIN BARD 19FR ROUND TR CDM      
DRAIN BLAKE 10FR 3/4 FLU 10690   269.56  
DRAIN BLAKE 15FR 3/4 FLU 10887   284.33  
DRAIN BLAKE 15 FR. 2229 10998   36  
DRAIN BLAKE 19FR 3/4 FLU CDM      
DRAIN BLAKE 19FR CDM      
DRAIN CHEST DRY SUCTION 10875   132.88  
DRAIN PENROSE 1/4 10357   3.18  
DRAIN PENROSE 1/2 10358   3.75  
DRAIN PENROSE 1 10359   3.75  
DRAIN PENROSE 1/2 Silicone 10360   17.49  
DRAIN PENROSE 1 Silicone 10363   17.49  
DRAIN RELIAVAC 15FR. ROU 11132   21.17  
DRAPE ARTHROSCOPY CDM      
DRAPE C ARM CDM      
DRAPE EXAM CLINIC CDM      
DRAPE FENESTRATED CDM      
DRAPE HALF CDM      
DRAPE IOBAN CDM      
DRAPE LARGE TOWEL 1010 CDM      
DRAPE MAYO STAND CDM      
DRAPE NON-FENESTRATED 72 CDM      
DRAPE SHEET LG CDM      
DRAPE SPLIT EENT CDM      
DRAPE STERI 1000 CDM      
DRAPE THYROID CDM      
DRAPE U-DRAPE SMALL SHEE CDM      
DRAPE UNDER BUTTOCKS POUCH CDM      
DRAPE VIDEO CAMERA CDM      
DRAW TIGHT SEAL YELLOW CDM      
DRAW TIGHT SEAL RED CDM      
DRAWER ORGANIZER CDM      
DRESSING ADAPTIC 3X3 10183   0.78  
DRESSING ADAPTIC 3X8 10185   12.67  
DRESSING AQUACEL AG 4X5 11068   28.84  
DRESSING AQUACEL AG 6X6 11069   64.88  
DRESSING DUODERM EXTTHIN 10141   3.79  
DRESSING MEPILEX 3X3 11050   6.34  
DRESSING MULTI TRAUMA 10 X 30 14294   4.38  
DRESSING NON-ADHERENT PAD 2X3 10458   0.34  
DRESSING OPSITE 5-1/2X10 10822   5.03  
DRESSING OPTIFOAM 4X4 NON ADHES CDM      
DRESSING STERI 1/2 10404   2.56  
DRESSING STERI 1/8 10460   1.64  
DRESSING STERI 1/4 10461   1.64  
DRESSING STERI 1 INCH 10627   1.26  
DRESSING TEGADERM 2-3/8X2-3/4 10126   0.67  
DRESSING TEGADERM 4X4 10156   1.95  
DRESSING TELFA PAD 3X8 10459   0.18  
DRESSING UNIFLEX SM 2 X CDM      
DRESSING XEROFORM 1X8 10472   1.26  
DRESSING XEROFORM 5X9 10473   3.14  
DRILL BIT 1.8MM 13211   594  
DRILL BIT QUICK COUPLING FOLEY 12949   298.5  
DRILL BIT SET CDM      
DRILL BITS CDM      
DRILLING SCREW CDM      
DROPPER KIT CDM      
DROPPER OXIDASE CDM      
DRUG LIBRARY SPACE CDM      
DRY ERASE BOARD CDM      
DRYSOL CDM      
DUAL GUARD INDICATOR CARD CDM      
DUCKBILL UPBITER CDM      
DURACLIP 30 REPORT COVER CDM      
DURAPREP 26ML CDM      
DVD DRIVE EXTERNAL CDM      
DVD+R XRAY CDM      
DYE LEAK DETECTOR CDM      
DYMO LETRATAG LABEL CDM      
E. FAECALIS ATCC 51299 CDM      
EAR BASIN GOLDNAMER CDM      
EAR TIPS 4.0MM CDM      
EAR WICK MEDTRONIC CDM      
EARPLUGS CDM      
ECHO COUPLER CDM      
ECI CKMB RANGE VERIF CDM      
ECI FREE T4 VRANGE VERIF CDM      
ECI HI SAM DILA CDM      
ECI HI SAM DILB CDM      
ECI TROPONIN I ES RANGE VERIF CDM      
ECI TSH RANGE VERIF CDM      
ECI WASH REAGENT CDM      
EEA BOWEL SIZERS, 25MM, 28MM, 31MM SET CDM      
EFFERDENT TABS CDM      
EFFERGRIP DENTURE ADHESIVE CDM      
EGD SCOPE 2601364 CDM      
EGD SCOPE 2601087 CDM      
EGIA45AV GIA 45 RELOAD 13706   465  
ELBOW SLEEVE M 11091   5.16  
ELBOW SLEEVE XL CDM      
ELBOW SLEEVE MED CDM      
ELEC ROUND LOOP B1D CDM      
ELECTRIC DOOR STRIKE REMOTE UL CDM      
ELECTRIC DOOR STRIKE LOCK NONC CDM      
ELECTRIC STRIKE LOCK PANIC BAR CDM      
ELECTRIC STRIKE LOCK FIRE EXIT CDM      
ELECTRICAL COVER PLATE CDM      
ELECTRICAL BOX WATERPROOF CDM      
ELECTRICAL BOX COVER CDM      
ELECTRODE 1'S BAG/30 CDM      
ELECTRODE ADULT CPR DEFIB AED 10149   157.5  
ELECTRODE ATTACHMENT LEG FETAL CDM      
ELECTRODE ACCESSORY DISP GUARDED NEEDLE 12151   5.57  
ELECTRODE ECG 1870-005 RT CDM      
ELECTRODE FETAL SCALP 10285   2.9  
ELECTRODE INFANT KITTYKAT CDM      
ELECTRODE LAP HOOK #0020 MEGAD 11114   101.59  
ELECTRODE LEG OB PHILIPS CDM      
ELECTRODE NEEDLE COATED CDM      
ELECTRODE PEDI DEFIB AED 10992   126  
ELECTRODE RESTING Q-TRAC 10158      
ELECTRODE VAPR S 13343   375  
ELECTRODE, SODIUM CDM      
ELECTRODE, POTASSIUM CDM      
ELECTRODE, CHLORIDE CDM      
ELECTROLASE SHARP CONMED 7 CDM      
ELECTROMAGNETIC LOCK CDM      
EMERGENCY AND CRITICAL CARE CDM      
EMERGENCY LIGHT CDM      
EMERGENCY ROOM RECORD CDM      
EMESIS BAG DISPENSER CDM      
EMPOWER 1 GAL CDM      
ENDO BAG WASHING CDM      
ENDO STITCH 173016 11771   1378.2  
ENDO-ICE CDM      
ENDOCATCH 12MM CDM      
ENDOCATCH SPECIMEN RETRIVAL BAG 11134   177  
ENDOCAVITY NEEDLE GUIDE DISPOS CDM      
ENDOCLIP 5MM LIGAMAX EL5ML CDM      
ENDOGATOR KIT CDM      
ENDOLOOP PDS II 11732   1242.03  
ENDOLOOP VICRYL 11731   1242.03  
ENEMA OIL FLEET 10343   6.72  
ENEMA SALINE FLEET 10344   3.78  
ENFALYTE 6 FL OZ CDM      
ENFAMIL GLUCOSE WATER CDM      
ENFAMIL PACK N COOL CDM      
ENOVATE BATTERY CDM      
ENOVATE BATTERY CHARGER CDM      
ENOVATE ENCORE BRACKET CDM      
ENOVATE MONITOR CDM      
ENOVATE WORKSTATION CDM      
ENSURE PLUS STRAWBERRY 8OZ CDM      
ENSURE PLUS CHOCOLATE 8OZ BOTT CDM      
ENVELOPE #10 GENERIC CDM      
ENVELOPE 10X13 MANILLA CDM      
ENVELOPE 12X15-1/2 MANILA CDM      
ENVELOPE 1500 SECURITY CDM      
ENVELOPE 6X9 MANILA CDM      
ENVELOPE 9X12 MANILLA CLASP CDM      
ENVELOPE 9X12 PEEL & STICK CDM      
ENVELOPE A9 CDM      
ENVELOPE FOR BIRTH CERTS 6X9-1/2 CDM      
ENVELOPE GENERIC CDM      
ENVELOPE INTERDEPARTM CDM      
ENVELOPE MANILLA 9X12 CDM      
ENVELOPE PADDED 6X9 CDM      
ENVELOPE PATIENT VALUABLES CDM      
ENVELOPE PDH NON-WIND TINTE CDM      
ENVELOPE RIGHT WINDOW PF CDM      
ENVELOPE SECURITY LEFT WIND CDM      
ENZYME TABLETS CDM      
EPISIOTOMY SCISSOR ET 14 CDM      
EPOXY CDM      
EPSON 127 BLACK CDM      
EPSON 127 COLOR CDM      
ER CLIP FOLDER 12 3/8' X 9.5 CDM      
ERGONOMIC CHAIR CDM      
ERGONOMIC CHAIR CASTERS CDM      
ERGONOMIC KNEELING CHAIR CDM      
ERYTHROMYCIN (E) CDM      
ESCHERICA COLI #35218 CDM      
ESOPHAGEAL BANDER SUPER7 CDM      
ETHERNET EXTENDER CDM      
ETHYL ALCOHOL 95% CDM      
ETOH 100 CALIBRATOR CDM      
ETOH NEGATIVE CALIBRATOR CDM      
ETOH REAGENT CDM      
EXAM LIGHT BULB CDM      
EXCYTE ESR TUBES CDM      
EXPO DRY ERASE MARKER SET CDM      
EXPRESS FEE INST CDM      
EXPRESSEW 3 NEEDLE PK5 CDM      
EXTERIOR WALL SCONCE WSQ LED2 CDM      
EXTERIOR WALL SCONCE WSQ LED1 CDM      
EXTERIOR WALL SCONCE WSQ LED1E CDM      
EXTRACTOR KATZ 13334   223.91  
EYE WASH 16OZ CDM      
EYE WASH STATION CDM      
EZ GAS II #254150 CDM      
EZ GRIP BAR CLAMP CDM      
EZ-HD BARIUM #269913 CDM      
EZ-HD BARIUM SULFATE SKU112264 CDM      
EZ-PAQUE BARIUM #269909 CDM      
F2 ADAPTER CDM      
F30T8 LIGHT CDM      
FACTOR DILUENT CDM      
FADE-A-DYNE PRO CDM      
FAN PAD ABSORBENT CDM      
FARGO 45000 YMCKO DTC1250 CDM      
FARGO DTC1250E CDM      
FASTENER FOLDER 1 IN BLUE CDM      
FASTENER SMEAD CDM      
FAUCET ADOPT-A-ROOM ZURN CDM      
FAUCET AUTOMATIC SENSOR CDM      
FAUCET CHICAGO CDM      
FAUCET REPAIR KIT CDM      
FELT 1/4 ADHESIVE PAD CDM      
FENTANYL LABEL CDM      
FERRIC CHLORIDE 10% (30ML) CDM      
FERRIS SMITH THUMB FORCEPS CDM      
FI6670 ROLLERS CDM      
FILE JACKET 2 INCH MANIL CDM      
FILE, 1/3 CUT, COLOR CDM      
FILE, HANGING, LEGAL CDM      
FILM SONY UPC-510 SURGER CDM      
FILTER .5 MICRON CARTRIDGE CDM      
FILTER 1 MICRON CARTRIDGE CDM      
FILTER 1.2 MICRON CDM      
FILTER 16X24X1 CDM      
FILTER 16X20X2 CDM      
FILTER BACTERIA NEBULIZE CDM      
FILTER COVER CDM      
FILTER EXHAUST SENSOR S12 CDM      
FILTER G14 CDM      
FILTER HME CDM      
FILTER MICRON 0.22 CDM      
FILTER MICROGARD VIASYS CDM      
FILTER PLEAT 20X25X2 MERV10 CDM      
FILTER PLEAT 24X24X2 MERV10 CDM      
FILTER PLEAT 15X23X1 MERV10 CDM      
FILTER PLEAT 16X22.25X1 MERV10 CDM      
FILTER PLEAT 18X22X1 MERV10 CDM      
FILTER PLEAT 24X24X1 MERV10 CDM      
FILTER PLEAT 20X25X1 MERV10 CDM      
FILTER PLEAT 24X24X12 MERV10 CDM      
FILTER PLEAT 16X20X1 MERV10 CDM      
FILTER PLEAT 16X25X1 MERV10 CDM      
FILTER PLEAT 17X28X1 MERV10 CDM      
FILTER PLEAT 14X24X1 MERV10 CDM      
FILTER PRO SENSE 5301ER CDM      
FILTER STERIS A1564E CDM      
FILTER STERIS A&B CDM      
FILTER VACUUM MICRO HYGIENE CDM      
FILTER YELLOW NATUS CDM      
FINE LINE TAPE CDM      
FINE TIP THUMB FORCEPS, LONG 10 CDM      
FINGER COT MED W/HOOK 10899   8.49  
FINGER SPLINT #4 CDM      
FINGER SPLINT #5 CDM      
FINGER SPLINT 1/2 CDM      
FINGER SPLINT 3/4 CDM      
FINGER SPLINT SET PLASTI CDM      
FINGER SPLINT ER CDM      
FINISHING BUR FG #7379 CDM      
FINNPIPETTE F1 50UL FIXED VOL CDM      
FINNPIPETTE F1 250UL FIXED VOL CDM      
FINNPIPETTE F1 3000UL FIXED VO CDM      
FIRE ALARM CONTROL BOARD CDM      
FIRE PUTTY CDM      
FIRST AID KIT CDM      
FIT TEST SOLUTION FT-31 CDM      
FIT TEST SOLUTION FT-32 CDM      
FLEXIPORT BAYONET CONNECTOR CDM      
FLEXIPORT W/BULB 2 TUBE CDM      
FLOAT VALVE CDM      
FLOURESCENT DYE INJECTOR KIT CDM      
FLOWMETER CHEMETRON CDM      
FLUID WARMER CDM      
FLUSHING PUMP IRRIGATOR CDM      
FOAM EAR PLUGS CDM      
FOAM FILTER 15X24X1/4 CDM      
FOAM TAPE CDM      
FOLDER CLASSIFICATION CDM      
FOLDER CLASSIFICATION 5 TAB CDM      
FOLDER CLASSIFICATION C402 BLU CDM      
FOLDER FILE 1/3 CUT CDM      
FOLDER POCKET PDH CDM      
FOLDERS 1/3 CUT COLORED CDM      
FOLLETT ICE MACHINE CLEANER CDM      
FOLLETT ICE MACHINE SPONGE CDM      
FOLLETT PRE FILTER CDM      
FOOT BOARD CDM      
FOOT CONTROLLED SUCTION 10FR CDM      
FOOT EXTENSION CDM      
FOOT EXTENSION PAD CDM      
FOOT REST CDM      
FOOTPRINTER KLEENPRINT CDM      
FORCEP ADSON CDM      
FORCEP BD220R CDM      
FORCEP BIOPSY 230CM COLD 10679   30.46  
FORCEP HOT BIOPSY (COOK) CDM      
FORCEP KELLY CDM      
FORCEP MICRO CDM      
FORCEP MOSQUITO CURVED CDM      
FORCEP RING CDM      
FORCEP SMOOTH ADSON CDM      
FORCEP SPLINTER 3 INCH CDM      
FORCEP SUTURE ADSON CDM      
FORCEP TISSUE CDM      
FORCEPS ALLIGATOR CDM      
FORCEPS BOZEMANN CDM      
FORCEPS CAESAR GRASPING 14492   348  
FORCEPS EAR DRESSING LUCAE CDM      
FORCEPS HOT BIOPSY 10671   54.8  
FORCEPS LOVE-GRUENWALD CDM      
FORCEPS MAGILL ADULT OPEN-TIP CDM      
FORM BOWEL PREP FOR COLONOSCOPE CDM      
FORM HCFA 1500 LASER PA CDM      
FORM IDENT-A BLOOD RECEIPENT SERIAL NUMBERED CDM      
FORM PATIENT TRANSFER ORDER CDM      
FORM PHYSICIAN'S ORDERS CDM      
FORM SURGICAL CONSENT PAGE 4 CDM      
FORM SURGICAL CONSENT PG 3 CDM      
FORM UB04 LASER CDM      
FORMALDEHYDE 5 GAL. CDM      
FORMALIN MONITOR CDM      
FORMULA GENTLEASE ENFAMIL CDM      
FORMULA NEWBORN ENFAMIL CDM      
FOWLER TRIP KIT CDM      
FRAIZER TIP SUCTION 10FR CDM      
FRAME 11X17 CDM      
FRAME 8.5X11 BLACK CDM      
FRASER SX 10F CDM      
FRASER SX 8FR CDM      
FREEER CDM      
FREEZER CDM      
FRT4 CALIBRATOR CDM      
FRT4 REAGENT CDM      
FS CALIBRATOR 1 CDM      
FUJI 10X12 FILM CDM      
FUJI LASER FILM DI-HL 14X17 CDM      
FUJI LINER CDM      
FUJITSU FI-7160 COL DUPLX CDM      
FULGURATING ELECTRODE 5FR 65CM CDM      
FURNACE CDM      
FURNITURE POLISH CDM      
FUSE BUSS SC30 CDM      
G2 GEL BLUE REFILL CDM      
GAHART'S IV HANDBOOK CDM      
GAIT BELT 60IN CDM      
GARDNERELLA VASGINALIS #14018 CDM      
GARMENT DVT CALF MEDIUM CDM      
GARMENT DVT CALF LARGE CDM      
GAS DLCO CDM      
GASTROCCULT DEVELOPER CDM      
GASTROCCULT CARDS CDM      
GASTROGRAFIN 120ML CDM      
GAUZE PACKING IODOFORM 1\\2 10337   5.99  
GAUZE SPONGE 4 X 4 (2) STRL CDM      
GAUZE VASELINE 3X9 PETROLATUM CDM   1.24  
GAUZE VASELINE 1X8 10578   1.11  
GAUZE VASELINE 1/2 X 72 10610   4.33  
GAUZE VASELINE 3 INCH X36 10708   2.32  
GEL AQUASONIC 100 0.25 L CDM      
GEL ULTRASOUND STERILE 20G CDM      
GELPI RETRACORS CDM      
GENERAL RETRACTORS CDM      
GENT REAGENT CDM      
GENTAMICIN REAGENT CDM      
GENTAMYCIN (CN) CDM      
GERD BOOKLET CDM      
GERMAINE AIMTAB REDUCING SUBSTANCE TABLETS CDM      
GGT REAGENT CDM      
GI VERIFICATION KIT CDM      
GIARDIA CONTROLS CDM      
GIARDIA KIT CDM      
GLASS CLEANER CDM      
GLASS COPLIN JAR CDM      
GLASS SAMPLE CUPS CDM      
GLASS SHADE HOLDER CDM      
GLASSES EYEWEAR SAFETY CDM      
GLASSMAN CLAMPS, STRAIGHT CDM      
GLASSMAN CLAMPS, FULLY CURVED CDM      
GLASSMAN CLAMPS CURVED CDM      
GLIDESCOPE LOPRO S3 CDM   120  
GLIDESCOPE LOPRO S4 13202   120  
GLOVE BIOGEL M 7 CDM      
GLOVE BIOGEL 7-1/2 CDM      
GLOVE BIOGEL 6-1/2 CDM      
GLOVE BIOGEL UNDER 6-1/2 CDM      
GLOVE BIOGEL UNDER 7.0 CDM      
GLOVE BIOGEL 8 CDM      
GLOVE BIOGEL 6 CDM      
GLOVE BOX HOLDER CDM      
GLOVE DISPENSER 3 SIZES CDM      
GLOVE EXAM MEDIUM 10003   18.41  
GLOVE EXAM LARGE CDM      
GLOVE EXAM SMALL CDM      
GLOVE EXAM MED SINGLE STERILE CDM      
GLOVE EXAM XL CDM      
GLOVE EXAM XS NITRILE CDM      
GLOVE ORTHO SZ 8 CDM      
GLOVE PURPLE MED XTRA CDM      
GLOVE PURPLE SMALL XTRA CDM      
GLOVE PURPLE XL XTRA CDM      
GLOVE PURPLE LARGE XTRA CDM      
GLOVE SMT 6.5 NON-LATEX 10010   4.48  
GLOVE SMT 6.0 NON-LATEX CDM      
GLOVE SMT 7.0 NON-LATEX CDM      
GLOVE SMT 7.5 NON-LATEX CDM      
GLOVE SMT 8.0 NON-LATEX CDM      
GLOVE SMT 8.5 NON-LATEX CDM      
GLOVE SURGICAL 6.0 LF CDM      
GLUCOSE CONTROL HIGH CDM      
GLUCOSE CONTROL LOW CDM      
GLUCOSE DS REAGENT CDM      
GLUCOSE REAGENT CDM      
GLUCOSE TEST 75G LIME CDM      
GLUCOSE TEST 50 TOLERANCE CDM      
GLUCOSE TEST STRIP STATSTRIP CDM      
GLUCOSE TEST 100G LIME CDM      
GLUCOSE TEST 50G LIME CDM      
GLUE STICK .28OZ CDM      
GLUTE-OUT FOR 1 GAL CDM      
GLYCINE 500GM CDM      
GNS 2 BICONVEX PAT 23MM 13041   4725  
GO VERTICAL LAB WALL CDM      
GOELET RETRACTORS CDM      
GOGGLES CDM      
GOGGLES ECONOMY CDM      
GONADAL SHIELDS CDM      
GOOSENECK 3 1/2 IN CDM      
GOWN BLOCKADE LARGE CDM      
GOWN ENDO CDM      
GOWN IMPERVIOUS ISOLATION CDM      
GOWN LG STERILE CDM      
GOWN OB CDM      
GOWN PATIENT CDM      
GOWN TELEMETRY 3XL CDM      
GOWN TELEMETRY CDM      
GOWN TELEMETRY 3X CDM      
GOWN XL STERILE CDM      
GOWN XL X-LONG CDM      
GOWN XXLG CDM      
GRADUATE PLASTIC CDM      
GRADUATED CYLINDER CDM      
GRAFT GORETEX VASCULAR CDM   1965  
GRAFT HEMAGARD KNITTED 20X10 14466   2886  
GRAFT PREP SET FEE CDM      
GRAFT VASCULAR GORETEX 6 CDM      
GRAFT VASCULAR 4MM GORET CDM      
GRAFT VASCULAR GORTEX 8MM X 80CM 13050   2310  
GRAM CRYSTAL VIOLET CDM      
GRAM DECOLORIZER CDM      
GRAM SAFRANIIN CDM      
GRAMS IODINE STABILIZED 8 OZ CDM      
GRANDSTREAM DP750 CDM      
GRANDSTREAM DP750 PLUS DP720 CDM      
GRANDSTREAM VOIP CORDLESS CDM      
GRANDSTREAM GXP2130 CDM      
GRANDSTREAM GXP1625 CDM      
GRANDSTREAM GS-GXP2135 CDM      
GRANDSTREAM GXP2140 CDM      
GRANDSTREAM HT503 CDM      
GRANDSTREAM GXP2200EXT CDM      
GRANDSTREAM HT701 CDM      
GRANDSTREAM GXP2160 CDM      
GRANDSTREAM FXS GATEWAY CDM      
GRANDSTREAM GS-GXV3500 CDM      
GRAVES VAG SPECULUM, OPEN SIDED CDM      
GRIDDLE CDM      
GROOVED DIRECTOR TONGUE CDM      
GROUP B STREP ASSAY CDM      
GRYPHON BR W/ PROKNOT CDM      
GS TITANIUM MOBILE CDM      
GUIDELINES FOR PERINATAL CARE CDM      
GUIDEWIRE .025 CDM      
GUIDEWIRE .035 CDM      
GUS FILTER F251 CDM      
GUS PUMP REPLACEMENT CDM      
GYN INSTRUMENT SET CDM      
H. PYLORI QUICK VUE CDM      
H777 ANTENNA CDM      
H777 BATTERIES CDM      
HAEMOPHILUS INFLU ATCC 35540 CDM      
HALL DRIVER CDM      
HALOGEN 6W 30W LAMP CDM      
HAND BOARD (IRONING BOARD) CDM      
HAND INSTRUMENT SET CDM      
HANDLE BROOM WOOD CDM      
HANDLE LARYNGOSCOPE MEDIUM CDM      
HANDLE OTOSCOPE 71000-A CDM      
HANDLE WET MOP 60 CDM      
HANDLE YANKAUER TIP CDM      
HANDLE YANKAUR ARGYLE CDM      
HANDWASH ANTI LTX 1200 REFILL CDM      
HANDWASH LTX 1200 REFILL CDM      
HANGING FILE FOLDER CDM      
HANGING FILE FOLDER, YELLOW CDM      
HARD DRIVE CDM      
HARD SHELL PLATE 96 WELL CDM      
HARMONIC ACE SHEARS HARH36 13591      
HARNESS MASK FIXTATION TAPE CDM      
HAT BABY BLUE CDM      
HAT BABY PINK CDM      
HAZARD WASTE RCRA 5QT BLACK CDM      
HB201+ ANALYZER CDM      
HBA1C REAGENT CDM      
HCPCS CDM      
HD 4MM ARTHROSCOPE SPEEDLOCK CDM      
HDL CALIBRATOR CDM      
HDL REAGENT CDM      
HE AGAR CDM      
HEAD LAMP CDM      
HEAD ON CUSHION CDM      
HEADLIGHT PELICAN CDM      
HEADPHONES WASHABLE CDM      
HEADSET AMPLIFIER CDM      
HEADSET CS530 WIRELESS CDM      
HEALIX ADV KNOTLESS CDM      
HEALIX ANCHOR 13359   1491  
HEALIX BONE ANCHOR 13426   1491  
HEANEY UTERINE CURETTE CDM      
HEAT PUMP CDM      
HEATER AQUA DOULA CDM      
HEAVY TOOTHED THUMB FORCEP, LONG 12 INCHES CDM      
HEEL LIFT 2-1/2 X 1/2 CDM      
HEEL LIFT 2/5W X 7/16 LIFT CDM      
HEEL PROTECTOR CDM      
HEEL WARMERS CDM      
HEMATYPE SEGMENT DEVICE CDM      
HEMOCLIP ENDOSCOPIC 2.8MM 13169   570  
HEMOGLOBIN MICROCUVETTE CDM      
HEMOGLOBIN A1C HEMOLYZING SOL CDM      
HEMOGLOBIN A1C CALIBRATOR CDM      
HEMOGLOBIN A1C CONTROL CDM      
HEMOGLOBIN A1C REAGENT CDM      
HEMOSIL CLEANING SOLUTION CDM      
HEPRANIZED CAP TUBES CDM      
HIBICLENS 4OZ CDM      
HIGH ABNORMAL CONTROL, ASSAYED CDM      
HIGH LEVEL DISINFECT STICKERS CDM      
HIGHLITER BLUE CDM      
HIGHLITER GREEN CDM      
HIGHLITER ORANGE CDM      
HIGHLITER PINK CDM      
HIGHLITER YELLOW FLOR CDM      
HILL-ROM 1000 BED CDM      
HINGE RIXSON 340 CDM      
HITACHI SAMPLE CUPS CDM      
HIV I/II ASSAY KIT CDM      
HIV I/II CONTROLS CDM      
HOLDER ET TUBE THOMAS 10097   14.37  
HOLDER TUBE NEOBARS CDM      
HOOD SURGEON CDM      
HOSE CONNECT 18 CDM      
HOSES VASOPRESS CDM      
HP #10 BLACK INK CDM      
HP #11 YELLOW CDM      
HP #78 C6578B CDM      
HP 15A, REFURBISHED CDM      
HP C7115X 15A CDM      
HP FUSER CDM      
HP LASERJET PRO M402N CDM      
HP LASERJET PRO M425DN CDM      
HP8600 950XL BLK CDM      
HP8600 951XL COLOR SET CDM      
HP934XL BLACK 6230 CDM      
HP935 COLOR 6230 CDM      
HUBBELL CONNECTOR 5-20R CDM      
HUBBELL RECEPTACLE 5-20P CDM      
HULKA TENACULUM CDM      
HUMIDIFICATION PACK CDM      
HUMIDIFIER 340ML PRE-FIL CDM      
HUMIPAK SMALL CDM      
HYDRION PH 93 CDM      
HYDROMARK COIL 3 TITANIUM 13771   285.45  
HYDROMARK COIL 4 TITANIUM 13772   285.45  
HYSTERECTOMY INSTRUMENT SET CDM      
HYSTERSCOPE 12 DEGREE 4MM, 2 PIECE SHEATH, CDM      
I-STAT CHEM-8 LEVEL 1 QC CDM      
I-STAT CHEM 8 CAL VER SET CDM      
I-STAT, CHEM-8 LEVEL-2 QC CDM      
I-STAT, CHEM-8 LEVEL-3 QC CDM      
I.U.D REMOVER CDM      
ICD-10 CM CDM      
ICD-10 PCS CDM      
ICE MACHINE PART CDM      
ICE MELTER CDM      
ICTOCHECK CDM      
ICTOTEST TABLETS CDM      
IGNITOR CDM      
ILLUMINATION SYSTEM KLEENSPEC 78900 CDM      
ILLUMINATOR WITH CHARGING SYSTEM CDM      
ILLUMINATOR ONLY KLEENSPEC CDM      
IMMBOLIZER KNEE LG 16 IN 10800   32.34  
IMMBOLIZER KNEE MED 16 IN 10803   32.34  
IMMBOLIZER KNEE XL 16 IN 18030   32.34  
IMMBOLIZER KNEE SM 16 IN 10858   36.78  
IMMERSION OIL CDM      
IMMOBILIZER SHOULDER UNIV 10700   17.61  
IMMOBILIZER KNEE MED 20 IN CDM   37.26  
IMMOBILIZER KNEE LG 20 IN 10802   37.26  
IMMOBILIZER KNEE SM 20 IN 10859   42.36  
IMMOBILIZER KNEE XL 20 IN     37.26  
IMMUNO WASH FLUID CDM      
IMMUNOCARD STAT! E. COLI 0157 PLUS TEST KIT CDM      
IMMUNOCARD STAT CAMPY CDM      
INCEILING ENCLOSURE CDM      
INCYTO C-CHIP CDM      
INDEX CARD 3X5 CDM      
INDICATOR TEMPERATURE CRYSTALINE II CDM      
INDUSTRIAL INSPECTION LIGHT CDM      
INFANT CANNULA INTERMEDIATE CDM      
INFANT CATH KIT 10233   5.94  
INFLUENZA A B SOLANA QUICK VUE CDM      
INFLUENZA A & B2 ID NOW CDM      
INFLUENZA CONTROL SET CDM      
INFLUENZA STARTUP KIT CDM      
INFUSOMAT SPACE PUMP CDM      
INJECTION TUBE CDM      
INJECTOR VARICES DISPOSABLE CDM      
INK REFILL RED CDM      
INK ROLLER MONARCH 1136 CDM      
INLET CLOSURE KIT CDM      
INOCS DRIED CDM      
INSERT CUPS, 1ML ACCESS II CDM      
INSUFFLATION TUBE SET CDM      
INSUFFLATOR BULB FOR OTO CDM      
INSULATED FLEXIBLE DUCT CDM      
INTEGRATOR STEAM STERILIZER CDM      
INTEGRIS LED 3' OVERBED CDM      
INTEGRIS LED 4' OVERBED CDM      
INTEL NUC CDM      
INTEL SSD CDM      
INTEL X540-T2 CDM      
INTEL X540T2 CDM      
INTERCEED ADHESION BARRI 12101   1007.59  
INTERPULSE HANDPIECE SET     133.9  
INTRODUCER BOUGIE 10772   24.24  
INTRODUCER CLOSUREFAST 7FR 14357   45  
INVITATION ENVELOPE CDM      
IODINE DOBELL AMBER GLASS CDM      
IODINE LUGOLS CONCENTRATE 16 OZ CDM      
IPAD CDM      
IRIS SCISSOR STRAIGHT 4 INCH CDM      
IRON REAGENT CDM      
IRRIGATOR TUBING CDM      
ISE BUFFER SOLUTION CDM      
ISE CLEANING SOLUTION CDM      
ISE CUP TUBING CDM      
ISE HIGH SERUM STANDARD CDM      
ISE INTERNAL REFERENCE SOL'N CDM      
ISE LOW SERUM STANDARD CDM      
ISE MID STANDARD SOLUTION CDM      
ISE PINCH VALVE TUBING CDM      
ISE SELECTIVITY CHECK SOL'N CDM      
ISE URINE HIGH/LOW STANDARD CDM      
ISOPROPYL ALCOHOL 99% CDM      
ISOSORB SOLIDIFIER 2000C CDM      
ISOVUE 370 125ML 131604 CDM      
ISOVUE 370 200ML 131645 CDM      
ISOVUE 370 150ML 131637 CDM      
ISOVUE370 100CC CDM      
ISTAT G3+ CARTRIDGE CDM      
ISTAT REDESIGN CHEMB CDM      
ISTAT TROP CDM      
IUD RETRIEVAL GRASPER CDM      
IV POLE PT PAL CDM      
IV POLE UTILITY CDM      
IV START KIT CHLORAPREP 10502   3.46  
JABRA CORDED HEADSET CDM      
JACO MOUNTING COMPONENT CDM      
JACO ULTRALITE CART CDM      
JELLY PETROLEUM WHITE 5G CDM      
JEWEL CASE XRAY CDM      
JOE'S HOE RETRACTOR CDM      
JOURNAL XRAY CDM      
JUMBO FORCEPS CDM      
K-WIRE INSTRUMENTS CDM      
K-WIRES CDM      
K. OXYOCA ATCC 49131 CDM      
K. PNEUMO ATCC 700603 CDM      
K10 BLUETOOTH HEADSET CDM      
K2EDTA PINK TUBE 367899 CDM      
KELLY, CURVED CDM      
KELLY, STRAIGHT CDM      
KERLIX ROLL 4 IN CDM      
KEVORKIAN CERVICAL BIOPSY FORCEP CDM      
KEY BLANK C123 CDM      
KEY BLANK, BRASS, TYPE SC9 CDM      
KEY BLANK, BRASS, TYPE 1176 CDM      
KEY BLANK, BRASS, TYPE 1145 CDM      
KEY BLANK, PINS 5, PK10 CDM      
KEY LOCKER CDM      
KEYBOARD CDM      
KEYBOARD MOUSE WIRELESS CDM      
KEYBOARD SEAL SHIELD CDM      
KEYBOARD TRAY CDM      
KIDS TOOTHPASTE CDM      
KIRBY BAUER DISC DISPENSER CDM      
KIT ABG 4591P-1 12203      
KIT ABG SAMPLING PRO-VENT 25 G 12241      
KIT BREAST PUMP SYMPHONY CDM      
KIT CENTRAL LINE DRESSING 10969   50.65  
KIT CENTRAL LINE 3 LUMEN CDM      
KIT GROSHONG REPAIR 7.0 12049   723  
KIT STAPLE REMOVER 10979   5.68  
KIT SUTURE REMOVAL 10582   3.11  
KIWI VACUUM SUCTION DEVICE 10893      
KLEB. PNEUMONIA ATCC BAA 1705 CDM      
KLEENEX FACIAL TISSUE CDM      
KLEPPINGER LONG 45CM, TONG 45CM, & POWER CORD CDM      
KLEPPINGER SHORT 32CM, TONG 32CM, & POWER CORD CDM      
KNEE BRACE HINGED XL DJ 10791   53.55  
KNEE BRACE HINGED SM DJ CDM      
KNEE BRACE HINGED MED DJ CDM      
KNEE BRACE HINGED LRG DJ CDM      
KNEE BRACE HINGED XXL CDM      
KNEE BRACE HINGED XXXL D CDM      
KNEE BRACE WRAP AROUND M CDM      
KNEE BRACE TROM STANDARD CDM      
KNEE SUPP REINFORCED M CDM      
KNEE SUPP REINFORCED L CDM      
KNEE SUPP REINFORCED XL CDM      
KNEE SUPP REINFORCED S CDM      
KNEE SUPP REINFORCED XXL CDM      
KNOT MANIPULATOR FULL LOOP CDM      
KOALA CHANGING LINER CDM      
KOCHER ARTERY FORCEP CDM      
KOCHER CLAMP 6.5 INCHES CDM      
KOCHER CLAMP 7.25 INCHES CDM      
KOCHER CLAMP 8 INCHES CDM      
KOCHER CLAMP, BABY 5.5 INCHES CDM      
KOCHER CLAMP, CURVED 6.25 INCHES CDM      
KOCHER CLAMP, XTRA LONG 10.5 INCHES CDM      
KOH 40% (30ML) VP1 CDM      
KOVAC'S REAGENT (30ML) CDM      
LAB COAT DISPOSABLE M CDM      
LAB COAT DISPOSABLE L CDM      
LAB COAT DISPOSABLE XL CDM      
LAB COAT DISPOSABLE S CDM      
LAB COAT DISPOSABLE XS CDM      
LAB COATS HIP LENGTH CDM      
LAB COATS KNEE LENGTH CDM      
LABEL ALERT, 23 HOUR OB CDM      
LABEL 'EQUIPMENT CLEANED' CDM      
LABEL 2 LINE FOR MONARCH LABEL CDM      
LABEL 2-1/8X4 DYMO FOR OB CDM      
LABEL AVERY 5160 10008   40.65  
LABEL AVERY 5366 CDM      
LABEL AVERY 8463 CDM      
LABEL AVERY 5162 VISI CDM      
LABEL AVERY 5971 GREEN CDM      
LABEL AVERY 6576 CDM      
LABEL BIOHAZARD CDM      
LABEL CHEMICAL NAME HOUS CDM      
LABEL CLEAR MAILING 1 CDM      
LABEL CRASHCART CDM      
LABEL DR AQUA (KEPPLE) CDM      
LABEL DR BLUE (SURGEONS) CDM      
LABEL DR LT GREEN CDM      
LABEL DR ORANGE (MORGAN) CDM      
LABEL DR PINK (HURLBURT) CDM      
LABEL DR RED CARSTENS CDM      
LABEL DR WHITE CDM      
LABEL DR. PURPLE 1649-09 CDM      
LABEL DR.YELLOW 1649-03 CDM      
LABEL DYMO 2 5/16 X 4 CDM      
LABEL FENTANYL CDM      
LABEL HIGH ALERT CDM      
LABEL LAB HEALTH FAIR CDM      
LABEL MEDICATION STERILE CDM      
LABEL MSDS 99188 CDM      
LABEL MULTIDOSE CDM      
LABEL PINK AVERY 5970 CDM      
LABEL ROOM # CDM      
LABEL STERILITY GUAR PIN CDM      
LABEL STERILE MEDICATION KIT CDM      
LABEL STOP ORANGE CDM      
LABEL TAPE P-TOUCH CDM      
LABEL TAPE BROTHER TZ CDM      
LABEL TAPE ANECTINE CDM      
LABEL TAPE FENTANYL CDM      
LABEL TAPE VECURONIUM CDM      
LABEL TAPE ZOFRAN CDM      
LABEL TAPE ROBINUL CDM      
LABEL TAPE NEOSTIGMINE CDM      
LABEL TAPE PITOCIN CDM      
LABEL TAPE MORPHINE CDM      
LABEL TAPE ATROPINE CDM      
LABEL TAPE TZ-231 CDM      
LABEL THERMD18 SPECIMEN CDM      
LABEL THERMD42 3 X 1 CDM      
LABEL THERMD27 4 X 2 CDM      
LABEL TUBE KIT CDM      
LABEL VERSED CDM      
LABEL, YEAR KAREN CDM      
LABEL,AVERY 8395 CDM      
LABELS ALLERGIC CDM      
LABELS SCREENING CDM      
LACE UP WRIST SUPPORT LT M CDM      
LACTATE SLIDES REAGENT CDM      
LAMINAR SPREADERS CDM      
LAMINATE REFILL CARTRIDGE CDM      
LAMINATING LS950 3M CDM      
LAMP COMPACT FLOURESC CDM      
LAMP DAJ007A XLR CDM      
LAMP F13T5 CDM      
LAMP F96T12/CW/WM, 60W CDM      
LAMP FC12T9 CDM      
LAMP HPX CARTRIDGE ASSY CDM      
LAMP RECYCLING CDM      
LAMP, AU480 CDM      
LANCET ORANGE TERUMO 23G CDM      
LANCET PINK CDM      
LANCET PURPLE CDM      
LANCET QUIKHEEL 2.5MM CDM      
LANCET SAFETY 21G EQUIV-ORANGE CDM      
LANCET TENDERFOOT CDM      
LANCETS SOFT TOUCH II CDM      
LAP BABCOCK 10MM, LONG CDM      
LAP BABCOCK AND RIGHT ANGLE CDM      
LAP CAMERA CDM      
LAP GRASPER, 10MM AGGRESSIVE TEETH CDM      
LAP INSTRUMENT SET A CDM      
LAP INSTRUMENT SET B CDM      
LAP KNOT PUSHER CDM      
LAP LIGHT CORD CDM      
LAP LIVER RETRACTOR CDM      
LAP NEEDLE DRIVER, CURVED CDM      
LAP NEEDLE DRIVER, STRAIGHT CDM      
LAP RIGHT ANGLE 10MM, LONG CDM      
LAP SCISSORS, REPOSABLE CDM      
LAP SCOPE 10MM 0 DEGREE CDM      
LAP SCOPE 10MM 30 DEGREE CDM      
LAP SCOPE 5MM 0 DEGREE CDM      
LAP SCOPE 5MM 30 DEGREE CDM      
LAP SCOPE 5MM 45 DEGREE CDM      
LAP TRAY, METAL, SMALL RECTANGLE CDM      
LAPAROSCOPE AC HD 5MM CDM      
LAPAROSCOPE AC HD 10MM CDM      
LAPAROSCOPE BARIATRIC AC 5MM CDM      
LAPAROSCOPE AC HD 4MM CDM      
LAPAROSCOPE REMANUFACTURED CDM      
LAPROSCOPIC BLUNT DISSECTOR CDM      
LAPTOP COMPUTER CDM      
LARGE PROBE COVERS 2X30 CDM      
LARGE SAMPLE NESTING CUPS CDM      
LARYNGOSCOPE MAC 4 SET CDM      
LARYNGOSCOPE MILLER 3 SET CDM      
LARYNGOSCOPE MILLER 0 SET CDM      
LARYNGOSCOPE MILLER 1 SET CDM      
LARYNGOSCOPE MAC 2 SET CDM      
LARYNGOSCOPE MILLER 2 SET CDM      
LARYNGOSCOPE MILLER 4 SET CDM      
LATERAL VAGINAL WALL RETRACTORS CDM      
LDH REAGENT CDM      
LDHI MICORSLIDE CDM      
LDL CALIBRATOR CDM      
LDL REAGENT CDM      
LEAD 0.7MM CDM      
LEAD FOR E-SERIES ZOLL DEFIB CDM      
LEAD REFERENCE SOLUTION CDM      
LEADCARE II BLD LEAD TEST PK CDM      
LED LAMP CDM      
LEGRAND BOX CDM      
LEGRAND ELBOW FLAT CDM      
LEGRAND ELBOW EXT CDM      
LEGRAND RACEWAY CDM      
LENS CLEANER SOLUTION CDM      
LENS PAPER CDM      
LETTER OPENER CDM      
LETTERHEAD PDH CDM      
LETTERHEAD CLINICS CDM      
LEUKOCHEK CDM      
LEVER LOCKSET CDM      
LEVITON PORCELIN RECEPTACLE CDM      
LEVOFLOXACIN (LEV) CDM      
LEXMARK MS310DN TONER 50F1000 CDM      
LID FOR SMARTBLOCKS CDM      
LIFE FORM CRISIS TORSO MANIKIN CDM      
LIGACLIP ENDOSCOPIC ER420 13130   210.93  
LIGACLIP LT100 SM 12274   5.72  
LIGACLIP LT400 LARGE 12276   13.47  
LIGACLIP LT300 MED LG 12275   11.2  
LINEARITY KIT STAT-STRIP CDM      
LINEARITY SET GC1 CDM      
LINEARITY SET G2 CDM      
LINEARITY SET GC3 CDM      
LINEARITY SET LP CDM      
LINEARITY SET UC1 CDM      
LINEARITY SET UC 4 CDM      
LINEARITY SET UC 5 CDM      
LINEARITY SET TDM1 CDM      
LINEARITY SET UC6 CDM      
LINEARITY SET D-DIMER CDM      
LINEARITY SET VIT D CDM      
LINEARITY SET THY CDM      
LINEARITY SET CM2 CDM      
LINEARITY SET IBC CDM      
LINEARITY SET HBA1C CDM      
LINEARITY SET SP2 CDM      
LINEARIY SET GC4 CDM      
LINER BLACK 24X33 CDM      
LINER BLACK 40X46 CDM      
LINER BLACK 33X39 CDM      
LINER CAN RED 33X40 BIOHAZARD CDM      
LINER CLEAR 24X33 ROLL CDM      
LINER RED 24X33 SL2432R CDM      
LINER RED PRINTED 40X46 CDM      
LINER WHITE 40 X 46 CDM      
LINT ROLLER CDM      
LIPASE REAGENT CDM      
LIQUICHEK TOX BI-LEVEL CONTROL CDM      
LIQUICHEK UR CHEM CONTROL L-1 CDM      
LIQUICHEK UR CHEM CONTROL L-2 CDM      
LIQUID PERFRM VERFR 1 CALIBRATOR CDM      
LIQUID PERFRM VERFR 2 CALIBRATOR CDM      
LIQUID WHITE OUT CDM      
LIQUIMMUNE LEVEL 1 CDM      
LIQUIMMUNE LEVEL 3 CDM      
LIQUIMMUNE LEVEL 2 CDM      
LITTLE SUCKER CDM      
LIVER RETRACTOR SET CDM      
LIVESCRIBE PEN CDM      
LKV/PEA ANAEROBIC CDM      
LMA UNIQUE KIT CDM      
LOANER LOOP CABLE CDM      
LOCK CORE CDM      
LOCK CYLINDER CDM      
LOG BOOK RAPID TEST CDM      
LOGITECH KEYBOARD/MOUSE COMBO CDM      
LONG SHARPS SET 2 RIGHT ANGLES, 4 SCISSORS, LONG KNIFE HANDLE CDM      
LOOPS URINE CULTURE 10UL CDM      
LOTION CDM      
LOTION PROVON 700ML REFILL CDM      
LOTION REMOVER 4OZ CDM      
LUBRICANT INSTRUMENT ASEPTI LUBE CDM      
LUBRICATING JELLY 4OZ STERILE CDM      
M-TP REAGENT CDM      
M11 PRINTER PAPER CDM      
M8 AIR FILTER 12X24X12 5W922 CDM      
M8 AIR FILTER 20X30X1 6B992 CDM      
M8 F32T8SP41 X36 4PL16 CDM      
M8 VBELT 61 INCH B58 6X998 CDM      
MACCONKEY AGAR CDM      
MAGNESIUM REAGENT CDM      
MAGNETIC CONTACT SWITCH CDM      
MAJOR INSTRUMENT SET CDM      
MALLET CDM      
MALONEY BOUGIE 56 FR CDM      
MALONEY BOUGIE 50 FR CDM      
MALONEY BOUGIE 60 FR CDM      
MAMMO MOLE MARKER SDG-M612 CDM      
MANAGING ALLERGIES, FASTGUIDE CDM      
MANAGING DIZZINESS CDM      
MANNITOL 20% 500ML BAG CDM      
MANUAL COUNTER CDM      
MARKER BIOPSY SITE ID 14FR     340.58  
MARKER DRY ERASE RED CDM      
MARKER DRY ERASE BLAC CDM      
MARKER DRY ERASE GREEN CDM      
MARKER EXPO BLUE D CDM      
MARKER PERM BLK CHISEL TIP CDM      
MARKER SKIN WITH RULER STERILE CDM      
MAS CHEM TRAK-H LEVEL 1 CDM      
MAS CHEM TRAK-H LEVEL 2 CDM      
MAS CHEM TRAK-H LEVEL 3 CDM      
MASK ADULT ANES CDM      
MASK AEROSOL ADULT 00120 CDM      
MASK AEROSOL PEDIATRIC CDM      
MASK AIR CUSHION SZ 3 TO CDM   4.28  
MASK AIR CUSHION SZ 1 NE 10007   5.27  
MASK AIR CUSHION SZ 2 IN CDM      
MASK AIR CUSHION SZ 4 CH CDM      
MASK ANTI FOG GREEN CDM      
MASK BILI WEESPEC 10729   7.2  
MASK CPAP LARGE CDM      
MASK CPAP MED CDM      
MASK CPAP SMALL CDM      
MASK FLUID SHIELD CDM      
MASK ISOLATION CDM      
MASK ISOLATION CHILD CDM      
MASK N95 1870 CDM      
MASK N95 TB SMALL CDM      
MASK NON-REBREATHER PEDI 11096   4.43  
MASK NRB OXYGEN #1203 10552   2.47  
MASK OXY STANDARD 10905   14.34  
MASK SURGICAL TIE ON CDM      
MASKING TAPE 3/4 CDM      
MASKING TAPE 1/2 CDM      
MASTECTOMY HOOKS CDM      
MASTISOL 3CC 10127   5.5  
MAT ANTIFATIGUE CDM      
MAT INFANT MEASURING CDM      
MATTRESS RECYCLE FEE CDM      
MAXFAST ADHESIVE FOREHEAD CDM      
MAXPURE FILTER A1564 CDM      
MAYO CLAMP, CURVED 6.5 INCHES CDM      
MAYO CLAMP, STRAIGHT 6.5 INCHES CDM      
MCFARLAND STANDARD 0.5 CDM      
MCFARLAND STANDARD 3 TURBIDITY CDM      
MCFARLAND TURBIDITY STD CDM      
MCGLAMERY ELEVATORS CDM      
MEASURING ROD WALL MOUNT CDM      
MEDICAL FEES E-BOOK CDM      
MEDICATION ADDED LABEL CDM      
MEDICATION WALLET CARDS CDM      
MEDICINE INVENTORY BAG CDM      
MEDTOX PROFILE V-13 CDM      
MEM10 MEROPENEM CDM      
MENIERE'S DISEASE CDM      
MEP13 13G PROBE CDM      
MESH 3D MAX RT LG 4.3 X 6.3 13039   963.45  
MESH BARD 10X14 12253   431.16  
MESH BARD 2X4 11101   279.16  
MESH BARD 3X6 11100   318.6  
MESH CRURASOFT PATCH 7X6CM 12467   777  
MESH DUAL GORE 20X30CM 12332   4395  
MESH FLAT SHEET 6X6 11098   428.82  
MESH PLUG LARGE 3D CDM      
MESH PROLENE SOFT POLYPRO 3X6 13233   1270  
MESH VENTRALEX LG CIRCLE STRAP 12635   1407  
MESH VENTRALEX MED CIRCLE STRAP 12636   1260  
MESH VENTRALEX SM 12965   2238.87  
MESSAGE PAD CDM      
METATARSAL ARCH MEDIUM CDM      
METATARSAL ARCH SMALL CDM      
METHANOL 500ML CDM      
METZENBAUM INSERT CDM      
MEV30 MEROPENEM VABORBACTAM CDM      
MH30 MINOCYCLINE CDM      
MICO THUMB FORCEP CDM      
MICRO DRIVER CDM      
MICROALBUMIN REAGENT CDM      
MICROALBUMIN PV 1 CDM      
MICROALBUMN PV II CDM      
MICROCONTAINER AMBER PED SST CDM      
MICROPUNCTURE INTRODUCER 4FR 13727   66.15  
MICROSCAN CLIP DIFFUSER CDM      
MICROSCAN CLIP RETAINING CDM      
MICROSCOPE REPAIR CDM      
MICROSENSOR CHECK FLUID I-II CDM      
MICROSOFT EXCHANGE CAL CDM      
MICROSOFT OFFICE CDM      
MICROSOFT OFFICE LICENSE CDM      
MICROSOFT SERVER CAL CDM      
MICROSOFT WINDOWS CDM      
MICROTAINER EDTA CDM      
MICROTIPS FS CDM      
MICROWAVE CDM      
MIDDLE EAR INFECTIONS CDM      
MIDWEST FINISHING BUR FG #7214 CDM      
MILAGRO 7X23 CDM      
MILAGRO 8X30 CDM      
MINERAL OIL CDM      
MINERAL OIL (60ML) CDM      
MINI DRIVER CDM      
MINI MINOR INSTRUMENT SET CDM      
MINI-SPIKE DISPENSING PI CDM      
MINOCAL CALIBRATOR ABX CDM      
MINOTROL RETIC 12X3ML CDM      
MINOTROL RETIC 3X3ML CDM      
MITEK FASTIN ORTHOCORD 5.0 MM CDM      
MITEK PUMP TUBING PT CDM      
MITEK PUMP TUBING PUMP CDM      
MOISTENER CDM      
MOLECULAR C DIFFICLE CONTROL CDM      
MOLESKIN CDM      
MONITOR ARM CDM      
MONITOR DELL CDM      
MONITOR PAPER MINDRAY CDM      
MONITOR SONICVIEW 24 CDM      
MONITOR STAND DUAL CDM      
MONO SURE VUE CDM      
MONODEK 48 SIZE 0 CDM      
MOP HEAD MEDIUM CDM      
MOP WET MICROFIBER 18 CDM      
MORGAN LENS 10282   180.88  
MOSQUITO CURVED, MICRO TIP CDM      
MOSQUITO CURVED, FINE TIP CDM      
MOSQUITO STRAIGHT, EXTRA FINE TIP CDM      
MOTOR CDM      
MOTOR 3 PHASE CDM      
MOTOR START CAPACITOR CDM      
MOUSE OPTICAL USB CDM      
MOUSE SEAL SHIELD CDM      
MOUTHPIECE DISP UNIVERSA CDM      
MOUTHPIECE 1-3/16 OD CDM      
MOUTHWASH CDM      
MRSA AGAR CDM      
MUELLER HINTON WITH BLOOD CDM      
MULTISTIX 10 SG #2161 CDM      
NAIL NIPPER 4-5/8 CONCAVE CDM      
NAIL POLISH REMOVER CDM      
NAME BADGE, AVERY 839 CDM      
NASAL ALAR SPO2 SENSOR CDM      
NASAL ALLERGIES CDM      
NASAL SPECULUM DISPOSABLE CDM      
NASOPHARYNGEAL FLOCKING SWAB CDM      
NATUS PRINTER LABELS CDM      
NATUS TEST CAVITY CDM      
NEBULIZER AIRLIFT EMPTY 12366   4.39  
NEBULIZER HEART 11629   27.07  
NEBULIZER MISTY 10020   1.75  
NEBULIZER MACHINE CDM      
NEEDLE 18G 1-1/2 CDM      
NEEDLE 19G 1 CDM      
NEEDLE 20G 1 CDM      
NEEDLE 20G 1-1/2 CDM      
NEEDLE 21G 1 CDM      
NEEDLE 21X2 QFM CDM      
NEEDLE 22G 1 CDM      
NEEDLE 22G 1-1/2 CDM      
NEEDLE 23G 1 CDM      
NEEDLE 25G 1 CDM      
NEEDLE 25G 1-1/2 CDM      
NEEDLE 27G 1/2 CDM      
NEEDLE 27G 1 1/4 IN SAFETY CDM      
NEEDLE 27G LONG DENTAL CDM      
NEEDLE 27X1-1/2 CDM      
NEEDLE 30G 1 CDM      
NEEDLE 30G SHORT DENTAL CDM      
NEEDLE AUTOSHIELD DUO PEN 30G CDM      
NEEDLE BIOPSY 16G BARD CDM      
NEEDLE BIOPSY 18G X 10CM CDM      
NEEDLE BLUNT 18 G CDM      
NEEDLE ECLIPSE 21G 1-1/4 CDM      
NEEDLE ECLIPSE 22G 1-1/4 CDM      
NEEDLE EPIDURAL TUOHY 17GX6IN CDM      
NEEDLE EZ IO 25MM BLUE 14296   409.8  
NEEDLE EZ IO 45MM YELLOW 12497   409.8  
NEEDLE EZ IO15MM PINK 12566   409.8  
NEEDLE HOLDER CDM      
NEEDLE HOLDER BLAIR-BROWN CDM      
NEEDLE HOLDER, LONG FINE TIP CDM      
NEEDLE HOLDER, LONG CDM      
NEEDLE HOLDER, 8 INCHES CDM      
NEEDLE HOLDER, HEANEY CDM      
NEEDLE HOLDER HEANEY, CURVED CDM      
NEEDLE HUBER 20G 3/4 CDM      
NEEDLE HUBER 19X1 CDM   16.22  
NEEDLE IO MANUAL 18G CDM      
NEEDLE MAGNUM TISSUE BIOPSY CDM      
NEEDLE SAFETYGLIDE 25G 5/8 CDM      
NEEDLE SAFFETY 30G 1/2 CDM      
NEEDLE SCLEROTHERAPY CDM      
NEEDLE SPINAL 18G 3-1/2 CDM      
NEEDLE SPINAL 20G 3-1/2 CDM      
NEEDLE SPINAL 25G 3-1/2 CDM      
NEEDLE SPINAL 22G 3-1/2 CDM      
NEEDLE SPINAL PED 22G 1-1/2 CDM      
NEEDLE SPINAL 22G 5 CDM      
NEEDLE SPINAL SPROTTE 24 CDM      
NEEDLE SPINAL SPROTTE 22 CDM      
NEEDLE SPINAL 22X2-1/2 CDM      
NEEDLE SPINAL WHIT 27G X 4 11/16 CDM      
NEEDLE STEP INSUFFLATION CDM      
NEEDLE STIMUPLEX A 22G 2IN CDM      
NEEDLE TRANSFER 17G X 3/8 CDM      
NEEDLE WHIACRE 25X3-1/2 CDM      
NEGATIVE CONTROL MEDTOX CDM      
NEISSERIA GONORHEA #31426 CDM      
NELLCOR SPO2 GE CDM      
NEO STRAP CONVERS S-M CDM      
NEOBLUE RADIOMETER CDM      
NEONATAL INTENSIVE CARE CDM      
NEOPRENE SUSPENSION SLEEVE XL CDM      
NEOPRENE SUSPENSION SLEEVE L CDM      
NERL WATER REAGENT GRADE CDM      
NERVE HOOK, BLUNT CDM      
NERVE HOOK, THICK TIP CDM      
NETWORK ADAPTER CDM      
NEWBORN PULSE OX CDM      
NIPPLE PREMIE CDM      
NIPPLE REGULAR CDM      
NIPPLE SHEILD 24MM 10930   15.69  
NIPPLE STANDARD FLOW CDM      
NIST CALIBRATION CDM      
NITRATE A REAGENT CDM      
NITRATE B REAGENT CDM      
NITRIC ACID 70% CDM      
NITROFURANTOIN (F) CDM      
NONPENETRATING TOWEL CLIPS CDM      
NORMAL CONTROL, ASSAYED CDM      
NOSE CLIPS CDM      
NOVOBIOCIN (NB) DISCS CDM      
NT PROBNP RANGE VERIF CDM      
NUC BRACKET CDM      
NUC POWER SUPPLY CDM      
NUCLEUS KNIFE 5 3MM CDM      
NUGAUZE 2 INCH PLAIN 10531   8.25  
NUGAUZE IODOFORM 1\\4 10336   8.28  
NUGAUZE IODOFORM 1 10338   15.89  
NUGAUZE IODOFORM 2 10339   20.41  
NUGAUZE PLAIN 1/4 10333   4.83  
NUGAUZE PLAIN 1/2 10334   4.9  
NUGAUZE PLAIN 1 10335   5.57  
NURSE CALL BUTTON CORD 10FT CDM      
NURSER GRAD U FEED CDM      
NURSING DRUG HANDBOOK CDM      
O'CONNER O'SULLIVAN RETRACTOR CDM      
O-RING SLOAN CDM      
OBTURATOR 11MM CDM      
OFLOXACIN (OFX) CDM      
OHMEDA CONNECTOR CDM      
OHMEDA FEMALE X DISS CDM      
OHMEDA Y-STYLE CDM      
OIL 3-IN-1 CDM      
OPEN/CLOSED SIGN CDM      
OPHTHALMOSCOPE W/A 11720 CDM      
OPTI-CIDE GALLON CDM      
OPTICAL 8 CAP STRIP CDM      
OPTICAL 8 TUBE STRIP CDM      
OPTICAL 96 WELL PLATE CDM      
OPTICAL ADHESIVE COVER CDM      
OPTITRAC CURTAIN HOOK CDM      
OPTITRAC END CAP CDM      
OPTIVISOR DA 2.5 CDM      
OPTOCHIN P DISCS CDM      
OR UMBILICAL SCISSORS FOR OB CDM      
ORAL-B DENTURE BRUSH CDM      
ORAQUICK RAPID ANTIBODY TEST CDM      
ORTHO CONSUMABLE ORDER CDM      
ORTHOCORD VIOLET FOLEY CDM      
ORTHOWEAR MED CDM      
ORTHOWEAR SMALL CDM      
ORTHOWEDGE DARCO SMALL CDM      
ORTHOWEDGE DARCO MED CDM      
ORTHOWEDGE DARCO LARGE CDM      
OSTEOPOROSIS PAMPHLET CDM      
OSTEOTOMES CDM      
OSTOMY SET GENTLE TOUCH 10597   2.14  
OTOSCOPE SPECULA 3.5V CDM      
OVERBED TABLE CDM      
OXACILLIN (OX) CDM      
OXIDASE STRIPS CDM      
OXYMIZER PENDANT 14508   54.72  
PACEMAKER-INCLUDES LEADS CDM      
PACIFIER CDM      
PACK BASIC CDM      
PACK C-SECTION CDM      
PACK CLOSUREFAST PROCEDURE CDM      
PACK COLD DISP CDM      
PACK HOT DISP CDM      
PACK LAP CHOLE CDM      
PACK LAPAROTOMY CDM      
PACK LAVH CARDINAL CDM      
PACK LOWER EXTREMITY CDM      
PACK OB CDM      
PACKING VAGINAL 1339S CDM      
PAD ABD 8X10 CDM      
PAD ADHESIVE REMOVER CDM      
PAD AED ADULT CDM      
PAD AED PEDI II CDM      
PAD ALCOHOL PREP CDM      
PAD BUFFING WHITE CDM      
PAD BUFFING RED CDM      
PAD BUFFING AQUA CDM      
PAD DEFIB PEDI FR2+ M3870A CDM      
PAD EYE OVAL CDM      
PAD FLEXISPLINT LG FOAM CDM      
PAD GROUNDING CDM      
PAD KOTEX MAXI CDM      
PAD LEGAL 5X8 CDM      
PAD MAGNETIC SMALL MEDLINE CDM      
PAD MAGNETIC LARGE CDM      
PAD MATTRESS CDM      
PAD NURSING BREAST 14354      
PAD OB XL SECURELY YOURS CDM      
PAD POST IT 3X3 CDM      
PAD PREP ELECTRODE CDM      
PAD SCOTCHBRITE CDM      
PAD SCRATCH 4X6 CDM      
PAD STRIPPING BLACK 20 CDM      
PAD STRIPPING HEAVY DUTY CDM      
PAD T GAYMAR 13X18 10640   40.05  
PAD YELLOW 8.5X11 CDM      
PADDED MOUSE PAD CDM      
PADDING DELTA DRY 2 FOLEY CDM      
PADDING DELTA DRY 4 FOLEY CDM      
PADDING DELTA DRY 3 IN CDM      
PAJAMA PANTS DRAWSTRING CDM      
PAMPHLET, SNORING & S CDM      
PAN FRACTURE CDM      
PANAVIA ETCHING AGENT CDM      
PANEL NUC89 CDM      
PANEL NEG BP COMBO 30 CDM      
PANEL PM38 CDM      
PANTS SCRUB XXXL CDM      
PAPER BLUE 8-1/2X11 CDM      
PAPER BLUE 8-1/2X14 CDM      
PAPER CANARY 8-1/2X11 CDM      
PAPER CARDSTOCK 90 LB CDM      
PAPER CASTLE STERILIZER CDM      
PAPER CLIP SMALL CDM      
PAPER CLIP JUMBO CDM      
PAPER COPY 8-1/2X11 CDM      
PAPER COPY 8-1/2X14 WHITE CDM      
PAPER COPY 11X17 CDM      
PAPER DEFIB ZOLL CDM      
PAPER ECG TREADMILL CDM      
PAPER EKG DATASCOPE PINK CDM      
PAPER EXAM TABLE CDM      
PAPER EXAM GOWN CDM      
PAPER FETAL MONITOR PHIL CDM      
PAPER FOR STERIS SYSTEM 1E CDM